• Title/Summary/Keyword: Integrated Medical System

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Development of simulator for Computer-integrated Robotic Surgery system and Design of its Auto-illumination system (수술통합시스템 시뮬레이터 개발과 자동조명시스템의 설계)

  • Lee, Soo-Gang;Chung, Goo-Bong;Yi, Byung-Ju;Kim, Whee-Kuk
    • Proceedings of the KIEE Conference
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    • 2004.11c
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    • pp.456-458
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    • 2004
  • Recent medical robot systems perform surgery operations, by following the preplanned trajectory and surgical procedures. Depending on the complexity of surgery operations, they are operated in manual, semi-automatic or full automatic mode. To improve the performance of those medical robot systems, development of the simulator and more advanced auto-illumination system, in which intensity of light, direction and focal point can be controlled automatically according to the varied environments during surgical operations. are required. Therefore, in this paper, the simulator for SPINEBOT system which is a computer-intergrated robotic surgery system are developed. And further, an auto-illumination system which will be integrated to the SPINEBOT system is investigated and its preliminary design is described.

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Integration and Efficiency Strategies of Evaluations for Medical Institutions (의료기관 대상 평가통합 및 효율화 방안)

  • Kim, Kyung-Sook
    • Quality Improvement in Health Care
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    • v.24 no.1
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    • pp.30-39
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    • 2018
  • Objectives: In Korea, there are many kinds of evaluations for medical institutions. However, evaluations are increasingly burdensome for medical institutions because evaluation agencies, evaluation timing, and evaluation methods are different. The purpose of this study is to improve the efficiency of evaluation for medical institutions and ultimately to provide quality medical services to patients. Methods: In this study, 2,310 indicators of 19 kinds of evaluation for medical institutions were analyzed. Results: 1,424 indicators were available for on-site surveys and 886 indicators were not available for on-site surveys. There were 4 kinds of evaluation that can be integrated in total, 12 kinds of evaluation that can be integrated partially, and 3 kinds of evaluation that need to maintain the current evaluation system. Conclusion: In order to provide patient-centered quality medical services through reduction of burden due to the evaluation for medical institutions, it is necessary to deeply discuss the efficiency of evaluation integration and result utilization.

A Survey Study on the Perception for Development of Integrated Medical Service Model and Its Application in Clinical Field - A Survey study with Doctors and Korean Medicine Doctors - (통합의료서비스 모델 개발 및 임상 현장 적용을 위한 인식조사 - 의사직 대상 설문 -)

  • Sangwoo Seo;Hyungsuk Kim;Seung Hyeun Lee;Moonkyoo Kong;Beom-Joon Lee;Sung Hyuk Heo;Seung-won Kwon;Bong Jin Park;Dong Hwan Yun;Euiju Lee;Hyunjoo Oh;Sung-Bum Kim;Hye-Sook Choi;Kwan-Il Kim;Won-Seok Chung
    • The Journal of Korean Medicine
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    • v.44 no.1
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    • pp.65-75
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    • 2023
  • Objectives: Objectives: In this study, we define a medical service type that combines Western medicine, Korean medicine, and complementary and alternative medicine (CAM) as an integrated medical service. This study, as part of tertiary hospital-based integrated medical service model and clinical field application, aims to collect status and opinions on integrated medical service for medical staff in the field. Methods: This is a survey study, and was conducted on doctors from Kyung Hee University Hospital and Korean medicine doctors from Kyung Hee University Korean Medicine Hospital. Respondents were recruited on a first-come, first-served basis until the number of respondents reached 120. The investigation was conducted for a total of 16 days from October 4, 2021 to October 19, 2021 by e-mail. Results: Recognition of integrated medical services was confirmed to be 45.8%, and 49.2% responded positively to the necessity of it. As a group of diseases that require the establishment of integrated medical services in the future, 'disorders of musculoskeletal systems and connective tissues' was the highest. The most expected advantages of providing integrated medical services were 'increased satisfaction of patients and guardians' and 'increased treatment effects.' Conclusions: In this study, we investigated the perception of doctors and Korean medicine doctors on integrated medical services that combine Western medicine, Korean medicine, and CAM. It has been confirmed that medical staff generally have a positive perception of integrated medical services, and if the scientific basis for the effect of integrated medical services is supported, the rate of positive perception is expected to increase.

