• Title/Summary/Keyword: Patient accident

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Legal Management of Medical Quality (의료 질의 법적 관리)

  • Cho, Hyong-Won
    • The Korean Society of Law and Medicine
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    • v.8 no.2
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    • pp.167-193
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    • 2007
  • Medical demand has been increased explosively since health insurance was introduced in 1977. Person has taken a growing interest in increase of medical service supply while that period. We must understand the legal aspects of medical quality management. There have been many legislative efforts for securing the right of patient. Patient's legal right is secured through the declaration of patient's right and all hospital person deal with patients according to the standard and criterion of the declaration of patient's right. The patient's right is set up on a basis of the right to live and the expectation right of patient. It is important to prevent medical accidents because the right of patient's health is violated by medical accident. We must manage well the medical quality to prevent the medical accident. The effort to escalate the medical quality is the best method to decrease the medical dispute. Nowadays a person take a growing interest medical quality. Our government make an effort to secure the medical quality through the legal system to be contained health organization evaluation system.

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The current status of dental dispute: Centered on the 2nd data(Korea Consumer Agency, Med-in) (2차 자료(한국소비자원, 현대해상화재 배상보험)에 나타난 치과의료분쟁 현황)

  • Ahn, Yong Soon;Ahn, Eun Suk;Goong, Hwa-Soo
    • The Journal of the Korean dental association
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    • v.53 no.2
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    • pp.96-102
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    • 2015
  • There is a need to comprehend dental accidents accurately, and construct patient-safety-system in order to prevent consistently increasing dental accident or dispute. This study is aimed to provide basic data for an efficient counterplain by looking through and classifying already occurred dental accidents from an angle of patient safety. Recently, the number of dispute on dental implant was the highest according to rapid growth of dental implant. As a result of classifying dental accidents by International Classification for Patient Safety (ICPS), it is confirmed that cause of accident is different by each type of dental treatment. It is expected to help preventing and managing dental disputes properly by studying actual state of dental disputes in perspective of patient safety. Effort to reduce dental accidents and activity to pursue patient safety have thread in connection. I believe that financial profits of dental clinic and improvement of quality in dental treatment can be achieved through these efforts.

A Families's Burden on a Cerebrovascular Accident Patient and the Demand for Nursing Home (뇌혈관질환자 가족의 부담감과 가정간호 요구도)

  • Cho, Kyung-Hee;Kim, Kyung-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.12 no.1
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    • pp.95-103
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    • 2006
  • Purpose: This is to find out the correlation between a families burden on a cerebrovascular accident patient and the demand for nursing home. Method: The data was established by using structured questionnaires for 102 nursing families of cerebrovascular accident patient at three university hospitals. Result: 1) The total burden was showed to be at 3.21, which was some what higher than average. Total average of demand for nursing home was at 3.30, which was higher than average. 2) This showed static correlations between the economic, social, physical dependent and psychological burden, and demand for nursing home. The result represents that the higher burden showed a significantly positive correlation to the higher demand for nursing home. Conclusion: If a systemic support of nursing home is prepared the differentiated nursing home matched perfectly on each burden, the burden on a family of the patient can be decreased effectively.

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Complex Korean Medicine Treatment for Essential Tremor Plus Patient Aggravated by Traffic Accident: A Case Report (복합 한의 치료를 시행한 교통사고 후 악화된 본태성떨림플러스 환자: 증례 보고)

  • Dong-Guk Shin;Hyun-A Sim;Jin-Hyun Kim;Young-Jun Kim;Young-Tak Koh
    • Journal of Oriental Neuropsychiatry
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    • v.34 no.4
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    • pp.421-431
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    • 2023
  • Objectives: The purpose of this study was to report the effect of complex Korean medicine treatments on Essential Tremor Plus (ET plus) patient aggravated by a traffic accident. Methods: We treated an ET plus patient with complex Korean medicine. The patient's resting tremor and kinetic tremor in both hands intensified after experiencing a traffic accident, with tremor in the left hand being worse than that in the right hand. Effect of complex Korean medicine treatment was evaluated using Fahn-Tolosa-Marin Tremor Rating Scale (FTMTRS), Numerical Rating Scale (NRS), and Beck Anxiety Inventory (BAI). Results: After 26 weeks of treatments (acupuncture, pharmacupuncture, cupping, Iigyeungbyunqi-therapy, and herbal medicine), the FTMTRS decreased from 38 to 15. NRS of Lt. upper limb pain decreased from NRS 9 to 0. BAI score also decreased from 31 to 17. Conclusions: Complex Korean medicine could be used to treat patients with ET plus aggravated by a traffic accident.

