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The professional title evaluation of health professionals needs to highlight the clinical performance and actual contribution, and make full use of the information system of medical and health institutions to collect relevant data as an important basis for such evaluation.Based on this, the project team innovatively developed a " clinical work data extraction system" , to extract and calculate the performance indexes of clinicians using data from homepages of medical records. Meanwhile, the team established a reference scale based on the data in the hospital quality monitoring system; developed a " health workers evaluation data platform" , visually presenting the comparison results between the clinical work performance evaluation data of a clinician, and the reference scale and the data of other applicants. In the 2021 annual evaluation of senior professional titles among some medical institutions directly under the National Health Commission and such provinces as Sichuan, Shandong and Chongqing, this method was used to extract homepage data of medical records of 7 833 applicants from 39 medical specialties in 1 416 medical institutions, and finally 6 093 people (77.79%) completed the calculation of clinical work evaluation index data. The initial application results showed that the evaluation of senior clinicians′ professional competence based on homepage data of the medical record was feasible in the senior professional title evaluation of various medical institutions at all levels equipped with the electronic medical record database system, and could effectively present the performance level and actual contribution of the applicant.
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Objective To establish an adverse event monitoring system in the course of encoding medical record homepages, using the internationally accepted Clavien-Dindo surgical complications grading standard, for the purpose of hospital′s medical safety management. Methods The surgical complications record system was established based on encoded medical record homepages. Data of three types of medical therapies of the discharge cases of a tertiary hospital in 2017 were studied and the incidence, type and grading of the surgical complications were analyzed, to identify doctors′missed diagnoses. Results A total of 588 surgical complications were detected from the discharge cases throughout the year. The incidence of surgical complications was 1.1% (588/52 319). The highest proportions of all surgical complications were infection and surgical incision problems. Grade Ⅱ complications accounted for the highest incidence rate (41.5% , 244/588); the proportion of missed surgical complications at the initial homepage was 62.2% (366/588), most of which being as grade Ⅱ complications ( 42.1% , 154/366). Conclusions The hospital adverse event monitoring system established based on the encoded medical record homepages features unified standard, making it feasible and universal, which serves an important role of the medical adverse event reporting system.
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The healthcare-associated infections (HAI) cases monitoring system, automatic access to the medical record homepage and HAI early warning application of untreated early warning information interception and other means of information are introduced into the hospital. These means ensure the accuracy and integrity of the medical record homepage diagnostic and statistical data base information, and HAI consistency as well. Closed loop management of HAI cases provides accurate information for the hospital business intelligence platform, serving hospital administration and clinical management with accurate data. Hence precise decision-making basis can be provided for the improvement of medical quality of the hospital.
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Objective To explore diagnosis-related groups(DRGs) case mixes and development approaches for medicare expense standard fitting patients with respiratory system diseases in Sichuan province.Methods 280 717 cases of respiratory system diseases were sampled from the homepages of medical records of general hospitals in Sichuan.These cases were grouped by means of the exhaustive chi-square automatic interaction detector in the decision tree model and the medicare costs standard was derived using the relative-ratio weighting coefficient.Results The main classification nodes of respiratory diseases were age and patient clinical complexity level (PCCL).Patients were classified into 158 disease diagnosis related groups, including 122 DRGs of internal medicine and 36 DRGs in surgical medicine.The max relative-ratio weighting coefficient was 14.04 and the min one was 0.29.And the extreme inpatients' expenses can affect the identification of classification nodes, calculation of relative weighting coefficient and medicare cost standard.Conclusions Large sample size is advantageous in establishing DRGs and calculating the medicare costs standard based on relative-ratio weighting coefficient.It is however imperative to strengthen monitoring on extreme inpatients' costs and control the homepage quality of medical records.
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BJ-DRGs grouping process was cited as an example, to describe the factors affecting the grouping process, grouping results and assessment results, and the solutions in transferring homepages into WJT form 4-1 for inpatient medical record homepages (WJT form 4-1 for short).Authors analyzed how to better information acquisition quality of such homepages by unifying the data interface standard of WJT form 4-1, for the purposes of enhancing BJ-DRGs grouping efficiency, and expanding its functions as a tool for medical quality management and that for medical insurance payment management.
