• Title/Summary/Keyword: Reporting system

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의약품 사용평가(DUR) 확대를 통한 의약품 부작용 보고 활성화 방안 (Promotion of Adverse Drug Reactions Report through Expansion of Drug Utilization Review)

  • 정수철
    • 한국콘텐츠학회논문지
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    • 제19권1호
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    • pp.234-241
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    • 2019
  • 의약품을 사용할 때 나타나는 부작용은 국민의 건강을 크게 위협할 수 있다. 현재 의약품 부작용에 대한 보고가 매우 미흡한 것이 현실이다. 이에 현재 약국에서 사용하고 있는 의약품 사용평가(DUR:Drug Utilization Review)에 의약품 부작용 보고를 연계하게 된다면 활성화될 수 있다. 의약품 사용평가가 활성화되어 있는 미국 의약품 관리 체계 연구를 통해 의약품 부작용 보고 활성화 방안을 찾을 수 있다. 약국에서 의약품 관리 프로그램으로 사용되는 'Pharm IT 3000'에서 의약품 부작용 보고의 활성화 방안을 연구해 보았다. 문헌연구와 실제 프로그램 운영 방식 연구를 통해 Pharm IT 3000 처방 조제 현황 항목에 의약품 사용평가를 연동시켜 부작용 보고가 편리하게 되는 방안을 찾게 되었다.

CARE(CAse REport) 지침에 따른 대한한방부인과학회지의 증례보고에 대한 질 평가 (Evaluation of the Quality of the Case Reports from the Journal of Obstetrics and Gynecology of Korean Medicine Based on the CARE Guidelines)

  • 남은영;박주연
    • 대한한방부인과학회지
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    • 제32권2호
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    • pp.71-86
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    • 2019
  • Objectives: The purpose of this study is to assess the quality of case reports from the Journal of Obstetrics and Gynecology of Korean Medicine. Methods: Case reports were selected from the Obstetrics and Gynecology of Korean Medicine from January 2015 to March 2019, by utilizing Oriental Medicine Advanced Searching Integrated System (OASIS). The quality of the reports were reviewed based on the Consensus-based Clinical Case Reporting Guideline Development (CARE) guideline. Results: Total of 41 case reports were finally selected for the assessment. 69.23% of the case reports included necessary information based on the CARE guideline but the rest of the reports did not. More than 50% of the reports were missing data regarding 'Diagnostic challenges', 'Intervention adherence and tolerability', 'Adverse and unanticipated events', or 'Patient perspective or experience', and 'Informed consent'. Also, the reports did not include 'Key word', 'timeline'. Conclusions: Case reports from the Journal of Obstetrics and Gynecology of Korean Medicine have important role in women. Efforts are needed to improve the quality of the case reports as well as to develop reporting guidelines for the Journal of Obstetrics and Gynecology of Korean Medicine.

Identifying the Patterns of Adverse Drug Responses of Cetuximab

  • Park, Ji Hyun
    • 한국임상약학회지
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    • 제32권3호
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    • pp.226-237
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    • 2022
  • Background: Monoclonal antibodies for the treatment of patients with different types of cancer, such as cetuximab, have been widely used for the past 10 years in oncology. Although drug information package insert contains some representative adverse events which were observed in the clinical trials for drug approval, the overall adverse event patterns on the real-world cetuximab use were less investigated. Also, there have been no published papers that deal with the full spectrums of adverse drug events of cetuximab using national-wide drug safety surveillance systems. Methods: In this study, we detected new adverse event signals of cetuximab in the Korea Adverse Event Reporting System (KAERS) by utilizing proportional reporting ratios, reporting odds ratios, and information components indices. Results: The KAERS database included 869,819 spontaneous adverse event reports, among which 2,116 reports contained cetuximab. We compared the labels of cetuximab among the United States, European Union, Australia, Japan, and Korea to compare the current labeling information and newly detected signals of our study. Some of the signals including hyperkeratosis, tenesmus, folliculitis, esophagitis, neuralgia, disseminated intravascular coagulopathy, and skin/throat tightness were not labeled in the five countries. Conclusion: We identified new signals that were not known at the time of market approval.

