• Title/Summary/Keyword: Existing hospital

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A Study on the Visibility Analysis Model for the Ward of General Hospital Considering Nurse's Circulation (종합병원 병동부 간호 이동 동선을 고려한 가시 특성 분석 모델에 관한 연구)

  • Kim, Seo-Yeong;Kweon, Jihoon
    • Journal of the Regional Association of Architectural Institute of Korea
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    • v.20 no.6
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    • pp.71-80
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    • 2018
  • The path and visibility of nurses in general hospital wards have been treated as architectural planning factors. However, the analysis approach of existing studies shows limitations that only fixed physical elements are considered without considering the behavior of users using space. Consider factors for analysis of ward and models based on this study model. Select a case hospital to apply the analysis technique and conduct the nurse questionnaire and route survey of the hospital. Establish a framework for analysis model applied with the path of nurse movements. The analysis model applies to the case hospital. The analysis results are aggregated to derive design suggestion for reference to the spatial improvement of the ward. Visible visibility to observe the bedside in the nursing station, visibility to observe the beds in the nurse's path, and visibility to observe patients moving in the nurse's path were derived from visual access frequency and exposure frequency. The survey of nurses' movements at the site allowed the nurses to calculate the distance required to move. Reflecting the path of nurse movement, a model was presented for a comprehensive analysis of nursing distance and nursing visibility, which could lead to improvement in the observation and visibility of nurses and the layout of patient rooms or day rooms.

Single-Port Transaxillary Robot-Assisted Latissimus Dorsi Muscle Flap Reconstruction for Poland Syndrome: Concomitant Application of Robotic System to Contralateral Augmentation Mammoplasty

  • Hwang, Yong-Jae;Chung, Jae-Ho;Lee, Hyung-Chul;Park, Seung-Ha;Yoon, Eul-Sik
    • Archives of Plastic Surgery
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    • v.49 no.3
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    • pp.373-377
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    • 2022
  • Currently, robot-assisted latissimus dorsi muscle flap (RLDF) surgery is used in treating patients with Poland syndrome and for breast reconstruction. However, conventional RLDF surgery has several inherent issues. We resolved the existing problems of the conventional system by introducing the da Vinci single-port system in patients with Poland syndrome. Overall, three patients underwent RLDF surgery using the da Vinci single-port system with gas insufflation. In the female patient, after performing RLDF with silicone implant, augmentation mammoplasty was also performed on the contralateral side. Both surgeries were performed as single-port robotic-assisted surgery through the transaxillary approach. The mean operating time was 449 (335-480) minutes; 8.67 (4-14) minutes were required for docking and 59 (52-67) minutes for robotic dissection and LD harvesting. No patients had perioperative complication and postoperative problems related to gas inflation. The single-port robot-assisted surgical system overcomes the drawbacks of previous robotic surgery in patients with Poland syndrome, significantly shortens the procedure time of robotic surgery, has superior cosmetic outcomes in a surgical scar, and improves the operator's convenience. Furthermore, concurrent application to another surgery demonstrates the possibility in the broad application of the robotic single-port surgical system.

Critical Factor on Selection Indoor Air Quality improving alternatives for healthcare projects (병원의 실내 공기 질 솔루션 선택에 영향을 미치는 요인들)

  • Dang Nguyen-Hong Anh;Ahn, Yong-Han
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2023.11a
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    • pp.63-64
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    • 2023
  • Indoor Air Quality is crucial in hospital projects to ensure the health and safety of patients, staff, and visitors. The research methodology comprises an comprehensive literature review, then a comprehensive questionnaire survey conducted among stakeholders involved in Vietnamese hospital projects. 15 variables were identified and categorized into four distinct groups, elucidating their influence on the adoption of advanced IAQ-enhancing technology. This study uses factor analysis, a mean score method and hypothesis test to analyze the factor result from the survey. two-step process, including an in-depth literature review and questionaire survey. The study's findings culminated in the ranking, examination, and categorization of these 15 variables, which were clustered into four essential categories: economic factors, design elements, governance strategies, and technical requirements. Additionally, the research explored viable solutions to improve indoor air quality in Vietnam's unique environmental context, examining the factors that impact the selection of such solutions. The study's outcomes yield practical recommendations for architects, engineers, and hospital administrators in enhancing IAQ within healthcare facilities. Furthermore, it presents a framework attuned to local environmental factors and building materials, contributing significantly to the existing body of knowledge on IAQ within hospital projects, particularly in the Vietnamese context.