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Objective To analyze and minimize iatrogenic hospital acquired conditions (HACs). Methods " Admission conditions" in homepage of medical records was studied to collect iatrogenic problems between 2014 and 2015. Self-inspection of physicians was made to identify causes of iatrogenic HACs for improvement measures. The post-improvement HACs data ( 2015 ) were compared with that of before (2014). Results Physicians came to learn following the self-examination the importance of pre-admission communications, doctor-patient communications and cooperation between the departments in less HACs. Occurrence of HACs in 2015 was significantly lower than 2014. Conclusions Enhanced analysis and management of HACs, especially for iatrogenic problems, significantly contribute to less HACs.
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Objective To analyze and minimize iatrogenic hospital acquired conditions (HACs). Methods " Admission conditions" in homepage of medical records was studied to collect iatrogenic problems between 2014 and 2015. Self-inspection of physicians was made to identify causes of iatrogenic HACs for improvement measures. The post-improvement HACs data ( 2015 ) were compared with that of before (2014). Results Physicians came to learn following the self-examination the importance of pre-admission communications, doctor-patient communications and cooperation between the departments in less HACs. Occurrence of HACs in 2015 was significantly lower than 2014. Conclusions Enhanced analysis and management of HACs, especially for iatrogenic problems, significantly contribute to less HACs.
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Objective To explore methods to develop a hospital quality of care index system of county level hospitals based on the homepage of inpatient medical records and examine the validity of this system. Methods By means of literature review, homepage data and panel discussion, along with theories and statistical methods, indexes were identified. The dimensions and indices of the index system were pinpointed. Confirmatory factor analysis and normalization methods were combined to calculate the weights and scores of such indices. Scores were adjusted by Charlson comorbidity index ( CCI) with multi-regression method. The hospitals were ranked by adjusted scores in each dimension. The validity was evaluated by comparing the application results to universally acknowledged standards, such as hospital level and economic level of the geographic areas. Results An index system with 6 dimensions and 25 indices was developed, and the application results proved valid to some extent. The adjustment of CCI also proved effective. The 6 dimensions were correlated yet their directions were not consistent. Conclusions The methods and data used to develop the system have demonstrated strong operability and availability. The application results can reflect medical care quality in different aspects making it applicable among homogeneous hospitals. It is meaningful to assess dimensions respectively.
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Objective:Study on the clinical application and analysis of structured electronic medical records in our hospital in last.Methods: Discharged patients data selected from July 2012 to June 2014, using statistical methods for data processing, 8000 case files were divided into two groups: Group A and Group B.Results: After comparing the two groups of two groups of data, and ultimately disease coding accuracy rate 94.88%, fill in the correct rate increased 88.38%, missing rate decreased 4.63%, two groups had no significant difference data; The quality of writing the doctor increased gradually, the error rate tends to be stable, structured clinical application to control.Conclusion: Sequential specification writing medical doctor, scientific analysis of medical record information, the clinical application of structured electronic medical records the error rate is reduced in the operation, improve the accuracy, more standardized, accurate, standardized.
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The purpose of this research was to develop risk communication (RC) strategy and educational web-site on food additives for elementary students and their parents to improve their perception on food additives and dietary life. First of all, a survey was conducted from 1,200 elementary children and their parents to diagnose the perception and information needs on food additives. The survey revealed that most children and their parents did not have enough knowledge on food additives and demanded the safety information on food additives. Second, previous researches on food communication were analyzed to develop a risk communication model, and it was directly applied in this study. Third, a web site (www.foodnara.go.kr/foodaddy) was developed to upload the education materials along with up-to-date information and classroom activities for teachers on food additives. Fourth, the developed homepage was evaluated by applying to about 100 children and parents each, and majority of them showed high levels of understanding (children 85.7%, parents 79%) and satisfaction (children 77.2%, parents 64%), and the effect of getting over the prejudice against food additives was observed. The RC model developed in this study could be applied to any food risk communication, and the content and materials in this web site including booklets, animations, and quiz could be used effectively to promote the communication on food additives. In the future, it will be necessary to advertise the web site to be utilized by various consumer levels and to update the contents continuously by developing consumer-friendly communication materials.
