• Title/Summary/Keyword: Nursing Information system

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Congenital Malformations in Infants of Mothers Undergoing Assisted Reproductive Technologies: A Systematic Review and Meta-analysis Study

  • Hoorsan, Hayedeh;Mirmiran, Parvin;Chaichian, Shahla;Moradi, Yousef;Hoorsan, Roza;Jesmi, Fatemeh
    • Journal of Preventive Medicine and Public Health
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    • v.50 no.6
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    • pp.347-360
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    • 2017
  • Objectives: This meta-analysis aimed to evaluate congenital malformations in infants conceived by assisted reproductive techniques (ART), compared with infants conceived spontaneously. Methods: In this study, available resources searched to find relevant articles included PubMed, ScienceDirect, Scopus, Google Scholar, Cochrane, ProQuest, Iranmedex, Magiran, and Scientific Information Database. After extracting the necessary information from evaluated articles, meta-analysis on the articles' data was performed using Stata version 11.2. Results: In this study, from a total of 339 articles, extracted from the initial investigation, ultimately 30 articles were selected for meta-analysis that assessed the use of ART on the risk of congenital abnormalities and some birth complications on 5 470 181 infants (315 402 cases and 5 154 779 controls). The odds ratio (95% confidence interval [CI]) for low birth weight was 1.89 (95% CI, 1.36 to 2.62), preterm labor 1.79 (95% CI, 1.21 to 2.63), cardiac abnormalities 1.43 (95% CI, 1.27 to 1.62), central nervous system abnormalities 1.36 (95% CI, 1.10 to 1.70), urogenital system abnormalities 1.58 (95% CI, 1.28 to 1.94), musculoskeletal disorders 1.35 (95% CI, 1.12 to 1.64), and chromosomal abnormalities in infants conceived by ART was 1.14 (95% CI, 0.90 to 1.44), which were all statistically significant, except chromosomal abnormalities. Conclusions: The risk of congenital abnormalities and some birth complications were significantly higher in ART than normal conception, while chromosomal abnormalities were not; therefore, the application of ART should be selected individually for patients by detailed assessment to reduce such risks in the population.

A Case Study on the Hospital Information Systems Usability (병원정보시스템 사용성에 대한 실증연구)

  • Park, Chan-Seok;Lee, Hyen-Uoo;Koh, Seok-Ha
    • Information Systems Review
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    • v.10 no.3
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    • pp.289-311
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    • 2008
  • This study is a development of quality scale and a measurement of quality levels for the Hospital Information System(HIS) used in the hospital industry. This study is to provide decision-making guidelines for hospital managers, system analysts, and software designers, and to provide feedback for the users' information needs. The target people of the study were medical doctors, nurses, pharmacists, and clerical staff. The service contexts of usability were diagnosis/treatment, nursing, medicine preparation, and treatment fee receipt/claim. The quality factors were the efficiency, effectiveness, and satisfaction of IS09241-11. This study shows that the current domestic HISs are mostly based on patient diagnosis/treatment and treatment fee accounting, and that other quality scales are necessary according to different job categories, specializations, positions, and service domains. Especially, the low quality of HIS was found in the abnormal service processing, information sharing by outside institutions, and standardization. It may be added that the HIS should be improved and developed in these respects.

Development of a nursing home specialized bed infotainment system (요양원 특화 병상 인포테인먼트 시스템 개발)

  • Young-Hyun Yoon;Jai-Soon Baek
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2024.01a
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    • pp.179-180
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    • 2024
  • 생활 수준 향상과 의학 발달로 평균수명이 증가하면서 노령화가 빠르게 진행되고 있으며, 이로 인해 노인 인구가 급증하고 있는 추세다. 노인 요양병원의 위치가 중요시되고 있지만, 노인 치유환경의 부족과 열악한 상태가 확인되어 연구와 개선이 시급하다. 노인 인구 증가로 노인 의료비가 상승하는 가운데, 노인 요양병원의 의료 서비스 영향을 살펴보고, 법적 규제의 필요성과 노인 의료 시스템의 취약성 극복 방안을 연구하고 있다. 본 연구의 소프트웨어 시스템은 노인 요양원 환자에게 독특하고 혁신적인 경험을 제공하며, 주사, 시술, 수술, 진료뿐만 아니라 긍정적인 마음가짐과 예술적 감각을 통해 치유적인 공간을 조성한다. 이를 통해 환자들은 시각적 자극을 체험하며 긍정적인 영향을 받게 될 것이다.