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Preliminary Study on the Enhancement of Seismic Performance of Korea Hospital Buildings (우리나라 병원건축물의 내진성능향상을 위한 기초연구)

  • Kim, Namhee;Hong, Sung-Gul
    • Journal of the Earthquake Engineering Society of Korea
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    • v.20 no.7_spc
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    • pp.509-516
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    • 2016
  • Secure operation of hospitals during and right after earthquake is essential. Past lessons from earthquake damages have shown that most of the injured and the death occurred within 30 minutes after earthquake and the portion of nonstructural damage has become significant. However, hospital buildings in Korea have not prepared fully to address such rising issues. This paper is to study what type of damage patterns are related to hospital buildings and how to develop a preparedness plan to keep hospitals operational at all earthquakes if possible. This paper first reviews on past earthquake damages reported as critical to hospital buildings while classifying them into four groups: (1) structural element; (2) architectural-nostructural element; (3) medical equipments and contents; and (4) utility facility. Upon such classification, some detailed concerns can be specified under each group explicitly. Then a hierarchy for hospital building is also developed for the classified groups, which enables us to identify required things for the enhancement of seismic performance of hospital building that consists of heterogeneous elements. To upgrade the level of seismic performance for existing hospital buildings, the concept of performance-based approach can be adopted to address the heterogeneous problems in a systematic and stepwise manner. Finally a conceptual framework for the seismic risk assessment for hospital building is proposed toward the seismic enhancement of hospital buildings using performance-based approach.

A study of access control using fingerprint recognition for Electronic Medical Record System (지문인식 기반을 이용한 전자의무기록 시스템 접근제어에 관한 연구)

  • Baek, Jong Hyun;Lee, Yong Joon;Youm, Heung Youl;Oh, Hae Seok
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.5 no.3
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    • pp.127-133
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    • 2009
  • The pre-existing medical treatment was done in person between doctors and patients. EMR (Electronic Medical Record) System computerizing medical history of patients has been proceed and has raised concerns in terms of violation of human right for private information. Which integrates "Identification information" containing patients' personal details as well as "Medical records" such as the medical history of patients and computerizes all the records processed in hospital. Therefore, all medical information should be protected from misuse and abuse since it is very important for every patient. Particularly the right to privacy of medical record for each patient should be surely secured. Medical record means what doctors put down during the medical examination of patients. In this paper, we applies fingerprint identification to EMR system login to raise the quality of personal identification when user access to EMR System. The system implemented in this paper consists of embedded module to carry out fingerprint identification, web server and web site. Existing carries out it in client. And the confidence of hospital service is improved because login is forbidden without fingerprint identification success.

Design and Implementation of HL 7-based Real-time Data Communication for Mobile Clinical Information System

  • Choi Jinwook;Yoo Sooyoung;Chun Jonghoon
    • Journal of Biomedical Engineering Research
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    • v.26 no.2
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    • pp.65-71
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    • 2005
  • The main obstacles for adopting a mobile health information system to existing hospital information system are the redundancy of clinical data and the additional workload for implementing the new system. To obtain a seamless communication and to reduce the workload of implementation, an easy and simple implementation strategy is required. We propose a mobile clinical information system (MobileMed) which is specially designed for the easy implementation. The key elements of MobileMed are a smart interface, an HL7 message server, a central clinical database (CCDB), and a web server. The smart interface module transfers the key information to the HL7 message server as new clinical tests data is recorded in the existing laboratory information system. The HL7 message server generates the HL7 messages and sends them to the CCDS. As a central database the CCDS collects the HL7 messages and presents them to the various mobile devices such as PDA. Through this study we might conclude that the architecture for the mobile system will be efficient for real-time data communication, and the specially designed interface will be an easy tool for implementing the mobile clinical information system.

