• Journal of Digital Convergence
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• v.11 no.6
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• pp.245-256
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• 2013

This study was conducted in order to examine the quantity of health and medical statistics survey in Medical Records Offices which was required by outside institutions and whether it is profitable for the hospitals or not. The thirteen outside institutions required health and medical statistics of the 24 types of the survey to Medical Records Offices. 16.7% of health and medical statistics of the survey was paid to medical records offices such as the National Cancer Registration Survey, Patient Survey, Tuberculosis Patient Survey, and Hospital Discharge Patients Injury Survey. Medical Records Offices' total length of time for the health and medical statistics survey was over 200 hours per year like the National Cancer Registration Survey, Healthcare Accreditation System and Hospital Discharge Patients Injury Survey. The Medical Record Administrators in the hospitals with fewer than 500 beds work full time from 1 to 3. It is indicated in the study that it is necessary to improve the health and medical statistics survey system in Medical Records Offices required by the outside institutions and to employ additional Medical Record Administrator for more accurate Health and Medical Statistics Survey.

• Journal of Korean Clinical Nursing Research
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• v.16 no.3
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• pp.123-132
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• 2010

Purpose: This study was done to analyse nursing records to identify the nature of pain and actual conditions of pain management in patients hospitalized in one university hospital. Methods: The participants in this study were 783 patients with a length of stay of 3 to 30 days who were discharged from medical wards between June 1 and June 30, 2009. Data on nursing records related to pain management from these patients were reviewed using the Electronic Nursing Records (ENRs) system. Results: Over 30 percent of 10,702 nursing records related to pain assessment had no record on region, severity, nature or frequency of pain. About 30 percent of 13,638 nursing records related to pain intervention showed non-drug pain management techniques. Conclusion: Accurate and complete records on pain assessment including region, severity, nature and frequency of pain are essential to effectively manage patients' pain. Improvement in ENRs system for better assessment and management of pain is required as well as education programs on a standardized measuring tool for both nurses and patients.

• Journal of the Korea Convergence Society
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• v.6 no.5
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• pp.337-346
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• 2015

This study has been conducted for the purpose of elucidating the factors that are affecting the job performances and how this factors have affected the satisfactory of medical record technicians working at general hospitals in south Korea. This study had 428 participants from 60 general hospitals, located in Seoul and 4 different metropolitan cities such as Incheon, Daegu, Gwangju and Daejeon. This study was performed through using the standardized self-administered questionnaires As a result, the job satisfaction had a significant relationship with the participants monthly income, age, position of the job, BMI, satisfactory in performances, consideration of changing the career, having a breakfast regular exercises, and having a perception on socioeconomic status of oneself. Particularly, the hierarchical multiple regression analysis had shown that possessing the appropriate characteristics that are required in that field of career had a high correlation with the job satisfactory. In the future, this study suggests that need of appropriate interventions of work-related characteristics are required in order to improve the job satisfaction of medical record technicians.

• Proceedings of the Korean Information Science Society Conference
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• 2001.10b
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• pp.562-564
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• 2001

본 논문에서는 초.중등하교 종합정보관리시스템을 국가인적자원관리시스템으로 활용할 수 있다고 보고 전 국민의 건강정보관리에 이용할 방안을 모색하였다. 이를 위해 종합정보관리시스템의 학생건강기록부와 의사가 기록하는 전자의무기록부의 통합DB화를 강구하였다. 그 결과, 학교와 병원에서 공통으로 관리해야 할 건강정보들을 파악하였고, 수요자에게는 어떤 정보를 제공하여야 하는지가 밝혀졌다.

• Proceedings of the Korean Society of Computer Information Conference
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• 2014.07a
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• pp.403-404
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• 2014

원 업무 효율성을 높이기 위해 최근 다양한 병원 정보 시스템들이 도입되어 왔다. 이러한 시스템들을 통해 병원에서는 다양한 데이터를 전자적인 형태로 기록하고 공유하고 있으나, 이러한 데이터들은 일반적으로 간단한 통계량을 집계하는 데에만 사용되고 있어, 보다 체계적인 방법으로 병원 운영 관리에 유용한 숨겨진 지식이나 패턴을 추출하는 방법이 필요하다. 이에 본 논문에서는 기존 병원 정보 시스템들에 의해 축적되어진 환자 이력 데이터를 분석하여 임상 서비스 프로세스 모형을 추출하는 방법을 제안한다. 환자 이력 데이터는 검사나 처방 등을 실시한 기록을 포함하는데, 일반적으로 구조가 복잡하고 데이터 소스가 분산되어 있어 단순한 방법으로 분석하는 것이 까다롭다. 따라서, 본 논문에서는 먼저 단순한 형태의 프로세스 모형을 생성하고 이를 확장해나가는 단계적인 분석 방법을 소개한다. 이러한 목적을 위해 적절한 데이터 전처리, 데이터 마이닝, 프로세스 마이닝 기법 등이 활용되었으며, 제안하는 방법을 실제 류머티스과 환자 이력 데이터에 적용하여 임상 서비스 프로세스 모형을 추출할 수 있었다.

