• 경영과학
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• 제17권1호
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• pp.145-158
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• 2000

The medical records of diagnostic and testing information include sensitive personal information that reveals some of the most intimate aspects of an individual's life. The hospital information system (HIS) operates in a state of high risk which may lead to the possible loss to the IS resources caused by various threats. This research addresses twofold : (1) to perform asset identification ad valuation and (2) to recommend countermeasures for secure HIS network using case studies This paper applied a risk management tool CRAMM (Central Computer and Tele-communications Agency's Risk Analysis and Management Method) to assess asset values and suggest countermeasures for the security of computerized medical information of two large hospitals in Korea. CRAMM countermeasures are recommended at the reference sites from the network security requirements of system utilized for the diagnosis and treatment of patients. The results of the study will enhance the awareness of IS risk management by IS managers.

• 한국콘텐츠학회논문지
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• 제14권5호
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• pp.1-7
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• 2014

최근 병원은 ICT기술을 접목한 고품질의 의료서비스를 제공하는 허브병원으로서의 기능을 수행하기 위해 병원의 정보화를 통하여 직무능력을 향상하고 경영자의 의사결정지원시스템을 통하여 고도화된 통합의료정보시스템을 구축하고 있다. 본 연구에서는 환자정보와 진료정보의 신속한 조회로 진료편의성을 극대화 할 수 있도록 통합의료정보시스템에 OCS(Order Communication System)시스템과 HIS(Hospital Information System)시스템을 연동하여 최적화된 맞춤형 모바일 헬스케어 진료환경을 설계하여 환자의 치료 및 진료를 신속하고 정확하게 수행할 수 있는 체계적인 의료시스템을 연구하였다.

• 디지털포렌식연구
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• 제12권3호
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• pp.83-96
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• 2018

병의원에 대한 수사에서 의료정보시스템 내에 존재하는 전자의무기록은 병의원에서 있었던 일을 확인할 수 있어 중요한 증거자료로 압수수색의 대상이 된다. 대형종합병원인 경우에는 전산실과 의무기록실을 운영하고 있어 이들의 협조를 통한 선별 압수가 가능하나, 소형병의원에서는 이런 지원이 불가능하다. 수사기관에서는 소형병의원에 대해 전자의무기록 데이터베이스 전체를 복제 후 별도 시스템을 구축하여 열람하면서 관련된 자료를 선별하고 나머지는 폐기하는 방식으로 압수수색을 진행하고 있으며 이는 포괄적 압수수색이라는 시비에서 자유롭지 못하다. 본 논문에서는 무결성, 재현가능성, 관리연속성과 신속성 확보 측면에서 의료정보시스템의 전자의무기록에 대한 현장선별 절차와 방법을 제시한다. 의료정보시스템은 계속 변화하고 있으며, 현재 의료정보시스템의 압수수색 절차와 방법에 대한 연구가 선행되어야 다가올 클라우드 의료정보시스템에 대응할 수 있다.

• 한국융합학회논문지
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• 제12권9호
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• pp.73-81
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• 2021

본 연구의 목적은 DeLone과 McLean이 제안한 정보시스템 성공모형을 기반으로 병원정보시스템에 대한 성공모델을 제안하는 것이다. 병원정보시스템의 정보품질, 시스템품질, 서비스품질과 사용자 만족, 개인성과, 병원성과와의 관계를 살펴보기 위하여 연구를 수행하였다. 정보품질은 정보의 정확성과 적시성, 시스템품질은 보안성과 신뢰성, 서비스품질은 편리성과 유희성으로 살펴보았다. 2020년 10월부터 12월까지 병원에 근무하고 있는 직원들을 대상으로 209부의 설문지를 회수하였고, AMOS 25를 활용하여 구조방정식 모델로 분석을 수행하였다. 분석결과를 보면, 병원정보시스템의 정보의 정확성은 사용자 만족에 영향을 미쳤지만, 정보의 적시성은 영향을 미치지 못하였다. 시스템품질인 보안성과 신뢰성은 사용자 만족에 영향을 미쳤지만 편리성은 영향을 미치지 못하였다. 반면, 유희성은 사용자 만족에 긍정적인 영향을 미쳤고, 사용자 만족은 개인성과와 병원성과에 긍정적인 영향을 미치는 것으로 나타났다. 본 연구의 결과는 병원정보시스템뿐만 아니라 헬스케어 관련 분야의 연구자들과 실무자들에게 의미 있는 가이드라인을 제공할 수 있을 것이다.