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Development of a Community-Based Management System of Home-Stay Cancer Patients (지역사회 재가 암환자 관리 체계 구축 - 일 시 지역을 중심으로 -)

  • Kim, Boon-Han;Jung, Yun
    • Journal of Hospice and Palliative Care
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    • v.4 no.2
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    • pp.154-160
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    • 2001
  • Purpose : This study, as the first year project of setting up a community based management system, was attempted for the cancer patients and their family to improve their quality of life; investigating and managing the cancer patients, educating volunteers and connecting the patients with the volunteers were performed. Method and result : The education of managing cancer patients for the volunteers was done once in lune for 2 days to the 80 volunteers. Questions about education effect, volunteer motivation and so on were made up. The survey showed, generally, education satisfaction level was high and a longer education and an intensive course were needed and was suggested that organizing a volunteer community be needed for the continuous further education and systematic management. As the result, after the public health center and volunteers deliberated, a volunteer community consisting of 4 teams, 28 members was organized, launched in Oct. and operated for the cancer patients and their family. For investigating and enrolling the patients, advertising on a local information paper, recommending of local doctors, publicizing by educating the heads of a subdivision of the city, the heads of a neighborhood association and the people in charge of the related local communities such as women's society, and surveying the community by volunteers were performed and the total, 41 patients were registered. Management of cancer patients was carried out by volunteers in a community and in a nursing school. A regional volunteers' community is composed of 23 members and they have worked 87 times, that is 3.8 times per capita on an average. The content of duties is attending the education (41.1%) the most. A volunteers' community of nursing students composed of 12 members have worked 135 times, that is 11.3 times per capita on an average. The content of duties - consulting with patients and home visiting (37.8 %) were the most and survey for investigating the cancer patients was the second. Conclusion : This study has the meaning that this is the guiding attempt in building a community based management system, and especially the achievement of this study is that a regional society organized a volunteer community for the cancer patients by itself and went into action for the cancer patients and their family. Furthermore, to activate this volunteering, it is necessary to keep managing volunteers and running continuing education or the intensive course of the volunteers. Indeed we should let the patients have good impression on this program through publicity and education for the residents to keep track of more cancer patients. For that, systematic and powerful cooperation of a self-administrative organization is required.

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The study of information seeking behavior by health fields researchers (보건분야 연구자들의 정보이용행태에 관한 연구 -광주, 전남 응급구조과 및 전남대학교 간호과학 연구소-)

  • Kim, Mi-Seon
    • The Korean Journal of Emergency Medical Services
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    • v.3 no.1
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    • pp.77-90
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    • 1999
  • This study focuses on investigating and analyzing overall information use behavior of the health fields researchers. Questionaries were 116 researchers in there nursing university or college and EMT college. Four areas were tested on the basis of the purpose that there would exist unique characteristics in the information seeking behavior of health fields researchers. The findings of the study shows that health fields researchers prefer monographs and journals; they tend to use current materials; the first information source for their research activities is the cited references in the book or journal article; they are likely to delegate literature searching to the librarian, but they tend to conduct direct searching in online setting; in general, they react positively for the rapid change in information environment caused by recent development of information technology. It is emphasized that to design an efficient information system and provide an effective information service in the health science related library or information center, it is essential to consider the major characteristics and attributes of health fields researchers in terms of their information use behavior.

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A Study of the Development of Curriculum for Healthcare Information Professionals (의료정보관리사 교과과정 개발을 위한 연구)

  • Park Joo-Hee
    • Proceedings of the Korea Contents Association Conference
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    • 2005.05a
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    • pp.146-150
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    • 2005
  • The purpose of the present study is to analyze curriculums in colleges operating a department related to medical information in Korea and to propose the roles of medical information professionals, medical information professionals qualifying examination and a plan to raise medical information specialists demanded in the field. In addition, this study purposed to suggest establishing programs for job training and supplementary education of medical information professionals through sharing contents among colleges. For these purposes, this study proposed a plan to construct the infrastructure of Internet-based domestic medical information and education network for the service of integrated medical information system standardized centering on the Healthcare Information Center.

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Evaluation of Health Information Service on the Internal and External Weather Agency Web sites (국내외 기상 관련 웹사이트의 건강정보서비스 평가분석)

  • Oh, Jin-A;Kim, Heon-Ae
    • Atmosphere
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    • v.20 no.2
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    • pp.101-109
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    • 2010
  • The service of health information was provided through internal and external weather agency web sites. The purpose of this study was to analyze current status of the weather agency web sites dealing with health information in the internet, and to evaluate their contents and technical aspects. The evaluation tool consisted of five area (appropriateness, accessibility, supportiveness, feedback, and continuance) with nineteen items. For the public confidence, web sites were limited to national meteorological administration and representative weather agencies. The evaluating web sites were fourteen from eight countries. The evaluation scores of fourteen web sites were 37.8 out of 53.0 in total. Each subcategory score were 5-12 out of 12 in appropriate, 4-12 out of 12 in accessibility, 4-10 out of 11 in supportiveness, 2-8 out of 9 in feedback, and 2-8 out of 9 in continuance. The score of feedback was the lowest. Survey results indicated that Korean Meteorological Administration homepage was middle status compared with the others in side of depth of health information and feedback from expert. Climate change affect human health, so it will be possible to prevent some disease at first through climate information. It should be developed to provide high quality health information and system related climate on KMA homepage.

