• Title/Summary/Keyword: Medical records

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Analysis of Medical Records of Korean Medicine based Psychotherapy (한방정신요법의 의안 분석)

  • Jeong, Seon-Yeong;Kim, Jae-Yeong;Cho, Myoung-Ui;Kho, Young-Tak
    • Journal of Oriental Neuropsychiatry
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    • v.27 no.2
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    • pp.43-55
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    • 2016
  • Objectives The aim of this systemic review was to summarize medical records of Korean medicine based psychotherapy and investigate its therapeutic mechanism.Methods We searched articles on Korean neuropsychiatry in Korean databases. Subsequently, we selected and analyzed medical records on Korean medicine based-psychotherapy that met inclusion criteria.Results Fifty-five medical records were included. They were classified into the following 5 categories. Five minds mutual restriction therapy in 19 medical records; counseling and persuading therapy in 12 medical records; moving essence and changing Qi therapy in 10 medical records; Kyungjapyungji psychotherapy in 2 medical records; and suggestion psychotherapy in 11 medical records.Conclusions The results indicated that emotion is mainly used for cure. Buddhism affects Korean medicine based psychotherapy. Korean medicine based psychotherapy corresponds to western psychotherapy such as short-term dynamic psychotherapy (STDP), supportive psychotherapy, cognitive therapy, behavior therapy, and guided imagery.

A Study on the Educational Meaning of Medical Records written in Shanghanjiushilun Focusing on Purgation Therapy (하법(下法)을 위주로 살펴본 『상한구십론(傷寒九十論)』 의안(醫案)의 교육적 의의 고찰)

  • Ahn, Jin-hee
    • Journal of Korean Medical classics
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    • v.31 no.2
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    • pp.105-126
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    • 2018
  • Objectives : This paper aims to study the educational meaning of Shanghanjiushilun in Shanghanlun education focusing on purgation therapy. Methods : Clinical medical records in Shanghanjiushilun associated with purgation therapy were chosen, analyzed and its educational meaning was studied. Results & Conclusions : 1. Xushuwei's clinical medical records are significant as it helps the readers think of various disease mechanisms by not omitting mistreatment of the other doctors. 2. Xushuwei's clinical medical records are significant as it helps the readers become aware of the importance of a differential diagnosis through questions and answers. 3. Xushuwei's clinical medical records are significant as it helps the readers avoid looking at one side of things through taking a comprehensive look at disease syndrome in various fields. 4. Xushuwei's clinical medical records are significant as it helps the readers escape unreasonableness by suggesting practical aspect managing the patient. 5. Xushuwei's clinical medical records are significant as it enable the readers to draw a new disease mechanism interpretation by making up for explanations of the pathogenesis quoting medical classics. 6. Consequently, in learning and teaching Shanghanlun, Xushuwei's clinical medical records have enough educational meaning as mentioned above.

Legal Status of Medical Personnel on Medical Records (환자의 의무기록 관련 의료인의 법적 지위)

  • Lee, Baek-Hyu
    • The Korean Society of Law and Medicine
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    • v.11 no.2
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    • pp.309-335
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    • 2010
  • This study is a paper reviewed legal status of medical personnel and issues of law on recently discovered medical records. As the increase of medical personnel who have gone through the administrative disposal in regards to the medical records, it is needed to examine the legal issue or dispute on the medical records under the current law. Medical records are the statement on patient's medical conditions made by the medical personnel. This records are used as important source for patient's further treatment. This becomes the communication route between the patients and the other medical personnel, and it provides the patients a right to find out their medical information. According to the Medical Service Act (Article 21), a medical personnel shall prepare respectively a record book of medical examination and treatment. And medical personnel shall make a signature. Furthermore, the medical personnel or the opener of the medical institutions must preserve the record book (including an electronic medical record). Meanwhile, the issues of a ban on false entry, additional record, revision or manipulation on the medical record have been recently on the rise. This paper briefly examined the major issues in regards to the medical records. It especially clarified the legal duty on medical records and its major-contentious-issues. At the same time, it pointed out the problems of the unreasonable over interpretation of the law. Furthermore, this suggested the guidelines for the further discussion and review.

