• Title/Summary/Keyword: 의무기록정보

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Medication use as a Risk Factor for Falls in Hospitalized Elderly Patients in Korea (입원 노인환자의 의약품 사용과 낙상위험도 연구)

  • Lee, Yu-Jeung
    • Korean Journal of Clinical Pharmacy
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    • v.21 no.3
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    • pp.243-248
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    • 2011
  • 낙상은 노인의 건강을 위협하는 가장 심각한 문제 중의 하나이며, 조기사망, 신체손상, 운동장애, 심리학적 기능장애를 유발하는 원인이기도 하다. 본 연구의 목적은 국내 노인전문 요양병원 입원 환자들의 의약품 사용이 낙상에 미치는 영향을 평가하는데 있다. 후향적으로 원내 의무기록 정보를 이용하여 환자-대조군 연구를 수행하였고, 2008년 1월부터 2010년 12월까지 3년 기간에 입원한 65세 이상을 대상으로 하였다. 입원기간 중 낙상을 경험한 34명의 노인환자들을 환자군으로 선택하였으며 낙상을 경험하지 않은 68명의 노인환자들을 무작위 추출하여 1:2의 환자군:대조군비율로 연구 대상 환자들을 선정하였다. 환자군이 복용한 의약품을 대조군이 복용한 의약품과 비교하였으며 각 계열별 의약품과 낙상위험도 관계를 평가하였다. 두 그룹간의 인구통계학적 특성은 유사하였고 연령, 성별, 복용 의약품수, 고혈압 유무, 혈중 크레아티닌 수치, 혈중 나트륨 수치, 혈압 또는 심박수에 유의한 차이는 없었다. 항히스타민제와 본 연구에서 유일하게 기타 수면보조제로 분류된 졸피뎀이 유의하게 낙상위험도를 증가시켰다.

EMR System and Patient Medical Information Protection (전자의무기록(EMR)의 활용과 환자정보보호)

  • Jeun, Youngl-Ju
    • The Korean Journal of Health Service Management
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    • v.7 no.3
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    • pp.213-224
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    • 2013
  • The purpose of this study is to find out the most successful way for the protection of medical information focusing on the electronic medical record(EMR). In this study, every aspect of the EMR is reviewed in terms of the hospital management. In particular, definitions, major functions, strengths and weaknesses of the EMR are considered. This study also examines the general development of the EMR as well as the current situation of applying the EMR. Important issues such as the protection of patient Medical information, informed consent, and the customer-oriented hospital information system are discussed and interpreted in light of the introduction of the EMR into the area of the hospital management. Finally, in this paper Protection of medical information by major Issues on Patient medical information.

A Study on Process Model for Systematic Management of Archival Objects (행정박물의 체계적 관리를 위한 프로세스 구축방안)

  • Lee, Ye-Kyoung;Kim, Keum-Ei;Lee, Jin-Hee
    • The Korean Journal of Archival Studies
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    • no.17
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    • pp.157-202
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    • 2008
  • Archival Objects are defined as objects having historical, aesthetic, and artistic value as well as archival value created and used with a particular purpose in business process. Increasingly, many countries including Canada, Australia, China are recognized the importance of Archival Objects and designated them as national records. In Korea, Archival Objects are involved in national records through '2006 Plan for the Archives and Records Management Reform'. So National Archives and Records Service provided a foothold for comprehensive plan of national records management including Archival Objects. And also, by revising Records and Archives Management Act in 2007, National Archives and Records Service declared aggressive will to management Archival Objects. Until now, Objects held in public institution were easy to be damaged because definition or scope of Archival Objects was ambiguous and management system for material character wasn't exist. Even though the revised Records and Archives Management Act suggest definition and declare the responsibility of management, management system focused on various shape and material of objects need to be established. So this study has defined Archival Objects shortly and carried out a research 5 institutions on the actual management condition. By researching the result of institution survey, Records and Archives Management Act and actual Records Management System, we could find some problems. In solving these problems, We provide objects management process in the order capture ${\rightarrow}$ register ${\rightarrow}$ description ${\rightarrow}$ preservation ${\rightarrow}$ use${\rightarrow}$disposition. In addition, close cooperation between records center and museum of institution should be established for the unitive management at national level. This study has significance in introducing a base to manage Archival Objects systematically. By studying more, we hope to advance in management of valuable Archival Objects.

