• 보건의료산업학회지
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• 제6권4호
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• pp.61-72
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• 2012

The purpose of this study was to propose how to improve and develop the college curriculum of medical record administration, satisfying requirements from hospitals having medical record administrators. For the purpose, this researcher surveyed medical record administrators serving at hospitals located in Busan, Changwon, Masan and Jinju. Finally analyzed were responses from 100 medical recorders. The frequency of searching medical records to support information use was statistically different among hospitals according to the number of sick beds(p=.041), or $3.16{\pm}1.75$ for fewer than 300 sick beds, $4.28{\pm}2.42$ for 300 to 500 and $4.86{\pm}3.18$ for more than 500. The college course that was regarded as most important by most of the surveyed medical record administrators, or 53(37.2%) was medical terminology, followed by statistics by 36 of the respondents(18.5%) and EMR, 25(12.8%) in order. To make EMR truly effective requires reforming the university curriculum of medical record administration and giving more attention and more supports to training for better computerization, realizing that medical record administrators serve as a true manager of health and medical information, not a person who just paper-based medical information. In addition to managing health and medical information, medical record administrators are expected to have more roles in the future, for example, providing high-quality clinic knowledge and medical information that are necessary for efficient hospital management and medical research to survive competition.

• 대한예방한의학회지
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• 제18권3호
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• pp.11-21
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• 2014

The rapid development and distribution of information communication industry facilitates the changes of hospital administration, introducing EMR(Electronic Medical Record) instead of paper-based medical record in the medical field. The developed countries such as U.S. have established EMR system after in the middle of 1970s because the primary advantages of EMR is to store and handle vast amounts of records efficiently and increase the quality of health care. Most of health organizations in Korea also apply medical record system to their administration. As the result, they have accomplished a scientific administration system through the use of medical record to handle a variety of patient's information including patient's confidentiality and privacy such as family history, social status, income level, and so on. However, access to and the misuse of EMR causes illegal infringement of patient's information and finally it becomes a very serious medical issue. Potential leakage and misuse of records may seriously infringe patient's privacy rights. In this respect, the related agencies in the public and private sector have been making efforts to prevent patient's records leakages. Especially, the revision bill of Medical Law in 2002 establishes the ways on the security and standards of electronic records. However, it does not provide the proper guidelines which is applied to the rapid changes of the medical environment. One of the most priorities in the hospital administration is the production and maintenance of an accurate medical records fulfilled by medical recorders. Therefore, it is very important for health care providers to hire ethical-based medical recorders. But, unfortunately most of hospitals overlook the importance of their roles. All parts including government, physician and patient must have more concerns on the problems related to EMR. Therefore, this study aims to propose the proper ways to resolve the problems coming from EMR.

• 기록학연구
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• 제5호
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• pp.111-148
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• 2002

Digitalization of public administration information shall be accelerated more. When information exists both in the form of electronic and paper record, even the disclosure of paper record make it possible the access to public administration information itself, but there may some needs for the disclosure of electronic record in applicant's situation. Similarly, when only electronic record exists, there may be some problem about whether to disclose the record as print-out or as being electronic format itself. Thus, the method and format of disclose are very sensitive issues, and it is very important to clarify who has the competence to decide the method and format of disclosure, applicant or the public agency. In making any record available to an applicant under the EFOIA in America, the public agency shall provide the record in any form or format requested by the applicant, if the record is readily reproducible by the agency in that form or format. And for the convenience of the applicant with sensory disability, the AIA in Canada also permits the right to access to information in an alternative format. It is desirable also in our country that disclosure of information is done by public agencies in the format that applicant wants, as possible. In the meantime, we should consider the costs and technological restrictions corresponding to the change of format of information to the format that applicant specifies. In the case of electronic record, efforts required for searching cause some hard problems. Information disclosure system requires disclosure of record that exists at the demand point, and creation of new record that does not exist at that them is not required on the public agency. For the search of electronic information, we need some code or program. So, if we evaluate that act of coding or programming as creation of new record, demand on disclosure of electronic record becomes impossible, in fact. Therefore, when we include electronic record as the object of information disclosure system, we need to clarify the degree of reasonable efforts for searching the information included in that record, as long as possible, although it is very difficult problem. Also, we should consider the way to make it permitted to demand the disclosure of electronic record by FAX or E-mail. Disclosure of electronic record itself by E-mail is not generalized yet, even in America or Canada. There are many technological and legal problems to solve, before permitting or enforcing the disclosure of electronic record by E-mail. But, it is desirable to expand the method of disclosure to including disclosure by E-mail in possible spheres. Also, as well as disclosure on demands, we need to expand electronic access to information, so far as possible, in the process of information offer.

