• 의료법학
• /
• 제15권2호
• /
• pp.123-163
• /
• 2014

As results of analyzing judicial precedents about infection in hospitals in connection with mistakes and causality in medical litigations shows that the Mitigation of Law Principles To Prove responsibility in medical litigation has not been able to play its role compared to its intended purposes. And Major sentiment from those judgments is that a mistake can't be proved only by the fact that certain infection in hospital occurred in connection with hospital infection. Therefore, the number of indirect facts to deny estimation is overwhelmingly high. Like this, especially for hospital infection which is difficult to prove indirect facts themselves to estimate mistake, major sentiment from those judgments have a problem that impute sharing of losses caused by hospital infection to patient. In accordance with the Principles of equitable and proper sharing of losses, it's required to prepare legal interpretation and theoretical methods to largely mitigate patient's responsibility to prove medical mistakes compared to other medical litigations in connection with existing Mitigation of Law Principles To Prove responsibility and conventional theory of estimation. In connection with this, the results of review that duty of safety management in hospital infection cases can be the base of conversion of proving responsibility, the duty that prevent hospital infection, corresponding the duty of safety management in hospital infection is not conventional duty of safety management based on duty of good faith but secondary obligation of medical contract. The breach of duty preventing hospital infection is the violation of medical contract, but there is no logical necessity that convert proving responsibility from the obligation of contract itself. Therefore, the duty of preventing hospital infection from the obligation of medical contract, corresponding the duty of safety management in hospital infection cases cannot be the base of conversion of proving responsibility alone. But, it's still required to conversion of proving responsibility in hospital infection, we need further studies on cases of Germany which applies legal estimation of proving responsibilities in hospital infection.

• 한국방사선학회논문지
• /
• 제12권6호
• /
• pp.727-735
• /
• 2018

본 연구는 경남지역에 근무하는 방사선사를 대상으로 병원감염관리에 대한 특성과 인지도 및 수행도를 분석하여 병원근무 시 감염관리에 대한 올바른 인식과 수행 능력을 향상하고, 병원감염관리의 개선 및 방사선사의 감염관리 교육을 위한 기초자료를 얻고자 실시하였다. 연구에 사용한 도구는 설문지로 2018년 04월01일부터 04월30일까지 경남에 소재하는 의료기관에 근무하는 방사선사를 대상으로 설문지 총400부를 배부하여 연구에 적합한 320부를 SPSS 18.0 통계 프로그램을 이용하여 분석하였다. 병원감염관리에 대한 요인으로는 병원감염에 관한 특성 5문항과 병원감염관리에 대한 인지도와 수행도로 손위생관리, 개인위생 및 의복관리, 의료기구 및 소모품관리, 청소 및 폐기물관리, 검사실 및 환경관리 등, 총60문항으로 분석하였다. 인구사회학적특성으로 성별, 결혼, 연령, 학력, 근무기관, 근무경력, 근무부서를 기준으로 기술통계, t-test, ANOVA, 상관관계 및 회귀분석을 하였다. 병원감염관리에 대한 인지도는 $4.19{\pm}.60$점으로 높게 나타났으며, 수행도에서도 $4.22{\pm}.52$점으로 높게 나타나 병원감염관리에 대한 인지도와 수행도에서 경남지역 방사선사들의 병원감염관리 수준은 높은 것으로 분석되었다. 병원감염관리에 대한 방사선사의 인지도 및 수행도는 유의한 상관관계가 있는 것으로 나타났으며, 인지요인이 수행도에 미치는 영향에 대한 다중회귀분석에서는 66.1%의 설명력과 함께 유의한 양의 영향력을 미치고 있음을 알 수 있었다. 의료기관 다양한 부서에서 근무하는 방사선사의 병원감염관리에 대한 인식을 높이기 위해서는 지속적인 감염관리교육과 더불어 병원업무 환경개선을 통한 수행능력을 향상시켜야 하며, 병원감염관리 및 예방교육에 적극적으로 참여하여 병원감염관리 업무에 대한 전문성 확보와 함께 중추적인 역할을 수행하여야 할 것으로 판단된다.