Operative Challenges in Releasing Administrative Information and Records (행정정보 및 보존기록물 공개의 운영과제)

  • Lee, Won-Kyu
    • The Korean Journal of Archival Studies
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    • no.12
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    • pp.81-135
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    • 2005
  • The release of administrative information has been the challenge of our age following the maturation of democratic ideology in our society. However, differences of opinion and conflict still exist between the government and private sectors regarding the issue, and it seems that the technical and policy-related insufficiencies of information and record management that actually operate the release of information are the main causes. From the perspective of records management, records or information are variable in their nature, value, and influence during their life span. The most controversial issue is the records and information in the current stage of carrying out business activities. This is because the records and information pertaining to finished business are but evidence to ascertain the past, and have only a limited relationship to the ideal of the 'democratic participation' by citizens in activities of the public sector. The current information release policies are helpless against the 'absence of information,' or incomplete records, but such weakness can be supplemented by enforcing record management policies that make obligatory the recording of all details of business activities. In addition, it is understood that the installation of 'document offices("Jaryogwan")' that can manage each organization's information and records will be an important starting point to integrate the release, management, and preservation of information and records. Nevertheless, it seems that the concept of 'release' in information release policies refers not to free use by all citizens but is limited to the 'provision' of records according to public requests, and the concept of 'confidential' refers not to treating documents with total secrecy but varies according to the particulars of each situation, making the actual practice of information release difficult. To solve such problems, it is absolutely necessary to collect the opinions of various constituents associated with the recorded information in question, and to effectively mediate the collective opinions and the information release requests coming from applicants, to carry out the business more practically. Especially crucial is the management of the process by which the nature and influence of recorded information changes, so that information which has to be confidential at first may become available for inquiry and use over time through appropriate procedures. Such processes are also part of the duties that record management, which is in charge of the entire life span of documents, must perform. All created records will be captured within a record management system, and the record creation data thus collected will be used as a guide for inquiry and usage. With 'document offices(Jaryogwan)' and 'archives' controlling the entire life span of records, the release of information will become simpler and more widespread. It is undesirable to try to control only through information release policies those records the nature of which has changed because, unlike the ones still in the early stages of their life span and can directly influence business activities, their work has finished, and they have become historical records or evidences pointing to the truth of past events. Even in the past, when there existed no formal policy regarding the release of administrative information, the access and use of archival records were permitted. A more active and expanded approach must be taken regarding the 'usage' of archival records. If the key factor regarding 'release' lies in the provision of information, the key factor regarding 'usage' lies in the quality and level of the service provided. The full-scale usage of archival records must be preceded by the release of such records, and accordingly, a thorough analysis of the nature, content, and value of the records and their changes must be implemented to guarantee the release of information before their use is requested. That must become a central task of document offices and "Today's information" will soon become "yesterday's records," and the "reality" of today will become "history" of the past. The policies of information release and record management share information records as their common objective. As they have a mutual relationship that is supplementary and leads toward perfection, the two policies must both be differentiated and integrated with each another. It is hoped that the policies and business activities of record management will soon become normalized and reformed for effective and fair release of information.

Implementation of Role Based Access Control Model for U-healthcare (유비쿼터스 헬스케어를 위한 역할 기반 접근제어 모델의 구현)

  • Lee, You-Ri;Park, Dong-Gue
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.6
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    • pp.1256-1264
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    • 2009
  • When unapproved users access to healthcare system and use medical information for other malicious purposes, it could severely threaten important information related to patients' life, because in ubiquitous environment healthcare service makes patient's various examination results, medical records or most information of a patient into data. Therefore, to solve these problems, we design RBAC(Role Based Access Control) for U-healthcare that can access control with location, time and context-awareness information like status information of user and protect patient's privacy. With implementation of the proposed model, we verify effectiveness of the access control model for healthcare in ubiquitous environment.