• 한국기록관리학회지
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• 제21권3호
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• pp.17-36
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• 2021

본 연구는 한국 근현대 기록관리 제도사의 결락을 메우기 위하여 USAMGIK와 당시 생산된 기록 등 문헌검토를 진행하였다. 이를 통해 미군정기 행정체계를 확인하였고 행정체계 속에서 나타나는 기록관리 조직과 업무를 검토하였다. 미군정기 기록관리 조직과 업무는 행정체계의 이원화와 인적 구성의 동일성으로 인하여, 조선총독부와 미 육군의 기록관리체계가 혼용된 형태로 나타났다. 그럼에도 불구하고 지방행정조직과 의회 기록관리체계가 정비되기도 하였으며, 군정기구와 민정기구, 중앙행정기구와 지방행정기구, 의회의 경우 개별적 기록을 관리하는 방식이 나타났다. 한편 미군정기에는 미 육군의 기록관리 방식이 도입되어 국한문과 영문을 혼용하여 공문서를 생산하기도 하였다. 이와 더불어 한글 전용화가 요구되면서 공문서 작성방식 변화에 대한 주장이 이어지기도 하였다. 역사기록관리체계 또한 이 시기 시작되어 국사관을 설립하는 등의 노력으로 나타났다.

• 한국병원경영학회지
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• 제16권2호
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• pp.19-30
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• 2011

This study aims to present ways to enhance the stabilization of electronic medical records, ensure the commitment to filling in information of the medical record and improve the overall quality Electronic Medical Record(EMR) information. For that purpose, the present state of the incomplete record rate and the doctor's satisfaction in Electronic Medical Record(EMR) have been surveyed by comparing and analyzing Paper-based Medical Record(PMR) and Electronic Medical Record(EMR). The survey was conducted on 31 doctors in charge of EMR system and each PMR and EMR inpatients were collected for a period of 5 months and analyzed. The results showed that the doctor's satisfaction level was higher for EMR, and the rate of incomplete record appeared to be lower in EMR in departments of both internal and external medicine. In this context, it can be said that the higher efficiency of EMR helped accomplish the increase in commitment to completing medical record information and improve the quality of the data.

• The Plant Pathology Journal
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• 제21권1호
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• pp.83-85
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• 2005

Ditylenchus acris was isolated from diseased strawberry plants. Frequently, D. acris and Aphelenchoides fragariae occur together in a strawberry plant. Both species appeared very similar in the shape, length, swimming behavior and causing symptoms, and difficult to distinguish them by a stereomicroscope. But they were easily distinguished under a compound microscope especially by their tail shape, median bulb, vulva position, and bursa.

• International Journal of Advanced Culture Technology
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• 제3권1호
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• pp.113-119
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• 2015

This paper presents a design and implementation of real time electrical energy computing tool to measure and record the electrical energy based on type of detection devices, Hall Effect current sensor and Microcontroller. The tool was installed on the system power supply of the room and compared with kWh meter. Finally, we found that the energy record has error of average power calculating results is 0.077%.

