• Title/Summary/Keyword: Reporting and monitoring system

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Patient safety practices in Korean hospitals (우리나라 병원의 환자안전 향상을 위한 활동 현황)

  • Hwang, Soo-Hee;Kim, Myung-Hwa;Park, Choon-Seon
    • Quality Improvement in Health Care
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    • v.22 no.2
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    • pp.43-73
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    • 2016
  • Purpose: The aims of this study were to assess the presence of core patient safety practices in Korean hospitals and assess the differences in reporting and learning systems of patient safety, infrastructure, and safe practices by hospital characteristics. Methods: The authors developed a questionnaire including 39 items of patient safety staffing, health information system, reporting system, and event-specific prevention practices. The survey was conducted online or e-mail with 407 tertiary, general and specialty hospitals. Results: About 90% of hospitals answered the self-reporting system of patient safety related events is established. More than 90% of hospitals applied incidence monitoring or root cause analysis on healthcare-associated infection, in-facility pressure ulcers and falls, but only 60% did on surgery/procedure related events. More than 50% of the hospitals did not adopted present on admission (POA) indicators. One hundred (80.0%) hospitals had a department of patient safety and/or quality and only 52.8% of hospitals had a patient safety officer (PSO). While 82.4% of hospitals used electronic medical records (EMRs), only 53% of these hospitals adopted clinical decision support function. Infrastructure for patient safety except EMRs was well established in training, high-level and large hospitals. Most hospitals implemented prevention practices of adverse drug events, in-facility pressure ulcers and falls (94.4-100.0%). But prevention practices of surgery/procedure related events had relatively low adoption rate (59.2-92.8%). Majority of prevention practices for patient safety events were also implemented with a relatively modest increase in resources allocated. Conclusion: The hospital-based reporting and learning system, EMRs, and core evidence-based prevention practices were implemented well in high-level and large hospitals. But POA indicator and PSO were not adopted in more than half of surveyed hospitals and implementation of prevention practices for specific event had low. To support and monitor progress in hospital's patient safety effort, national-level safety practices set is needed.

Signal Detection of DPP-IV Inhibitors using Spontaneous Adverse Event Reporting System in Korea (자발적 부작용 보고 데이터베이스를 이용한 DPP- IV inhibitor의 약물이상사례 분석)

  • Hyejung Pyo;Tae Young Kim;Su Been Choi;Hyeong Jun Jo;Hae Lee Kang;Jung Sun Kim;Hye Sun Gwak;Ji Min Han
    • Korean Journal of Clinical Pharmacy
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    • v.34 no.2
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    • pp.100-107
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    • 2024
  • Background: The purpose of this study was to detect signals of adverse events (AEs) of DPP-IV inhibitors using the KIDs-Korea Adverse Event Reporting System (KAERS) database. Methods: This study was conducted using AEs reported from January 2009 to December 2018 in the KIDs-KAERS database. For signal detection, disproportionality analysis was performed. Signals of DPP-IV inhibitor that satisfied the data-mining indices of reporting odds ratio (ROR) were detected. Results: Among the total number of 10,364 AEs to all oral hypoglycemic agents, the number of reported AEs related to DPP-IV inhibitors was 1,674. Analysis of reported AEs of DPP-IV inhibitors at the SOC levels showed that Respiratory system disorders were the highest at 4.31 (95% CI 3.01-6.17), followed by Skin and appendages disorders at 2.04 (95% CI 1.74-2.38). When analyzing AEs reported at the PT level, pharyngitis was the highest at 73.90 (95% CI 17.59-310.49), followed by arthralgia at 6.08 (95% CI 2.04-18.11), and coughing at 5.21 (95% CI 2.07-13.15). Conclusions: Based on the result of the study, deeper consideration is required according to the characteristics of the patients in prescribing DPP-IV inhibitors among oral hypoglycemic agents, and continuous monitoring of the occurrence of related Adverse Drug Reactions during administration is also required.

A Study on Model of the State's Aviation Safety Management System (국가 통합항공안전관리시스템 모형 구축에 관한 연구)

  • Park, Min-Kyu
    • Journal of the Korea Safety Management & Science
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    • v.13 no.2
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    • pp.1-8
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    • 2011
  • The Chicago Convention in 1944 made important contributions to aviation safety improvement, building an aviation safety monitoring system for its signatory countries. As ICAO is now on the verge of changing its supervision system from self-reporting to preventive Continuous Monitoring Approach(CMA) in 2013, we also expect our own safety system to make a progress accordingly. The government is pushing ahead with plans to build an integrated safety management system at government level that satisfies international standards and reflects domestic features. To this end, this report proposes the most effective system-building model, by analyzing the current status of the system that is in use and meets the requirements of international aviation agencies.

