• Title/Summary/Keyword: emergency medical information system

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A Study on the Multiple Disaster Administration's Problem and Improvement (대형 재해관리의 문제점과 개선방안)

  • Kim, Hak-Soo;Koh, Jae-Moon
    • The Korean Journal of Emergency Medical Services
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    • v.7 no.1
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    • pp.179-198
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    • 2003
  • If see disaster administration system of our country, start in terms of is coping by countermeasure after four immediately after disaster occurrence many problems blessing with a sons by tribe and so on of link nature between formation, disaster administration complete charge utensil's absence, disaster charge manpower and budget be indicated and join. If examine improvement way accordingly, is as following ; Necessity of synthetic disaster administration system, Fire fighting formation's independence guarantee, Integration of fire fighting connection similarity business, Disaster administration's permanent establishment complete charge utensil's necessity, Disaster administration midautumn complete charge utensil at a metropolitan autonomous fire fighting system reorganization, Role division of labor between center and local government, Disaster administration professional human strength positivity, Disaster administration information system construction practical use, Equipment and improvement of budget state, Education public information for safety culture consciousness fixing, Internationalization of fire fighting business, globalization propulsion, Structure, member of rescue confrontation system and efficiency. Fire fighting environment is changing greatly, and fire fighting must become center to correspond to do confrontation that do one thing troble when produce disaster.

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Unsupervised Outpatients Clustering: A Case Study in Avissawella Base Hospital, Sri Lanka

  • Hoang, Huu-Trung;Pham, Quoc-Viet;Kim, Jung Eon;Kim, Hoon;Park, Junseok;Hwang, Won-Joo
    • Journal of Korea Multimedia Society
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    • v.22 no.4
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    • pp.480-490
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    • 2019
  • Nowadays, Electronic Medical Record (EMR) has just implemented at few hospitals for Outpatient Department (OPD). OPD is the diversified data, it includes demographic and diseases of patient, so it need to be clustered in order to explore the hidden rules and the relationship of data types of patient's information. In this paper, we propose a novel approach for unsupervised clustering of patient's demographic and diseases in OPD. Firstly, we collect data from a hospital at OPD. Then, we preprocess and transform data by using powerful techniques such as standardization, label encoder, and categorical encoder. After obtaining transformed data, we use some strong experiments, techniques, and evaluation to select the best number of clusters and best clustering algorithm. In addition, we use some tests and measurements to analyze and evaluate cluster tendency, models, and algorithms. Finally, we obtain the results to analyze and discover new knowledge, meanings, and rules. Clusters that are found out in this research provide knowledge to medical managers and doctors. From these information, they can improve the patient management methods, patient arrangement methods, and doctor's ability. In addition, it is a reference for medical data scientist to mine OPD dataset.

An Implementation of Radiologic Imaging Device of Remote Emergency Medical System (원격응급시스템의 방사선 영상장치 구현)

  • Cho, Dong-Heon
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.21 no.1
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    • pp.60-65
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    • 2007
  • The radiologic imaging device was implemented. It can be installed in an ambulance or used when an accident happens. After an equipment which generates X-ray generating unit with a tube in DC 12[V] had been made, a trait experiment using an oscilloscope was made. An experiment was carried out where the generated X-ray was saved as a form of a file using a digital detector. In this experiment, as a result of generating X-ray and detecting it using a digital detector, 1.67[MB]-, jpg- radical rays information could be saved. One distinct advantage of the developed radiologic imaging device is the fact that we can efficiently deal with emergency cases too far from the hospital, difficult to diagnose but treat simultaneously. By using the radiologic imaging device at the urgent scene of an accident or in a moving ambulance, we can provide the patient's X-ray information with the emergency medical specialist who is in the emergent medical center and have the patients prescribed and treated appropriately. As a result the developed emergency medical treatment can be expected.

