• Title/Summary/Keyword: medical management

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Establish Selection Process of Performance Management Medical Devices and Test items Based on Risk Management (위험관리기반의 성능관리 의료기기 선정 절차 수립 및 시험 항목 도출)

  • Park, Ho Joon;Jang, Joong Soon
    • Journal of Biomedical Engineering Research
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    • v.40 no.1
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    • pp.20-31
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    • 2019
  • Medical device performance management is an activity that allows a device to be safely used and maintained even after it is put on the market. The purpose of this study is to provide procedures and criteria for selection of medical device items that should manage the safety and performance among medical devices in hospital. Investigate the performance management status of medical devices in hospitals and identify the performance management status by domestic and advanced regulatory agencies. Provides selection procedures and test methods for medical devices subject to performance management in hospitals based on medical device risk management and reliability. In addition, a case study on drug infusion pumps was conducted.

The Factors Influencing the Satisfaction of Medical Sequelae Management Service among Injured Workers (산재근로자 후유증상 관리 서비스 만족에 영향을 미치는 요인)

  • Choi, Yun-Young;Choi, Eun Sook
    • Korean Journal of Occupational Health Nursing
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    • v.17 no.2
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    • pp.210-215
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    • 2008
  • Purpose: This study aimed to find the factors affecting medical sequelae management service satisfaction among injured workers. Method: This study population were 200 randomised samples of 619 medical sequelae management beneficiaries from April to June 2007 among occupational accident treatment ending workers in 2006. Data were collected through the telephone survey from November 28 to December 7 in 2007. Data were analyzed by ${\chi}^2$ test and multiple logistic regression using SAS 9.1 version. Results: According to the finding of this study, positive perceptions for the purpose and the effect of medical sequelae management were the factors influencing the satisfaction of medical sequelae management service. Conclusions: We recommend key issues to take into account for enhancing medical sequelae management service satisfaction in workers' compensation as follows; explaining the purpose and effect of medical sequelae management to client, evaluating medical sequelae management effect, and the policy participation of medical profession.

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Improving Public Medical and Social Services Market Management: Application of Information Technologies

  • Barzylovych, Anastasiia;Malinina, Olena;Gnyloskurenko, Ganna;Borysiuk, Iryna;Yuriy, Rayisa
    • International Journal of Computer Science & Network Security
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    • v.21 no.7
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    • pp.257-266
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    • 2021
  • This article examines the features of improving the public management of the market of medical and social services using information technology to improve the efficiency of public activity in modern conditions. The interpretation of the essence of the categories "information technologies" and "information support" is analyzed. The importance of the organization of information support of public authorities in the insurance of the state apparatus of information management for the adoption and solution of state issues of the market of medical and social services has been studied. Issues and system of information support of public management of the market of medical and social services are considered. The stages of the ICT implementation process in the market of medical and social services are described. The tools of state regulation in the market of medical and social services and the introduction of targeted programs for the development of the social sphere and health care are highlighted. Recommendations for improvement are formulated public management of the market of medical services and social way introduction of ICT tools, which provide for the implementation of a set of measures aimed at intellectualizing the entire system public data management spheres. The necessity of development of innovative tools of public management of the market of medical and social services of Ukraine for the purpose of working out of strategies of increase of quality of medical and social services in the XXI century is substantiated. A number of benefits from the implementation of an effective process of application of information support of public management of the market of medical and social services to ensure the efficiency of public authorities of Ukraine. It is proposed to create a "Department of information support of self-government" and electronic health care system (e-Health) to improve the management decision-making process, which will provide an opportunity to accumulate, process, analyze, and as a result, get the expected effect in the form of balanced management decisions by public authorities of Ukraine.