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Child , Humans , Food Additives , Pamphlets , Parents , PrejudiceABSTRACT
PURPOSE: This study evaluated the information quality of websites that provide information about herniated intervertebral discs (HIVD) and examined the correlation between the information quality score (IQS) and the rank of popularity. MATERIALS AND METHODS: From April 1 to May 31, 2005, of 308 homepages that had been searched on three search engines using the key words (vertebra, disc, lumbago, HIVD), 150 homepages with information about HIVD were surveyed. The informational quality score of each homepage was examined according to the existence or nonexistence of 25 criteria and compared the IQS according to the discipline and operating scale. The homepages were rated according to the rank of popularity and the correlations between their point of popularity and informational quality were assessed. RESULTS: The mean IQS of the 150 homepages were 8.5 (+/-6.4) points, IQS of 94 (62.6%) homepages were <10 points. There were no significant differences between the IQS of orthopedic surgery and neurosurgery (p=0.985). However, the IQS of oriental medicine were significantly lower than orthopaedic surgery (p<0.001) and neurosurgery (p<0.001). There was no significant correlation between the popularity and IQS (p=0.256). CONCLUSION: Proper guidelines and certification of the homepage that provide information about HIVD by the medical association are needed.
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BACKGROUNG: In spite of the harmfulness of smoking, the smoking rate of adult males is high in Korea and those of adolescents and women have risen recently. Although the number of smoking-cessation clinic has risen year by year in Korea, it is not easy for a smoker to attend because of time and economic constraints. This project was performed to allow easy access to on-line smoking counselling center on the internet. METHODS: Smoking cessation homepage (www.xsmoke. net) containing smoking counselling and e-mailing services was developed by Namo web editor, Photoshop 7.0, and MySQL database program. RESULTS:This program was divided into two major categories: part one was a library of various kind of information on smoking such as articles, lecture notes, pictures, slides, mp3 and motion files. The other part was an autonomous smoking cessation prescription program. This program analyzed smokers' smoking pattern (using WHY test), nicotine addiction level (using Fagerstrom score), stress level (using BEPSI test), and smokers' confidence level. After the input of smoker's history by the applicant, the program showed its smoking cessation prescription automatically and required to give and decide on a quitting day. The next step was automatic e-mailing service containing information on smoking cessation methods. CONCLUSION: Internet smoking cessation center that provides a library of smoking cessation materials, automatic prescription and e-mailing program has been developed for Korean smokers.
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Adolescent , Adult , Female , Humans , Male , Electronic Mail , Internet , Korea , Nicotine , Prescriptions , Smoke , Smoking Cessation , SmokingABSTRACT
BACKGROUND: Current changing trends in dermatology practices push most dermatologists to manage their own homepage. But, most dermatologists do not know how to construct and maintain their homepage effectively and efficiently. OBJECTIVES AND METHODS: By testing web usability of four dermatology clinic homepages of relatively large scale, we tried to give some insight of constructing homepages in the viewpoints of homepage users to dermatologists who have a plan to make their own homepage. RESULTS: Four well-known dermatology clinic homepages are relatively well-planned and multi-purposed ones. However, they show weaknesses in the aspect of information architecture and the selection of the themes of contents. Most of the online shopping malls constructed on their homepages show only primitive forms. CONCLUSION: For the effective operation a clinic homepage, a dermatologist as a planner and manager of homepage should have the concept of web usability. If homepages are built with the concept of web usability, they will be operated more fruitfully.