상호연동성을 지원하는 XML기반의 심전도 데이터 관리를 위한 메타데이터 시스템 (Metadata System for XML-based ECG Management Supporting Interoperability)

  • 구흥서
    • 한국지능시스템학회논문지
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    • 제16권6호
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    • pp.704-709
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    • 2006
  • 본 연구에서는 의료정보시스템 간에 상호연동성을 지원한 수 있는 XML 기반의 심전도(electrocardiography, 이하 ECG) 데이터의 효율적인 저장구조 및 관리방법을 제시하고, 웹기반으로 ECG 정보서비스를 제공할 수 있는 ECG 메타데이터 시스템을 구현한다. ECG 메타데이터 시스템은 ECG 데이터와 메타데이터의 저장, 검색, 그리고 pdf 파일형식의 리포팅 서비스 기능을 포함한다. ECG 데이터의 저장구조는 심전도 데이터의 특성과 액세스 특성을 분석하여 비분할 저장방식을 사용하였고, 효율적인 검색기능을 제공하기 위해 HL7 aECG 데이터로부터 메타데이터를 추출하여 인덱스로 활용하였다. ECG 리포팅 서비스를 제공하기 위해 템플릿 메커니즘을 이용하여 텍스트 XML 형태의 데이터를 여러 데이터 포맷으로 변환한다.

세무조사 효율성 제고 방안 (Improving Tax Audit Efficiency)

  • 이광숙;기은선
    • 아태비즈니스연구
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    • 제11권1호
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    • pp.115-143
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    • 2020
  • Purpose - The purpose of this study is to expand the taxpayer's rights protections, which are covered in the previous studies, and to suggest ways to increase tax inspection efficiency as a way to induce fidelity reporting under the final tax return system and to lower tax compliance costs. Design/methodology/approach - The tax audit is a necessary system for the taxpayer to induce self-reporting in a sincere manner, but it is necessary to harmonize the realization of fair taxation and the rights of taxpayers because it is likely to infringe taxpayer rights in the process. Research implications or Originality - The purpose of this study is as follows. First, the government will seek ways to improve tax investigations to strengthen the protection of taxpayers' rights by increasing the fairness and procedural transparency of the current tax investigation system, as pointed out in the National Tax Administration Reform T / F. Second, we will consider ways to enhance the effectiveness of tax audit as a means of inducing faithful tax in Korea's tax system, which assumes sincere taxpayers.

하드웨어에 의한 리눅스 서버 소프트-RAID 시스템의 상태표시 장치 구성에 관한 연구 (A Study on the Construction of Status Display Equipment for Soft-RAID System of Linux Server using Hardware)

  • 나원식;이현창
    • 한국소프트웨어감정평가학회 논문지
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    • 제15권2호
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    • pp.95-100
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    • 2019
  • 본 논문에서는 리눅스 OS의 소프트-RAID 시스템에서 발생된 오류를 간단한 하드웨어를 이용해 보고하는 방법을 제시하였다. 제시한 방법은 다른 보고 방법들에 비해 로그-인 과정이나 홈-페이지 접속 등과 같은 별도의 액세스 과정 없이 직관적으로 오류상태를 표시하며, 특히 서버에서 오류상태를 능동적으로 표시함에 따라 관리자가 즉시 조치를 취할 수 있는 특징을 지니고 있다. 제시한 방법의 효과를 확인하기 위해 실험 장치를 구성하고 실험한 결과 저장장치에서 이상이 발생한 경우 능동적으로 오류사실을 표시함을 확인하였다. 이와 같이 소프트-RAID 시스템이 하드웨어 RAID 시스템과 거의 유사한 기능을 수행할 수 있으므로 저렴한 가격으로 서버의 데이터 안정성을 확보할 수 있다.

공항철도 시스템의 효과적인 운영을 위한 RAMS 관리 체계 (System of Effective RAMS Management for AREX Railway System)

  • 이창환;임성수;송미옥
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2007년도 추계학술대회 논문집
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    • pp.713-718
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    • 2007
  • This paper is described the System of effective RAMS Management established for AREX Railway System. This system for AREX's E&M system contains FRACAS(Failure Reporting, Analysis and Corrective Action Plan) and computation of RAMS indices. This procedure is applying to improve the Reliability, Availability, Maintainability and Safety for railway system in operation stage. Furthermore, this system would be a basis of RCM(Reliability Centred Maintenance).