A Improvement Study on the Medical Information Protection Using Personal Information Management System(PIMS) : Focus on medical practitioners (개인정보보호관리체계(PIMS)를 이용한 의료정보보호 개선 방안 연구 : 의료기관 종사자를 중심으로)

  • Min, Kyeongeun;Kim, Sungjun
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.12 no.3
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    • pp.87-109
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    • 2016
  • This study intends to present an effective and efficient development plan about the information protection of medical institutions, by establishing the improvement plan about Personal Information Management System(PIMS) appropriate to the characteristics of medical information focusing on medical institutions generating and using domestic medical information, and doing an empirical study on medical information protection plan. For this, in view of the medical characteristics of the existing Information Security Management System(ISMS), the study presented a study model appropriated to medical institutions based on Personal Information Management Systems index specialized for personal information, and through this, presented the vulnerability diagnosis and vulnerability improvement plan. Based on ISMS index, it designed an improvement index of personal information protection management about each index. The study conducted a survey for executives and employees about PIMS. Accordingly, it presented vulnerability diagnosis items of the current management system indexes from the viewpoint of the people who establish and mange the personal information protection about patients' medical information targeting executives and employees who serve at hospitals and can access medical information.

Reliability Management of Mechanical Ventilator in Intensive Care Unit Using FMEA Based on ISO14971 (ISO14971 기반 FMEA를 이용한 중환자실내 인공호흡기 신뢰성 관리)

  • Hyun Joon, Kim;Won Kyu, Kim;Tae Jong, Kim;Gee Young, Suh
    • Journal of Biomedical Engineering Research
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    • v.44 no.1
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    • pp.19-24
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    • 2023
  • Due to the spread of COVID-19, many patients with severe respiratory diseases have occurred worldwide, and accordingly, the use of mechanical ventilators has exploded. However, hospitals do not have systematic risk management, and the Medical Device Regulation also provides medical device risk management standards for manufacturers, but does not apply to devices in use. In this paper, we applied the Failure Mode Effects Analysis (FMEA) risk analysis technique based on the International Standard ISO 14971 (Medical Devices-Application of risk management to medical devices) for 85 mechanical ventilators of a specific model in use in hospitals. Failure modes and effects of each parts were investigated, and risk priority was derived through multiplication of each score by preparing criteria for severity, occurrence, and detection for each failure mode. As a result, it was confirmed that the microprocessor-based Patient Unit/Monitoring board in charge of monitoring scored the highest score with 36 points, and that reliability management is possible through systematic risk management according to priority.

A Study on the Improvement of Domestic Medical Device Product Classification through Analysis of Medical Device Classification System in the U.S. and Europe (미국 및 유럽 의료기기 품목분류 체계 분석을 통한 국내 의료기기 품목분류 개선 연구)

  • Kang Hyeon, You;Ji Min, Son;Gyeong Min, Kwon;You Rim, Kim;Hui Sung, Lee;Won Seuk, Jang
    • Journal of Biomedical Engineering Research
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    • v.44 no.1
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    • pp.73-79
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    • 2023
  • The purpose of this study is to derive medical devices with different management systems through comparison of domestic and overseas medical device product classification systems and to propose management conversion measures for the products. The definitions of medical devices were compared and the scope of medical devices defined by each country was confirmed through surveys of the Medical Device Act, Federal Food, Drug & Cosmetics Act (FD&C) in the U.S., and Medical Device Regulations (MDR) in Europe. Using the Ministry of Food and Drug Safety's regulations on medical device products and grades, 21 CFR part 860-892 and product code classification files in U.S., and EMDN in Europe as basic data to compare medical device products and derive medical devices with different management systems. As a result of comparing the definition and product classification systems of medical devices in Korea, the U.S. and Europe, medical device accessories, prosthetic limbs and aids among assistive devices for persons with disabilities, drugs, quasi-drugs and industrial products that are not managed by medical devices in Korea are managed as medical devices in the U.S. and Europe. This study aims to improve public health by securing systematic product safety management and essential performance under medical device regulations. Management within a single medical device system will increase the efficiency of licensing work of domestic medical device manufacturers and related organizations. It is also expected to help advance the system according to the international harmony of the item classification system and enhance smooth import and export competitiveness.

Development of educational programs for managing medical information utilizing medical data generation and analysis techniques (의료 데이터 발생과 분석기술을 활용한 의료정보관리 교육용 프로그램 개발)

  • Choi, Joonyoung
    • Journal of Digital Convergence
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    • v.15 no.10
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    • pp.377-386
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    • 2017
  • This study has developed a medical information management educational program that can improve the management ability of medical information. The educational medical information management program was developed for 8mnths uing VB. The database utilized the ACCESS Database, which allows learners to easily understand and understand the structure of the data. The learners enter data in the discharge analysis and the cancer registration program and the incomplete program after analyze the medical records. After entering and saving data, medical information management programs can be used to understand and analyze the structure of the database to generate medical information. The educational programs can improve the ability of learners to manage medical information by extracting the necessary data from the database directly through SQL and creating various medical information. However, although the medical information management program is an educational program, there is no evaluation system for the learners program operation. Accordingly, the next studies should develop the assessment system of the medical information management program for learners evaluation.

