• Title/Summary/Keyword: medical error

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종합병원관리 전산화 System-MEDIOS

  • 이승훈
    • Journal of Biomedical Engineering Research
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    • v.3 no.1
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    • pp.55-58
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    • 1982
  • In this paper, a method for camera position estimation in gaster using elechoendoscopic image sequence is proposed. In order to obtain proper image sequences, the gaster in divided into three sections. It is presented that camera position modeling for 3D information extraction and image distortion due to the endoscopic lenses is corrected.The feature points are represented with respect to the reference coordinate system belpw 10 percents error rate. The faster distortion correction algorithm is proposed in this paper. This algorithm uses error table which is faster than coordinate transform method using n-th order polynomials.

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우리나라 의용생체공학의 현황과 전망

  • 이충웅
    • Journal of Biomedical Engineering Research
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    • v.10 no.2
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    • pp.83-88
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    • 1989
  • This paper is a study on the design of adptive filter for QRS complex detection. We propose a simple adaptive algorithm to increase capability of noise cancelation in QRS complex detection with two stage adaptive filter. At the first stage, background noise is removed and at the next stage, only spectrum of QRS complex components is passed. Two adaptive filters can afford to keep track of the changes of both noise and QRS complex. Each adaptive filter consists of prediction error filter and FIR filter The impulse response of FIR filter uses coefficients of prediction error filter. The detection rates for 105 and 108 of MIT/BIH data base were 99.3% and 97.4% respectively.

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Critical Overview on Changes of Judicial Precedents in the Medical Cases of Korea - In Relation with Forms of Judgments and Damages - (우리나라 의료판례 변화에 대한 비판적 고찰 - 판결양식과 손해배상액을 중심으로 -)

  • Shin, Hyun Ho
    • The Korean Society of Law and Medicine
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    • v.15 no.1
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    • pp.83-122
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    • 2014
  • Compared with medical cases and health care law from other countries there has been a lot of progress on medical law, especially on medical precedents in Korea. However, in recent years, medical precedents tend to reflect a realistic position of health care providers, rather than normative position of the victim. The burden of proof to prove strict liability is given to patients in civil law suits by courts, patients generally has the burden of proof. The rate of claims to prove the negligence of medical malpractice is falling significantly. Even if the error is acknowledged, it is not enough to get right to be relief for patients by increasing limitations of liability or ratio of patient's own negligence. Compensation fee is included in medical fees and risk of medical malpractice actions contributes ultimately to a health care consumer. In conclusion, author represents a major the new upgrade of above mentioned problem. By advising that court should assess actively for the perspective of victim for medical negligence we will be able to exercise remedies of patients' rights and to prevent recurring medical accidents and also contribute to medical advances.

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Application of Westgard Multi-Rules for Improving Nuclear Medicine Blood Test Quality Control (핵의학 검체검사 정도관리의 개선을 위한 Westgard Multi-Rules의 적용)