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A Study of Issuance of Medical Records Using AMOS (구조 방정식을 활용한 의무기록 사본 발급 특성에 관한 연구)

  • Ahn, Sang-Yoon;Kim, Kwang-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.9 no.3
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    • pp.787-793
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    • 2008
  • This paper investigates the issuance of medical records of patients and caregivers who have obtained medical records from the Medical Record Information Center of "a university" in Daejeon from January through March in 2006. According to the structural equation, "the time zone for issuance of medical records" was -0.01 as a path coefficient against "how medical records are issued" and +0.86 against "ordinary characteristics." As shown above, privacy and confidentiality are what really matters in the management of medical records. Therefore, they must be protected regardless of whether the medical records are hard or electronic copies.

Statues and Improvement of Electronic Medical Record System in Traditional Korean Medicine

  • Jung, Bo-Young;Kim, Kyeong Han;Kim, Song-Yi;Sung, Hyun-Kyung;Park, Jeong-Su;Go, Ho-Yeon;Park, Jang-Kyung
    • Journal of Pharmacopuncture
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    • v.21 no.3
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    • pp.195-202
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    • 2018
  • Objectives: The study was to survey use of electronic medical records in subjects of Korean medicine doctors working for Korean medicine organizations and to contemplate ways to develop utilization of electronic medical records. Methods: On August 2017, it conducted online self-reported survey on subjects of Korean medicine doctors at Korean hospitals and clinics who agreed to participate in the study. A total 40 doctors in hospital and 279 doctors in clinic were included. The surveyed contents include kinds of electronic chart, reason for not using electronic medical records and problems with creation of medical records. Results: It finds that 100% of those working at Korean medicine hospitals and 86.4% of those at Korean medicine clinics have used electronic medical records. Subjects answered the biggest reason for not using electronic medical records was inconvenience. The most serious problems with creation of electronic medical records at Korean medicine organizations found in the study include there was no method of creation of medical records and no standardized terminology for use in electronic medical records. Conclusion: For utilization of electronic medical records at Korean medicine organizations, standardization of terminology, development of EMR in favour of its users and development of strategy that motivates use of EMR are required.

A Study of Comparing the Paper-Based Medical Record with the Electronic Medical Record on the Level of Medical Record Completeness and the Accordance (종이의무기록과 전자의무기록의 기재 충실도 및 일치도 비교 연구 : 의사의 입원.퇴원기록지와 간호사의 입원.퇴원간호정보기록지를 중심으로)

  • Shin, A-Mi;Jung, Sun-Ju;Lee, In-Hee;Son, Chang-Sic;Park, Hee-Joon;Kim, Yoon-Nyun;Youn, Kyung-Il
    • Korea Journal of Hospital Management
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    • v.15 no.1
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    • pp.1-12
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    • 2010
  • This study was tried to evaluate the level of completeness and the accordance in electronic medical records by comparing paper-based medical record in doctor's admission records, discharge summary, and nursing information records. Medical records of inpatients of neurology department that the 100 paper-based medical records in 2004 and 100 electronic medical records in 2006 were targeted. Existence of record items and doctor-nurse record accordance were evaluated in doctor's admission record, discharge summary, admission nursing information record, and discharge nursing information record. There were not any differences between electronic medical records and paper-based medical records in doctor's admission record and discharge summary. Electronic medical records had less missing records than paper-based medical records in admission and discharge nursing information records. Electronic medical records showed higher accordance than the paper-based medical record in doctor-nurse record generally, but there were statistically differences in only medication, allergy, smoking, and drinking (p<0.05). In this study, it was verified that the quality of electronic medical records are better than paper-based records in nursing information record and doctor-nurse record agreement.