Accrual Medical Expenses and Actual Situation of Medical Receivable According to The Type of Seamen's Insurance (선원보험 유형에 따른 진료비발생 및 미수금실태)

  • Park, Eun-Ha;Hwang, Byung-Deog
    • Korea Journal of Hospital Management
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    • v.19 no.3
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    • pp.1-10
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    • 2014
  • The purpose of this study was to present base data for an efficient management of medical expenses at the hospital management by doing grasp of status of medical expenses from seamen's insurance by voluntary agreements. A Object of study is analyzing the data of medical expenses occurred from the total number of 2,699(inpatients 507, outpatients 2,192)cases who were covered by seamen's insurance at a general hospital which is located in Pusan Metropolitan City during 48 months from January 1, 2009 to Dec 31, 2012. The main results of this study are as follows: accrual medical expenses are the ship management companies member of P&I insurance is the most highest but share of receivables are the Korean ocean-going companies member of P&I insurance is the most highest, therefore, Korean ocean-going companies focus strictly than the payments from accounts receivable management should be considered to reduce the occurrence and concerning the turn around period of medical receivables are 4 months to 6 months during a research period. Therefore, it will be needed for managers of hospitals to prepare differentiated management based on the characteristics of each in insurer and to have recovery strategies of uncollected medical expenses.

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Influencing Factors on the Practice of Medical Waste Management of Nurses in Tertiary General Hospitals after COVID-19 (코로나 19 이후 상급종합병원 간호사의 의료폐기물 관리 실천에 미치는 영향요인)

  • Oh, Da In;Cho, Gyoo Yeong
    • Journal of Korean Clinical Nursing Research
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    • v.29 no.3
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    • pp.327-336
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    • 2023
  • Purpose: This study aimed to identify the factors affecting the practice of medical waste management of nurses in tertiary general hospitals after the coronavirus disease 2019 (COVID-19). Methods: The participants were 154 nurses working in two tertiary general hospitals. Data were collected using structured questionnaires and analyzed using an Independent t-test, One-way ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression analysis using the SPSS/WIN 27.0 program. Results: Factors significantly influencing the subject's practice of medical waste management include medical waste education(β=.18, p=.013), recognition of infection control organizational culture (β=.26, p=.007), and attitudes toward medical waste management (β=.23, p=.011). The explanatory power of these variables for medical waste management practice was 29.0% (F=7.34, p<.001). Conclusion: To improve the practice of medical waste management, a strategy to provide positive attitudes toward medical waste management should be needed when developing medical waste management training programs, and various measures are necessary to make the organizational culture positive for the implementation of infection control guidelines at the organizational level.

Infection control awareness and practice for clothing management in 119 emergency medical technicians (구급대원의 의복관리를 위한 감염관리 인지도와 수행도)

  • Jeong, Ji-Yeon;Jeong, Eun-Kyung;Yun, Hyeong-Wan
    • The Korean Journal of Emergency Medical Services
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    • v.18 no.2
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    • pp.21-33
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    • 2014
  • Purpose: A descriptive study design was used to investigate infection management awareness and infection management performance for clothing management in 119 emergency medical technicians (EMTs). Method: 188 paramedics and basic EMTs completed questionnaires between March 1 and April 30, 2013 in Jeollabuk-do. Results: Participants' average score for infection control awareness was 2.69 and that for performance was 1.58, with the differences being statistically significant (t = 931.455, p = .003). Participants' general characteristics resulted in differences in infection management performance. Women (1.63) have scored higher than men (1.28), and the difference was statistically significant (t = 11.174, p = .001). Participants who had clinical experience (1.63) had higher scores than participants who did have clinical experience before (1.53) and, again, the difference was significant (t = 7.167, p = .009). Conclusion: Education program for infection management is need to be developed for more effective infection management.