• 디지털산업정보학회논문지
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• 제15권1호
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• pp.1-7
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• 2019

The objective of this study is to examine the trends in big data. Research abstracts were extracted from 4,019 articles, published between 1995 and 2018, on Web of Science and were analyzed using topic modeling and time series analysis. The 20 single-term topics that appeared most frequently were as follows: model, technology, algorithm, problem, performance, network, framework, analytics, management, process, value, user, knowledge, dataset, resource, service, cloud, storage, business, and health. The 20 multi-term topics were as follows: sense technology architecture (T10), decision system (T18), classification algorithm (T03), data analytics (T17), system performance (T09), data science (T06), distribution method (T20), service dataset (T19), network communication (T05), customer & business (T16), cloud computing (T02), health care (T14), smart city (T11), patient & disease (T04), privacy & security (T08), research design (T01), social media (T12), student & education (T13), energy consumption (T07), supply chain management (T15). The time series data indicated that the 40 single-term topics and multi-term topics were hot topics. This study provides suggestions for future research.

• 한국융합학회논문지
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• 제9권8호
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• pp.61-70
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• 2018

본 연구의 목적은 종합병원 의료종사자들의 환자안전과 관련된 병원환경, 조직문화, 의료과오보고에 대한 인식을 파악하고, 의료과오보고에 영향을 미치는 요인을 확인하는 것이다. 연구방법은 B광역시 종합병원 의료종사자 244명을 대상으로 2017년 2월 13일부터 2월 28일까지 설문조사 후 SPSS 22.0 프로그램을 이용하여 분석하였다. 연구결과 병원환경 평균 점수는 5점 만점에 3.26(${\pm}0.31$)점, 조직문화 평균점수는 3.74(${\pm}0.54$)점, 의료과오보고 평균점수는 3.64(${\pm}0.57$)점이었고, 의료과오보고에 영향을 미치는 요인은 성별(${\beta}=.137$, p=.023), 직종(${\beta}=289$, p=.001), 간호직의 근무부서(${\beta}=-.196$, p=.023), 병원환경(${\beta}=.327$, p=<.001), 조직문화(${\beta}=.288$, p=<.001)로 나타났다. 그러므로 의료종사자들이 의료과오보고를 두려워하지 않고 보고할 수 있는 시스템을 구축하고 적절한 인력의 확보 및 배치와 개방된 의사소통이 이루어지도록 관리자와 병원경영진의 노력이 이루어져야 할 것이다.

• 한국재난정보학회 논문집
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• 제20권1호
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• pp.206-212
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• 2024

연구목적: 본 연구는 해양 환경에서 응급환자 발생시 환자의 상태, 처치내역, 이송정보 등을 해양경찰청 및 유관기관과 공유하여 적정이송병원으로 신속하게 이송함으로써 응급환자의 생존율을 향상시키기 위한 정보공유 방안에 관한 연구를 진행하였다. 연구방법: 본 연구에서는 LoRa 통신 방식을 활용하여 전자 트리아지 태그가 스마트폰 앱에서 분류된 응급환자 정보를 수신하여 저장하고 송신하며, 송신된 응급환자 정보는 LoRa 수신기와 함께 하이브리드 트리아지 시스템을 통해 실시간 수집할 수 있도록 구현하였다. 연구결과: 하이브리드 트리아지 시스템을 통해 거리에 따라 응급환자 정보를 수신하거나 지연된 수신을 확인할 수 있었다. 거리가 가까운 경우 대부분의 데이터가 수신되었고, 비교적 거리가 먼 경우 데이터가 수신되지 못하는 것을 확인 하였다. 결론: 대량 재난 환경에서 인터넷 통신이 불가능할 경우 LoRa 통신 등 자가망을 이용하여 재난 현장의 사상자 정보를 신속하고 정확하게 파악하여 적절한 재난 대응을 할 수 있음을 확인할 수 있었다. 다만, 통신 방식의 특성에 따은 한계점 또한 인식하였다. 향후 다양한 통신방식에 대한 연구를 통해 인터넷 통신이 불가능한 상황에서 응급환자 정보를 수집하고 적절한 병원으로 이송할 수 있도록 하는 추가 연구가 요구된다.

