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Kim J.,Yonsei University | Chae Y.M.,Yonsei University | Kim S.,Catholic University of Korea | Ho S.H.,Research Institute of National Rehabilitation Center | And 2 more authors.
Healthcare Informatics Research | Year: 2012

Objectives: Many medication errors can occur when ordering and dispensing medicine in hospitals. The clinical decision support system (CDSS) is widely used in an effort to reduce medication errors. This study focused on the evaluation of user satisfaction with the CDSS for medication at a university hospital. Specifically, this study aimed to identify the factors influencing user satisfaction and to examine user requirements in order to further improve user satisfaction and drug safety. Methods: The study was based on survey data from 218 users (103 doctors, 103 nurses, and 15 pharmacists) at a university hospital that uses the CDSS. In order to identify the factors influencing user satisfaction with the CDSS, a multiple linear regression was performed. In order to compare the satisfaction level among the professional groups, an analysis of variance (ANOVA) was performed. Results: The reliability of information, decision supporting capability, and departmental support were significant factors in influencing user satisfaction. In addition, nurses were the most satisfied group, followed by pharmacists and doctors according to the ANOVA. Areas for further improvement in enhancing drug safety were real time information searching and decision supporting capabilities to prevent adverse drug events (ADE) in a timely manner. Conclusions: We found that the CDSS users were generally satisfied with the system and that it complements the nationwide drug utilization review system in reducing ADE. Further CDSS evaluation in other hospitals is needed to improve user satisfaction and drug safety. © 2012 The Korean Society of Medical Informatics.

Korea Health And Welfare Information Service and Ministry Of Health And Welfare | Date: 2013-04-18

Provided are an integrated management method and integrated management system for health information, and a recording medium therefor. According to the disclosure, a variety of health information generated during performing health-related projects and administrative services, medical treatment, medical treatment support or the like can be integrated and managed by various health institutes established in each region according to their functions, wherein reference codes generated and managed separately by each health institute are standardized so that integrated business processing and automatic statistical analysis can be carried out, and user-centered atypical analysis can be performed, thereby enabling users of each health institute, a local government or a management agency, to efficiently conduct business transactions and to efficiently create and utilize performance data and statistical data appropriate for each purpose of use.

Kim H.H.,Pusan National University | Cho K.-W.,Youngsan University | Kim H.S.,Dongseo University | Kim J.-S.,Ministry of Health and Welfare | And 5 more authors.
Healthcare Informatics Research | Year: 2011

Objectives: This study presents the information system for Pusan National University Hospital (PNUH), evaluates its performance qualitatively, and conducts economic analysis. Methods: Information system for PNUH was designed by componentbased development and developed by internet technologies. Order Communication System, Electronic Medical Record, and Clinical Decision Support System were newly developed. The performance of the hospital information system was qualitatively evaluated based on the performance reference model in order to identify problem areas for the old system. The Information Economics approach was used to analyze the economic feasibility of hospital information system in order to account for the intangible benefits. Results: Average performance scores were 3.16 for input layer, 3.35 for process layer, and 3.57 for business layer. In addition, the cumulative benefit to cost ratio was 0.50 in 2011, 1.73 in 2012, 1.76 in 2013, 1.71 in 2014, and 1.71 in 2015. The B/C ratios steadily increase as value items are added. Conclusions: While overall performance scores were reasonably high, doctors were less satisfied with the system, perhaps due to the weak clinical function in the systems. The information economics analysis demonstrated the economic profitability of the information systems if all intangible benefits were included. The second qualitative evaluation survey and economic analysis were proposed to evaluate the changes in performance of the new system. © 2011 The Korean Society of Medical Informatics.

Ryu S.,Inje Institute of Advanced Studies | Park M.,Inje Institute of Advanced Studies | Lee J.,Sun Moon University | Kim S.-S.,Cheongju University | And 3 more authors.
Healthcare Informatics Research | Year: 2013

Objectives: The Web-based integrated public healthcare information system (PHIS) of Korea was planned and developed from 2005 to 2010, and it is being used in 3,501 regional health organizations. This paper introduces and discusses development and performance of the system. Methods: We reviewed and examined documents about the development process and performance of the newly integrated PHIS. The resources we analyzed the national plan for public healthcare, information strategy for PHIS, usage and performance reports of the system. Results: The integrated PHIS included 19 functional business areas, 47 detailed health programs, and 48 inter-organizational tasks. The new PHIS improved the efficiency and effectiveness of the business process and inter-organizational business, and enhanced user satisfaction. Economic benefits were obtained from five categories: labor, health education and monitoring, clinical information management, administration and civil service, and system maintenance. The system was certified by a patent from the Korean Intellectual Property Office and accredited as an ISO 9001. It was also reviewed and received preliminary comments about its originality, advancement, and business applicability from the Patent Cooperation Treaty. It has been found to enhance the quality of policy decision-making about regional healthcare at the self-governing local government level. Conclusions: PHIS, a Web-based integrated system, has contributed to the improvement of regional healthcare services of Korea. However, when it comes to an appropriate evolution, the needs and changing environments of community-level healthcare service and IT infrastructure should be analyzed properly in advance. © 2013 The Korean Society of Medical Informatics.

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