Analysis of Medical Images Using EM-based Relationship Method (EM기반 관계기법을 이용한 의료영상 분석)

  • Kim, Hyung-Il
    • Journal of the Korea Society of Computer and Information
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    • v.14 no.12
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    • pp.191-199
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    • 2009
  • The integrated medical information system is an effective medical diagnosis assistance system which offers an environment in which medial images and diagnosis information can be shared. Because of the large-scale medical institutions and their cooperating organizations are operating the integrated medical information systems, they can share medical images and diagnosis information. However, this system can only stored and transmitted information without other functions. To resolve this problem and to enhance the efficiency of diagnostic activities, a medical image analysis system is necessary. In this paper, the proposed relationship method analyzes medical images for features generation. Under this method, the medical images have been segmented into several objects. The medical image features have been extracted from each segmented image. Then, extracted features were applied to the Relationship Method for medical image analysis. Several experimental results that show the effectiveness of the proposed method are also presented.

Business Process Model Formalization and Structural Anomaly Verification Techniques for Integrated Process Management of Medical Institutions (의료기관 프로세스 통합 관리를 위한 비즈니스 프로세스 모델 정형화 및 구조적 이상 현상 검증 기법)

  • Kim, Gun-Woo;Kim, Seong-Hyuk
    • The Journal of the Korea Contents Association
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    • v.18 no.7
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    • pp.177-193
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    • 2018
  • The business process management system that can integrate and manage a medical institution's processes has been increased importance to adapt to constantly changing medical environments and share information with various external medical institutions. The business process management system is an automated process tool that converts the graphic-based BPMN process model into a WS-BPEL, the execution language of the web service environment, and executes it through the process engine. However, the BPMN process model can be difficult to convert into WS-BPEL due to several ambiguities and structural inconsistencies. The process model may also contain structural anomalies that can lead to execution errors during process execution. In this paper, we present business process model formalization and structural anomaly verification techniques for facilitating integrated process management in medical institutions. Through the case study based on the IHE profile, we presented a formalized BPMN process model and verify the structural anomalies. We show the superiority of the proposed technique through comparative experiments with other related works.

A Case Study of Implementation of Concurrent Drug Utilization Review System at a General Hospital (동시적 의약품 사용평가(cDUR) 시스템 구축 및 적용 사례 연구 : 국내 한 대학병원을 중심으로)

  • Choi, Jong Soo;Kim, Dongsoo
    • Journal of Korean Institute of Industrial Engineers
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    • v.39 no.1
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    • pp.20-29
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    • 2013
  • Medical errors such as adverse drug event, improper transfusion, wrong-site surgery, mistaken patient identity and so on commonly occur at health care practice. Information technology, like Drug Utilization Review(DUR) system which reviews, analyzes, and interprets medication data when prescribing, can play a key role in reducing such medical errors and improving patient safety. Korean Government has guided all hospitals to implement concurrent DUR(cDUR) system, which is the first case worldwide in that all healthcare providers have to use cDUR system when prescribing. This paper introduced a case study that a tertiary hospital has integrated the cDUR system into its comprehensive Hospital Information System(HIS) and analyzed the whole prescription data during a week right after adoption of cDUR system. Considering technical strength and weakness, the cDUR system was integrated into the HIS, using Broker Servers for minimizing doctors' anxiety. As the quantitative analysis of the whole prescription data, DUR conflict events, which mainly included duplicate medications and contra-indicated drug interactions for outpatients, were 2.77%. Although only 0.7% is for the contra-indicated drug interactions, it will be greatly devoted to achieve the purpose of DUR such as improving patient safety.

An Implementation of Intefrated Database for Electronic Medical Record System in East-West Medical Collabration (${\cdot}$양방 협진 전자의무기록 시스템 구축을 위한 통합 데이터베이스 구축)

  • Ahn, Yo-Chan;Oh, Sang-Bong
    • Journal of Information Technology Applications and Management
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    • v.12 no.2
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    • pp.129-143
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    • 2005
  • In recent years, two major streams in medical information systems are:1) system integration among OCS(Order Communication System), EMR(Electronic Medical Record), PACS(Picture Archiving and Communication System), and ERP(Enterprise Resource Planning) and 2) system integration through medical collaboration between East and West medical service providers. One of the characteristics which differentiate the Korean medical industry from the western medical industry is the East-West medical collaboration. In many respects there are many differences between East and West medical treatment. Although East and West medical treatment have developed from different medical philosophies and standards, we assume that the better medical care can be provided by integrating their medical procedures effectively. The two possible approaches to the integration of East and West medical information systems are suggested in this paper:One is loosely coupled model and the other is tightly coupled model. EMR improves the quality of medical record which reflects the quality of clinical practice. It provides more efficient and convenient way of input, retrieval, storage, communication and management of medical data. We abstracted the standard medical procedures from the two medical procedures performed in Daejeon Oriental Hospital and Hehwa Clinic at Daejeon University and also abstracted database schema by analyzing the characteristics of information needed in East-West medical collaboration. Our EMR is composed of two types of data:one is structured data and the other is unstructured data, which are formalized by SOAP(Subjective, Objective, Assessment, Plan) format. Currently the integrated system is implemented and operated successfully for six months.

