• Journal of The Korea Institute of Healthcare Architecture
• /
• v.30 no.1
• /
• pp.7-17
• /
• 2024

Purpose: This study is to present basic data and standards for calculating the space composition and area required when planning a neonatal intensive care unit. Methods: Review domestic and foreign facility standards and regulations related to the current neonatal intensive care unit, select a regional neonatal intensive care center designated by the Ministry of Health and Welfare as a case hospital, and organize a space program for the construction plan of the neonatal intensive care unit through analysis of characteristics such as facility size and function composition. Results and Implications: The size, facility area, and detailed room composition characteristics of the neonatal intensive care unit in Korea were confirmed, and essential rooms and appropriate areas were derived when planning the construction of the neonatal intensive care unit. Korea's legal facility standards related to neonatal intensive care units are lower than the actual hospital status and overseas standards, and the facility standards of the medical law need to be improved.

• Journal of Korean Academy of Nursing
• /
• v.20 no.1
• /
• pp.16-37
• /
• 1990

A cost analysis for hospitalized patients was carried out based upon Patient Classification System(PCS) in order to determine an appropriate nursing fee. The data were collected from 21 nursing units of three teaching hospitals from April 1 to June 30, 1989. first, all of the 22,056 inpatients were classified into mildly ill(Class Ⅰ), moderately ill(Class Ⅱ), acutely ill(Class Ⅲ), and critically ill(Class Ⅳ) by the PCS which had been carefully developed to be suitable for the Korean nursing units. Second. PCS cost accounting was applied to the above data. The distribution of inpatients, nursing costs, and nursing productivity were as follows : 1) Patient distribution ranged from 45% to class Ⅰ, 36% to class Ⅱ, 15% to class Ⅲ, and 4% to class Ⅳ, the proportion of class Ⅳ in ‘H’ Hospital was greater than that of the other two hospitals. 2) The proportion of Class Ⅲ and Ⅳ in the medical nursing units was greater than that of surgical nursing units. 3) The number of inpatients was greatest on Tuesdays, and least on Sundays. 4) The average nursing cost per hour was W 3,164 for ‘S’ hospital, W 3,511 for ‘H’ hospital and W 4,824 for ‘K’ hospital. The average nursing cost per patient per day was W 14,126 for ‘S’ Hospital, W 15,842 for ‘H’ hospital and W 21,525 for ‘K’ hospital. 5) The average nursing cost calculated by the PCS was W 13,232 for class Ⅰ, W 18,478 for class Ⅱ, W 23,000 for class Ⅲ, and W 25,469 for class Ⅳ. 6) The average nursing cost for the medical and surgical nursing units was W 13,180 and W 13,303 respetively for class Ⅰ, W 18,248 and W 18,707 for class Ⅱ, W 22,303 and W 23,696 for class Ⅲ, and W 24,331 and W 26,606 for class Ⅳ. 7) The nursing costs were composed of 85% for wages and fringe benefits, 3% for material supplies and 12% for overhead. The proportion of wages and fringe benefits among the three Hospitals ranged from 75%, 92% and 98% for the ‘S’, ‘H’, ‘K’ hospitals respectively These findings explain why the average nursing cost of ‘K’ hospital was higher than the others. 8) According to a multi- regression analysis, wages and fringe benefits, material supplies, and overhead had an equal influence on determining the nursing cost while the nursing hours had less influence. 9) The productivity of the medical nursing units were higher than the surgical nursing units, productivity of the D(TS) - nursing units was the lowest while the K(Med) - nursing unit was the highest in 'S' hospital. In ‘H’ hospital, productivity was related to the number of inpatients rather than to the characteristics of the nursing units. The ‘K’ hospital showed the same trend as ‘S’ hospital, that the productivity of the medical nursing unit was higher than the surgical nursing unit. The productivity of ‘S’ hospital was evaluated the highest followed by ‘H’ hospital and ‘K’ hospital. Future research on nursing costs should be extended to the other special nursing areas such as pediatric and psychiatric nursing units, and to ICU or operating rooms. Further, the PCS tool should be carefully evaluated for its appropriateness to all levels of institutions(primary, secondary, tertiary). This study took account only of the quantity of nursing services when developing the PCS tool for evaluating the productivity of nursing units. Future research should also consider the quality of nursing services including the appropriateness of nursing activities.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.18 no.4
• /
• pp.75-87
• /
• 2012