• Research in Plant Disease
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• v.10 no.1
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• pp.8-12
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• 2004

The diseased ginseng plants, their trunks fall down anil roots rot, were observed in ginseng cultivation field at Bongwha, Kyungbuk. Inoculation of the bacterium isolated from root rot lesion induced a range of symptoms on leaves, trunks and roots; The bacterium caused wilting with chlorosis and black discoloration on leaves, empty of inside trunks and rot on roots. The bacterium was identified as Serritia liquefaciens based on the morphologcal and physiological characteristics. This is the first report in Korea on roots rot of ginseng occurred by S. liquefaciens.

• Journal of Korean Clinical Nursing Research
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• v.15 no.3
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• pp.107-116
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• 2009

Purpose: This study was conducted to evaluate the record completeness of the nursing process in the Electronic Nursing Record(ENR) in a university hospital. Methods: We compared nursing statements documented in 2004 with those from the year 2007, given the fact that the ENR system had been utilized since 2004. The ENRs of 35 gastrectomy patients in each year were selected for evaluation. The selected data were 11,822 nursing statements in 2004 and 27,870 in 2007. Results: The number of nursing records which documented the whole nursing process completely was 4,010 (48.3%) in 2007, whereas 513 (5.9%) in 2004 (p<.001). The number of incomplete records in 2004 was 8,142 (94.1%), while 4,300 (51.7%) in 2007 (p<.001). The number of nursing diagnoses was 846 in 2004 and 4,313 in 2007, which increased in number more than 5 times. The most frequently used diagnoses were 'pain', 'risk for infection' and 'risk for ileus' in both years. Conclusion: There was a significant increase in the record completeness on nursing process in 2007 compared to the records in 2004. The reasons for this increase are attributed to nurse training for encouraging to complete recording and nursing record auditing.

• Quality Improvement in Health Care
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• v.15 no.1
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• pp.113-120
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• 2009

문제: 의무기록 질 관리의 어려움 목적: 의무기록의 질 향상 의료기관: 고려대학교 의료원 안암병원 의료정보팀 질 향상 활동: 의무기록의 질 향상을 위해 입퇴원기록지 24시간 이내 작성율 향상, 입원기록지 24시간 이내 작성율 향상, 외과계 N-C 기재율 감소, 경과기록지 작성율 향상, 일일입퇴원기록지 작성율 향상, STAFF 서명 완성일 단축 활동을 하였다. 개선효과: 의무기록 작성에서 같은 내용을 반복 작성해야 하는 번거로움을 해소하였고, 작성자(의료진) 중심의 프로그램 개선과 개발된 프로그램의 지속적인 모니터링으로 의무기록의 질이 향상되었다.

• Journal of Digital Convergence
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• v.11 no.8
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• pp.293-302
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• 2013

So far, DW(data warehouse) of hospital has been used as tool for analyzing patient-focused data. However, EMR(Electronic Medical Record) is established these days, so informal data which is record and video record could be useful to get some information for patient remedy, not as DW data. This study claims that need of establishing treatment-focused DW, not for hospital administration-focused DW which has been used lots of hospital DW. Also we discussed how CDW can be applied for real medication situation. At last, we deduct a relation past record of sick and wounded patient as Thesaurus searching method by real hospital data for establishing base of early-treatment system.

• Proceedings of the KAIS Fall Conference
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• 2009.12a
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• pp.195-197
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• 2009

본 연구는 산부인과 내원환자에 대한 미래경영 예측하고자 한 대학병원 의무기록정보통계를 활용하여 외래환자, 입원환자 및 분만관련 자료를 분석한 결과 다음과 같다. 신환환자의 경우 평균 140.9명이었며, 각 연도가 증가함에 따라 유의하게 감소하는 경향을 보였으며(p=0.000), 최초년도(2001)에 212.6명이던 것이 최종년도(2007)에는 80.9명으로 약 140여명의 환자가 감소하였다. 입원 실인원의 경우 평균 124.6명이었며, 각 연도가 증가함에 따라 유의하게 감소하는 경향을 보였으며(p=0.000), 최초년도(2001)에 144.6명이던 것이 최종년도(2007)에는 104.8명으로 약 40여명의 환자가 감소하였다. 입원 환자 특성 및 분만관련 요인 등의 변수를 독립변수로, 입원환자수를 종속변수로 하여 다중회귀분석을 실시하였다. 그 결과, 입원환자수에 영향을 미치는 요인으로는 신환, 연인원 분만수 등이 선정되었으며 이들의 설명력은 62.8%이었다. 이상과 같은 결과 병원은 마케팅보다 환자관리라는 서비스가 우선되어야 하지만 환자 유인 효과도 현재 무시할 수 없으며 이는 환자의 병에 대해 관심을 써주는 병원의 배려가 신뢰로 연결될 수 있을 것이다.