• 한국의료질향상학회지
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• 제9권2호
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• pp.176-197
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• 2002

Backgound : This study is to suggest the standardized format of the clinical sheets and the standardized items of every clinical sheet. The standardization of the medical records will increase the faithfullnes of the contents in them and it will contribute to construct the good health information system. Method : From Jan. 1st. 2001 to March 31st 2001, we gathered as many paper clinical sheets as possible by every class of institutions to review the faithfulness of the clinical contents in them. Clinical sheets of 9 tertiary care hospitals, 6 general hospitals and 56 clinics were gathered. Two experienced medical record administrators reviewed them. The review focus was to check whether the items recommend by the hospital standardization review criteria and hospital service evaluation organization were appeared in the clinical sheets and whether the contents of every item were written. Results : Tertiary care hospitals; In case of administrative data, the contents were filled well if the items were fixed. The clinical data like C.C, history,physical examiniation were filled well, but if the items were not fixed, some items were omitted. The result is that more items are to be filled if they are fixed. General hospitals Administrative data were filled more than 50%. Final diagnosis was filled about 66.7%.But other clinical data were not filled well and not many clinical related items were appeared in the sheets.In the legal point of view, the reason for visiting hosptals or the right diagnosis, patient condition at discharge could not be confirmed well.In surgery cases, surgical procedures could not be confirmed well as many surgical related information(surgery time, fluids and blood, number of sponges, biopsy, etc) were omitted. Clinics More than 70% administrative data were filled and fixed as items. Among the clinical related data, laboratory result was the most credible data. But without the right diagnosis, drug orders were given and doctors' written signatures were not appeared over 96.4%. So the clinical sheets cannot be used as a legal document. Conculusion : There was a tendency that the contents were filled well if the items were fixed in the documents, We also suggest a clinical check list to review the completeness and faithfulness of the clinical sheets. If many hospitals use the suggested clincal check list and if they make the necessary items fixed in the clinical sheets, the quality of the medical record will increase dramatically.

• 디지털융복합연구
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• 제11권8호
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• pp.293-302
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• 2013

지금까지의 병원의 DW(Data Warehouse)는 주로 원무중심의 데이터를 분석하는 용도로 사용되어 왔다. 하지만, 전자의무기록(Electronic Medical Record) 시스템이 구축되면서 원무중심의 기존의 DW와 달리 진료 기록과 영상 촬영 기록의 판독내용 등의 비정형 데이터도 환자의 진료 및 치료의 중요한 정보를 얻는데 매우 유익하게 활용될 수 있다. 따라서 본 논문에서는 지금까지 병원에서 활용되는 원무 중심의 DW(Medical DW)가 아닌 진료 중심의 DW(Clinical DW)의 구축의 필요성을 제기하였다. 또한 CDW가 실제로 어떤 부분에 어떻게 활용되는 지를 기술하였다. 마지막으로 병원의 실제 진료 데이터를 시소러스(Thesaurus)검색 방법을 사용하여 과거 이력에 따른 연관 상병 간의 상관관계를 도출하여 환자 조기치료의 기반을 마련하고자 한다.

• 디지털융복합연구
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• 제13권7호
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• pp.229-238
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• 2015

본 연구에서는 직무의 표준화 방안으로 국가직무능력표준을 개발하여 이를 교육과정 전반의 기초자료로 활용하고자 하였다. 연구기간은 2014년 6월 21일부터 2014년 11월 30일 까지였다. 본 연구를 위해 연구진 외 산업현장전문가, 교육훈련전문가, 직무분석전문가로 구성된 전문가 풀을 구성하였다. 의무기록 분야에서 수행되어야 하는 직무명을 의료정보관리로 정의하고 산업현장의 요구와 특성이 향후 교육훈련에 조화롭게 적용될 수 있도록 직무에 필요한 능력단위 총 12개, 능력단위요소 총 43개, 경력수준 별 필요한 능력단위 등을 도출하여 의료정보관리 국가직무능력표준안을 개발하였다. 끝으로 개발된 표준안은 산업현장 검증을 거친 다음 국가직무능력표준으로 완성하였다.