Purpose: As the nation is becoming an aging society, there is an increasing number of the patient who has Diseases of cardiovascular disease. So it is necessarily to build a facility which provides specialized health care. Methods: Field surveys to facilities and analysis to the floor plan have been conducted in order to suggest adequate architectural composition to the specialized cardiovascular center and the dimensions of rooms. Results: The result of this study can be summarized into six points which contain guide to how to organize the specialized cardiovascular center. One of the most important things in this study is to suggest the architectural type which provides efficient collaborating system between the outpatient and angiography unit. Implications: It can be said that this paper can be useful research material when the architect tries to plan the specialized cardiovascular center.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.20 no.3
• /
• pp.27-40
• /
• 2014

Purpose: As the nation is becoming an aging society, there is an increasing number of the patient who has Neuroscience disease. So it is necessary to build a facility which provides specialized health care. Methods: Field surveys to facilities and analysis to the floor plan have been conducted in order to suggest adequate architectural composition to the specialized neuroscience center and the dimensions of rooms. Results: The result of this study can be summarized into six points which contain guide to how to organize the specialized neuroscience center. One of the most important things in this study is to suggest the architectural type which provides efficient collaborating system between the outpatient and angiography unit. Implications: It can be said that this paper can be useful research material when the architect tries to plan the specialized neuroscience center.

• Journal of Korean Physical Therapy Science
• /
• v.2 no.1
• /
• pp.405-411
• /
• 1995

The objective of this study was to find out the present status of the physio - therapeutic facilities in oriental hospitals The material were used in this study The literatures or annual reports of 15 oriental hospitals which present the status of input resources of physio-therapy departments and performances, Major findings of this study were as follows The average scale of input resource of physio-therapy departments are in difference among hospitals a) number of rooms : 4.5 in average(5.1 in university hospitals, 3.5 in other hospitals) b) size of therapeutic facility' area : $20.0m^{2}$ in average($19.3m^{2}$ in university hospitals, $20.3m^{2}$ in other hospitals) c) number of therapists : 8.6 in average(9.3 in university hospitals, 7.5 in other hospitals)

• Journal of Korean Critical Care Nursing
• /
• v.6 no.1
• /
• pp.34-43
• /
• 2013

Purpose: This study was conducted to examine the relationship among task interruption, task performance, and burn-out in nurses working at emergency room. Methods: The subjects of this study were 225 working at emergency rooms of 19 hospitals. Data was collected by using the structured questionnaire, including frequency of task interruption. problems in task performance due to interruption, and burn-out. Results: The average scores of task interruption were 2.06 due to communication, 1.49 due to treatment and record, and 1.39 due to other services (range 1-4). Frequency of task interruption was significantly correlated with task performance and burn-out. Conclusion: Emergency room nurses experienced some task interruption. The task interruption can influence upon task performance and burn-out of emergency room nurse.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.13 no.1
• /
• pp.7-15
• /
• 2007

The medicine is used for diagnosis, treatment or prevention of disease and consequently has an important influence upon human life and health. Its effectiveness and safety must be guaranteed. In order to achieve the facility that meets GMP, KFDA has provided standards for quality assurance of the manufacture, examination and tests of medical supplies. The result of this study were as follows : the GMP facilities are divided into work, lab/test and storage spaces, and the systematic corridor. The clean rooms are mainly installed in work and lab/test spaces, and maintain class 10,000 in average. The individual space for the procedures that requires class 100 is not provided as a separate division. Instead, they are performed in the clean bench of the laboratory.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.10 no.2
• /
• pp.7-18
• /
• 2004