• 한국재난정보학회 논문집
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• 제7권2호
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• pp.110-122
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• 2011

본 연구에서는 서울시 지하공간에서 화재발생시 재난관리 및 재난의료 개선방안을 지하상가를 중심으로 기술하였다. 먼저 지하공간에서의 법령 및 제도를 건축법관련, 안전관련, 소방관련, 피난관련으로 고찰해 보았다. 서울시 지하상가의 분류는 공간 및 형태적 유형에 따라 나눌 수 있으며, 유형별 형태에 따라 관리주체가 다르게 나타난다. 이러한 개별관리체계로 인하여 화재 및 재난발생 시 현장의 통합지휘체계와 현장 응급구조에 문제가 발생할 우려가 있어 향후 통합관리를 위한 대책 및 시설관리주체의 개선이 필요하다. 재해 발생 시 이송이 실제 현장에서 이루어지려면 의료진과 응급구조사가 존재하고, 현장지휘본부와의 협조가 원활해야 가능하기 때문에 평소에 재해정보와 응급의료정보가 실시간으로 파악되어야 한다. 따라서 수용의료기관 분포와 진료능력등을 고려하여 재해 발생 시 효율적인 대처방안 수립이 필요하다.

• 한국병원경영학회지
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• 제4권1호
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• pp.1-20
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• 1999

Since the late 1980s, there have been radical changes in the managerial environment of Y University Medical Center(YUMC). Externally, the competition among hospitals has intensified due to the establishment of universal health insurance in 1939 and the entrance of large enterprises into the health care industry in the early 1990s. In addition, government regulation of medical institution is becoming stricter. Also, consumer groups have continued to demand the respect for patient rights and improvement of the quality of medical services. Internally, the financial condition of YUMC has worsened, not only because weak control and poor mediation in its large-scale structure have made its operation inefficient, but also because the rates of increase in the prices of goods and labor have grown faster than any increases in revenues. This study on materials management at YUMC presents a way for YUMC to reduce costs and increase its productivity, thereby overcoming its financial difficulties and dealing with external pressures. This study utilized the case studies of the materials purchasing and medical supply management in the United States and the comparative analysis of management to suggest short-term and long-term alternatives for innovation in YUMC. The goals of the short-term alternatives for innovation are to centralize the purchasing and supply departments and to simplify the decision-making processes. Through these attempts, it is estimated that YUMC's costs could be reduced by $600,000 per year. In the long-term, it is necessary to consider introducing a Supply Processing Distribution(SPD) system and setting up a centralized electronic system for supply and inventory management, although it is difficult to estimate the effect of cost-cutting because of the lack of analysis data. Thus, YUMC should thoroughly analyze initial investment costs and economical efficiency generated from long-term alternatives.

• 정보처리학회논문지C
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• 제10C권3호
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• pp.281-286
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• 2003

최근 환자의 개인적인 의료정보가 외부에 노출되는 것은 사생활적인 측면뿐 아니라 사회 활동 및 환경에도 영향을 준다. 그러므로 불법적인 조작으로부터 환자의 개인적인 의료정보를 안전히 보호하는 것은 중요하다. 이에 본 논문에서는 첫 번째, IC 카드에 전자처방전 정보를 저장하는 방법을 연구하고 두 번째, IC 카드에 저장된 정보에 접근하기 위한 사용자(의사, 간호사, 의료기관 관계자, 약국, 약사, 환자 등)의 접근 권한을 설계한다. 마지막으로 윈도우즈 2000이 지원하는 인증 관리 모델의 보안 API를 이용하여 인증서를 발급하고, 보안 서비스 제공 프로그램을 이용하여 공개키/개인키를 생성하여, 전자처방전에 대해 전자서명을 한다. 본 논문에서 제시한 시스템은 전자처방전의 안전성과 신뢰성을 확실히 보장할 수 있으며, 진료에 대한 서비스를 향상시킬 수 있을 것으로 기대된다.