Effect of wearing personal protective equipment on cardiopulmonary resuscitation: Focusing on 119 emergency medical technicians (개인보호장비 착용이 심폐소생술에 미치는 영향: 119 구급대원을 중심으로)

  • Shin, Dong-Min;Kim, Seung-Yong;Shin, Sang-Do;Kim, Chu-Hyun;Kim, Tae-Han;Kim, Kyoung-Yong;Kim, Jeong-Hee;Hong, Eun-Jeong
    • The Korean Journal of Emergency Medical Services
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    • v.19 no.3
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    • pp.19-32
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    • 2015
  • Purpose: This study examined the effect of wearing personal protective equipment (PPE) on cardiopulmonary resuscitation (CPR), positive airway pressure, and the posture of emergency medical technicians (EMTs) when conducting CPR. Methods: Twenty 119 EMTs performed 30:2 CPR on a manikin for 4 min. Imaging data were digitized with Kwon3D XP (version 4.0). Data were collected by analyzing the motion when starting in one cycle, such as pressing to the maximum and in the final position (relaxed), and were analyzed with SPSS 18.0. Results: The angle of the elbow joints was significantly reduced (p < .05). The trunk angle was statistically significantly (p < .01, p < .001) increased. The angular velocities of the shoulder joint and left elbow joint were reduced (p > .05). The angular velocity of the trunk was significantly reduced in the starting and maximum compression postures. The hand-escape time was increased. The average compression depth was increased but not significantly (p > .05). The positive airway pressure was reduced (p > .05). Conclusion: The angle of the elbow joints and the angular velocity of the trunk were reduced, and the angle of the trunk was increased. The success of CPR and positive airway pressure was reduced.

The study of information seeking behavior by health fields researchers (보건분야 연구자들의 정보이용행태에 관한 연구 -광주, 전남 응급구조과 및 전남대학교 간호과학 연구소-)

  • Kim, Mi-Seon
    • The Korean Journal of Emergency Medical Services
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    • v.3 no.1
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    • pp.77-90
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    • 1999
  • This study focuses on investigating and analyzing overall information use behavior of the health fields researchers. Questionaries were 116 researchers in there nursing university or college and EMT college. Four areas were tested on the basis of the purpose that there would exist unique characteristics in the information seeking behavior of health fields researchers. The findings of the study shows that health fields researchers prefer monographs and journals; they tend to use current materials; the first information source for their research activities is the cited references in the book or journal article; they are likely to delegate literature searching to the librarian, but they tend to conduct direct searching in online setting; in general, they react positively for the rapid change in information environment caused by recent development of information technology. It is emphasized that to design an efficient information system and provide an effective information service in the health science related library or information center, it is essential to consider the major characteristics and attributes of health fields researchers in terms of their information use behavior.

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Completeness of Patient Care Report (PCR) by Paramedics

  • Lee, HyoJu;Kim, JongHo;Yun, Seong Woo
    • Journal of information and communication convergence engineering
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    • v.20 no.3
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    • pp.204-211
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    • 2022
  • This study evaluated the completeness of patient care report (PCR). A retrospective quality analysis was conducted using raw data of 122,140 EMS activity reports prepared by paramedics in Gyeonggi-do from April 1 to May 31, 2021. In all, 67,830 cases of normal transfers were statistically analyzed using IBM SPSS Statistics version 22, and statistical significance was set at p<0.5. The 119EMT_2 certificate was omitted in 50,037 (73.8%) cases, followed by time-related items in 1,227 (1.8%) cases. In the primary assessment of vital signs, systolic blood pressure was omitted and erroneous in 1,218 (1.9%) and 1,129 (1.8%) cases, respectively. In the secondary assessment, the completeness of all vital sign items was approximately 70%. Advanced emergency care and online medical control (OLMC) reporting showed discrepancies in all items. As the severity of the patient's condition increased, the errors in the Patient care report (PCR) also increased, at a significant level (p= .00). Paramedics must be aware of the importance of completing the activity report.

Interior Location Services Based Emergency Call System (실내 위치 서비스 기반 긴급 호출 시스템)

  • Kim, Doan;Kim, Yongkuk;Jung, Hoekyung
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.23 no.2
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    • pp.149-155
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    • 2019
  • In this paper, we propose an emergency call system which makes a call to an institution or a guardian when an urgent case occurs to a user based on the indoor location service. In addition, it establishes indoor location service infrastructure assuming welfare institutions and hospitals. The proposed system receives the sensor value from the device that is in the form of a clock on the wrist and determines the emergency situation and delivers emergency information to the terminal. The location terminal transmits location and emergency information to the server, and the server accesses the database and stores the data. This enables the caregiver to communicate with the server through the application, monitor the user's status, receive notifications, and respond to emergency situations by using the emergency call function. If the proposed system is applied to the fields requiring urgent action such as medical field and welfare field, it will provide more stable and prompt emergency service to users and carers.

