Patient safety is the top priority for 'patient-centered hospitals'
Korea University's Anam Hospital, which strives to become the most trusted medical institution with patient safety as its top priority, is a senior general hospital that has been certified by JCI four times and has established itself as a patient-centered hospital through several centers. I met and talked with Park Jong-hoon, head of Korea University Anam Hospital, who is pursuing changes in various aspects for the patient.
Park Jong Hoon, the director of the hospital
Korea University Anam Hospital, Professor of Orthopedic Surgery at Korea University Medical School, Director of the Medical Planning Department, Head of the Medical Department, Chairperson of the Appropriate Medical Care Management Committee of Korea University Anam Hospital, Head of External Affairs of the Korea University Medical Center, the professor of orthopedic clinical department at Korea University's Anam Hospital, and the head of the Anam Hospital's medical cooperation center, and so on.
Park, Bohyun, CEO of B&H (hereinafter referred to as Park Boyun): Korea University Hospital aims to become a "patient-centered hospital that patients can trust" and conducts various activities. Recently, due to COVID-19, the world is interested in medicine and healthcare, and medical technology and services are rapidly changing in line with it. Please introduce yourself briefly and introduce Korea University Anam Hospital.
Park Jong-hoon, director of Korea University Anam Hospital (hereinafter referred to as Park Jong-hoon):
Hello, I'm Park Jong-hoon, the director of Korea University Anam Hospital. The keyword I put forward when I became the hospital director in 2018 was "patient-centered hospital that patients can trust." The keyword “trust” began with what to take the spirit of the times in the future. In the early 2000s, state-of-the-art, patient-friendly services were the spirit of the times, and there are well-systemed hospitals in line with them. But by the 2020s, I thought, there must be a change. As the state-of-the-art and patient-friendly services are keywords for times with poor medical facilities and equipment but now many university hospitals have high-tech equipment and services that are comparable to any other hospital in the United States, the term "patient preferential service" has lost much of its significance in differentiation. So, as we think about what we can do well and fit the spirit of the times, we have come to put forward a "patient-centered hospital that patients can trust" as a keyword without medical accidents and excessive treatment. Korea University Anam Hospital is currently in the process of pursuing many changes to fit the keyword of patient-centered hospital.
Park Bohyun: I heard that the director newly opened a bloodless center and a Kino Design Center for safety and trust for patients. I'm curious about the introduction of the center and what has changed through it.
Park Jonghoon: While I was thinking about what is called a patient-centered hospital because the hospital's threshold is still high and the service is not satisfactory, I happened to read a book about the Joint Commission International (JCI) of the U.S. medical institution certification evaluation. When comparing the standard of good medical institutions in the United States with the standard of Korea, I thought that the standard of talking in the United States was right.
Korea did not make much effort to reduce medical accidents, and even if a medical accident occurred, it did not think about what was fundamentally wrong. In the event of a medical accident, individual competence and bad luck were blamed. However, the medical institutions in the United States do not. Fundamentally, they identify what problems they have, and they say that about 70% of them can be prevented systematically.
A culture without medical accidents is an advanced country. It is like the technology itself can build high-rise buildings, but sometimes if the bridge collapses, it cannot be said to be an advanced country.
What we started to do to reduce medical accidents was to reduce blood transfusions. In 2012, I saw the careful use of blood transfusions in Europe, and I found that it was directly related to the safety of patients. Accordingly, the Bloodless Center was opened in 2019 to create a blood transfusion culture suitable for the level of developed countries. Of course, there was a bloodless center before that, but it was only for certain religious people, not for ordinary patients. So I wanted to open a bloodless center for ordinary patients and make it the most exemplary blood transfusion surgical hospital in Asia.
Most university hospitals now have little difference in surgical techniques. Then, let's think about where to go in the eyes of the people as it would perform the same surgery. In other words, if a patient in a rural hospital in the province has cancer and has to come to a hospital in Seoul, the minimum blood transfusion should be considered in the criteria for choosing a hospital. If the perception is formed that "it is the same surgery, but if you operate at an ancient hospital, you can do it almost without blood transfusions,". And the perception that it is bad for people to receive a lot of blood transfusions is combined, I think they would prefer Korean University Hospital. In that sense, we're running a bloodless center for the minimal blood transfusion surgery hospital.
In fact, in the case of knee artificial joint surgery, 73% of professional hospitals perform blood transfusions, an average of 40% of advanced general hospitals, and 3.8% of Korea University hospitals.
Last year, many patients had knee artificial joint surgery at our hospital, but there are very few patients who have received blood transfusions, and consequently, the infection rate is much lower. There should be places where you don't get blood transfusions even if you do the same surgery, and I think that's the mission of a university hospital.