Big data-based real-time drug side-effect risk assessment model (빅데이터 기반 실시간 의약품 부작용 위험도 평가 모델)

  • Lee, Chae-Eun;Bae, Eun-Ji;Yoon, Sook-Young;Lim, Su-Yeon;Kim, Yong-Min;Kim, Woong-Sup
    • Proceedings of the Korea Information Processing Society Conference
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    • 2019.10a
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    • pp.754-757
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    • 2019
  • 대한민국 인구의 고령화는 점점 더 심화되며 노인 환자의 수도 증가하는 추세이다. 노인환자들은 의약품 부작용 위험도가 높기 때문에 노인에게 부적절한 약물과 처방 이후의 부작용 발생 현황에 대한 통계적인 분석이 필요하다고 판단하였다. 의약품 부작용관련 문헌 정보와 실제 병원의 전자 의무 기록을 이용해 데이터 베이스를 구축하고 Python 을 사용해 부작용 탐지 알고리즘을 설계했다. 노인 환자가 특정 약품을 투약한 이후에 그 약품에 부작용에 해당하는 진단을 받는다면 부작용이 발생한 것으로 판단한다. 알고리즘을 기반으로 사용자들이 쉽게 접근할 수 있도록 웹을 구축했다. d3.js 를 통해 직관적으로 부작용 확률을 확인할 수 있도록 구현했고 새로운 진단 또는 처방을 입력하여 실시간으로 확률에 반영하였다. 실시간으로 데이터를 확인할 수 있기 때문에 부작용 이슈에 신속하게 예방 및 대응이 가능할 것으로 기대된다.

Development of an electric kick-board helmet recognition system based on deep learning (딥러닝 기반의 전동킥보드 헬멧착용 인식시스템 개발)

  • Park, Joon-Ho;Hwang, Ji-Min;Go, Yu-Jeong;Kim, Se-Ha;Lee, Hyun-Seo
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2022.01a
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    • pp.281-282
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    • 2022
  • 현재 전동 킥보드 헬멧 미착용으로 인한 사고가 끊임없이 야기되고 있다. 개인형 이동장치 이용자 수가 증가함에 따라 법 개정을 통하여 헬멧 착용이 의무 사항이지만 여전히 낮은 착용률을 나타내고 있다. 본 논문에서는 모든 공유 킥보드 회사에서 사용 가능한 딥러닝 기반의 전동킥보드 헬멧 착용 인식시스템을 제시한다. 타 공유 전동킥보드 회사 앱에서 본 논문의 결과물을 사용할 때는 사용자가 타사 앱에서 헬멧 인식 요청 시 자사 앱에서 헬멧 착용 여부를 인식하여 결과를 전송한다. 자사 앱 사용자는 인식 기록을 조회할 수 있고, 타사 관리자는 사용자의 정보를 조회 및 관리할 수 있다. 본 시스템을 통해 전동킥보드 이용 시 헬멧 착용을 장려하여 착용률 증가와 사고 시 인명피해 감소를 기대한다.

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The Adoptions and Use of Electronic Nursing Records in Korean Hospitals: Findings of a Nationwide Survey (국내 전자간호기록 개발 및 실무적용 현황 조사)

  • Cho, Insook;Choi, Won Ja;Choi, Woan Heui;Kim, Min Kyeong
    • Journal of Korean Clinical Nursing Research
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    • v.19 no.3
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    • pp.345-356
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    • 2013
  • Purpose: To provide clear estimates of the adoption and use of electronic nursing records (ENRs) with standard terminology in Korea and identification of the scope and use as well as perceived or potential benefits of ENRs. Methods: A survey was done of 733 hospitals at three levels: tertiary advanced hospitals, general hospitals, and community hospitals. After performing a literature review a modified version of an existing survey tool was used for 2 months in 2012. The collected information related to EHR functionality and coverage of nursing documentation and nursing process, application of standard terminology, and perceived satisfaction and benefits of ENRs. Results: The response rate was 39.4% (289/733), and 202 hospitals (70.1%, 95% CI64.8~75.5%) of the respondents had ENR systems (82.5% of tertiary hospitals, 66.7% of general hospitals, and 70.1% of community hospitals). Out of these hospitals less than 10% had ENRs fully covering nursing documentation. The adoption rate of standard terminology was 55%, and hospital satisfaction with ENRs was 70%. But personalized care was identified as needing improvement in ENRs. Conclusion: The ENR adoption rate was high but there are many potential opportunities for improving ENR systems in terms of the data standardization and personalized care.

