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의학영상 저장전송시스템 도입으로 인한 영상의학 검사의 판독률 변화 분석
유연순,이혜진,박재영,정상혁 대한의료정보학회 2007 Healthcare Informatics Research Vol.13 No.4
Objective: This study was designed to evaluate the effect of the introduction of picture archiving and communication system(PACS) by identifying the change of the interpretation rates of radiologic examinations. Methods: The data about total of 297,314 radiologic examinations done from June, 2001 to June 2002 was collected through medical record. December, 2001 which was the month of PACS introduction was excluded from the analysis for controlling the bias. Data concerning the time spent on interpretation, types of patients, clinical departments and types of radiologic examinations were collected. Chi-square test was performed to evaluate differences before and after introduction of PACS. Results: 1. The interpretation rates of total radiologic examinations significantly increased after the introduction of PACS. The interpretation rate within 1 day increased 2.3 times higher after the introduction of PACS. 2. Both of the interpretation rates of radiologic examinations for outpatients and inpatients were significantly increased after the introduction of PACS. The interpretation rate within 1 day of radiologic examinations among outpatients increased 2.1 times higher and that among inpatients increased 3 times higher after the introducton of PACS. Conclusion: There was overall increase of interpretation rate suggesting the improvement of performance in department of radiology. This indicated that introduction of PACS brought about a positive impact on medical service quality through improving operational efficiency. (Journal of Korean Society of Medical Informatics 13-4, 349-359, 2007)
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유연순,하은희,Yoo, Yeon-Soon,Ha, Eun-Hee 한국의료질향상학회 1996 한국의료질향상학회지 Vol.2 No.2
Background : The medical record is a compilation of pertinent facts of a patient's life and health history, including past and present illness and treatment. It is written by the health professionals contributing to that patient's care. And the medical record is the permanent, legal document which must contain sufficient information to identify the patient, justify the diagnosis and treatment, and record the results. As such, it must be accurate and complete. So we try to analyze the medical record especially a kind of incomplete record, loose laboratory reports. Methods: During the one-year period(from January to December 1988), a medical record practitioner examine and analyze the record of laboratory reports at K Hospital in Seoul. A total of 320 loose laboratory reports for 3,818 admitted laboratory reports. And a medical record practitioner and a physician review and analyze the influencing factors for the various reasons of clinical and laboratory aspects. Result: The loose percentage by department is the highest in obstetrics(40.4%) but the highest loose rate is in pediatrics(25.0%). The most of omission is occurred in operation room(80.3%) than OPD(19.7%). The change of diagnosis is according to duration of laboratory and more changable in cancer patient. Conclusion : Regular analysis of the documentation in the medical record so it fulfills its purposes of communicating patient care information. So it serves as evidence of the patient's course of illness and treatment for various legal, reimbursement, and peer evaluation review. And it is very important aspect of quality assurance in medical activities.
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김영주 ( Kim Yeong Ju ),유연순 ( Yu Yeon Sun ),이선희 ( Lee Seon Hui ),정상혁 ( Jeong Sang Hyeog ),유승흠 ( Yu Seung Heum ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.11
이 연구는 산부인과 질병군을 중심으로 DRG분류체계의 타당성을 검토하기 위해서 KDRG 분류체계자료 및 질식 분만군과 제왕절개 분만군의 진료비 자료를 분석하였는 바 진료비 자료는 심사평가원의 2001년 2월부터 7월까지 6개월 자료와 A대학병원 1999년 2월부터 2000년 12월까지 23개월의 자료를 활용하였으며 주요 연구 결과는 다음과 같다. 1. DRG 분류 대상 질환의 타당성 검토에 있어서 국내에서 1예도 보고되지 않아 희귀질환으로 삭제의 필요성 Objective : This study was performed to be evaluated the adequacy on DRG classification in Obstetric group and analyzed the difference for medical benefit payment from the insurance and total medical reimbursement according to complication and age in vagi
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