  • Jung, Heung-Soo;Bae, Jin-Soo;Shin, Yong-Hwan;Kim, Ji-Young;Seok, Jae-Dong
    • The Korean Journal of Nuclear Medicine Technology
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    • v.16 no.1
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    • pp.115-118
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    • 2012
  • Purpose: The Levey-Jennings chart controlled measurement values that deviated from the tolerance value (mean ${\pm}2SD$ or ${\pm}3SD$). On the other hand, the upgraded Westgard Multi-Rules are actively recommended as a more efficient, specialized form of hospital certification in relation to Internal Quality Control. To apply Westgard Multi-Rules in quality control, credible quality control substance and target value are required. However, as physical examinations commonly use quality control substances provided within the test kit, there are many difficulties presented in the calculation of target value in relation to frequent changes in concentration value and insufficient credibility of quality control substance. This study attempts to improve the professionalism and credibility of quality control by applying Westgard Multi-Rules and calculating credible target value by using a commercialized quality control substance. Materials and Methods : This study used Immunoassay Plus Control Level 1, 2, 3 of Company B as the quality control substance of Total T3, which is the thyroid test implemented at the relevant hospital. Target value was established as the mean value of 295 cases collected for 1 month, excluding values that deviated from ${\pm}2SD$. The hospital quality control calculation program was used to enter target value. 12s, 22s, 13s, 2 of 32s, R4s, 41s, $10\bar{x}$, 7T of Westgard Multi-Rules were applied in the Total T3 experiment, which was conducted 194 times for 20 days in August. Based on the applied rules, this study classified data into random error and systemic error for analysis. Results: Quality control substances 1, 2, and 3 were each established as 84.2 ng/$dl$, 156.7 ng/$dl$, 242.4 ng/$dl$ for target values of Total T3, with the standard deviation established as 11.22 ng/$dl$, 14.52 ng/$dl$, 14.52 ng/$dl$ respectively. According to error type analysis achieved after applying Westgard Multi-Rules based on established target values, the following results were obtained for Random error, 12s was analyzed 48 times, 13s was analyzed 13 times, R4s was analyzed 6 times, for Systemic error, 22s was analyzed 10 times, 41s was analyzed 11 times, 2 of 32s was analyzed 17 times, $10\bar{x}$ was analyzed 10 times, and 7T was not applied. For uncontrollable Random error types, the entire experimental process was rechecked and greater emphasis was placed on re-testing. For controllable Systemic error types, this study searched the cause of error, recorded the relevant cause in the action form and reported the information to the Internal Quality Control committee if necessary. Conclusions : This study applied Westgard Multi-Rules by using commercialized substance as quality control substance and establishing target values. In result, precise analysis of Random error and Systemic error was achieved through the analysis of 12s, 22s, 13s, 2 of 32s, R4s, 41s, $10\bar{x}$, 7T rules. Furthermore, ideal quality control was achieved through analysis conducted on all data presented within the range of ${\pm}3SD$. In this regard, it can be said that the quality control method formed based on the systematic application of Westgard Multi-Rules is more effective than the Levey-Jennings chart and can maximize error detection.

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Role Transition from Clinical Nurse to Case Manager for Medical-aid Beneficiaries: Taking Root in a Barren Land (임상간호사에서 의료급여관리사로의 역할 전이 과정: '척박한 땅에 뿌리내리기')

  • Park, Eun-Jun;Kim, Chun-Mi;Lim, Seung-Joo
    • Journal of Korean Academy of Nursing
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    • v.42 no.2
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    • pp.149-160
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    • 2012
  • Purpose: The purpose of this study was to explain the role transition process to nurse case managers (NCMs) for Medical-aid beneficiaries in Korea. Methods: Fourteen NCMs were interviewed regarding their experiences of becoming proficient in the new role of case manger. Data were analyzed through the application of grounded theory. Results: 'Taking root in a barren land' was the core category explaining the role transition process of NCMs. They engaged in four stages: launching, trial and error, proficiency, and wait-and-see stages. NCMs showed not only fear but also passion for case management practice. Despite their passion and effort, NCMs went through a period of trial and error. After becoming skilled, NCMs went through a stage of wait-and-see often because of job insecurity related to temporary position or few opportunities for promotion. Factors influencing NCMs' role transition process included their understanding of client characteristics, belief in case management, and support from their colleagues and families. Conclusion: NCMs experience many challenges in the process of becoming proficient NCMs. To help with their role transition, there is a need for education programs, preceptorship programs, research on their roles and functions, and regulation for securing NCMs' employment and career stability.

High Dose Rate Ir-192 Source Calibration Method with Newly Designed Calibration Jig (고선량 Ir-192선원 교정기의 제작 및 특성)

  • Yi, Byong-Yong;Choi, Eun-Kyung;Chang, Hye-Sook
    • Radiation Oncology Journal
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    • v.7 no.2
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    • pp.299-303
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    • 1989
  • Authors have developed highly reproducible calibration method for the Micro-Selectron HDR Ir-192 system (Nucletron, Motherland). The new jig has a 10cm radius circular hole in the $30cm{\times}30cm{\times}0.2cm$ acrylic plate, and 5F flexible bronchial tubes are attached around the hole. The source moves along the circle in the tubes and the ionization chamber is placed verticaly at the center of the circular hole (center of the jig). Dose distribution near the center was derived theoretically, and measured with the film dosimetry system. Theoretical calculation and measurement show the error margin below $0.1\%$ for 1mm or 2mm position deviation. We have measured at 12 and 24 points of circle with 1, 6, 11 and 21 second dwell time of source in order to calculate the activity of the source. Measurements have been repeated daily for 50 days. The accuracy and the reproducibility are below $1\%$ error margin. The half life of the source from our measurement is estimated $73.4\pm0.4$ days.