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국가연구개발사업의 성과평가를 위한 SEA 측정치 개발 (The Development of R&D SEA Measures in National R&D Programs Evaluation)

  • 이종식
    • 기술경영경제학회:학술대회논문집
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    • 기술경영경제학회 1997년도 제11회 하계학술발표회 논문집
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    • pp.247-265
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    • 1997
  • 1996년부터 우리나라 국가연구개발사업에 PBS(Project Base System)를 전면도입, 시행함에 따라 국가목표에 따른 정부예산의 효율적 배분과 경쟁원리에 의한 연구수주와 관련하여 효율성 개념이 강조되고 있다. 관련 사업규정에 의하여 제공되고 있는 현행정보는 목표달성도 중심의 효과성 평가에는 적합하게 구성되어 있으므로 효율성 평가를 적용하는데 다소 문제가 있다. 그러므로, 국가연구개발사업의 성과평가에서 효과성과 효율성을 함께 평가하기 위해서는 현행정보에 대한 보완이 필요하며, 이를 위해서는 미국 정부회계기준위원회(GASB) 개념보고서에서 제시한 바 있는 SEA(Service Efforts and Accomplishments) 정보를 도입·적용하는 것이 바람직할 것이다. 이에 본 연구에서는 SEA정보에 관련된 선행연구결과를 소개하고, 아울러 국가연구개발사업의 성과평가에 적용가능한 SEA측정치를 개발하여 제시하였다. 국가연구개발사업의 성과평가에서 추가적인 정보로 제공하게 될 SEA측정치는 (1)투입측정치 (2)결과측정치 (3)산출측정치 (4)투입 대 성과와의 관련성 (5)설명정보의 5개 범주로 구성되어 있다.

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약물감시 실습 교육이 한의과대학 학부생의 지식, 태도 및 자가 효능감에 미치는 효과 (Effect of A Pharmacovigilance Practice Training Course for Future Doctors of Korean Medicine on Knowledge, Attitudes and Self Efficacy)

  • 김미경
    • 대한한의학회지
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    • 제41권1호
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    • pp.21-44
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    • 2020
  • Objectives: This study was aimed to develop a pharmacovigilance practice training course for future doctors of Korean medicine, the graduate students of a college of Korean medicine, and to verify the educational effect of the curriculum. Methods: Fifty-six students were given a training course designed as follows: 1) pre-class homework (basic theory self-study, online course, causality assessment, and adverse event reporting simulation); 2) in-class: homework submission and case discussion; 3) after-class: homework revision and resubmission. An online survey to assess the change of the level of basic knowledge and attitudes toward pharmacovigilance, the willingness to report adverse events, and self-efficacy for the causality assessment and adverse event reporting was conducted before and after education. Results: The survey participation rate was 96.5% in pre-education and 64.3% in the post-education survey. After education, knowledge level was improved (mean score from 4.3±2.11 to 6.7±1.96 points, modal value from 3 to 8 points) and positive changes were observed in almost all questions on attitudes. In the post-education survey, more students felt that they could do causality assessment (from 13% to 80.5%), could report adverse events to the agency in charge (from 7.4% to 96.2%), and expressed their strong willingness to report adverse events in the future (from 77.8% to 88.9%) than in the pre-education survey. Conclusions: More schools of Korean medicine need to adopt pharmacovigilance training courses in their curriculum to foster future doctors of Korean medicine with pharmacovigilance capabilities. Such efforts will be the basis for achieving an evidence-based, safe use of herbal medicine.

수송안전정보시스템 개발 (Development of HAZMAT Information System)

  • 안승범;김시곤;김용진;홍우식
    • 대한안전경영과학회지
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    • 제6권2호
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    • pp.49-65
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    • 2004
  • Ministry of Environment developed ‘Emergency Response Information System (ERIS)’ in 2001, which is in operation. As a next step, currently National Emergency Response Information System (NERIS) is being developed. The main difference among ERIS and NERIS is to enhance the system in the national level, including transportation of hazardous materials. This paper introduces concepts and methods applied to NERIS, especially HAZMAT, and the information system, operating strategies. Based on GIS and transportation-network data, the best route can be offered using Risk Analysis. Strategies for reporting and first-response information systems are also designed for emergencies in the paper.