• 반도체디스플레이기술학회지
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• 제21권4호
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• pp.14-17
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• 2022

Due to the development of IT technology and the on-going Coronavirus disease, non-face-to-face services have been activated. To overcome the inconvenience of non-face-to-face service, service providers have adopted chatbots as a way to feel like a human being. As the increasing chatbot services, chatbot builders have emerged, which can help non-developers to build them. Although its popularity has increased, its performance evaluation has not been conducted on such chatbot builders. In this paper, we implement a prototype chatbot that classifies hospital departments in the medical field using Dialogflow and Rasa, which are popular chatbot builders. By measuring the accuracy of the chatbot's classification of medical subjects, we evaluated the level of accuracy that the most used chatbot builder can have when they are used to build a chatbot service. The simulation results showed that Dialogflow had 87%, 65%, and 60%, and Rasa did 64%, 70%, and 63% in surgery dermatology, and otolaryngology, respectively.

• 의학교육논단
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• 제25권2호
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• pp.159-173
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• 2023

The purpose of this study was to develop and validate a competency tool for new nurses and to pilot-test it with new nurses. A Delphi survey was conducted to develop a competency tool, and a self-evaluation was conducted among new nurses who pilot-tested the finally derived competencies. The Delphi survey panel consisted of 18 people, including adjunct professors at the College of Nursing, nursing managers, and nurses with master's degrees. The Delphi survey asked about the validity of the competencies constructed in two rounds. After analyzing the Delphi results with mean, standard deviation, content validity ratio, degrees of convergence, and degrees of consensus, 12 core competencies and 36 enabling competencies were finally derived. The competencies consisted of clinical judgment and management (nine items), task competence (four items), patient orientation (five items), moral value orientation (three items), cooperation (two items), supply management (two items), professional development (three items), confidence (one item), self-control (two items), flexibility (two items), influence (one item), and nurturing others (two items). The finally derived competencies were pilot-tested with 229 new nurses who had worked for 2-12 months. The self-evaluation scores of new nurses were distributed differently according to their working period. In this study, the competencies required for new nurses were identified and the corresponding enabling competencies were identified. In the future, it is expected that a competency-based education program will be prepared based on these findings, and furthermore, it will be possible to provide high-quality medical and nursing services that meet patients' needs by improving the competency of new nurses and lowering the turnover rate.

• 한국화재소방학회논문지
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• 제26권5호
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• pp.54-60
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• 2012

이 연구는 소방 119구급대에서 근무하는 1급 응급구조사의 병원임상수련 실태를 조사한 연구이다. 조사대상은 소방에 근무하는 1급 응급구조사 42명으로 하였으며, 2012년 5월 11일부터 2012년 5월 12일까지 구조화된 무기명 자기기입식 설문지를 이용한 설문조사에 의하였다. 연구결과 1급 응급구조사의 업무범위를 한 번 이상 직접 경험한 경우는 56.5 %였고, 이들 중 기관내삽관 66.9 %, 후두마스크 8.4 %, 정맥로확보 76.6 %, 니트로글리세린 설하투여 61.2 %, 기관지확장제 흡입 50.0 %, 수액투여 73.8 %, 인공호흡기 사용 57.6 %, 포도당 주입 57.6 %를 경험하였으며, 1급 응급구조사 업무범위를 16개 의료기관별로 살펴본 결과 58.0 %가 한 번 이상 직접 경험하였다. 향후 1급 응급구조사의 교육 요구도에 대한 지속적 연구가 필요하며, 병원임상수련의 문제점 분석, 임상실습지침서의 보완과 실무중심의 교육프로그램 운영 및 관리에 대한 규정과 지속적인 평가가 필요하다.