As a society advances and develops more rapidly, there is a corresponding increase in an aging population; and therefore, transportation and transportation needs develop in a complicated way. In these times, medical rehabilitation services are required and the demands for these services will increase as time passes. Moreover, the scope of disability as defined by the government has been expanded owing to the welfare policy for the disabled. Therefore, the number of disabled who require medical services is on the rise. Along with an increase in medical rehabilitation demands, the necessity for medical rehabilitation increases as well and its role becomes more diverse on a wider spectrum. However, architectural studies on rehabilitation facilities have been insufficient and there are many problems currently in facilities operations. This study aims to present a spatial organization system along with required space that would form the basis for the most effective spatial plan and facility operation for rehabilitation hospitals.

• Journal of Veterinary Clinics
• /
• v.34 no.2
• /
• pp.76-81
• /
• 2017

Studies on the concentration of airborne microorganisms in human medicine as a part of a study on the nosocomial infections have been conducted properly, but in veterinary medicine, there has been rarely performed in Korea to the best of study's knowledge. The purpose of this study was to evaluate the distribution of airborne microorganisms and to identify their species in different places in the animal hospital to alert the necessity of thorough cleanliness management. This study evaluated the concentrations of airborne bacteria and fungi in hospital areas, such as patient waiting room, internal medicine ward, surgical ward and radiological diagnostic ward. The concentration of bacteria and fungi was significantly lower (p < 0.05) in two operating rooms and higher in the patient waiting room. The dominant species of bacteria were Micrococcus spp., Staphylococcus spp., and fungi were Penicillium spp., Dermatophyte mold. Animal hospitals need to perform proper procedures for disinfection, sterilization, and environmental cleaning as well as appropriate employee training and monitoring in order to the maximum prevention of the risk of nosocomial and surgical infections.

• Journal of Korean Neurosurgical Society
• /
• v.62 no.1
• /
• pp.35-45
• /
• 2019

Objective : To describe our experiences with a fully equipped high-end digital subtraction angiography (DSA) system within a hybrid operating room (OR). Methods : A single-plane DSA system with 3-dimensional rotational angiography, cone-beam computed tomography (CBCT), and real-time navigation software was used in our hybrid OR. Between April 2014 and January 2018, 191 sessions of cerebrovascular procedures were performed in our hybrid OR. After the retrospective review of all cases, the procedures were categorized into three subcategorical procedures : combined endovascular and surgical procedure, complementary rescue procedure during intervention and surgery, and frameless stereotaxic operation. Results : Forty-nine of 191 procedures were performed using hybrid techniques. Four cases of blood blister aneurysms and a ruptured posterior inferior cerebellar artery aneurysm were treated using bypass surgery and endovascular trapping. Eight cases of ruptured aneurysm with intracranial hemorrhage (ICH) were treated by partial embolization and surgical clipping. Six cases of ruptured arteriovenous malformation with ICH were treated by Onyx embolization of nidus and subsequent surgical removal of nidus and ICH. Two (5.4%) of the 37 cases of pre-mature rupture during clipping were secured by endovascular coil embolization. In one (0.8%) complicated case of 103 intra-arterial thrombectomy procedures, emergency surgical embolectomy with bypass surgery was performed. In 27 cases of ICH, frameless stereotaxic hematoma aspiration was performed using $XperGuide^{(R)}$ system (Philips Medical Systems, Best, the Netherlands). All procedures were performed in single sessions without any procedural complications. Conclusion : Hybrid OR with a fully equipped DSA system could provide precise and safe treatment strategies for cerebrovascular diseases. Especially, we could suggest a strategy to cope flexibly in complex lesions or unexpected situations in hybrid OR. CBCT with real-time navigation software could augment the usefulness of hybrid OR.