Syncope and Unconsciousness after Intravenous Injection of Antibiotics in Patient with Cerebrovascular Accident : Report of a Case (뇌졸중 환자에서 항생제 정주 후 유발된 실신과 의식소실: 증례보고)

  • Yoo, Jae-Ha;Son, Jeong-Seog;Kim, Jong-Bae
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.12 no.4
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    • pp.215-221
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    • 2012
  • The loss of consciousness in the dental office have many causes, such as, vasodepressor syncope, drug administration, orthostatic hypotension, epilepsy, hypoglycemic reaction, acute adrenal insufficiency, acute allergic reaction, acute myocardial infarction, cerebrovascular accident, hyperglycemic reaction and hyperventilation. Patients have fainted during all phases of dental care: during tooth extraction and other surgical procedures, during local anesthetic injections, or during procedures such as venipuncture, on being seated in the dental chair, and even on first entering the dental office. If an elderly patient with known cardiovascular or cerebrovascular problems experiences a syncopal episode, differentiation from cerebrovascular insufficiency of more serious etiology, such as cerebrovascular accident, must be considered. And anaphylactic shock is also suggested during intravenous drug administration. This is a case report of syncope care during venous injection of cephalosporin in patient with cerebrovascular accident.

A Case Report of Eo-hyeol headache(瘀血頭痛)) Caused by Sequela of Traffic Accident (교통사고 후유증으로 인한 어혈두통(瘀血頭痛) 환자 치험 1례)

  • Choi, Geum-Ae;Jung, Jong-Hyo;Kim, Kyeong-Ok
    • Journal of Oriental Neuropsychiatry
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    • v.19 no.2
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    • pp.299-312
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    • 2008
  • Headache is symptom of many people suffered. It caused simply by fatigue, stress, but it also caused by inflammation, mechanical or chemical stimulus, circulation disorder, brain damage. Modern societies develop rapidly by traffic system. But lately it suffering with many traffic problem. Traffic accident is most important of many traffic problem. We experienced a 35 year-old female who complained headache, caused by a traffic accident that happened 22 month ago. We treated the patient by the way of Eo-hyeol (瘀血) type of headache with Herbal medication and Acupuncture. After being treated, the patient show that symptoms(headache, insomnia, anorexia) was improved considerably. This result suggests that oriental medicine treatment has good effect on headache due to traffic accident.

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Study on Characteristics of 7-Zone-Diagnostic System before and after Treatment in the Traffic Accident Patients and Patients with Low Back Pain or Nuchal Pain (경항부.요부 통증환자와 교통사고환자의 치료 전.후에 따른 7구역진단기의 특성연구)

  • Kim, Eu-Gene;Cha, Yun-Yeop
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.1
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    • pp.225-231
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    • 2009
  • The purpose of this study was to compare the effectiveness of Dangkisoo-san(Dangguixu-san) and Gamihwalhyul-tang(Jiaweihuoxie-tang) herb-medication for the Traffic accident patient group with the effectiveness of common herb-medication for the general patient group by using 7-Zone-Diagnostic System. Two groups were selected from those who took the CP-6000A test in College of Oriental Medical Hospital of Sangji University from March 2007 to January 2008. Mean values of Factor AA on Skin Resistance Variability(SRV) of two groups were compared. The mean values of the deviation between measurement and 50 in pre-examination was higher than those of post-examination. Especially, there were remarkable difference between the mean values of the deviation between measurement and 50 in pre-examination and those of post-examination within the general patient group. When we compare pre-examination with post-examination in each area, 2 areas have remarkable difference within the general patient group. The mean values of positive deviation in pre-examination was higher than those of post-examination within both group. Especially, the TA patient group was remarkable. The other side the mean values of negative deviation in pre-xamination was remarkably higher than those of post-examination within the general patient group. By contraries the mean values of negative deviation in pre-examination was lower than those of post-examination within the TA patient group. These results suggest that Dangkisoo-san(Dangguixu-san) and Gamihwalhyul-tang(Jiaweihuoxie-tang) herb-medication will be less effective for chronic and weak traffic accident patients.