Comparison of Health Behaviors and Health Indices According to Percutaneous Coronary Intervention in Patients with Chest Pain -Analysis of Nursing Information Chart and Electronic Medical Record- (흉통환자의 관상동맥중재술 시행 여부에 따른 건강행위 및 건강지표 비교 - 간호정보조사지와 전자의무기록 분석-)

  • Kweon, Mi-Soo;Lee, Sook-Jeong
    • The Journal of the Korea Contents Association
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    • v.19 no.12
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    • pp.279-288
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    • 2019
  • The purpose of this study was to compare the health behaviors and health indices according to whether a percutaneous coronary intervention(PCI) was performed due to chest pain. This is a secondary data analysis study of nursing information questionnaires and electronic medical records of 247 chest pain patients in a hospital from January 2010 to December 2017. The participants were divided into non-PCI and PCI groups, and the health behaviors, blood pressure, and blood lipid levels were collected at the first hospital admission and re-admission. Collected data were analyzed using SPSS 24.0. As a result of the study, smoking and lipid levels were significantly healthier than the participants in PCI group during re-hospitalization. Non-PCI group had a high risk of smoking despite the high risk of coronary artery stenosis. It was found that continuous integrated management to promote health behavior is needed. The significance of this study was to identify the importance of health behavior in patients with the risk of cardiovascular disease.

출생 및 사망신고체계의 현황과 발전방향

  • Park Jeong-Han
    • 대한예방의학회:학술대회논문집
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    • 2001.04a
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    • pp.50-72
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    • 2001
  • 국민건강 수준과 문제점의 파악, 보건사업의 기획 및 평가를 위해 정확한 출생과 사망에 관한 통계자료가 필수적이다. 그러나 출생신고 이전에 신생아가 사망하는 경우에 대부분 출생과 사망 모두를 신고하지 않아 영아사망률을 비롯한 보건통계를 산출하지 못하여 합리적인 보건사업의 기획 및 평가가 어려우며, OECD 회원국으로서 제시해야 할 기본적인 보건통계를 제시하지 못하고 있다. 또한 현행 출생신고자료에는 신생아와 산모의 건강상태에 관한 자료가 없어 보건서비스제공과 모자보건관련 역학적 연구에 활용 가치가 거의 없다. 지역보건의료정보화, 예방접종기록전산화, 미숙아 및 선천성기형아 등록 등 각종 등록 및 전산화사업이 진행중이나 이러한 사업들이 독립적으로 진행되고 있어 같거나 비슷한 자료의 중복 입력하게 되고, 상호 연계가 되지 않아 자료의 활용성이 낮고, 그 어느 사업도 전체 분모를 파악할 수 없는 단점이 있다. 이러한 문제들은 전산정보체계의 확립으로 해결할 수 있다. 약 99%의 분만이 의료기관에서 일어나고, 정부의 초고속 통신망을 비롯한 의료기관과 보건소의 전산화가 빠르게 진행되고 있어 전산정보체계를 위한 여건이 성숙되고 있다. 분만의료기관이 산모의 거주지 보건소로 직접 출생신고를 하면 보건소는 적기에 산모와 신생아에게 필요한 보건서비스를 제공할 수 있고, 보건소가 읍 면 동사무소로 출생신고 자료를 전송하면 산모는 동사무소에 가지 않고도 출생신고를 할 수 있으며, 보건통계자료수집과 출생신고관리에 필요한 인력과 시간을 절약할 수 있고, 정확한 생정통계를 얻을 수 있고, 예방접종기록과 미숙아 및 선천성기형아 등록은 쉽게 해결되고, 완전한 보건사업대상자의 database를 구축할 수 있어 평생건강관리체계의 기틀을 마련하게 된다. 이러한 전산신고체계를 확립하기 위하여 연자 등은 정부의 연구용역사업으로 전산프로그램과 표준신고양식과 신고체계를 개발하여, 포항과 천안시에서 2000년 3월에서 8월까지 시험 운영하였다. 시험운영결과 출생신고율은 99.9%이었으나 신생아사망의 전산신고율은 11.1%로 낮았다. 그러나 일단 출생신고된 신생아의 사망은 반드시 확인될 수 있는 것이 본 신고체계의 큰 장점이었다. 전산신고의 중요한 장애 요소는 현행법상 의료기관이 출생신고를 직접 할 의무가 없으므로 신고를 강요할 수 없고, 의료기관의 일손 부족으로 출생신고서를 충실하게 기재하지 못하는 것과 의료기관간의 전산화 수준의 차이가 심한 것이었다. 의료기관이 직접 신고를 하도록 하기 위하여 모자보건법 등 관련법 개정이 필요하며, 의료기관의 출생신고자료 송부에 대한 정당한 보상이 있어야 할 것이다. 의료기관 간의 전산화 수준의 차이는 data warehousing과 on-line analytical processing과 같은 기술을 이용하면 해결 가능할 것이다.

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