• 한국콘텐츠학회논문지
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• 제7권6호
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• pp.169-176
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• 2007

최근 들어 병원들은 심화되는 경쟁 환경에 처하고 있다. 이런 상황에서는 병원의 업무를 환자의 시각에서 조명하고 이를 반영하는 정보시스템을 갖추는 것이 경쟁력 강화에 있어서 필수사항이라 할 것이다. 일부 병원에서는 업무프로세스를 통합하지 않고, 부분적인 정보만을 제공하고 있으며, 정보의 혼재 및 중복으로 환자 및 의료인에게 적절한 정보를 제공하지 못하고 있는 상태이다. 병원의 목적은 환자진료인 만큼 환자정보를 중심으로 병원정보를 재구성하고 그러한 정보를 중심으로 진료 및 관리체계를 구축하는 것이 중요한 병원관리 영역이 될 것이다. 이를 위해 ARIS 툴을 이용하여 원무프로세스를 분석하고 재설계하였다. 외래원무프로세스 재설계후의 결과를 AHP 기법을 통해서 분석하였고 그 결과를 예시하였다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제7권1호
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• pp.23-31
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• 2001

In order to improve their hospital services in unlimited competitive situations, the general hospitals, particularly, have since the 1990s been concentrating more on hospital information processing systems and the automation of the patients' convenience. They also give priority to the advance of integrated hospital information systems centred around the patients. Introducing more progressive information technology to already established hospitals, the OPD has been most affected by HIS because there are a lot of patients and doctors. On this background, this study analyse the change of OPD and some related departments around the 1990s with the general hospitals as it's object. It investigates the way of building hospitals and presents some information about the planning of building hospitals.

• 대한전기학회논문지:시스템및제어부문D
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• 제54권5호
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• pp.315-323
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• 2005

The recent development of embodiment technology of the medical images makes most medical institutions introduce PACS in haste. However, while many older HIS and PACS systems are not yet capable of some of the integration, several new systems are moving rapidly in that direction. Typical PACS system architecture begins with the HIS since this is where the correct patient demographic information and in many cases the orders originate. So, PACS developed convenience of users and to satisfy user's demand because of financial limitations and administrator-oriented considerations in the process of development. Therefore, we have developed a CDA (Clinical Document Architecture) based PACS with HIS, by which we can search and refer to the patient's medical images and information with few restrictions of time and space for diagnosis and treatment. Target model of this research limited to 135 of hospital have 200 beds. We'll make more effort to develop the application which insures the better quality and information of medical images. Medical Image History manages the patient's image files and various medical informations like film chart in connection with time. This trial will contribute to the reduction of the financial loss caused by unnecessary devices and improve the quality in the medical services. The demand on the development of the program which refers to the medical data quickly and keeps them stable will be continued by the medical institute. This will satisfy the client's demand and improve the service to the patients in that the program will be modified from the standpoint of the users.

• Asia pacific journal of information systems
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• 제15권1호
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• pp.81-113
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• 2005

IT has affected the hospital management via information systems and multimedia systems such as hospital information systems(HIS) and Order Communication System(OCS). A large number of researches have been done on the topic of success factors of information systems implementation, but a few on the topics of hospital information systems. Thus in this study, the success factors of the military hospital information systems implementation was analysed. To this end, a number of previous researches were reviewed and about 71 items of success factors were deduced. For doing empirical analysis, a questionnaire with 71 items was prepared and sent to proper organizations. The statistical analysis such as factor analysis was applied to about 400 of them returned. The six success factors and 20 sub success factors were resulted from factor analysis. The six success factors include systems management factor, technology and organization factor, the efficiency of IT department factor, technology application factor, outsourcing factor and environment factors. This study finds the outsourcing and environment factors are very important factors as much as other success factors which previously were mentioned.