Recognition of Efficiency and Effectiveness of the Experiences with Hand Acupuncture (수지침 경험자들의 수지침에 대한 효율성과 효과성 인식정도)

  • Lee, Yeon-Joo;Park, Kyung-Min
    • Research in Community and Public Health Nursing
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    • v.12 no.1
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    • pp.278-287
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    • 2001
  • The purpose of this study is to provide with basic information on application of hand acupuncture as a complementary and alternative therapy by giving some recognition of efficiency and effectiveness of hand acupuncture. And so, answers for questionnaires of 290 respondents were used for this research and collected from June 5 through 13, 1999 from adults twenty and over who were participating in the hand acupuncture training program in Seoul and had some direct experiences with hand acupuncture therapy, whatever they had been treated and/or had treated. To secure reliability of measurement tool. Cronbach'a has been calculated and Factor Analysis was done as Validity Analysis of question classification. Demograprucal characteristics of hand acupuncture experienced people and factors related to hand acupuncture experiences are calculated based on the real number and percentage. The degree of recognition of efficiency and effectiveness of hand acupuncture is made as average and standard deviation, while the degree of recognition of efficiency and effectiveness based on general characteristics come from one-way ANOVA. 1. According to socio-demographical analysis. the questioned could be classified firstly as age (40-49 : 32.5%. 30-39 : 24.9%. 50-59 : 21.9%. 60-69 : 14.7%. 20-29 : 6.0%). secondly gender (male 36.6%. female 63.4%). thirdly occupation (housewife: 43.8%. self-employed: 15.5%. company-employee: 14.8%). fourthly education (high school graduate: 41.9%, college graduate: 37.9%), and lastly monthly-income (1 to 2 million: 51.4%. 2 to 3 million: 20,3%) 2, As for the general aspects related to hand acupuncture. 80,0% of the respondents answered almost zero for the monthly average number of visit to hospital and 15.5% responded 1 to 2 visits, 6,2% of the respondents is complaining of a disorder of digestive system. 19,0% circulatory disease, 10.7% bad nervous system. By utilizing hand acupuncture, 84% of the questioned have following experiences in curing diseases: digestive system 47.3%, circulatory system 9.3%, nervous system 8.3%, 54,1% are curing 1 to 2 and 10.3% 3 to 4 patients on a daily basis with hand acupuncture. Research on the demerits of giving medical treatment with hand acupuncture shows 23,8% are feeling economic burden. 16.6% difficulty of learning and 16.2% weak theoretical backgrounds. 3. Among the efficiency recognition, possibility of general application is average 4,29 and simple treatment is 4,19. economic merits 4.36. possibility of establishment with supplementary and alternative medicine 4.17, medical effectiveness 4.09. 4, As a result of demographical analysis on the efficiency and effectiveness of hand acupuncture therapy, it appears that the recognition of efficiency based on occupation and the recognition of effectiveness based on monthly income are most significant to be noticed. In an orderly fashion. government-employee, self-employed, company-employee. and then housewife have perceived hand acupuncture very efficiently, And those who recognize hand acupuncture to be most effective are people earn 1 million to 2 million won a month, 5. The efficiency(p = .003) and effectiveness (p= .049) of hand acupuncture therapy by number of visit to hospital were statiscally significant, and effectiveness of hand acupuncture therapy by disease exist was statiscally significant (p= .033).

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Improvement Status and Development Direction of New Health Technology Assessment (신의료기술평가제도 운영의 개선현황과 발전방향)

  • Lee, Seon Heui
    • Health Policy and Management
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    • v.28 no.3
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    • pp.272-279
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    • 2018
  • Since the introduction of new health technology assessment in 2007, benefit coverage process of health insurance related to new health technology has become an upgraded system through the evidence-based decisions. As a result of enforcing this system for 10 years, however, there have been several rising concerns. It needs to support the insufficient evidence of medical technologies, introduce reassessment system for post management of market entry technologies, and improve evaluation methods and process. In addition, there is the possibility of emerging an unheard-of medical technology, fused various categories like artificial intelligence, robot, information technology, physics and life science in the fourth industrial revolution. Now, new updated system introduced to improve new technology assessment, such as 'limited health technology assessment system,' 'system for postponement of new health technology assessment,' 'one-stop service system,' and 'integrated operation of approval for medical devices and new health technology assessment.' Therefore it needs to prepare the improvement plan for new health technology assessment to be established more advanced system, and we have to resolve concerns by communication with various healthcare experts and patients now and for ever.

A Study on the Nurse Scheduling Optimization Model for Nurse Needs-Type Scheduling Automation System

  • Song, Mi-Young
    • Journal of the Korea Society of Computer and Information
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    • v.25 no.3
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    • pp.57-64
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    • 2020
  • Today, with the development of information technology, hospitals are actively researching hospital information systems that are not limited by time and space to integrate mobile computing technology into the medical field to manage the bulk data of medical information. Nevertheless, most hospitals still spend a lot of time and effort creating manual schedules. In this paper, we studied an optimization model for organizing nurses' shift work and constructed an automated nurse-type job organization system. For nurses working in S hospital, information data, requirements and constraints of nurses were constructed. By applying this, we proposed an optimized scheduling method and built a web-based platform used by head nurses and a mobile app platform used by general nurses to enable real-time interchange and sharing around web servers. Therefore, through the developed nurse needs type automated system, the head nurses will increase the convenience of the nurses to organize the work every month, and general nurses will help them to work more accurately through personal schedule management. It is also expected to increase work efficiency by sharing work schedules among nurses.