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염호기,황인선,Yum, Ho Kee,Hwang, In Sun 한국의료질향상학회 2012 한국의료질향상학회지 Vol.18 No.1
Two years have passed since hospital accreditation was introduced in Korea by the Korean Institute of Healthcare Accreditation (KOIHA), which takes, as its mission, continuously improving healthcare quality and patient safety for the public. KOIHA also has a plan to impose on outcomes in management of patient care. With a view to enhance the practice of accreditation in terms of quality as well as quantity, and to help improve healthcare quality and patient safety in Korea, this paper reviews some issues on healthcare policies which are expected to be adopted in 2013 by the forthcoming government. A few suggestions are added.
염호기 ( Ho-Kee Yum ) 대한소화기학회 2021 대한소화기학회지 Vol.77 No.6
Medical appraisal has emerged as a medico-social problem. There are more medical appraisal errors than expected. Physicians are trained in the process of scientific thinking, and then can make a medical appraisal error. Medical appraisal requires both legal knowledge and medical experience. Medical appraisal is neither commentary nor advice for the best ideal medicine. The ideal medical practice described in textbooks and the implementation of the guidelines are different from the medical reality. Medical appraisal should reflect the real-time changing medical field. Medical appraisal experts must consider the level of medical care at the time the incident occurred, the facility, region, environment of the medical institution, and the patient's underlying disease, sequelae, and complications. Since the medical appraisal doctor conducts a retrospective analysis with all the data and time to review, it should be kept in mind that the medical appraisal may differ from the judgment of the actual medical field. Medicine is an evolving but limited science because it is the youngest science. For the fairness of medical appraisal, the medical professionalism and appraisal education of medical appraisers are essential. The Korean Medical Practice Review Authority was established in 2019 led by the Korean Medical Association. The appraisal education program was implemented to strengthen the expertise of appraisers and to develop appraisal skills. The medical field, especially gastroenterology, is the most common subject of medical appraisal. The principles and errors of medical appraisal were reviewed by focusing on the gastroenterology appraisal cases. (Korean J Gastroenterol 2021;77:263-266)
염호기(Ho Kee Yum),김동순(Dong Soon Kim),손광현(Kwang Hyun Sohn) 대한내과학회 1988 대한내과학회지 Vol.35 No.2
N/A A preoperative prediction of postoperative pulmonary function after the resectional surgery should be made to prevent serious complications and postoperative mortality. There are several methods to predict postoperative lung function but the (99m)Tc-MAA perfusion lung scan is known to be a simple, inexpensive and easily tolerated method for the patients, We studied the accuracy of the perfusion lung scan in predicting postoperative lung function on 20 patients who received either the resection of one lobe (10 patients) or 2 lobes (4 patients) or pneumonectomy (6 patients). We performed a pulmonary function test and lung scan immediately before the operation and calculated the postoperative lung function by suhstracting the regional lung function which will be resected. We compared this predicted value to the actual pulmonary function which was done 2-6 months after the surgery. The correlation coefficient between the predicted value and actual value of FVC was 0.96, FEV, was 0.80 TLC by nitrogen washout method was 0.71, TLC by helium dilution was 0.87, and D(L)CO was 0.96. We concluded that the perfusion lung scan is very accurate for predicting post-retional pulmonary function.
임헌선,김홍순,염호기,Lim, Hun-Sun,Kim, Hong-Soon,Yum, Ho-Kee 한국의료질향상학회 2013 한국의료질향상학회지 Vol.19 No.2
Objectives : Suicide is a serious sentinel event in healthcare organization. Suicide and suicidal attempt are fatal and long lasting mental and physical damage to themselves, family, and medical staffs. To develope the system to prevent suicidal accident in hospital, we reviewed and analysed one case of suicidal sentinel event. Methods: The risks of suicidal sentinel event were evaluated and analysed through the root cause analysis and failure mode effects analysis. Result: We found several root causes such as initial assessment of oldest patient and security issues. Couple of action plans to fix the problems were done immediately. According to failure mode, we evaluate the risk priority number to modify the action plans. Conclusion: To reduce the risk of sentinel events, we reviewed the suicidal event and established the new system and action plan to prevent sentinel events.