Challenges in Korea Hospital Accreditation: Focused on Post-Accreditation Management System (국내 의료기관 인증제의 과제: 사후관리 중심으로)

  • Kim, Ji-Eun;Shin, Kyong-A;Shin, Min-Kyung;Shin, Jae-Joon;Lee, Hyun-Hee
    • Quality Improvement in Health Care
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    • v.24 no.1
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    • pp.1-8
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    • 2018
  • Objectives: The post-accreditation management system should be systematic in order to ensure that the accredited hospital continues to strive for patient safety and quality improvement during the accreditation period. In this study, we compare the post-accreditation management system in four countries (the U.S., Australia, Japan, and Korea) and provide suggestions for improving the post-accreditation management system in Korea. Results: All four countries had the post-accreditation management system, and the basic structure of the system in Korea was similar to that of others. However, there were differences in the practical operation processes and the use of the results. In the operation process, Korea's monitoring relies on voluntary reporting by accredited hospitals. In terms of results utilization, analytical feedback to data submitted by the acrredited hospital is not provided in Korea. Conclusions: It is necessary to establish a continuous monitoring system for post-accreditation changes and provide feedback to accredited hospitals. It is also necessary to perform a survey without advance notice and establish a firm legal basis for monitoring.

Design and Implementation of Monitoring System for Stable ATSC Mobile DTV (안정적인 ATSC Mobile DTV 방송을 위한 모니터링 시스템 설계 및 구현)

  • Yu, Saet-Byeol;Cho, Min-Ju;Sohn, Ye-Jin;Chon, Sung-Hee;Lee, Jae-Ho
    • Journal of the Korea Society of Computer and Information
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    • v.15 no.8
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    • pp.41-49
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    • 2010
  • Digital broadcasting system has various affecting factors unlike analog broadcasting system, and has possibility of no signal reception in case of errors due to characteristics of digital system. And, digital broadcasting system has monitoring system for error occurrences handling various factors. ATSC mobile DTV system uses legacy frequency and provides mobile broadcasting services, and also requires monitoring systems for monitoring online broadcasting services and reporting to administrator about interference or influence with legacy systems, and error situations. In this paper, we propose efficient monitoring system which monitors online broadcasting status of ATSC mobile DTV, reports on poor signal reception, video streaming failures to administrator, and maintains reliable digital broad ca sting system.

A Study on the Framework Construction of Disaster Monitoring and Transmitting System based on Smart-Phone (스마트 폰(Smart-Phone)기반의 재난 감시 및 상황전달시스템 프레임워크(Framework) 구축에 관한 연구)

  • Jeong, Duk-Hoon;Min, Geum-Young;An, Chang-Keun;Lee, Hoon-Seok
    • Journal of the Korea Safety Management & Science
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    • v.13 no.2
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    • pp.31-42
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    • 2011
  • Smart-Phones are utilized in disaster management field because it can deliver disaster information to large population simultaneously and quickly, and provide accurate information through situation-based service using the LBS(Location Based Service). To study on the utilization of smart phone for disaster information collection and dissemination method, this study suggest a framework which connects smart phone by loading application for reporting disaster. The disaster monitoring and situation dissemination system framework using smart phone is composed of 4 parts. First, smart phone application enters image, video, voice and text information and location of the disaster. Second, the disaster report reception and situation dissemination server receives the information, save in the DB, and send through smart phone SMS. Third, store into disaster information database. Fourth, display the disaster report and management information on 2D GIS, support the decision making process in deciding whether to manage as disaster, and disaster management web service which disseminates situation.