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DermatologyABSTRACT
PURPOSE: In this era of the Internet, many university hospitals are making efforts to maximize the benefits of a good homepage which facilitates the sharing and distributing of medical information. By classifying and analyzing different urology homepage, this paper aims to identify the problems and suggest the direction for improvement. MATERIALS AND METHODS: Using the search sites of Yahoo, Lycos, and Daum, some 111 homepage yielded by the keyword search "urology" were classified along the categories of location, sort (individual vs assembled), and the field of specialty. The one with the best quality was analyzed in depth. RESULTS: According to the location, Seoul (45) and Pusan (8) took up 47.7% of the total. There were more homepage devoted to andrologic field than others, typically offering online counselling service. As for the sort, there were more individual homepage (83) than assembled ones (28). The nearest to perfect homepage, upon close analysis, turned out to be too complex for the general user to gain easy access to the information, although its content, design, management, and links were excellent. CONCLUSIONS: Almost all homepage provide online counselling service, but there was a considerable disparity in the answers to questions. A guideline from the professional body would be necessary. Moreover, to prevent possible violation of the intellectual property laws, it would be best for the homepage of professional bodies to be paid sites or at least membership sites. Those managing these homepage should do their best to catch up and cope with high-tech Internet medical services by being more familiar with Internet-related technology.
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Hospitals, University , Intellectual Property , Internet , Jurisprudence , Seoul , UrologyABSTRACT
BACKGROUND: After the World-Wide-Web(www) appeared, history has abruptly fallen in the new era of the Internet. In Korea, after the first medical internet site appeared, there was a major development in the WWW. But the quality and quantity of the web-page remains in infancy. Therefore, through the analysis of the Korean medical internet sites on present status, directions for development of Korean medical internet sites can be made. METHODS: From April 1st, 1999 to June 30th, 1999 in the Korean web sites, we visited 1044 sites. They included "Medmark Korea" representing medical search engine, "Eulji medical library" in the Eulji Medical College Hospital, and the medical sites of the "Yahoo Korea", "naver.com", and "simmani.com". Through this internet search, the information about locations, first publication year, classification by characteristics of homepage, speciality, web service form was obtained. Among these sites, acquireing from insufficient source further, questions were sent to the webmasters of 143 websites by e-mail. The questions included 7 items on the characteristic of webmasters, 8 items on the general characteristics of internet sites, 8 items on the contents, and their own comments. RESULTS: The occupation of webmasters was as follows: were physicians 94.4%, were male. According to age distribution, those in their thirties was 48.2%, and forties, 33.3%. Amone the 521 websites confirmed, there were 44 sites in 199 151 in 1996, 237 in 1997, and 79 in 1999. According to the distribution of location, metropolitan areas including Seoul, Inchon, Kyonggi occupied 68.9% among total. The main portion of the intentional visitors was ordinary people comprising 39.2%, members 9.8%, and physicians 7.7%. Concerning the purposes of publication, 38.7% of websites intended for health education to citizens, 31.0% for publicity of hospital or organizations, and 15.5% for exchange of information between members. For the most significant contents, 26.6% focused on the common-sense health issues, 35.7% on exchange of special medical information, 8.4% on education data for medical students, and 13.3% on publicity of hospitals. For the update interval, 22.0% renewed their sites within 1 week, 22.7% in 1 month, 23.4% in 3 months, and 20.6% in 6 months. For the effectiveness of homepage, the rate of `good' and `very good' response was 52.8%. CONCLUSION: Our investigation, showed that medical internet sites are lead by those in their thirties and forties. Web sites was concentrated to metropolitan areas where informational infrastructure was well developed. It is emphasized that efforts to informationalization by are needed by, governmental medical database systems should be established, and that the guidelines which enables validity of medical information should be set forth.
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Humans , Male , Age Distribution , Classification , Education , Electronic Mail , Health Education , Internet , Korea , Occupations , Publications , Search Engine , Seoul , Students, MedicalABSTRACT
Thesedays, the computer network has become the most popular means of communicating and sharing of information. With the rapid growing of Internet usage, various kinds of medical-related Internet sites are appearing. Due to the popularity of World Wide Web, many hospitals and medical centers establish their own homepage. In Korea, the number of home pages about medicine and medical institutes is increasing. Although many medical-related sites in Korea are providing Internet services on WWW, the quality is still far behind from foreign countries. For constructing the homepage for each department in Soonchunhyang University Hospital Homepage, this paper first investigates the University Hospital's Internet Homepage. After rewiewing the homepage, the new homepage of Soonchunhyang University Hospital has een implemented. From the experience in implementing the homepage for Soonchunhyang University Hospital, this paper suggests the method to build and manage a homepage for other medical related sites.