Waveform Biosignal Interface based on International Standard MEER (MFER 표준을 적용한 생체신호정보 공유시스템 개발)

  • Cho, Hune;Kim, Seon-Chil
    • Journal of Biomedical Engineering Research
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    • v.29 no.2
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    • pp.164-171
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    • 2008
  • Recently, many of hospitals have hurried to computerize the resulting data from medical devices, in order to introduce Electric Medical Record(EMR). In terms of the linkage between medical devices and hospital information systems, however, many difficulties have arisen due to some reasons such as the variety of prescription input, the format difference of the resulting data sheet, and the interface difference between medical devices from different companies. To solve these problems, many researches on standardization of the resulting data of medical devices have been performed. In this study, the linkage between hospital information systems and resulting datum in Electrocardiogram(ECG) generating biosignal waveform was tested by applying Medical waveform Format Encoding Rules(MFER) Version 1.02, which has more advantages than existing global standard. MFER viewer, in addition, was made to display the resulting data on a screen. The MFER viewer was tested and compared to the existing Scalable Vector Graphics (SVG) Viewer. The results showed that this method is more effective in the interface the data storage and application, because of simplicity and easiness in data applications. And the results show that the MFER is convenience and effective for physician. It is considered that the role of MFER as the interface in biosignal waveform including Electrocardiogram medical devices would expand in the near future.

A Study on the Remodeling Construction Execution Strategy of General Hospitals in Korea (국내 종합병원의 리모델링 공사수행전략에 관한 연구)

  • Kim, Ha-Jin;Yang, Nae-Won
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.11 no.1
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    • pp.33-41
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    • 2005
  • The construction can proceed in different ways according to the acquired profitability of the hospital during the construction and to the features of departments or areas. This study is an analysis of remodeling construction processes to resolve major tasks of remodeling. The remodeling strategies gained from this study can be summed up as follows: 1) Remodeling work in hospitals involves the acquire relocation of space through extensive area renovations and then moving back to the space, and lastly working on the empty space. Thus, it is more advantageous in terms of construction work to demolish the existing buildings than to acquire the relocation space through extensions or renovations. That is, demolition after the maximum utilization of the existing buildings is the most desirable in terms of space availability. 2) The construction methods for remodeling are two: a method of carrying out construction by dividing the plane areas into several individual ones and of working on it floor by floor. In case of ward areas, and the outpatient area, the construction proceeds after securing the relocation space and partially setting construction areas in order to minimize the decrease in profitability due to the smaller number of beds and treatment rooms during construction. If the outpatient diagnosis/ treatment area and the supply area relocate together with the ward areas, there may be extra expenses. Thus, doing construction by area, while partially operating those areas or after relocating the whole areas.

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Implemental Model of Customer Relationship Management System for Oriental Hospital Using Customer Segmentation (고객세분화를 통한 한방병원 고객관계관리 시스템 구축모형)

  • Ahn, Yo-Chan
    • Journal of Korea Society of Industrial Information Systems
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    • v.15 no.5
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    • pp.79-87
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    • 2010
  • This paper is proposed that implemental model of customer relationship management system for oriental hospital is designed by customer segmentation using personal information and medical record of outpatients in existing integrated medical information system database. Proposed model can be practical model at once, because it can construct by partial modification of existing medical information system without additional information technology and infrastructure. And, if we use the proper variable and method of customer segmentation according to marketing strategy, it can be flexible customer relationship management system not only improvement of customer satisfaction but also various marketing supports.

A Study on the Area Calculation and Spatial Composition of Medical Rehabilitation Center in the Workplace Accident Rehabilitation Hospitals (산재재활전문병원 재활센터의 규모 및 공간구성에 관한 연구)

  • Lee, Teuk-Koo;Choi, Kwang-Seok
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.14 no.2
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    • pp.3-14
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    • 2008
  • The rehabilitation for the workplace accident victims is basically aimed to get them back to their working place through the secondary care processes which have some more special and more professional rehabilitation than any others, after the primary treatments like operation in an acute hospital since the accident. They need more concentrative rehabilitation efforts according to classified injury types during the period of acute, sub-acute and convalescent. This study is for the partial research of rehabilitation hospital for workers' accident victims and presents design data which can be used for the appropriate area calculation and spatial composition. Drawing documents analysis, interviews, observation were used to examine the condition of existing rehabilitation hospitals.

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