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Adapting an Integrated Program Evaluation for Promoting Competency-Based Medical Education (역량바탕의학교육을 촉진하기 위한 교육평가: 통합평가모형 적용)

  • Ju, Hyunjung;Oh, Minkyung;Lee, Jong-Tae;Yoon, Bo Young
    • Korean Medical Education Review
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    • v.23 no.1
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    • pp.56-67
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    • 2021
  • Educational program evaluation can improve the quality of the curriculum, instructional methods, and resources and provide useful data for making educational decisions and policies. Developing and implementing a program evaluation system is essential in competency-based medical education. The purpose of this study was to explore and establish an educational program evaluation system adapting an integrated program evaluation model to promote competency-based medical education. First, an Educational Evaluation Committee was organized, consisting of faculty, staff members, and students. The committee established an integrated program evaluation model, combining Stufflebeam's Context, Input, Process, and Product (CIPP) model of a process-oriented approach and Kirkpatrick's four-level model of an outcome-oriented approach. Kirkpatrick's model was applied to the product evaluation of the CIPP model. The committee then developed evaluation criteria, indicators, and data collection methods according to the components of the CIPP model and the four levels (reaction, learning, behavior, and results) of Kirkpatrick's model, and collected and analyzed data. Finally, the committee reported the results of evaluation to a Medical Education Quality Improvement Committee, and the results were used to improve the curriculum and student selection. To enhance the quality of education, identifying educational deficiencies and developing various elements of education in a balanced way through educational evaluation will be needed. Furthermore, it will be necessary to listen to opinions of various stakeholders, work with all members involved in education, and communicate with decision-makers in the process of educational evaluation.

Evolution of Large-Scale Filmless Full-PACS in Korea

  • Kim, Hee-Joung;Haijo Jung;Yoo, Hyung-Sik
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2002.09a
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    • pp.28-31
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    • 2002
  • Filmless full-PACS in korea has rapidly been growing, since government had supported collaborative PACS project between industry and university hospital in late of 1995. At the same time, a small company had started PACS business, while the Korea PACS society was being formed. In the beginning, PACS societies had focused on developing peripheral solutions such as DICOM gateway for image acquisition, x-ray film digitizer, and viewing software for research or management of personal image data, while Samsung Medical Center had started installing an imported partial PACS system which had recently upgraded with a new system. In similar time frame, a few hospitals had started developing and installing domestic large scale full-PACS system. Several years later, many hospitals have installed full-PACS system with national policy of reimbursement for PACS exams in November 1999. It is believed that Korea is the first country that adopted PACS reimbursement for filmless full-PACS as a national policy. Both experiences of full-PACS installation and national policy generated tremendous intellectual and technological expertise about PACS at all levels, clinical, hospital management, education, and industrial sectors. There are currently three types of PACS system which includes domestic, imported, and hybrid PACS system with imported solution for core system and domestic solution for peripheral system. There are more than 20 domestic PACS companies and they have now enough experiences so that they are capable of installing a truly full-PACS system for large-scale teaching hospitals. PACS societies in Korea understand how to design, implement, install, manage, sustain, and provide good services for large-scale full-PACS. PACS society has also strength for the highest integration technology of the Hospital Information. However, further understanding and timely implementation of continuously evolving international standard and integrated healthcare enterprise concepts may be necessary for international leading of PACS technologies for the future.

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A Study on Medical Information System in Health/Medical Industry Convergence (보건/의료산업 융합에 따른 의료정보화 시스템 연구)

  • Lee, Dong-Woo
    • Journal of Digital Convergence
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    • v.12 no.2
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    • pp.237-242
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    • 2014
  • Integrated health care system, which is one of the developing solution technologies of IT, BT and NT, could give us new medical environments in future. Health care is one of the most concerned fields in convergence environments. Many studies on the development and application related with health care industry in recent years has been actively. Therefore, in this paper, we described current integrated medical system trends and future works.