• Title/Summary/Keyword: Hospital Building

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Building Linked Big Data for Stroke in Korea: Linkage of Stroke Registry and National Health Insurance Claims Data

  • Kim, Tae Jung;Lee, Ji Sung;Kim, Ji-Woo;Oh, Mi Sun;Mo, Heejung;Lee, Chan-Hyuk;Jeong, Han-Young;Jung, Keun-Hwa;Lim, Jae-Sung;Ko, Sang-Bae;Yu, Kyung-Ho;Lee, Byung-Chul;Yoon, Byung-Woo
    • Journal of Korean Medical Science
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    • v.33 no.53
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    • pp.343.1-343.8
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    • 2018
  • Background: Linkage of public healthcare data is useful in stroke research because patients may visit different sectors of the health system before, during, and after stroke. Therefore, we aimed to establish high-quality big data on stroke in Korea by linking acute stroke registry and national health claim databases. Methods: Acute stroke patients (n = 65,311) with claim data suitable for linkage were included in the Clinical Research Center for Stroke (CRCS) registry during 2006-2014. We linked the CRCS registry with national health claim databases in the Health Insurance Review and Assessment Service (HIRA). Linkage was performed using 6 common variables: birth date, gender, provider identification, receiving year and number, and statement serial number in the benefit claim statement. For matched records, linkage accuracy was evaluated using differences between hospital visiting date in the CRCS registry and the commencement date for health insurance care in HIRA. Results: Of 65,311 CRCS cases, 64,634 were matched to HIRA cases (match rate, 99.0%). The proportion of true matches was 94.4% (n = 61,017) in the matched data. Among true matches (mean age 66.4 years; men 58.4%), the median National Institutes of Health Stroke Scale score was 3 (interquartile range 1-7). When comparing baseline characteristics between true matches and false matches, no substantial difference was observed for any variable. Conclusion: We could establish big data on stroke by linking CRCS registry and HIRA records, using claims data without personal identifiers. We plan to conduct national stroke research and improve stroke care using the linked big database.

Perception of Patient Safety Culture of Hospital Nurses (병원 간호사의 환자안전문화에 대한 인식)

  • Kim, Yeon;Lee, Eun Seon;Choi, Eun Young
    • Korea Journal of Hospital Management
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    • v.18 no.3
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    • pp.27-42
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    • 2013
  • Purpose: This study is aimed to provide the fundamental data for building the patient safety culture by identifying the perceptions of patient safety culture of hospital nurses. Methods: this study was a cross-sectional survey. For this study, 816 nurses participated from three general hospital and one university hospital located in Gwangju and Chonnam. The data were collected from April to June, 2012 by self-administrated questionnaires. The 'Hospital Survey on Patient Safety Culture'developed AHRQ(2004) and translated in Korean and edited by Je(2006), was used to measure the patient safety culture which the nurses were perceived. The collected data were analyzed with descriptive statistics, t-test, ANOVA, Scheffe test using SPSS window 18.0. Results: With a possible score of 5 points, the average score for nurses'perceived patient safety culture 3.32. In the sub dimension of patient safety culture, the score hospital-level aspects was the highest level of 3.27(0.50) and reporting system medical errors was the lowest of 3.08(0.40). The difference of perception level on patient safety culture were statistically significant depending on demographic and job-related characteristics such as age, hospital level, work experience in present hospital, work experience in present unit, work experience in present area, positions, work hours of week. Conclusion: The scores of perception of which were shown to be relatively low in this study, needed to be improved through continuous education, evaluation and researches. We suggest developing a new tool on patient safety culture fit our country which will help to manage ongoing patient safety culture.

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A Study on the Spatial Characteristics of the Outpatient Department in the Women′s Hospital - Focused on the Outpatient - (여성 전문병원 외래부의 공간특성에 관한 연구 - 환자관점을 중심으로 -)

