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題名:整合RFID的跨平臺醫療知識管理系統
書刊名:醫療資訊雜誌
作者:郭景桓傅仲蓉朱子斌邱文達 引用關係吳帆 引用關係孫培然金明輝
作者(外文):Kuo, FrankFu, Chun-jungChu, Tu-binChiu, Wen-taWu, FanSun, Pei-ranJin, Ming-hui
出版日期:2006
卷期:15:3
頁次:頁11-27
主題關鍵詞:知識管理系統整合跨平臺系統RFIDRadio frequency identificationEPC networkKnowledge managementSystem integrationCross platform system
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:24
  • 點閱點閱:76
「知識管理」(Knowledge Management, KM)是一門新興且日益重要的企業經營議題,讓企業能從現有企業資源當中,創造出新的價值。醫療照護服務具高度專業性,且人力密集度極高。經營醫療機構所需的特殊管理經驗與知識,已經發展為十分成熟的知識領域與理論。隨著醫療院所導入的電子病歷系統,更可進一步建立資料倉儲系統,再配合資料探勘的技術,自動地探勘資料庫、尋找資料趨勢並形成假設,以增進知識的累積或用於尋找潛在的可能問題,進而應用於醫院管理的決策上或是醫學臨床研究用途,可以提升醫療資訊系統之功效,找尋出醫院內部更多的隱性知識與價值。 醫藥照護產業導入RFID科技,已是國際上共同的大趨勢。對國內醫院內部而言,醫療機構在總額預算、自主管理等計畫的壓力下,造成醫療收入的成長受到限制。因而醫院須更仰賴資訊科技,在現有的醫療資源下提升醫院的營運效率及效能。美國聯邦食品暨藥物管理局(Food and Drug Administration, FDA)要求在2007年時,需要在藥盒上(item level)貼附RFID標籤。透過從醫療產業上游的國際大型藥衛材廠商,在出廠時即貼附RFID標籤,並在資訊基礎建設與共通標準逐漸成熟完備後,將會是啟動下游醫療院所大量導入RFID系統的重要觸發點(trigger)。 本研究參考EPC Global所提出的EPC Network架構,提出醫療照護產業所適用的Electronic Patient Code(EPC) Network系統架構。在前端RFID系統元件主要包含Tag, Reader, Edge Server, Premises Server, RFID Data Hub及ONS 六部分。在系統架構面分為:RFID通訊層(Communication Level)、應用層(Operation Level)及知識管理層(Knowledge Base Level)等三大整合構面。本研究提出『整合RFID的跨平台醫療知識管理系統』,透過三大構面主導之醫療資訊系統架構,提出解決跨平台、異質性醫院資訊系統的資料交換需求。透過此系統前端整合之RFID系統,結合現有醫療資訊系統及電子病歷資料庫,與後端資料倉儲及資料探勘技術,提供醫療院所高階主管更快速的執行資料擷取、資訊管理、知識分析及回饋調整。以即時改善醫療品質、降低醫院營運成本、進行更佳的醫療資源配置,進而強化醫院競爭優勢,真正建立以『知識管理為核心』的醫療照護環境。
Knowledge Management is a emerging and important issue for corporation. Company can create added value for implement knowledge management system in existing resource. There’s high specialty skill and highly concentrated labor power for healthcare industry. It becomes to build up a mature knowledge field and many mature theories about how to management hospitals and healthcare institutes. Many hospitals already implement hospital information nowadays. It can create more hiding value if we integrate more knowledge management system about data mining and data warehouse in existing system. It’s a huge trend to implement RFID system for healthcare industry. In the pressure for the global budge, it has limited for the income of hospitals. So it’s important for hospital to implement information technology to promote the efficiency and effectiveness. In the macro-environment, Food and Drug Administration (FDA) regulates all famous pharmacy must deploy RFID system at item level before 2007. It’s an important trigger to downstream hospitals deploy RFID system when the upstream pharmacy implements RFID on their product. And the hospitals can save the cost, decrease the opportunity about medical error, and promote healthcare quality to deploy RFID system. The research reference the system architecture about “EPC Network”. And we design” a cross platform RFID systems integrated with medical knowledge management”. The front –side of RFID system including six components about : Tag, Reader, Edge Server, Premises Server, RFID Data Hub and ONS system. The framework of RFID knowledge management systems are: “Communication Level”, “Operation Level” and “Knowledge Management Level”. The platform system that we propose can solve the common problems about integration and across heterogeneity system. By the integrating of three frameworks with “Hospital Information Systems (HIS)”, we implement data warehouse and data mining to find out more tacit knowledge and value in healthcare environment. The platform can support the manager quickly comprehensive analysis to handle the index in the hospitals. And it can promote the competition for hospital to improve the medical quality, decrease the cost of operation, and optimum resource dispose for hospitals. The final goal of the system platform is to build up “The center for knowledge management” of healthcare environment.
