• Title/Summary/Keyword: ICU planning and design

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The Operation Analysis of Signalized Intersections Using ICU Method (ICU 방법을 활용한 신호교차로 운영분석)

  • Kim, Young Chan;Jeon, Jae Hyeon;Jeong, Young Je;Kim, Eun Jeoung
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.29 no.1D
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    • pp.41-48
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    • 2009
  • The capacity analysis of signalized intersection usually includes a HCM method used at home and abroad and a ICU method this study presents. The HCM method focuses on operation analysis measuring an intersection's delay in terms of given traffic volume, signal operation, and intersection structure data. This method includes planning and design analysis, but these analyses are complex due to being possible through repetitive operation analysis. However the ICU method is a powerful tool for planning and design analysis, because these are possible through brief traffic volume and geometry structure data and consider minimum green time. In this study, the authors studied the ICU method and compared the HCM and ICU by analyzing traffic volume scenarios. Also to consider effectiveness for application of the ICU method, the authors applied the ICU to capacity analysis of intersections on urban arterial for setting major intersection and effect analysis for changing crosswalk type, the number of lane, lane use and operation form of left turn. The result of the analyses shows that the ICU method can measure correct capacity of intersection consist of a broad road in urban area, and is effective for planning and design analysis. This study is expected that traffic experts can grasp correct intersection's capacity and carry out a proper planning or improvement by applying the ICU method to planning and design analysis.

A Study on the Space Design for Nosocomial Infection Control in Intensive Care Unit (병원 감염관리를 위한 중환자부 공간계획에 관한 연구)

  • Lee, Hyunjin;Kim, Khilchae;Oh, Young-Hun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.22 no.4
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    • pp.87-95
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    • 2016
  • Purpose: Recently an experience in the MERS crisis focused on the importance of infection control in hospitals. According to Korean National healthcare-associated Infection Surveillance System (KONIS) of the KSICP, a great number of 498 people, 841 people, and 1021 people were infected by pneumonia, urinary tract infection, and bacteremia respectively from 94 hospital ICUs during the year of 2014. Therefore, the purpose of this study is to investigate the configuration and design guidelines for the ICU rooms to minimize the nosocominal infections. Methods: Based on the several infection control guidelines and revised Medical Law, consequent analyses which classified the planning and operational behavior in the ICUs of seven hospitals, were performed to reduce the cross-infection. Results: The results of this study are offering a space, configuration and design guidelines for effective infection control in the intensive care units through the unit-bed area, the bed-to-bed distance, the isolation room, etc. Implications: It is expected that this study propose the direction of architectural planning and guideline for the ICU room in order to realize the intension of revised Medical Law.

A Study on the Development of Predictive Model for Patient Visibility in Korean Intensive Care Units (ICUs) - Focused on "Corridor or Continental" type units

  • Ullah, Ubaid;Park, Jae Seung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.22 no.3
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    • pp.27-34
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    • 2016
  • Purpose: The purpose of this paper is to develop a predictive model for patient visibility in Korean ICUs (corridor or continental type). Methods: The measures of static visibility were used to quantify the patient visibility (upper third part of the patient bed) from the nurse station. The measure of space programme and area distribution (patient zone percentage, staff zone percentage and departmental gross square meter per patient bed) were calculated by using AutoCAD and MS Excel programs. Regression analysis was conducted for visibility as dependant variable with independent variables of patient area percentage, staff area percentage as well as departmental gross square meter per bed by using IBM SPSS. Results: (1) Average patient visibility and percentage of patient area in ICU shows a strong negative correlation ($r^2$=0.66), p=0.01. (2) Patient visibility in Korean ICU (corridor or continental type) can be calculated as below with the given conditions: Y= $-1.449(X)+124.3{\pm}6$, Y is the total visibility of the ICU (corridor or continental type) and X is the percentage of patient area in the unit. Conditions:1. Given that the unit has a mixed programme of open bed and closed patient rooms and 2. The unit have a minimum of 20% patient rooms. Implications: This study may contribute to the visibility analysis of existing and future ICU design (corridor or continental type) in Korea to achieve maximum patient visibility and reduced patient mortality.

A Comparative Analysis of Patient Visibility, Spatial Configuration and Nurse Walking Distance in Korean Intensive Care Units(ICUs) - Focused on single corridor, Pod and Composite type units

  • Ullah, Ubaid;Park, Jae Seung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.22 no.4
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    • pp.37-45
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    • 2016
  • Purpose: The purpose of this paper is to analyze a sample of single corridor, pod type and composite type of ICUs in terms of patient visibility, spatial configurations and nurse walking distance focused on Korean cases. Methods: The measures of static visibility were used to quantify the patient visibility (upper third part of the patient bed) from the nurse station. The measure of space programme and area distribution (patient zone percentage, staff zone percentage, circulation zone percentage, corridor length per bed, distance from nurse station (NS) to patient bed and departmental gross square meter (DGSM) per patient bed) were calculated by using AutoCAD and MS Excel programs. In the second step of analysis the values of space distribution were compared among the three type of ICUs as well as the nurse walking distance, DGSM per bed and gross factor. in the third step of analysis regression analysis was conducted for the possible correlation between visibility and space programme and area distribution factors as well as nurse walking distance factors. Results: (1) It was found that on average composite type unit offer highest value of patient visibility followed by pod type, while single corridor type unit offers the minimum value of patient visibility among the three plan typologies. (2) Average patient visibility and DGSM per bed shows a strong positive correlation ($r^2=0.75$) and p=0.026. (3) Average patient visibility and average distance from NS has a strong negative correlation ($r^2=0.78$), and P=0.02. (4) On average composite type unit offer the minimum walking distance from NS (7.22 meter) followed by pod type unit (8.35 meter) and single corridor (9.76 meter). (5) Maximum distance from NS was noted in single corridor (18.19 meter) followed by pod type unit (15.14 meter) and Composite type unit (11.1 meter). Implications: This study may contribute to the visibility analysis of existing and future ICU design in Korea to achieve maximum patient visibility and reduced nurse walking distance.