• 한국의료질향상학회지
• /
• 제22권2호
• /
• pp.43-73
• /
• 2016

Purpose: The aims of this study were to assess the presence of core patient safety practices in Korean hospitals and assess the differences in reporting and learning systems of patient safety, infrastructure, and safe practices by hospital characteristics. Methods: The authors developed a questionnaire including 39 items of patient safety staffing, health information system, reporting system, and event-specific prevention practices. The survey was conducted online or e-mail with 407 tertiary, general and specialty hospitals. Results: About 90% of hospitals answered the self-reporting system of patient safety related events is established. More than 90% of hospitals applied incidence monitoring or root cause analysis on healthcare-associated infection, in-facility pressure ulcers and falls, but only 60% did on surgery/procedure related events. More than 50% of the hospitals did not adopted present on admission (POA) indicators. One hundred (80.0%) hospitals had a department of patient safety and/or quality and only 52.8% of hospitals had a patient safety officer (PSO). While 82.4% of hospitals used electronic medical records (EMRs), only 53% of these hospitals adopted clinical decision support function. Infrastructure for patient safety except EMRs was well established in training, high-level and large hospitals. Most hospitals implemented prevention practices of adverse drug events, in-facility pressure ulcers and falls (94.4-100.0%). But prevention practices of surgery/procedure related events had relatively low adoption rate (59.2-92.8%). Majority of prevention practices for patient safety events were also implemented with a relatively modest increase in resources allocated. Conclusion: The hospital-based reporting and learning system, EMRs, and core evidence-based prevention practices were implemented well in high-level and large hospitals. But POA indicator and PSO were not adopted in more than half of surveyed hospitals and implementation of prevention practices for specific event had low. To support and monitor progress in hospital's patient safety effort, national-level safety practices set is needed.

• 한국의료질향상학회지
• /
• 제28권1호
• /
• pp.2-13
• /
• 2022

Purpose: This study assessed the status of the Development and Utilization of critical pathways (CP) in South Korea. Methods: We surveyed 195 hospitals obtained on the Korean Hospital Association website. Data were collected using structured questionnaires for staff members in charge of CP management personnel in these hospitals. The questionnaire included CP developed by the institutions, the coverage rates and completion rates of CP in the current year, and management indicators related to CP. The questionnaire also included CP support systems and content within the institutions and questions regarding the advantages of CP utilization and obstacles associated with the CP development process. Results: Analysis of the responses from 70 hospitals (35.9% response rate) showed that a total of 1,370 CP sets were developed. The number of CP related to surgery departments was 365 (26.6%), and CP related to surgery and procedure was 1,093 (79.8%), respectively. The CP coverage rate was the most frequently used indicator to monitor the effect of CP (97.1%), followed by the completion rate (90.0%) and the length of stay in hospital (61.4%). CP managers reported that CP were highly useful for communication (3.39±0.493) and accurate information provision (3.39±0.491). The perception that CP violated doctors' autonomy in treatment was relatively low (2.87±0.645). Conclusion: It is necessary to establish an infrastructure in hospitals for CP. CP can facilitate communication and provide accurate information.

• 한국주거학회:학술대회논문집
• /
• 한국주거학회 2005년도 추계학술대회 논문집
• /
• pp.73-77
• /
• 2005

To design senior housing that support residents' health is one of the comtemporary issues in Korea. As elderly people became more healthful and reach, people became interested in the health and health promotion. This trend encouraged this research study. The objectives of this study are: to analyze the middle aged people's opinions and behaviors related to health issues, and to suggest design considerations for senior housing. The survey used questionnaire from 476 residents living in Seoul and Gyeong-Gi area. The analysis used descriptive statistics, one-way anova and t-test. Primary findings are as follows: (1) Most of the respondents considered that their health state is 'good' and mental health is more important than physical health. (2) Many people exercise regularly for the promotion of health at a gym. (3) Results show that social relationship effect on health, and dietary life and walking medical examination account highly. (4) As the respondents are higher income and education level, the health-related behavior is more actively. Moreover the respondents who are women feel a great interest about health issues. These results suggest directions for planning of the senior housing. (1) Planning the space for the health-promoting behavior in the house or support a private gym-not a local facilities-. (2) Service for the information related health issues - medical examination, news of the health issues (3) Support the maintenance a good - social relationship (4) Consideration the space with health-related behavior like walking and dietary-life. The senior housing can reflect the health-related opinions and support health-related behavior of the elderly people.