• 한국산학기술학회논문지
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• 제11권11호
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• pp.4207-4211
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• 2010

본 논문의 연구목적은 병원정보시스템의 성과측정 요인들의 우선순위를 연구하고자 하는데 있다. 이를 위해서 연구자는 국 내외의 문헌 연구를 통해서 병원정보시스템의 성과측정요인을 정리하였고, 이들 성과측정 지표들 사이의 중요도를 기반으로 한 우선순위를 결정하기 위하여 계층분석기법(AHP)을 사용하였다. 요인들 사이의 쌍대분석의 결과로 우리는 성과측정요인들 사이의 순위와 요인들의 구성인자인 핵심성과지표들 사이의 중요도에 따른 정렬된 리스트를 작성할 수 있었다. 본 연구의 결과는 급변하는 경영환경에서 각 병원들이 경쟁력을 확보하기 위해 투자한 병원정보시스템의 활용성과를 분석하며, 병원정보시스템의 운용 전략에 있어서의 방향을 제시할 수 있는 기준으로서의 역할을 할 수 있을 것으로 기대한다.

• 대한간호학회지
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• 제25권4호
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• pp.617-632
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• 1995

Nowadays, most big hospitals have a computer system to manage their administration. For maxi mum effectiveness in managing the computer system, an analysis of the variables affecting its implementation is necessary from the beginning. This study was done to analyze the variables influencing the operation of a hospital information system (HIS). The theoretical base for this study considered the combined effects of user expectations of computerization, and computer-anxiety. The relationship between variables in the theoretical base were analyzed and the individual characteristics influencing each variable were also analyzed. This study was done in two steps. First, 344 nurses were given an initial questionnaire developed to evaluate the reliability of the items. Based on the results, a second revised questionnaire was administered to 88 nurses who had been working in the areas where HIS was applied. The results of the first and second steps of the study are as follows 1. The initial study was done with nurses who were trained on the computer system briefly before HIS was implemented. The individual characteristics influencing computer anxiety and expectation regarding computer system usage in that initial study included, length of career, type of degree or certification, previous experiences with a computer, training on a computer, desire for computer training, and level of acceptance of a computerized work environment. But in the second study with nurses working in areas of the hospital where HIS was introduced, the work site was the only influencing characteristics. There-fore, in applying a computer system, overcoming work-environment barriers will be more import-ant than any individual characteristics. 2. The computer anxiety of the nurses in both groups, before and after the computer system ap-plication, was below the average level but the expectation of the effects of computerization was above average. The nurses using the computer program showed an above average level of satis-faction with the computer system itself, and with its effect on their efficiency. Therefore, the ability of nurses operating HIS will be positively. predictive. 3. For the variables included in the theoretical framework of the study, all of the correlational coefficients were statistically significant in the analysis of variation correlation. Therefore, the theoretical base of the study, "expectation in con junction with computer anxiety" can be considered an model which can be evaluated. Accord-ing to our analysis, the higher the level of nurses' motivation to use the computer system and the lower the anxiety about computer usage, the higher the possibility of computer system acceptance by nurses. The results of this study showed that in applying a computer system in the hospital, the main characteristic influencing acceptance was where the individual worked rather than personal characteristics such as length of career, type of degree or certification, and previous experiences with a computer. Therefore, it is suggested that the first step in uncovering and eliminating hindrance factors in ap-plication of a computer system should be an analysis of working conditions in relation to the functional content of the computer system. The suitability of the theoretical model based on the hypothesis ap-plied in this study should be further tested.