• 보건의료산업학회지
• /
• 제7권4호
• /
• pp.131-141
• /
• 2013

The purpose of this study was to investigate the long-term care hospital nurse's recognition and performance level of hospital infection control. The subjects of the study were 147 long-term care hospital nurses. The period of data collection was from April 1 to 30, 2013. The data were analyzed by SPSS 19.0 program. The result are as followed; First, the total average scores of the recognition and performance by long-term care hospital nurses of hospital infection control were $4.64{\pm}0.32$ and $4.21{\pm}0.23$. Second, recognition of hospital infection control was significantly different according to position and hospital infection control education experience. Performance of hospital infection control was significantly different according to education level and hospital infection control education experience. Third, there was a positive correlation between the degree of recognition and performance of hospital infection control. Therefore, it is suggested to apply the concrete education program to enhance the recognition in order to improve the performance of hospital infection control of the Long-term hospital nurses.

• 보건의료산업학회지
• /
• 제6권3호
• /
• pp.157-169
• /
• 2012

This survey was undertaken to identify knowledge and performance level of MRSA infection control among medium and small hospital nurses. The subjects of the study were 261 medium and small hospital nurses. The collected data were analyzed by using SPSS WIN 18.0. The total mean values of the knowledge and performance on the MRSA infection control were $9.51{\pm}1.67$ and $2.26{\pm}.47$ respectively. the Knowledge about the general characteristics according to work department, MRSA infection control department presence, MRSA infection control guidelines presence, MRSA infection control education experience, MRSA infection control education method according to the statistically significant differences were observed. The performance about general characteristics according to age, work experience, work department, MRSA infection control department presence, MRSA infection control guidelines presence, MRSA infection control education experience and MRSA infection control education methods according to the statistically significant differences were observed. It is having sufficient various facilities, to enhance nurses knowledge about management of MRSA infection. If the continuous education of professional infection control is offered, it contributes to protect MRSA infection in the medium and small hospitals.

• 대한물리치료과학회지
• /
• 제9권3호
• /
• pp.141-150
• /
• 2002

Most of physical therapists has thought be exposed themselves to risk of hospital infection but it is reported that have been low concern about infection management. Above like this haven t done systematical education on hospital infection, also physical therapist's information management of infection disease is found very low. It is lack of driving information about disease condition of the patients. Physical therapists has thought their working room may be polluted a lots of micro-organism(%). The control situation of infection waste articles, only 53% responded that the controller has managed very intensive so we can feel to need more intensive It's reported that air culture investigation of physical therapy room has never initiated. To wash the hand, before, after treatment of the patients of physical therapist, is very low frequency. And 73% have responded that the time to wash the hand stays 15-45 second. It is examined that 70% physical therapy room is equipped with washing system, a response of 58% disinfects physical therapy room 1-2times per one month. 36% responded disinfection of treatment modality have done everyday, 25% responded have never done. The location physical therapy room is above one floor - 65%. A response of 57% is ventilation system sufficiency, it is considered that physical therapists needs more efforts on management of hospital infection.

• 대한임상검사과학회지
• /
• 제48권2호
• /
• pp.130-136
• /
• 2016

제주지역 종합병원 감염관리 현황을 조사하여, 병원감염관리 실태와 문제점을 파악하고자 하였으며 감염관리의 중요성을 인식시키고 감염관리 실무자로서 임상병리사의 역할 방안을 모색하기 위하여 제주특별자치도 제주시와 서귀포시에 위치한 종합병원 7개 기관을 대상으로 감염관리 현황을 설문지를 통하여 조사하였다. 제주지역 의료기관의 감염관리는 모든 기관이 감염관리실을 운영하고 전담인력을 구성하고 병원감염관리지침을 보유하고 수행하는 우수한 점을 보였지만, 대부분의 기관이 간호사 1인 구성의 감염관리실을 운영하여 전담인력 확보 및 미생물 관련 배양 판독, 다제내성균의 출현빈도, 감염통계 등 미생물 검사에 대한 내용을 보고 받는데 많은 부분 어려움을 호소하였다. 이에 감염관리의 실질적인 업무를 담당할 수 있는 임상병리사가 의료법 시행규칙에 있는 감염관리에 경험과 지식이 있는 사람으로 충분한 자질과 경험이 있다고 생각되며 감염관리실을 운영함에 있어 감염관리간호사와 미생물에 전문적인 지식을 갖춘 임상병리사(감염관리임상병리사)가 전담자로서 업무를 수행한다면 지금보다 더욱 발전된 감염관리실 운영이 될 것으로 보이며, 향후 감염관리를 제대로 하기 위해서는 전국적으로 종합병원을 비롯한 취약한 중소병원의 감염관리에 대한 전폭적 지원과 감염관리 전문 의료시스템 도입이 중요한 과제라 사료된다.