A Study for Management System of Integrity PACS Data Using DICOM Object (DICOM 객체를 활용한 무결성 PACS Data 관리시스템 구현)

  • Park, Bum-Jin;Jeong, Jae-Ho;Son, Gi-Gyeong;Jung, Young-Tae;Kang, Hee-Doo
    • Korean Journal of Digital Imaging in Medicine
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    • v.15 no.1
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    • pp.9-20
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    • 2013
  • PACS is one of the most used medical information system and share information from other hospitals through the PACS. Data integrity means zero defects data and this is a prerequisite of information system performance. but I wonder if I can trust these informations that Incorrect information from radiotechnologist's mistakes, anonymous in emergency department, Newborn baby department, modified informations at later. And Modified informations causes defect in integrity of the data. When we import, we use DICOM header not DB data. so error occurs that DB data is deferent with DICOM Header information. This paper discusses to resolve as above problem using DICOM object such as DICOM PR, SR. And propose quality management system that can guarantee the patient information and can manage exam history.

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Hospital Arrival Rate within Golden Time and Factors Influencing Prehospital Delays among Patients with Acute Myocardial Infarction (급성심근경색 환자의 증상 발현 후 골든타임내 응급의료센터 도착율 및 지연에 관련된 요인)

  • Ahn, Hye Mi;Kim, Hyeongsu;Lee, Kun Sei;Lee, Jung Hyun;Jeong, Hyo Seon;Chang, Soung Hoon;Lee, Kyeong Ryong;Kim, Sung Hea;Shin, Eun Young
    • Journal of Korean Academy of Nursing
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    • v.46 no.6
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    • pp.804-812
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    • 2016
  • Purpose: This research was done to identify the hospital arrival rate and factors related to prehospital delay in arriving at an emergency medical center within the golden time after symptom onset in patients with acute myocardial infarction (AMI). Methods: Data used in the research was from the National Emergency Department Information System of the National Emergency Medical Center which reported that in 2014, 9,611 patients went to emergency medical centers for acute myocardial infarction. Prehospital time is the time from onset to arrival at an emergency medical center and is analyzed by subdividing arrival and delay based on golden time of 2 hour. Results: After onset of acute myocardial infarction, arrival rate to emergency medical centers within the golden time was 44.0%(4,233), and factors related to prehospital delay were gender, age, region of residence, symptoms, path to hospital visit, and method of transportation. Conclusion: Results of this study show that in 2014 more than half of AMI patients arrive at emergency medical centers after the golden time for proper treatment of AMI. In order to reduce prehospital delay, new policy that reflects factors influencing prehospital delay should be developed. Especially, public campaigns and education to provide information on AMI initial symptoms and to enhance utilizing EMS to get to the emergency medical center directly should be implemented for patients and/or caregivers.

Analysis of Change Transitions in Regional Types in Emergency Department Patient Flows of in Jeonlado (2014-2018) (전라지역 응급실 환자의 유출입 분석 및 지역유형 변화 추이)

  • Lee, Jae-Hyeon;Lee, Sung-Min;Kim, Seongjung;Oh, Mi-Ra
    • Journal of Convergence for Information Technology
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    • v.10 no.12
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    • pp.126-131
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    • 2020
  • This study analyzed the inflow and outflow patterns of emergency department patients, to identify changes in regional types in cities, counties, and districts in Jeonlado, Korea. Data of areas in Jeonlado for 2014 to 2018 were extracted from the National Emergency Department Information System. The extracted data includes the patients' and emergency medical institution addresses, which were used to calculate the relevance index (RI) and commitment index (CI). The calculated indices were classified into regional types by applying cluster analysis. A non-parametric method, Kruskal-Wallis test, was employed to examine the differences between years for RI and CI by regional types. The results of cluster analysis using the relevance and commitment indices revealed three regional types. Regions in cluster 1 were classified as outflow type, in cluster 2 as inflow type, and in cluster 3 as self-sufficient. RI and CI were calculated for each cluster or regional type. There were no significant differences between years in cluster 2 (inflow type) and cluster 3 (self-sufficient type). In cluster 1 (outflow type), there were no significant differences in CI between the years; however, there were significant differences in RI between 2014 and 2017, and 2014 and 2018. It is difficult to see that the emergency medical environment has improved due to the increased concentration of emergency medical care.