  • 주진형
    • Korean Institute of Interior Design Journal
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    • v.13 no.5
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    • pp.133-142
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    • 2004
  • Recently, the Korean medical system changed with diversification & specialization and the field of medical service is also specialized in these days. And healing environment is proposed as a general concept in the hospital architecture. There is a trend that a establishment of women's hospital is increasing as specialized type. In difference from general hospital, they are providing specialized and integrated services in response to the women's disease and demand. Particularly, Outpatient department space in women's hospital has been changed in terms of area, shape and program. However, there used to be not enough research efforts of responding these changes. This study includes the Outpatient department of s women's hospital in the form of small and medium sized building over a certain level in Korea. And the methods of the study adopted the theoric examination based concept and features of women's hospital, the abstraction of distinctions in the Outpatient department through the analysis of the drawing, and the analysis of distinctions in the Outpatient department of women's hospital with the structural space classified and the analysis of space relation. Therefore, the purpose of this is to study investigates and analyzes the spatial characteristics of the Outpatient department space in women's hospital through a analysis of case study. To conclude, the space composition can be classified into the entry space, the clinic space for patients, the support space of patients' check-up, the reception and waiting space, the rest and convenience space, and the link space in the Outpatient department of women's hospital. The level space can account for the waiting space type, the clinic office type, the type based on the relation between the waiting room and the clinic office with its features. As a result, the results will be applied for the planning & design for the future women's hospital.

The Basic Study on Economic Evaluation of Distributed Energy System Installed in Hospital (병원건물 분산에너지시스템 도입에 따른 경제성분석)

  • Hong, Won-Pyo;Kim, Hyoung-Soo
    • Proceedings of the KIEE Conference
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    • 2009.07a
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    • pp.1136_1138
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    • 2009
  • This paper gives a basic Energy performance data of micro gas turbine and Renewable Energy(BIPV and Solar Collector System) installed in Hospital Building. The efficiency of solar collector and BIPV system was 30%, 10% individually, and lower than micro gas turbines. Micro gas turbines are small gas turbines that burn gaseous and liquid fuels to produce a high-energy exhaust gas and to generate the electrical power. Recently the size range for micro gas turbines is form 30 to 500kW and power-only generation or in combined heat and power(CHP) systems. If micro gas turbine was operated only for electric energy, the efficiency was about 30%, but for combined heat and power, the efficiency was about 90%. Finally, installed in large hospital, Micro gas turbine system was operated to CHP mode, was high-efficiency system than Solar collector and BIPV system.

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A Case Study of Architectural Design of Hospital Based on the Regional Characteristics of Cheju Island (제주지역 특성을 도입한 병원설계 사례에 대한 연구 -제주대학병원 현상설계안을 중심으로-)

  • Im, Sung-Bo;Kim, Chi-Heon;Park, Soon-Hee
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.9 no.2
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    • pp.37-42
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    • 2003
  • The recent project has been progressed from focusing on the establishment of having an international sense and making a symbolic building in Cheju Island. Its purpose is to provide the best medical services to the inhabitants, and to reflect the local feelings and the entire design concept based upon the role of the health promotion. This study is to explain the process of a traditional architecture method of Cheju Island applied to the modern design element and re-composition into the layout plan, the composition diagram of the exterior, the elevations, etc. of the drawings of the project.

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Development of Energy Demand Models for Hospitals (병원 건물의 에너지 부하모델 개발)

  • Park, Hwa-Choon;Chung, Mo
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.21 no.11
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    • pp.636-642
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    • 2009
  • Energy consumption data are surveyed and measured to develop energy demand models for hospital buildings as part of a complete package. Daily consumption profiles for electricity, heating, cooling and hot water are surveyed for 14 carefully chosen hospitals to establish energy demand patterns for a time span of a year. Then the hourly demand patterns of the 4 loads are field-measured for different seasons and statistically analyzed to provide higher resolution models. Used in conjunction with energy demand models for other types of buildings, the high resolution of 8760 hour energy demand models for a hospital for a typical year will serve as building blocks for the comprehensive model that allows the estimation of the combined loads for arbitrary mixtures of buildings.

The Study of Exploration of the User & the Physical Components of Outpatients' Waiting Areas in General Hospital (인간 행위분석을 통한 종합병원 외래환자 대기실에 관한 연구)

  • 이성훈
    • Korean Institute of Interior Design Journal
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    • no.9
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    • pp.18-23
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    • 1996
  • Among the building types in which behavioral issues play, the largest role are institutional environments. Such setting share a number of important characteristics ; they serve specific population (e.g. the ill, the elderly , '||'&'||' inmates) : they are directed toward specific social behavioral objectives(e.g medical care, education , '||'&'||' rehabilitation); and they are "Total institution" in which residents spend all of there time. The basic concepts and theories of environment-behavior studies are of direct relevance in understanding such social institutions. In this study, I have examined the relationships between waiting and the specific conditions of the hospital experience. More specifically, this is a study of visitors (outpatient) within the context of the hospital , and the physical setting designated for their use in the outpatient waiting room. Environment behavior studies, with its commitment to individual behavior and the physical environment might well be a particularly way by which a study of waiting rooms can demonstrate the power of this approach and its integrative among disciplines.