• Healthcare Informatics Research
• /
• 제24권4호
• /
• pp.387-393
• /
• 2018

Objectives: This paper describes an experience of implementing seamless service trials online and offline by adopting Internet of Things (IoT) technology based on near-field communication (NFC) tags and Bluetooth low-energy (BLE) beacons. The services were provided for both patients and health professionals. Methods: The pilot services were implemented to enhance healthcare service quality, improve patient safety, and provide an effective business process to health professionals in a tertiary hospital in Seoul, Korea. The services to enhance healthcare service quality include healing tours, cancer information/education, psychological assessments, indoor navigation, and exercise volume checking. The services to improve patient safety are monitoring of high-risk inpatients and delivery of real-time health information in emergency situations. In addition, the services to provide an effective business process to health professionals include surveys and web services for patient management. Results: Considering the sustainability of the pilot services, we decided to pause navigation and patient monitoring services until the interference problem could be completely resolved because beacon signal interference significantly influences the quality of services. On the other hand, we had to continue to provide new wearable beacons to high-risk patients because of hygiene issues, so the cost increased over time and was much higher than expected. Conclusions: To make the smart connected hospital services sustainable, technical feasibility (e.g., beacon signal interference), economic feasibility (e.g., continuous provision of new necklace beacons), and organizational commitment and support (e.g., renewal of new alternative medical devices and infrastructure) are required.

• International Journal of Advanced Culture Technology
• /
• 제9권3호
• /
• pp.327-333
• /
• 2021

Inbody is a tool for measuring health information with high reliability and accuracy to analyze body composition. Unlike the existing method of storing/processing and outputting data on the server side, the health information generated by InBody requires accurate support for health sharing and data analysis services using mobile devices. However, in the process of transmitting body composition measurement information to a mobile service, a problem may occur in data transmission/reception processing. The reason for this is that, since the network network in the cloud environment is used, if the connection is cut off or the connection is changed, it is necessary to provide a global service, not a temporary area, focusing on the mobility of InBody information. In addition, since InBody information is transmitted to mobile devices, a standard schema should be defined in the mobile cloud environment to enable information transfer between standardized InBody data and mobile devices. We propose a mobile cloud system using EMRA(Extended Metadata Registry Access) in which a mobile device processes and transmits body data generated in the inbody and manages the data of each local organization with a standard schema. The proposed system processes the data generated in InBody and converts it into a standard schema using EMRA so that standardized data can be transmitted. In addition, even when the mobile device moves through the area, the coordinator subsystem is in charge of providing access services. In addition, EMRA is applied to the collision problem due to schema heterogeneity occurring in the process of accessing data generated in InBody.

• 대한통합의학회지
• /
• 제8권4호
• /
• pp.203-212
• /
• 2020

Purpose : Middle school students in the early stages of adolescents need balanced growth and development, and they are in the process of forming healthy lifestyles and are in an important period when they need to lay the foundation for a healthy life through active health management and guidance. Through systematic health-related policies and education, I intend to lay the groundwork for them to form healthy lifestyles in their high schools and adulthood. Methods : For this study, a survey was conducted from September 1 to October 30, 2019, and 300 middle school students based in Busan Metropolitan City were surveyed. Based on the analysis and results of preceding studies, a research model was set up to find out the effect of family support, health control activities and self-efficacy on health promoting behaviors and how health promoting behaviors affect the quality of life. Results : First, if family support is high, health promotion behavior and quality of life are analyzed to be high, so family support is affecting health promotion behavior and quality of life. Second, health control behavior had a significant effect on health promotion behavior, but did not affect the quality of life. Third, self-efficacy was having a significant effect on health promotion behavior and quality of life. Fourth, health promotion behavior was affecting the quality of life. Conclusion : In order to improve the quality of life, middle school students should first increase their health promotion behavior, and it is important to be supported by their family members and strengthen their self-efficacy as variables that increase their health promotion behavior. First of all, they should be given the infinite trust of the family and the strong belief that the family always supports them, and based on this, the student himself will be able to strengthen his or her self-efficacy. In addition, the process of physical and mental change of students comes to everyone, but during this process, members of society, such as families and schools, should send them support and trust so that they can grow up to be the decent members of society.