Nurses' Monitoring Practice for Adverse Drug Reactions (약물 유해 반응에 대한 간호사의 모니터링 실천에 관한 연구)

  • Kim, Hyun-Jin;Lee, Seon-Hye
    • Journal of Korean Academy of Nursing Administration
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    • v.22 no.1
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    • pp.91-98
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    • 2016
  • Purpose: The aim of this study was to identify the relationship between nurses' knowledge of adverse drug reactions (ADR), attitudes, and monitoring practices and to establish an effective ADR reporting system and provide baseline data for its activation. Methods: The participants in this study were chosen by convenience sampling and included 182 nurses working at major general hospitals that operate a Regional Drug Safety Center. Data were collected from June 1 to 12, 2015 and analyzed using Cronbach's ${\alpha}$, descriptive statistics, independent t-test, one way ANOVA, Pearson correlation coefficient and stepwise regression with the SPSS program. Results: The nurses' average score for knowledge was 7.62 points, for attitude, 41.04 points and for monitoring practices, 34.22 points. ADR monitoring practices positively correlated with knowledge (r=.19, p=.011), attitude (r=.41, p<.001), drug performance competency (r=.54, p<.001), and drug education satisfaction (r=.54, p<.001). Drug performance competency, drug education satisfaction, and attitudes explained 42.0% of the ADR monitoring practices (Adj $R^2=.42$, F=43.95, p<.001). Conclusion: In order to facilitate and encourage nurses' voluntary monitoring practice of ADR, efforts must be made to create positive attitudes toward ADR, and to increase drug performance competency and drug education satisfaction.

A Study on the Improvement of the Reports on Details of Supply of Medical Device System Through Selective Application (선별적 적용을 통한 의료기기 공급내역보고 제도 개선 연구)

  • Hyun Ju Jeong;Soo Yeon Lim;Ju Wan Kim;Won Seuk Jang;Byeong-Ju Kwon
    • Journal of Biomedical Engineering Research
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    • v.44 no.5
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    • pp.315-323
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    • 2023
  • The objective of this study is to identify the selective application targets for reporting on details of supply of class 1 and 2 medical devices as part of the improvement of the reports on details of supply of medical device system, and to analyze its effectiveness. Therapeutic materials covered by health insurance and secondhand medical devices were chosen based on the transparency of health insurance coverage and the management of medical device distribution. As a result, approximately 85% of groups can be excluded from the reporting requirements compared to reporting all items under Class 1 and 2 medical devices. This is expected to enhance the efficiency of supply reporting tasks. Additionally, the information on supply details managed by the regulatory authority can be utilized for statistical analysis and periodic monitoring, serving as fundamental data for the development of medical device-related policies and research in the field of medical devices.

Korean HAEI Method-a Critical Evaluation and Suggestions (국내 시간별 대기환경지수 방법의 문제점과 개선 방안)

  • Baek Sung-Ok;Lee Yeo-Jin;Park Dae-Gwon
    • Journal of Korean Society for Atmospheric Environment
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    • v.22 no.4
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    • pp.518-528
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    • 2006
  • The air quality index (AQI) is an index for reporting daily or hourly air quality to the general public. The AQI focuses on health effects that can happen within a few hours or days after breathing polluted air. Many countries have their own AQI reporting systems, and the HAEI (hourly air environment index) method is now being used in Korea. In this study, in order to compare the AQI results from different methods, we applied three methods. i.e. US AQI, Canadian AQI, and Korean HAEI, to the same air quality data-base. The data-base was constructed from 10 monitoring sites in Gyeong-buk province for the last four years since 2000. Based on the results, a critical evaluation of the Korean HAEI method was made, and a number of suggestions and recommendations were presented to improve the AQI reporting system in Korea.

IoT based smart reporting and mooring system for vessels (IoT 기반의 선박용 스마트보고 및 계류 시스템)

  • Ahmadhon, Kamolov;Park, Su-Hyun
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2017.10a
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    • pp.395-398
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    • 2017
  • The Smart Ship is considered one of the most discussed and novel topics in developing technological period. In this reason, the amount of running researches on it is evolving so fast. As a proof, the faced drawbacks such as the departure of ships, their safety, exchanging data, traffic and data monitoring system are being solved by presenting advanced technologies and innovations like Cloud, BigData, IoT and etc. Expanding the utilization of these technologies in the Marine world emphasizes not only the departure of the ships in the water but also they focus on solving the problems of the ships connected with the communication to the ports. In this paper, we present an IoT based smart reporting and mooring system for vessels and ports. In the proposed system, the ships automatically send all the data about themselves to the port and after getting the data, ports automatically send the information about possible spaces to moor for the ships using the sensors at the port. The intended system gives an amenity to minimize the time, effort and the cost while mooring the vessels.

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