• 한국컴퓨터정보학회논문지
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• 제17권3호
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• pp.33-40
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• 2012

최근 병원정보 시스템은 의료서비스의 질과 효율성을 제고하기 위해 스마트폰 및 태블릿 PC를 활용한 스마트 진료서비스가 대형병원을 중심으로 도입되고 있으며 개인의 진료정보를 PC, 스마트폰 등을 통해 관리하는 개인건강기록(PHR) 서비스에 대한 관심 및 기술개발이 활발히 진행 중에 있다. 이러한 차세대 병원정보 시스템을 구축하기 위해서는 상이한 병원정보 시스템 간의 데이터 연동과 다양한 사용자 기기 간의 UX 일관성이 보장되어야 한다. 따라서 본 논문에서는 이러한 멀티플랫폼 환경 하에서 의료정보를 통합하여 연동할 수 있는 게이트웨이 시스템을 설계하기 위해 개인의 진료정보 표준과 성능 향상을 위한 연구를 수행하였다. 본 연구를 통해 게이트웨이 시스템의 핵심 기능인 데이터 간의 매핑 방법에 있어서 CCR 표준을 적용하고 다중 테이블 기반 매핑 방법을 사용하여 시스템 설계를 하였다. 이에 대한 성능 평가를 위해 실험을 한 결과 응답속도가 약 20% 향상된 결과를 얻을 수 있었다.

• 한국콘텐츠학회논문지
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• 제21권5호
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• pp.525-537
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• 2021

1990년대 후반부터 공립요양병원이 설립되었고, 2018년 기준, 79개소로 전체 요양병원의 5.1%를 차지하고 있다. 문재인 정부에서 치매 국가책임제를 발표하면서 공립요양병원을 치매안심병원으로 지정하여 중증치매환자에 대한 전문치료를 수행하는 기관으로 육성하고자 다양한 정책을 펼치고 있다. 이와 관련하여 2018년에 치매관리법을 개정하여 공립요양병원 운영평가를 위한 법적 근거가 마련되었으며, 2020년부터 본 평가가 시작되었다. 본 연구는 2020년도 공립요양병원 운영평가를 시행하기 위한 연구의 일환으로 공립요양병원을 치매환자의 전문치료기관 및 회복기 재활환자를 치료할 수 있는 역량 있는 기관으로 육성할 수 있도록 기능을 정립하였으며, 양질의 진료서비스, 공공성, 책무성 등 공공기관으로서의 행태를 평가할 수 있도록 평가체계를 개발하였다. 또한 개발된 평가지표가 적용가능한지 검증하기 위해 공립요양병원 79개소 중 20개소를 대상으로 시범 평가를 시행하였다. 본 평가의 결과를 바탕으로 교육 및 피드백이 진행되고 지속적으로 관리 할 수 있는 모니터링시스템을 구축함으로써 전체 요양병원의 기준(standard)으로서의 기능과 역할을 수행할 수 있을 것으로 기대한다.

• 대한세포병리학회지
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• 제19권2호
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• pp.65-71
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• 2008

In Korea, the quality control(QC) program forcytopathology was introduced in 1995. The program consists of a checklist for the cytolopathology departments, analysis data on all the participating institutions' QC data, including the annual data on cytologic examinations, the distribution of the gynecological cytologic diagnoses, as based on The Bethesda System 2001, and the data on cytologic-histolgical correlation of the gynecological field, and an evaluation for diagnostic accuracy. The diagnostic accuracy program has been performed 3 times per year with using gynecological, body fluid and fine needle aspiration cytologic slides. We report here on the institutional QC data and the evaluation for diagnostic accuracy since 2004, and also on the new strategy for quality control and assurance in the cytologic field. The diagnostic accuracy results of both the participating institutions and the QC committee were as follows; Category 0 and A: about 94%, Category B: 4-5%, Category C: less than 2%. As a whole, the cytologic daignostic accuracy is relatively satisfactory. In 2008, on site evaluation for pathology and cytology laboratories, as based on the "Quality Assurance Program for Pathology Services" is now going on, and a new method using virtual slides or image files for determining the diagnostic accuracy will be performed in November 2008.