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A Study on the Educational Meaning of Medical Records written in Shanghanjiushilun (『상한구십론(傷寒九十論)』에 기재된 의안(醫案)의 교육적 의의 고찰)

  • Ahn, Jin-hee
    • Journal of Korean Medical classics
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    • v.31 no.1
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    • pp.113-125
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    • 2018
  • Objectives : The purpose of this paper is to investigate the educational meaning of Shanghanjiushilun in Shanghanlun education. Methods : The formal characteristics in medical records were compared between Shanghanjiushilun and the other 5 kinds of medical record books and the educational meaning was drawn by analysing medical records of Shanghanjiushilun a little more deeply. Resultss & Conclusions : 1. In a formal aspect, although Shanghanjiushilun is inferior to Liuduzhou's Clinical Medical Records Selection, it has merits in that it explains through quoting medical literature. 2. Xushuwei explained treatment based on syndrome differentiation in the new point of view in Shanghanjiushilun. 3. Through Shanghanjiushilun medical records Xushuwei's work to explain treatment based on syndrome differentiation in Shanghanlun in the new perspective is an effort to read medical classics to keep up with the times and has sufficient educational significance.

A Study on the Analysis and Methods to Improve the Medical Records Management in a Large University Hospital (대형 대학병원의 의무기록관리 현황분석 및 개선방안에 관한 연구)

  • Lee, Ju-Yeon;Kim, Yong;Kim, Geon
    • Journal of Korean Society of Archives and Records Management
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    • v.13 no.1
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    • pp.107-134
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    • 2013
  • Many hospitals introduce the electronic medical record systems (EMRS) to implement a digital type of hospital. However, there are various problems in managing and preserving medical records. Systems, such as OCS, PACS, and EMR, are independently operated without formal standards related to medical records management. To manage medical records effectively, distributed medical records including paperand electronic-type should be managed in an integrated manner. With its analysis of the current status in the management of medical records of J University Hospital, this study proposes methods to solve the problems extracted from the results of the analysis, and a management model for an integrated medical records management based on the process of records management of ISO 15489.

Study of Young-Hoon Kim's Medical Chart Restoration (청강 김영훈 진료기록 복원연구)

  • Cha, Wung-Seok;Park, Lae-Su
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.22 no.1
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    • pp.1-12
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    • 2008
  • This study is a report on the restoration process and future projects involving the restoration of the medical records from 1914 to 1974. Cheong-Gang Young-Hoon Kim was born in 1882 and passed away in 1974. His times were the times when Korean Traditional Medicine was being neglected due to the introduction of Western Medicine through Japan. During this time Young-Hoon Kim put much effort into the Korean Traditional Medicine Restoration Movement and left over 150,000 medical records while consistently examining patients. Currently, this data can be found at the College of Oriental Medicine, Kyunghee University and is being compiled into a database as a part of the 2007 Knowledge of Oriental Medicine Web Service Project. The Preface and Chapter 1 introduce the author and the contents of the Cheong-Gang Medical Records, and Chapter 2 briefly discusses the necessity of providing digitalization and modernization to the medical records. Chapter 3 discusses the preservation process of the original medical records, chapter 4 describes the process of restoring and providing web access to the contents of the medical records, and chapter 5describes the main purpose of the medical records as well as future projects and an outlook involving the Knowledge of Oriental Medicine Web Service Project.

A study on the Medical records in the Gupyubang ("급유방(及幼方)" 에 기재된 의안(醫案)에 대한 연구(硏究))

  • Han, Yun-Jeong;Chang, Gyu-Tae
    • The Journal of Pediatrics of Korean Medicine
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    • v.21 no.1
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    • pp.53-85
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    • 2007
  • Objectives : The Medical Records(醫案) are important materials in studying the developmental process of Korean Traditional Medicine. The purpose of this study was to investigate the medical records which were described in Gupyubang(及幼方), the first Korean book that specialized in pediatrics. Methods : 85 Medical records about medical traits of diagnosis and treatments in Gupyubang were analyzed and those were translated in Korean. Results : Medical records were analyzed as follows; The number of Male was 76 and the number of Female was 9. Prepubertal period was 16 and preschool period 14. Acute febrile convulsion was 6. Measles and blood symptom was 5. Ring worm pain, vomiting & diarrhea, colic pain was 4. Most of them were self treatment except one. 77 cases were improved and 6 cases were dead or worse. The medical records used oral medication, external medication, acupuncture, moxibustion and surgical manners. Conclusion : This study showed that Gupyubang is a experiential book and alse the medical records in Gupyubang was usefulness and had practical value.

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