• Title/Summary/Keyword: electronic health records

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The Effects of the Electronic Health Record System on Work Overload and Stress Moderation of Hospital Employees

  • Choi, Young-Jin;Noh, Jin-Won;Boo, Yoo-Kyung
    • The Journal of Industrial Distribution & Business
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    • v.9 no.9
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    • pp.35-44
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    • 2018
  • Purpose - In endless competition, companies pursue cost reduction and work efficiency. So, entrepreneurs try to increase job intensity, which may lead to job stress and high turnovers because of job burnout. But, Information systems are acknowledged as a work support tool that secures work convenience and the productivity of employees. In this study, we aimed to confirm the effects of information systems in reduing the work overload of employees in a human resource intensive industry. Research design, data and methodology - This is based on the job demands-resources model, conducting an empirical analysis of surveys given to hospital employees working in a human resource intensive industry. Results - The research revealed that information systems reduced the work overload of employees in a human resource intensive industry. Conclusion - This study confirmed the effects of information systems as a job resource based on JD-R theory, and presentation of empirical results indicated that information systems alleviate employee job overload and increases job satisfaction in the medical services industry. In the medical services industry, using electronic health record system decreases in work overload, which results in employees gaining time for self-development and time management, reducing job stress, and leading to job satisfaction.

Identifying Usability Level and Factors Affecting Electronic Nursing Record Systems: A Multi-institutional Time-motion Approach (전자간호기록 시스템의 사용성 수준 및 관련 요인 분석: Time-motion 방법 적용을 통한 다기관 접근)

  • Cho, Insook;Choi, Won-Ja;Choi, WoanHeui;Hyun, Misuk;Park, Yeonok;Lee, Yoona;Cho, Euiyoung;Hwang, Okhee
    • Journal of Korean Academy of Nursing
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    • v.45 no.4
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    • pp.523-532
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    • 2015
  • Purpose: The usability, user satisfaction, and impact of electronic nursing record (ENR) systems were investigated. Methods: This mixed-method research was performed as a time-motion (TM) study and a survey which were carried out at six hospitals between August and November 2013. The TM study involved 108 nurses from medical, surgical, and intensive care units at each hospital, plus an additional 48 nurses who served as nonparticipating observers. In the survey, 1879 volunteer nurses completed the Impact of ENR Systems Scale, the System Usability Scale, and a global satisfaction scale. Qualitative and quantitative analyses were performed. Results: The mean scores for the ENR impact, system usability, and satisfaction were 4.28 (out of 6), 58.62 (out of 100), and 74.31 (out of 100), respectively, and they differed significantly between hospitals (F=43.43, p<.001, F=53.08 and p<.001, and F=29.13 and p<.001, respectively). A workflow fragmentation assessment revealed different patterns of ENR system use among the included hospitals. Three user characteristics-educational background, practice period, and experience of using paper records-significantly affected the system usability and satisfaction scores. Conclusion: The system quality varied widely among the ENR systems. The generally low-to-moderate levels of system usability and user satisfaction suggest many opportunities for improvement.

Considerations for the Migration of Electronic Medical Records to Cloud Based Storage (전자의무기록의 클라우드 기반 저장소 이동시 고려사항)

  • Yi, Myongho
    • Journal of Korean Library and Information Science Society
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    • v.47 no.1
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    • pp.149-173
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    • 2016
  • As cloud computing becomes more and more popular and ubiquitous, many organizations are deciding to move their whole information infrastructure to the cloud. The healthcare industry is one of those that is beginning to utilize cloud-based solutions en masse. Cloud based computing and storage offers numerous benefits including scalability, cost efficiency, and accessibility, which in turn have the potential to streamline hospital operations. Despite the potential benefits of acquiring this system, considerations must still be given to the migration of the massive amounts of personal and highly protected data to a cloud-based solution. Health care organizations must consider all matters of security, reliability, and availability, to ensure that patients' data remains compliant to the Health Insurance Portability and Accountability Act (HIPAA) compliant. This paper will examine the benefits and challenges of such operation to determine the best practices for the utilization of Electronic Medical Record (EMR) cloud based networking and storage for small to mid-sized hospitals.