• 재활간호학회지
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• 제2권2호
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• pp.257-270
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• 1999

The purpose of this study is to investigate factors related to the intent of using home nursing of chronic disease patients who got out of a university hospital. For the purpose, the study selected 153 patients who were hospitalized and left K university hospital with diagnoses of cancer, hypertension, diabetes and cerebral vascular accident and ordered to be discharged and performed interviews with them and surveys on their medical records to obtain the following results. For this study a direct-interview survey and medical record review was conducted from June 28 to Aug. 30, 1998. The frequency and mean values were computed to find the characteristics of the study subjects, and $X^2$-test, t-test, factor analysis and multiple logistic regession analysis were applied for the analysis of the data. The following results were obtained. 1) When characteristics of the subjects were examined, men and women occupied for 58.8% and 41.2%, respectively. The subjects were 41.3 years old in aver age and had the monthly aver age earning of 0.99 million won or below, which was the most out of the total subjects at 34.6%. Among the total, 87.6% resided in cities and 12.4 in counties. The most left the hospital with diagnosis of cancer at 51.6%, followed by hyper tension at 24.2%, diabetes at 13.7% and cerebral vascular accident at 7.2%. 2) 93.5% of the selected patients had the intent of using home nursing and 6.5%, didn't. Among those patients having the intent, 85.6% had the intent of paying for home nursing and 14.4%, didn't. The subjects expected that the nursing would be paid 9,143 won in aver age and 47.7% of them preferred national authorities as the main servers. 86.3% of the subjects thought that home nursing business had the main advantage of making it possible to learn nursing methods at home and thereby contributing to improving the ability of patients and their facilities to solve health problems. 3) Relations between the intent of use and characteristics of the subjects such as demography-related social, home environment, disease and physical function characteristics did not show statistically significant differences among one another. Compared to those who had no intent of using home nursing, the group having the intent had more cases of male patients, the age of 39 or below, residence in cities, 5 family member s or more, no existence of home nursing servers, leaving the hospital from a non-hospitalized building, disease development for five months or below, hospitalization for ten days or more, non-hospitalization with in the recent one month, two times or over of hospitalization, leaving the hospital with no demand of special treatment, operation underwent, poor results of treatment, leaving the hospital with demand of rehabilitation services, physical disablement and high evaluation point of daily life. 4) Among those patients having the intent of using home nursing, 47.6% demanded technical nursing and 55.9%, supportive nursing. As technical nursing,' inject into a blood vessel ' and 'treat pustule and teach basic prevention methods occupied for 57.4%, respectively, topping the list. Among demands of supportive nursing, 'observe patients 'status and refer them to hospitals or community resources as available, if necessary' was the most with percent age point of 59.5. Regarding the intent of paying for home nursing, 39.2% of those patients wishing to use the nursing responded paying for technical services and 20.2, supportive services. In detail, 70.0% wanted to pay for a service stated as 'inject into a blood vessel', highest among the former services and 30.7%, a service referred to as 'teaching exercises needed to make the body of patients move', highest among the latter. When this was analyzed in terms of a relation between the need(the need for home nursing) and the demand(the intent of paying for home nursing), The rate of the need to the demand was found two or three times higher in technical nursing(0.82) than in supportive nursing(0.35). In aspects of tech ical nursing, muscle injection(1.26, the 1st rank) was highest in the rate while among aspects of supportive nursing, a service referred to as 'teach exercises needed for making patients move their bodies normally'(0.58, the 1st rank). 5) factors I(satisfaction with hospital services), II(recognition of disease state), III(economy) and IV(period of disease) occupied for 34.4, 13.8, 11.9 and 9.2 percents, respectively among factors related to the intent by the subjects of using home nursing, totaled 59.3%. In conclusion, most of chronic disease patients have the intent of using hospital-based home nursing and satisfaction with hospital services is a factor affecting the intent most. Thus a post-management system is needed to continue providing health management to those patients after they leave the hospital. Further, supportive services should be provided in order that those who are satisfied with hospital services return to their community and live their in dependent lives. Based on these results, the researcher would make the following recommendation. 1) Because home nursing becomes more and more needed due to a sharp increase in chronic disease patients and elderly people, related rules and regulations should be made and implemented. 2) Hospital nurses specializing in home nursing should be cultivated.