In the past, blood transfusions saved many lives on the battlefield, so there was no doubt about blood transfusions, but now advanced countries are also changing at the government level. Since last year, Korea has also recognized that blood transfusions are problematic and is moving toward reducing blood transfusions, and its role model is Korea University Hospital.
In addition, the Kino Design Center already had a design thinking center in other university hospitals, and I introduced it late. Design Thinking is a little unfamiliar, but in large hospitals in the United States, design thinking centers are often made up of large organizations. Design thinking applies to overall healthcare, such as management techniques and environmental improvements. The decision is not unilaterally made by the CEO. When you change the design in one place, it is a kind of management technique that allows people from all departments and even patients to participate in workshops to create prototypes and simulate them so that they can be patient-centered. Through the Kino Design Center, we are transforming the medical environment centered on patients and guardians, and through this, we are moving forward with the title of a patient-centered hospital.
Park Boyun: Korea University Anam Hospital seems to be leading digital medical services to improve service quality and the reliability of medical services. What can be expected from applying Voice EMR, which realizes the creation of voice-recognition medical records? Also, for the first time in Korea, it has switched to the next-generation hospital information system (P-HIS). What type of system is it?
Park Jonghoon: Kwon Soon-young, the director of Eunpyeong St. Mary's Hospital, first started research on Voice EMR. As we begin to value records to ensure patient safety, medical staff is spending less and less time with patients, but too much time for recording. I first encountered a nursing record when Director Kwon Soon-young was developing it. It automatically enters nursing records whenever they speak. One regrettable thing is that there are many categories to record on the nulling record, but it is not automatically distinguished yet. Therefore, the nurse has to give a sign that can be distinguished while talking to the patient with earphones. Although it is a little lacking, the speed is almost the same as typing, and there are fewer errors, and it distinguishes Korean from English. Another surprising thing is that if you record your voice in advance, each voice is saved when five medical staff have a conversation.
While Eunpyeong St. Mary's Hospital focuses on nulling records, we focus on doctors. For radiology result or surgical records in the operating room, the device began to be developed first at Korea University and are already applied in the field. There should be no keyboard. As long as it distinguishes what you have entered based on AI, you don't need a keyboard, so if it is further activated through future development, medical staff can spend more time on patients. P-HIS is a precision medical hospital information system that can systematically accumulate and utilize medical data based on the cloud. In Korea, the EMR (Electronic Medical Record) system is not compatible and is different. In that case, medical information big data could not be used, so the government implemented it. It's kind of a common platform business. It was launched in our hospital and started, and if it is applied to the entire Korea University Hospital in the future, the problems that arise in it will be supplemented and corrected.
Park Bohyun: Please tell me if you have any plans for the globalization of Korean medical care at Korea University Anam Hospital, which is raising awareness of Korean medical brands through medical promotion and volunteer activities around the world.
Park Jonghoon: When I first started attracting overseas patients, I saw the U.S. market for Korean residents. My goal was to make Korea University Hospital a most preferred hospital for Korean residents in the United States when they visited a hospital in their home country due to a serious disease. The U.S. market did not go well due to various problems, but since then, it has expanded to the Middle East in 2013, starting with Mongolia, Uzbekistan, and Russia. Korea University Anam Hospital has been limited in receiving patients from the middle east because the level of the hospital room was not suitable for them, but it has a hospital room on the top floor of the state-of-the-art convergence medical center under construction. Now that the level of the hospital room is established, I am confident that it is a hospital that meets the guidelines of Global Patient Safety. Currently, as awareness increases little by little, Middle Eastern patients are coming from Qatar and Saudi Arabia on the condition that we are responsible for quarantine.
Park Bohyun: How do you see the future of Korea University Anam Hospital as a director who is leading the patient-centered hospital?
Park Jonghoon: Looking ahead to the U.S. market. I think it can be said that Korea is the best hospital in Korea only when the most preferred hospital by Korean residents in the United States is Korea University Hospital. This is why the international medical center was placed at the top of the entrance when the new building was built.
The last thing I want to do is "Gender Surgery". I thought we should look at the problems of transgender people from a medical perspective. Even now, the only field where Korean patients undergo surgery abroad is transgender surgery, so I think someone in Korea should start gender medicine in the future. Therefore, we would like to benchmark medical institutions in Europe and the United States to make our hospital the best gender surgery hospital in Asia. The vision of Korea University Hospital is to make it the best gender surgery hospital in Asia, following patient safety and Asia's best minimum blood transfusion surgery hospital.