• International Journal of Advanced Culture Technology
• /
• 제7권3호
• /
• pp.35-45
• /
• 2019

The aims of the study to investigate the relationship between awareness, empowerment and performance of healthcare associated infections (HAIs) control and to identify factors influencing performance of HAIs among general hospital nurses. Data were collected from 230 nurses in two general hospitals in B city, with the questionnaire of an empowerment, awareness and performance of infection control tool. The data were analyzed by t-test, one-way ANOVA, Pearson's correlation coefficient and multiple regressions. The performance of infection control was significantly correlated with empowerment and awareness of infection control. The empowerment had a positive correlation with an awareness of infection control (r= .233, p <.001) respectively. The infection control performance was influenced by infection control awareness, empowerment and number of annual job training, which explained 42.2% of the performance of infection control. Infection management performance of general hospitals nurses is affected not only by infection awareness but also by empowerment and job education. Therefore, it suggests that HAIs management program could develop for the nurses and provide empowerment with job training to improve the management and performance of HAIs, also to reinforce via constant support by the hospital.

• 한국병원경영학회지
• /
• 제24권3호
• /
• pp.11-26
• /
• 2019

Objectives: The purpose of this study was to investigate the effect of the perception on the quality of nosocomial infection control on perceived risk, trust, and the intention to revisit among the medical consumers. Method: 361 patients and their guardians who were hospitalized in women's hospital, Gangnam-gu, Seoul, participated in this study. The data was analyzed using SPSS Statistics 21.0. Results: The perception on the quality of nosocomial infection control had a negative(-) effect on perceived risk, a positive(+) effect on trust, a positive(+) effect on the intention to revisit. The perceived risk had a negative(-) effect on trust, a negative(-) effect on the intention to revisit. The trust had a positive(+) effect on the intention to revisit. The perceived risk was partially mediated by the perception on the quality of nosocomial infection control and the intention to revisit, while the trust was fully mediated by the perception on the quality of nosocomial infection control and the intention to revisit. Thus, it indicated that the perceived risk and trust had dual mediated effects as well as full mediated effects in the relationship between the perception on the quality of nosocomial infection control and the intention to revisit. Conclusions: The nosocomial infection control can be an important factor to contribute to hospital management by attract the loyal medical customers, not just cost-expenditure. The nosocomial infection control can help hospital revenue and customer management strategy. Thus, it will contribute to the effective marketing strategy in the medical field.

• 한국직업건강간호학회지
• /
• 제16권1호
• /
• pp.5-14
• /
• 2007

Purpose: The purpose of this study was to investigate the factors influencing performance of the clinical nurses about the management of nosocomial infection. Method: The data were collected using structured questionnaire from 300 clinical nurses from April 26, 2004 to May 20, 2004. The data analyzed by the SPSS (ver10.0)program, and it included descriptive statistics, t-test, ANOVA, the Pearson correlation coefficient, stepwise multiple regression. Result: Personal hygiene management and disinfection equipment management had the higher record than other dimensions. The level of recognition for management of nosocomial infection showed positive correlation with the level of performance for management of nosocomial infection. The level of recognition for management of nosocomial infection, working period, number of hand washing, have significant effects on the degree of a performance for management of nosocomial infection. These predictive variables of the degree of a performance for management of nosocomial infection explained 17% of variance. Conclusion: It is needed to be developed for the effective management of nosocomial infection through the educational program.

• 한국치위생학회지
• /
• 제20권5호
• /
• pp.645-653
• /
• 2020

Objectives: The purpose of this study is to identify the difference between the awareness and reuser rate of infection control t for disposable dental care supplies (DDCS) according to general characteristics and infection management-related characteristics. Methods: A questionnaire was used for 277 dental hygienists to check the general characteristics, infection management-related characteristics, awareness of infection control disposable dental care products, syringe needle, prophylaxis cup, prophylaxis brush, plastic saliva ejector, orthodontic bracket, and gloves reuse rate. Results: The awareness of infection control for DDCS differed according to 'hospital type', 'average number of patients per day', 'presence or absence of infection control guidelines', and 'experience in infection management training in the last two years' (p<0.05). Reuser rates of disposable dental care products differed according to 'hospital type', 'average number of patients per day', 'presence or absence of infection control guidelines', and 'experience in infection management training in the last two years' (p<0.05). Conclusions: In order to manage infection of DDCS, the level of infection control system in the workplace is improved and support for related education is needed. In addition, guidelines and regulations on prohibition of reuse and classification criteria for various DDCS should be prepared.