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Academies and Institutes , Internet , KoreaABSTRACT
OBJECTIVE: Thanks to the development of combining computer technology and communications, the concept of communications is undergoing radical changes. Using this method of communicating we have developed an Internet homepage of our department and another designated Medmark-neurosurgery. This homepage will be used to educate not only patients with neurosurgical disorders, but also residents in the neurosurgical field. It will be a forum for physicians to communicate among each other to discuss new skills, keep abreast of current develop-ments and share resources to enhance their practices. METHODS: The Internet homepage resources reside on an Alpha 1000 and local area networking system. Microsoft Windows NT and 95 were applied for both server and client use. Software for client use is also included. Uniform resource locator is SCHUH-neurosurgery is'http://hosp.sch.sch.ac.kr/ns' and for Medmark-neurosurgery it is'http://medmark.org/ns'. Material intended specifically for the neurosurgeon is classified and will be loaded on the server. RESULTS: The SCHUH-neurosurgery site had 3862 accesses for 2 years. The main page showed clinical, research and educational information. Personal homepage showed curriculum vitae, publications, research and clinical interest. It has been found to be very useful in communicating with neurosurgeons worldwide. The Medmark-neurosurgery homepage categorized 200 sites as 23 general information(23%), 9 consumer(4.5%), 8 association(4.0%), 56 departments(28%), 6 journals(3.0%), and 98 specialty(49%). Among the specialty sites were anatomy, tumor, vascular subcategories and much more information. CONCLUSIONS: We will present ideas on current and future applications of the Internet homepage in reference to neurosurgery with a comprehensive list of neurosurgical resources available on the Internet.
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Humans , Curriculum , Internet , Local Area Networks , Neurosurgery , TocopherolsABSTRACT
Recently world wide web is popular and the role of homepage is getting important. So the number of homepages about medicine or medical institute is increasing among homepages made in Korea, but the homepages are made by the specialist - homepage developer - not by medical personnel. Homepage specialists can promise the specialty, quality of the homepage itself, but medical personnels in the institute are better and ideal in the practical, economical aspect and in the content of information. Authors made homepage of Hallym medical center and its hospitals from September first, 1996 to December 31, 1996 only by their own work. The characteristics of this homepage are various structure and forms of 6 hospitals under the proper homogeneity, easy link or connectivity among 6 hospitals and central institute, and getting faster speed by proper restriction of large multimedia data considering present basal structure of internet. The targets of this homepage are medical personnels, students, patients, members of this institute and public. In the future foreigners are considered as targets. In conclusion, homepage of medical institute can be made somewhat effectively an d economically by its own medical personnels without the aid of homepage specialist and this first trial can be popular and participation of medical personnels to this work will be increased.
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Humans , Emigrants and Immigrants , Internet , Korea , Multimedia , SpecializationABSTRACT
These days, the computer network has become the most popular and widely used source of information. There are two kinds of computer networks, the first one is multimedia internet world wide web site and the second one is text based commercial network (etc. Hitel, Chollian. Nownuri, Unitel). With the rapid development of internet, various kinds of medical-related sites are newly appearing on the internet. Even in Korea, several medical-related information sites are on service, however, there are very few compared with foreign sites. World wide web is popular, and creating the homepage for each hospital is becoming more important. In Korea, the number of homepage of about medicine and medical institutes, is increasing. For the construction of Soonchunhyang University Hospital's Computer Information Network, the authors first investigate Korean medical-related information sites available in internet and commercial network. After researching the authors then construct the Computer Information Network of Soonchunhyang University Hospital. This article is written with the intent of assisting those interested in creating and managing their own computer information network system by means of providing relevant data obtained during this process.