• 한국병원경영학회지
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• 제8권2호
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• pp.49-69
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• 2003

This study purported to evaluate the performance of the appointment system for outpatients in primary care dental clinic. The data of patients' time flow for 1,245 patients in Y Dental Clinic were collected for one month in 2002 and then analyzed. Specifically, the time periods of treatment and patients' waiting as well as rates of appointment and it's failure are estimated. The accuracy of expected treatment time period was also evaluated. The results showed that 72% of patients visited the clinic with appointments, and only 56% kept their appointments. The patient's waiting time period turned out to be 11 minutes in Y clinic. The expected treatment time period is turned out to be very important because they influence significantly on patient's waiting time period. Practically, the expected treatment time period should be overestimated about 9 minutes in general, and the characteristics of dentist, each patient's diagnosis and age need to be especially considered. Hospitals and clinics also need to make the systematic and detailed critical pathways for a variety of patient cases by analyzing the patients' treatment pattern. With the improved appointment systems, healthcare institutions will approach the goal of effective and efficient management of the institution and also satisfy their customers.

• Journal of Preventive Medicine and Public Health
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• 제34권3호
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• pp.244-252
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• 2001

Objective : Health insurers and policy makers are increasingly examining the hospital mortality rate as an indicator of hospital quality and performance. To be meaningful, a risk-adjustment of the death rates must be implemented. This study reviewed 5 severity measurement methods and applied them to the same data set to determine whether judgments regarding the severity-adjusted hospital mortality rates were sensitive to the specific severity measure. Methods : The medical records of 584 patients who underwent coronary artery bypass graft surgery in 6 general hospitals during 1996 and 1997 were reviewed by trained nurses. The MedisGroups, Disease Staging, Computerized Severity Index, APACHE III and KDRG were used to quantify severity of the patients. The predictive probability of death was calculated for each patient in the sample from a multivariate logistic regression model including the severity score, age and sex to evaluate the hospitals' performance, the ratio of the observed number of deaths to the expected number for each hospital was calculated. Results : The overall in-hospital mortality rate was 7.0%, ranging from 2.7% to 15.7% depending on the particular hospital. After the severity adjustment, the mortality rates for each hospital showed little difference according to the severity measure. The 5 severity measurement methods varied in their statistical performance. All had a higher c statistic and $R^2$ than the model containing only age and sex. There was a little difference in the relative hospital performance evaluation by the severity measure. Conclusion : These results suggest that judgments regarding a hospital's performance based on severity adjusted mortality can be sensitive to the severity measurement method. Although the 5 severity measures regarding hospital performance concurred, more often than would be expected by chance, the assessment of an individual hospital mortality rates varied by the different severity measurement method used.

• 가정과삶의질연구
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• 제15권1호
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• pp.129-146
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• 1997

The purpose of this paper was to discover the importance and degree of satisfaction toward medical service perceived by clients and analize some characteristics and any siginificant difference by deomographic and social variables. In addition the subjects were divided into groups(i. e. satisfied and dissatisfied groups) and tested significant difference between two groups, The results can be summerized as follows: 1,. While the importance of over attributes of medical services percevied by customs was higher the degree of satisfaction was relatively low. 2. According to our analysis the degree of satisfaction toward hospital facilities and staff appeared to have relatively have relatively heavy weights compared to total satisfaction scores. 3. As far customers' quality evaluation about medical service is concerned the importance and degree of satisfaction could not be discriminated by demographic variables except education and income level. 4. The discrepancy of satisfaction s ore between satisfied and dissatisfied group was the highest in hospital facilities compared to other three sectors.