• Journal of Information Technology Applications and Management
• /
• 제22권3호
• /
• pp.115-128
• /
• 2015

Although the telecommunications service industry has become a basic infrastructure component of the information and communication technology (ICT) industry, it is now losing its reputation as a cash cow due to achieving a saturation of service subscribers, especially in South Korea. With the exception of improving network speeds, network operators are experiencing difficulties in creating new innovations. Therefore, new innovations for the telecommunications service industry should be identified in conjunction with government policies for industry promotion. To examine the innovative capabilities of a specific industry, innovation system theories were used as a framework for research. However, existing innovation systems are limited with regard to explaining the openness of relationships and user participation which are general properties of the ICT industry. Moreover, as sources of innovative activity, additional values such as financial support and collaboration are more appropriate. This study presents a new innovation system based on innovation values. We analyze the telecommunications service industry and prioritize the importance of telecommunication policies within South Korea. An in-depth interview with experts based on the innovation system framework is conducted first. Next, innovation factors derived from the interview are applied within an analytic hierarchy process (AHP), leading to a prioritization of innovation factors for the telecommunications service industry.

• 한국학교보건학회지
• /
• 제35권3호
• /
• pp.84-91
• /
• 2022

Purpose: This study aimed to identify the problems and improvement areas by reviewing the laws related to kindergarden healthcare workers. Methods: The laws were searched at the Korean law information center (https://www.law.go.kr/). We reviewed the 「Early Childhood Education Act」, 「School Health Act」, 「Medical Service Act」, 「Elementary and Secondary Education Act」and their enforcement decrees and rules. Results: The legal role of health teachers as school healthcare professionals was comprehensively specified by the 「School Health Act. However, the qualifications for and roles of health teachers were not fully described in 「Early Childhood Education Act], indicating a unclear legal basis for the qualifications for and roles of kindergarten health teachers. To support healthcare workers in kindergartens, it is necessary to amend the 「Early Childhood Education Act」 that provides the guidelines for qualifications for kindergarten health teachers in elementary, secondary, and special schools who have completed necessary continuing education. A health hub kindergarten could be a step-by-step option for all kindergartens to have healthcare workers. Conclusion: This review demonstrated the importance of amending the laws on kindergarten health teachers and health hub kindergartens for child health and safety. These findings could be used to support policies related to kindergarten healthcare workers.

• 지역사회간호학회지
• /
• 제19권2호
• /
• pp.196-204
• /
• 2008

Purpose: To examine factors affecting long-term care hospital patients' intention of transfer to a nursing home. Method: A questionnaire survey was conducted in Aug. 2007 that included 655 patients from 49 long-term care hospitals. The survey aimed to assess the patients' health status, family status, cost and intention of transfer to a nursing home. Institutional characteristics were analyzed from the nationwide database of Health Insurance Review & Assessment Service. The affecting factors were examined by employing chi-square test and logistic regression using SAS 8.2. Result: Of the subjects, 32.4% had intention of transfer to a nursing home. The intention of transfer to a nursing home was affected by moderate or severe pain, living together with the primary carer, high cost uncovered by insurance, and recognition of nursing home. Conclusion; For appropriate service utilization. a higher level of care is needed to satisfy patients at nursing homes and a balanced fee schedule is needed between long term care hospitals and nursing homes. It is desirable to encourage transfer to a nursing home at which nurses support patients and their families by giving information, coordination, and to make efforts to establish a reference system.

• Asian Pacific Journal of Cancer Prevention
• /
• 제14권6호
• /
• pp.3411-3417
• /
• 2013

Over the last 10 years, the number of cancer survivors in South Korea has reached nearly one million with a survival rate of 49.4%. However, integrated supportive care for cancer survivors is lagging. One area in which the current cancer control policy needs updating is in the utilization of information and communication technology (ICT). The remarkable progress in the field of ICT over the past 10 years presents exciting new opportunities for health promotion. Recent communication innovations are conducive to the exchange of meta-information, giving rise to a new service area and transforming patients into active medical consumers. Consequently, such innovations encourage active participation in the mutual utilization and sharing of high-quality information. However, these benefits from new ICTs will almost certainly not be equally available to all, leading to so-called communication inequalities where cancer survivors from lower socioeconomic classes will likely have more limited access to the best means of making use of the health information. Therefore, most essentially, emphasis must be placed on helping cancer survivors and their caregivers utilize such advances in ICT to create a more efficient flow of health information, thereby reducing communication inequalities and expanding social support. Once we enhance access to health information and better manage the quality of information, as a matter of fact, we can expect an alleviation of the health inequalities faced by cancer survivors.