A retrospective study of age-specific disease incidence in major popular breed dogs in Republic of Korea

  • Seung-Won Yi;Sang-Ik Oh;Yoon Jung Do;Jae Gyu Yoo;Eunju Kim
    • Korean Journal of Veterinary Research
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    • v.63 no.4
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    • pp.34.1-34.9
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    • 2023
  • Dogs exhibit patterns of health issues that vary by life stage. An understanding of disease incidence with respect to breed and age/life stage could be an important component of canine health management and welfare. This study aimed to describe the age-specific disease incidence of 3 small dog breeds that attended veterinary clinics in the Republic of Korea, based on data from electronic veterinary medical records (EVMRs). A total of 40,785 EVMRs from Maltese (n = 21,355), Miniature Poodle (n = 11,658) and Shih Tzu dogs (n = 7,772) were analyzed. Common health problems in 3 small dog breeds were 'diseases of the skin' and 'diseases of the ear,' respectively. Among dogs aged ≤ 3 years, 'preventive medicine' was the most common cause cited for veterinary clinic visits. Among dogs aged 4 to 8 years, the most frequent health problems were 'diseases of the skin.' Among dogs aged 9 to 13 years, 'heart diseases,' 'kidney diseases,' 'mammary gland tumor,' and 'neoplasia (unspecified)' were considerably more frequent, compared to the rates in dogs ≤3 years. Among dogs aged ≥ 14 years, 'heart diseases' and 'sneezing/cough' were the main health problems. In all breeds, the frequencies of 'diseases of circulatory system,' 'diseases of respiratory system,' 'diseases of the nervous system,' 'endocrine' and 'neoplasia' increased rapidly with aging. This surveillance could inform strategies for disease screening tests and management based on life stage in these dog breeds and enable more effective health management.

Design and Development of a Multimodal Biomedical Information Retrieval System

  • Demner-Fushman, Dina;Antani, Sameer;Simpson, Matthew;Thoma, George R.
    • Journal of Computing Science and Engineering
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    • v.6 no.2
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    • pp.168-177
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    • 2012
  • The search for relevant and actionable information is a key to achieving clinical and research goals in biomedicine. Biomedical information exists in different forms: as text and illustrations in journal articles and other documents, in images stored in databases, and as patients' cases in electronic health records. This paper presents ways to move beyond conventional text-based searching of these resources, by combining text and visual features in search queries and document representation. A combination of techniques and tools from the fields of natural language processing, information retrieval, and content-based image retrieval allows the development of building blocks for advanced information services. Such services enable searching by textual as well as visual queries, and retrieving documents enriched by relevant images, charts, and other illustrations from the journal literature, patient records and image databases.

A Study on Anonymous Electronic Prescription based on RSA Cryptosystem (RSA 기반의 익명 전자처방전에 관한 연구)

  • Chung, Chan-Joo;Yun, Jung-Mee;Won, Dong-Ho
    • Journal of the Institute of Electronics Engineers of Korea TC
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    • v.47 no.4
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    • pp.51-62
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    • 2010
  • This paper proposes RSA cryptosystem based anonymous electronic prescription which is issued from university and local hospitals by authorized medical professionals. Electronic prescription is now being used in domestic hospitals where sharing medical records and images are prevailing, facilitated by digitalizing medical information and building network infrastructure between the institutes. Proposed RSA based anonymous electronic prescription makes use of PKI protects the identity exposure of doctors and privacy of patients. While traditional prescription fails to protect identities to mandates party or to health insurance, the proposed RSA based prescription opens the contents of the prescription to health insurance authority only after its prescribing function is finished. The proposed approach along with soon to be deployed electronic ID card will help national health insurance corporation to increase the transparency of national prescription system.