• 지역사회간호학회지
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• 제14권3호
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• pp.407-414
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• 2003

Purpose: The purpose of this study was to discern the effects of music therapy on the patients' level of anxiety and operative satisfaction during cataract surgery under local anesthesia. Method: The subjects for this study were fifty patients. Half of the subjects were categorized as an experimental group and the other half as a control group. All of the subjects were admitted to one hospital in Seoul for cataract surgery. This study was conducted from September 7 to October 2, 2002. The level of anxiety determined by self-reporting anxiety, pulse rate, systolic blood pressure, and diastolic blood pressure, was measured before and after the music therapy. The satisfaction degree was measured after the surgery. The tools for this study were Spilberger's state anxiety inventory and Patient Care Management System. Each patient in the experimental group chose the music used in his/her surgery and it was played through an audio system in the operating room. The data analysis was performed using the SAS/pc+(version 8.0). Results: 1. The anxiety of the experimental group decreased significantly compared to the control group. 2. The pulse rate of the experimental group decreased more than the control group. 3. The blood pressure of the experimental group decreased more than the control group. 4. The operative satisfaction of the experimental group was higher than the control group. Conclusion: According to the previous results, music therapy turned out to be a very efficient way to increase the satisfaction of a cataract patient after surgery by reducing the anxiety and the pulse rate of the patient during an operation with local anesthesia.

• 한국실내디자인학회논문집
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• 제21권2호
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• pp.223-230
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• 2012

These days, hospitals in Korea have great interests in healthcare accreditation. The criteria of this accreditation has been established by management, but development of the management system without facility improvement has limits. Therefore this study reclassified domestic and foreign healthcare accreditation focusing on facilities and has purpose on proposing facility elements that can be adopted in hospitals. Also, the study is relevant to the study on architecture planning of hospital according to 'Patient safety' which will be suggested in the future and has significance for establishing basis of healthcare facility planning and for improving the existing facilities. The study selected facility lists from 'healthcare accreditation' and reclassified them based on departments in the hospital. Using these lists, the study divided the hospital that has obtained 'healthcare accreditation' into departments and investigated and analyzed them. On the basis of the analysis, the study suggested facility lists involved in hand washing, waste disposal, equipment washing, quarantine, goods-movement, establishing clean/polluted area, emergency exit-way, and restricted zone.

• 지역사회간호학회지
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• 제27권4호
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• pp.327-336
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• 2016

Purpose: This study was to examine the clinical characteristics and mortality risk factors of geriatric hospital patients who visited one region-wide emergency department (ED). It's basically meant to develop criteria for the patient management of geriatric hospitals and to provide related information. Methods: A retrospective research study was implemented using electronic medical records. The subjects in this study included 484 geriatric hospital patients who were selected from among 15,994 patients that visited one region-wide ED between January 1, 2014, and December 31, 2015. Results: There were significant differences in death, a change for the better and no change for the better, which were results of treatment, according to the length of stay in hospital, hospitalization in a general ward, not having an operation or surgery, the presence or absence of malignant neoplasm, the insertion of foley catheter, intubation, ventilator and the insertion of central venous catheter. Conclusion: The results of this study suggest that a patient management system is necessary in geriatric hospitals and that competent healthcare workers who can properly respond to emergencies are required as well.

• Journal of Dental Anesthesia and Pain Medicine
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• 제20권1호
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• pp.39-44
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• 2020

Homozygous familial hypercholesterolemia (HoFH) is a rare inherited disorder that presents as abnormally elevated levels of low-density lipoprotein cholesterol and premature heart disease, requiring frequent intervention through lipid apheresis for management. The risk of perioperative cardiac events is higher in patients with HoFH because of its pathophysiological manifestations in the vascular system. Careful cardiac precautions and anesthetic assessments are necessary to ensure patient safety. In the following case report, we discuss the clinical course and anesthetic considerations for a 14-year-old girl with HoFH undergoing sedation for dental extractions and mandibular molar uprighting in an outpatient oral surgery clinic. Considerations included the use of heparin in the patient's weekly plasma lipid apheresis treatment. In order to reduce the risks of peri- and postoperative bleeding and perioperative cardiac events, the operation was scheduled for 4 days after apheresis. This allowed for adequate heparin clearance, while also reducing the likelihood of possible cardiac events. A literature review revealed no results for the outpatient management of patients with HoFH undergoing sedation for noncardiac procedures. Our reported case serves as a clinical example for physicians to be utilized in the future.