期刊論文
1.Lee, Jang-Hwan、Kim, Young-Gul(2001)。A Stage Model of Organizational Knowledge Management: A Latent Content Analysis。Expert Systems with Applications,20(4),299-311。  new window
2.Fayyad, Usama、Piatetsky-Shapiro, G.、Smyth, P.(1996)。From Data Mining to Knowledge Discovery in Database。AI magazine,17(3),37-54。  new window
3.黃興進(20020200)。醫療資訊管理系統研究議題之探討。資訊管理學報,9(專刊),101-116。new window  延伸查詢new window
4.Chen, Ming-Syan、Han, Jiawei、Yu, Philip S.(1996)。Data Mining: An Overview from a Database Perspective。IEEE Transactions on Knowledge and Data Engineering,8(6),866-883。  new window
5.Nolan, Richard L.(1979)。Managing the Crises in Data Processing。Harvard Business Review,57(2),115-126。  new window
6.Edwin K.(2004)。RFID: Making Sense of sensor-based technology。Manufacturing & Logistics IT。  new window
7.JACHO(2004)。JCAHO National Patient Safety Goals Approved。Joint Commission Perspectives 2003,23(9),1-3。  new window
8.Frawley, W.J., S.G Paitetsky, and C.J. Matheus,(1996)。Knowledge Discovery in Databases:An Overview。Communications of the ACM,39(11),1-34。  new window
會議論文
1.林則孟、張維、曾宇弘(2004)。EPC Network 在供應鏈之運作探討。台北。  延伸查詢new window
2.張維、黃怡詔、林則孟、曾宇弘、梁薰文、顏如敏、胡婉琪(2003)。RFID 在醫院追蹤管制之應用一以東元醫院為例。經濟部工業局。  延伸查詢new window
3.簡文山、李友專(1997)。”建立醫療資訊交換中心之芻議”23 -29。  延伸查詢new window
4.林仲志、徐文浩、陳志宏、陳恆順、陳慶餘、侯勝茂(2000)。ML -Bas 醫學資訊交換模式97 -99。  延伸查詢new window
5.林四海(2001)。歷對於醫療產業之衝擊與影響168 -178。  延伸查詢new window
6.郭景桓、李岳縉、李治明、柯錫堃、吳帆(2004)。RFID 應用於醫療產業研究議題之探討。台北。  延伸查詢new window
7.郭景桓、吳念祖、虞孝成、古政元(2004)。由HIPAA 之觀點論RFID 導入醫療院所之爭議。國立交通大學。  延伸查詢new window
8.Frank Kuo, Lee Yueh-Ching, Chuan Yi Tang(2004)。The development of RFID in Healthcare in Taiwan。Beijing, China。  new window
研究報告
1.FDA(2004)。Comments to FDA Docket Number 02N-0204 Bar Code Label Requirement for Human drug Products and Blood。  new window
2.HIMSS Board of directors(2003)。Comments on the FDA Proposed Rule-Bar Code Label for Human Drug Products and Blood, HIMSS。  new window
圖書
1.楊志良(1994)。公共衛生新論。台北:巨流。  延伸查詢new window
2.莊逸洲、黃崇哲(2000)。醫療機構管理制度。台北:華杏。  延伸查詢new window
3.Berry, Michael J. A.、Linoff, Gordon S.(1997)。Data Mining Techniques for Marketing, Sales and Customer Support。John Wiley & Sons, Inc.。  new window
4.Bill Gates(1997)。數位神經系統。台北:商周。  延伸查詢new window
其他
1.Auto ID Center(2001)。Radio Frequency Identification (RFID) white paper,USA。  new window
2.HIMSS。White Paper-Implementation Guide for the Use of: Bar Coding Technology in Healthcare, USA。  new window
3.HP。RFID at HI White Paper。  new window
4.IBM。Radio Frequency Identification (RFID) in the Pharmaceutical Industry, White Paper。  new window
 
 
 
 
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