User-friendly Application for operability with HL7 in mobile agent of Ubiquitous Health Environment

  • Lee, JeongHoon;Kwock, DongYeup;Moon, KangNam;sahama, Tony;Kim, Jung-Tae
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2009.10a
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    • pp.866-870
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    • 2009
  • Mobile Health (M-Health) system is a recent term for medical and public health practice supported by mobile devices, such as mobile phones, PDAs, and other wireless devices. Mobile Health system has been successfully establishing at few general hospital in Korea. However, to use diverse devices manufactured by various company cause inoperability, and lack of security disappoints customers often. Although the outstanding health environment, most of hospitals are unavailable to share electronic patient records due to lack of standard protocol to handle the interoperability each other. Health Level 7 (HL7) is the best solution for the problem. In this paper, we will analyse a current M-Health service in terms of security and mobile device, and suggest iPhone for the best device against hospital environment. Also, for keep confidentiality of health information and patient privacy, enhanced security mechanism is introduced. As a consequence, interoperable standard, and most appropriate device for supporting staffs and M-Health performance, and enhanced securirty mechanism will be integrated in order to propose improved M-health model.

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Health Information Managers' Job Stress in an Electronic Medical Record Environment

  • Noh, Jin-Won;Choi, Hyo-Jin;Hong, Jin-Hyuk;Boo, Yoo-Kyung
    • International Journal of Contents
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    • v.13 no.2
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    • pp.35-43
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    • 2017
  • This study sought to measure the influence of HIMs' work environment changes on job stress, and to explore measures for improving job satisfaction among them. A total of 275 hospital HIMs' were surveyed using a structured questionnaire. Significant job stress impact variables were sorted out using a simple linear regression analysis. Then, through multiple linear regression analysis, multicollinearity was tested. Significant impact factors were identified from among the control variables, and job stress impact was measured. The survey revealed that in public hospitals where the EMR system has been implemented for a longer period, depression scores in HIMs' were increased. HIMs' job stress level was found to be affected by the following factors: computerization of their working environment, experience of depression, unemployment, and manpower reduction, as well as, their lifestyles, including leisure activities. The results of this study suggest that HIMs' job stress can be reduced through work environment improvement and improvement of their personal lifestyle habits.

Development of Detailed Clinical Models of Nursing Information for Initial Assessment (초기사정을 위한 간호정보조사지의 임상내용 모델 개발)

  • Kim, Younglan;Park, Hyeoun-Ae;Min, Yul Ha;Lee, Myung Kyung;Lee, Young Ji
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.1
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    • pp.101-112
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    • 2011
  • Purpose: The purpose of this study is to develop a detailed clinical model for recording initial nursing assessment items, and to test the applicability of the model to facilitate semantic interoperability for sharing and exchanging nursing information. Methods: First, the researchers extracted items by analyzing initial nursing assessment records. Second, defining characteristics were identified by analyzing nursing records and reviewing the literature. Third, value sets for defining characteristics were identified and types and cardinalities of defining characteristics were defined based on the value sets. Finally, the detailed clinical model was tested through evaluation by experts and comparison with the initial nursing assessment in a clinical setting. Results: Sixty-one detailed clinical models were developed with 178 defining characteristics and value sets. The experts evaluation and comparison with the initial nursing assessment in a clinical setting showed that the detailed clinical model developed in this study was valid. Conclusion: Use of this detailed clinical model can ensure that the Electronic Health Record contains meaningful and valid information and supports semantic interoperability of nursing information. This use will promote quality in the nursing records and eventually quality of nursing care.

Research on the Domestic and Foreign Legislation about Secondary Use Protection for Personal Health Information (개인건강정보의 2차이용 보호에 관한 국내외 법안 연구)

  • Park, Han-Na;Jung, Boo-Geum;Lee, Dong-Hoon;Chung, Kyo-Il
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.20 no.6
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    • pp.251-260
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    • 2010
  • Through the convergence of medical services and the IT technique, the patient's personal health information computerization has been rapidly spread with propagation of electronic medical record(EHR). In addition, by entering u-health, the demand of the secondary use for public health, medical research, and medical service using electronic patient health care records are increasing. The personal health information secondary uses for the development of academic medical area and service, are very good thing. But, carelessly to use personal health information, the patient privacy would be damaged. However, there are not yet systematic studies about secondary use of personal health information. Therefore, in this paper, we analyze the difference of the internal and external bill for personal medical data secondary use and propose the direction of the medical service development and preservation of the individual's privacy.