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Comparison of Word Extraction Methods Based on Unsupervised Learning for Analyzing East Asian Traditional Medicine Texts (한의학 고문헌 텍스트 분석을 위한 비지도학습 기반 단어 추출 방법 비교)

  • Oh, Junho
    • Journal of Korean Medical classics
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    • v.32 no.3
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    • pp.47-57
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    • 2019
  • Objectives : We aim to assist in choosing an appropriate method for word extraction when analyzing East Asian Traditional Medical texts based on unsupervised learning. Methods : In order to assign ranks to substrings, we conducted a test using one method(BE:Branching Entropy) for exterior boundary value, three methods(CS:cohesion score, TS:t-score, SL:simple-ll) for interior boundary value, and six methods(BExSL, BExTS, BExCS, CSxTS, CSxSL, TSxSL) from combining them. Results : When Miss Rate(MR) was used as the criterion, the error was minimal when the TS and SL were used together, while the error was maximum when CS was used alone. When number of segmented texts was applied as weight value, the results were the best in the case of SL, and the worst in the case of BE alone. Conclusions : Unsupervised-Learning-Based Word Extraction is a method that can be used to analyze texts without a prepared set of vocabulary data. When using this method, SL or the combination of SL and TS could be considered primarily.

The Medical Bed System for Preventing Pressure Ulcer Using the Two-Stage Control

  • Kim, Jungae;Lee, Youngdae;Seon, Minju;Lim, Jae-Young
    • International journal of advanced smart convergence
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    • v.10 no.1
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    • pp.151-158
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    • 2021
  • The main cause of ulcer is pressure, which starts to develop when the critical body pressure (32mmHg) is exceeded, and when the critical time elapses, ulcer occurs. In this study, the keyboard mechanism of the medical bed with 4 bar links was adopted, and each key can be controlled vertically. A key has one servo drive and one sensor controller which hasseveral body pressure sensors. The sensor controllers and the servo drives are connected to the main controller by two CAN (Car Are Network) in series, respectively. By reading the maximum body pressure value of each keyboard sensor, and by calculating the error value based on the critical body pressure, the fuzzy controller moves each key so that the total error becomes zero. If the fuzzy controller fails, then it prevents ulcer by lifting and lowering the keys of the bed alternatively within a short time. Thus, the controller operates in two-stage. The validity and effectiveness of the proposed approach have been verified through experiments.

A Comparative Review on Medical Examination in Rail Industry (국내외 철도의 신체검사 비교 분석)

  • Jung, Jae-Houn;Suh, Sang-Moon;Park, Geun-Ok
    • Proceedings of the KSR Conference
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    • 2007.05a
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    • pp.514-522
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    • 2007
  • Railway System has been developed by applying the advanced technology so that it reduces accident of hardware failure. But human error has been founded as important cause in railway accidents and safety. Medical condition is one of railway accident causes. Failure to recognize potentially incapacitating medical conditions can have serious safety consequences for railroad employees, the railroads and the public[1]. In order to find potential danger, we collect domestic/ foreign case for the medical examination and analyse characteristic/difference. The purpose of this study is to suggest information of employees' medical examination through comparing the current medical standard in railway industries.

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A Study for Management System of Integrity PACS Data Using DICOM Object (DICOM 객체를 활용한 무결성 PACS Data 관리시스템 구현)

  • Park, Bum-Jin;Jeong, Jae-Ho;Son, Gi-Gyeong;Jung, Young-Tae;Kang, Hee-Doo
    • Korean Journal of Digital Imaging in Medicine
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    • v.15 no.1
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    • pp.9-20
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    • 2013
  • PACS is one of the most used medical information system and share information from other hospitals through the PACS. Data integrity means zero defects data and this is a prerequisite of information system performance. but I wonder if I can trust these informations that Incorrect information from radiotechnologist's mistakes, anonymous in emergency department, Newborn baby department, modified informations at later. And Modified informations causes defect in integrity of the data. When we import, we use DICOM header not DB data. so error occurs that DB data is deferent with DICOM Header information. This paper discusses to resolve as above problem using DICOM object such as DICOM PR, SR. And propose quality management system that can guarantee the patient information and can manage exam history.

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