A Study on Park-Golf for Rehabilitation training of the Patients with Hemiplegia (편마비 환자의 재활치료 효과를 위한 파크골프 도입에 대한 고찰)

  • Ahn, Myung-Hwan;You, Young-Youl
    • Journal of Korean Physical Therapy Science
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    • v.15 no.1
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    • pp.75-86
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    • 2008
  • The purpose of this study suggest that Park Golf for rehabilitation training of the patients with hemiplegia. The increase of the aged caused various problems. Among the problems, chronic illnesses the old people suffer from charge their family with mental, physical, social and economic burden as well as the person. Especially, the more old people are the more risks and attacks of cerebral vascular accident(CVA) exist. Therefore, the increase of the aged means the increase of cerebral vascular accident(CVA) patients. The cerebral vascular accident(CVA) patient get into difficulties to secure their livelihood due to troubles and disoders, so medical care facilities and rehabilitation training are really necessary to help them return to their normal life with mental, physical and social capability. The rehabilitation of patient with hemiplegia is ongoing process. It may possibly accomplish throughout the whole life because it takes a lot of time and effort. In addition, an ultimate aim of the rehabilitation is returning and adaptation to society. In this way, it is hardly to expect a satisfied results of the rehabilitation without motive. Therefore, patient with hemiplegia rehabilitation motive will is the most important. If interesting of park golf the patient with hemiplegia can be absorbed in easily are applied to the rehabilitation training, the patient are will to participate in the training without troubling.

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CARE OF RECURRENT TEMPOROMANDIBULAR JOINT DISLOCATION IN CEREBROVASCULAR ACCIDENT PATIENT : REPORT OF A CASE (뇌졸중 환자에서 재발성 턱관절 탈구의 관리 : 증례보고)

  • Oh, Ji-Hyeon;Yoo, Jae-Ha;Kim, Jong-Bae
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.11 no.2
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    • pp.62-66
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    • 2015
  • Temporomandibular joint dislocation causes considerable pain, discomfort, and swelling. The anatomic construction of the articular fossa and the eminentia articularis may predispose to dislocation, and weakness of the connective tissue forming the capsule is believed to be a predisposing factor. The capsule may be stretched and, more rarely, torn. Dislocation may be unilateral or bilateral and may occur spontaneously after stretching of the mouth to its extreme open position, such as during a yawn or during a routine dental operation. Manual reduction with the patient under muscle-relaxing condition or anesthesia is recommended method. After the reduction of an acute dislocation, immobilization of the jaw is recommended to allow the stretched and sometimes torn capsule to heal, thus preventing recurrence. A Barton's bandage may be applied for 2 to 3 weeks to prevent the patient from opening the jaw too wide. But, it results in recurrent dislocation in the neurologically disabled patient, because of loose intermaxillary fixation. This is a case report about management of recurrent temporomandibular joint dislocation by multiple loop wirings and intermaxillary elastics in cerebrovascular accident patient.

Clinical Case Study on Piriformis Syndrome after Traffic Accident (교통사고 후 발생한 이상근 증후군 치험 1례)

  • Yun, Jong-Min;Lee, Jung-Han
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.24 no.5
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    • pp.898-902
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    • 2010
  • This study is performed to report that oriental medical treatment was effective to the patient with piriformis syndrome after traffic accident. The patient was diagnosed as piriformis syndrome by considering clinical symptom, clinical history, physical examination, radiologic study and NCV EMG study. We applied acupuncture, herbal medicine, cupping, Chuna manipulation and exercise to the patient. After treatment, VAS decreased, and physical examination sign was disappeared. This result suggest that oriental medical treatment can be effective to piriformis syndrome.