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The Basic Study on Economic Evaluation of Micro-turbine and Alternative Energy system Installed in Hospital (병원건물의 마이크로터빈과 신재생에너지도입에 따른 경제성평가 기초연구)

  • Kim, Byoung-Soo;Hong, Won-Pyo
    • Proceedings of the Korean Institute of IIIuminating and Electrical Installation Engineers Conference
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    • 2009.05a
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    • pp.439-444
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    • 2009
  • This paper gives a basic Energy performance data of micro gas turbine and Renewable Energy(BIPV and Solar Collector System) installed in Hospital Building. The efficiency of. solar collector and BIPV system was 30%, 10% individually, and lower than micro gas turbines. Micro gas turbines are small gas turbines that bum gaseous and liquid fuels to produce a high-energy exhaust gas and to generate the electrical power. Recently the size range for micro gas turbines is form 30 to 500kW and power-only generation or in combined heat and power(CHP) systems. If micro gas turbine was operated only for electric energy, the efficiency was about 30%, but for combined heat and power, the efficiency was about 90%. Finally, installed in large hospital, Micro gas turbine system was operated to CHP mode, was high-efficiency system than Solar collector and BIPV system.

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Preparation of image databases for artificial intelligence algorithm development in gastrointestinal endoscopy

  • Chang Bong Yang;Sang Hoon Kim;Yun Jeong Lim
    • Clinical Endoscopy
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    • v.55 no.5
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    • pp.594-604
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    • 2022
  • Over the past decade, technological advances in deep learning have led to the introduction of artificial intelligence (AI) in medical imaging. The most commonly used structure in image recognition is the convolutional neural network, which mimics the action of the human visual cortex. The applications of AI in gastrointestinal endoscopy are diverse. Computer-aided diagnosis has achieved remarkable outcomes with recent improvements in machine-learning techniques and advances in computer performance. Despite some hurdles, the implementation of AI-assisted clinical practice is expected to aid endoscopists in real-time decision-making. In this summary, we reviewed state-of-the-art AI in the field of gastrointestinal endoscopy and offered a practical guide for building a learning image dataset for algorithm development.

The Citizen Plaza Design around the 1st Korean Postal Building, 'Woojeongchongkuk' (우정총국주변 시민광장 설계)

  • 김성균
    • Journal of the Korean Institute of Landscape Architecture
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    • v.29 no.4
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    • pp.67-74
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    • 2001
  • This paper presents a landscape design for the citizen plaza around the ˝Woojeongchongkuk˝(the 1st Korean postal building) where the ˝Gapsinjeongbyeon˝(1844 coup d´etat) occurred and which was once used as the ˝Jeoneoigam˝(a palace hospital). The site is located in 39 Kyeonji-dong, Jongno-gu, Seoul, and of which area is about 2,013$m^2$. The landscape design goals are to build traditional spaces which fit the traditional buildings and where people feel the old atmosphere; to build interesting spaces where people can learn the post and telegraphic history; and to build nature-friendly green rest spaces in the city. To achieve these goals, symbolic, traditional, educational, historical, and environmentally-friendly concepts are developed. With this concept the space is divided into two axis of the pst and telegraph of Korea. Along the two axis the Postage Stamp ˝Madang˝(yard), the Letter Garden, the Telegraphic ˝Ddeul˝(garden), the Communication Plaza, and the ˝Jeoneoigam˝(old palace hospital) and the ˝Gapsinjeongbyeon˝(1884 coup d´etat) Memorial Place are arranged. The Postal Stamp Madang which symbolizes the first Korean postage stamp is a space for studying history and evolution of stamps in Korea. The Letter Garden which symbolizes and formalizes a letter paper is composed with white bamboo trees which are planted linearly and long granite benches on which famous letters are carved. In the Telegraphic Ddeul which symbolizes the telegraph, the history of the telegraphic instrument and the telephone is exhibited. In the Communication Plaze which symbolizes future post and telegraph service extending to the world, the images of satellite communication, internet, webmail etc. are exhibited. The Jeoneoigan, and the Gapsinjeongbyeon Memorial Place is for memorializing the historic place and events. Throughout the whole place, various models and ceramic picture tiles about the post and telegraph and exhibited for effective education. In conclusion, sustainable management schemes for the site are suggested.

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