• Title/Summary/Keyword: Ward Monitoring

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Characteristics of Spatial Environment in Psychiatric Wards through the Analysis by Patient's Preferred Healing Environment in Observational Ward Structure Dividing Staff Area and Patient Area (정신요양 병동에서의 관리영역과 환자의 요양 공간영역의 관찰적 시선에 따른 병동구조와 요양 공간환경의 특성에 관한 연구)

  • Joo, Yongsun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.27 no.2
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    • pp.57-64
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    • 2021
  • Purpose: The relationship between the staff area and the patient's private area is the key factor in designing the structure and the environmental characteristics of ward spaces in a psychiatric hospital. Recent research has found that for the purpose of treatment and securing privacy, psychiatric patients need to be in an open space of relief rather than closed confined environment and under the watch of nursing staffs. Methods: A survey at three kinds of wards in a private psychiatric hospital in Japan was conducted in October 2002. These wards include an acute ward, a psychiatric convalescence ward, and a stress care ward. All three kinds of wards have the same structure. At each ward, spatial preferences of the 145 psychiatric inpatients were surveyed and data concerning the patient's diagnostic category, symptoms, and activities of daily living were recorded. Results: The patients in the stress care ward prefer to stay in private spaces than public spaces. On the other hand, in the acute ward the patients seem to have a preference between managed public spaces where are monitored by nursing staffs and their private rooms where the nurse station is close. In addition, the patients in the psychiatric convalescence ward spend most of their time in the public space, such as the hallways or the day room. Implications: Base on this research, the spaces at the acute ward that could be monitored by the nursing station serves effectively as a safety space for patients was concluded. However, in the stress care ward, the patients may perceive the monitoring by the nursing staff as interruption or nuisance to their relaxation. In order to design an ideal healing environment for psychiatric patients in psychiatric ward, it is important to consider how environmental characteristics of space affect the environmental sense of patients in each ward.

Implementation of A Hospital Information System in Ubiquitous and Mobile Environment

  • Jang, Jae-Hyuk;Sim, Gab-Sig
    • Journal of the Korea Society of Computer and Information
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    • v.20 no.12
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    • pp.53-59
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    • 2015
  • In this paper, we developed a Hospital Information System in which the business process is formalized and a wire/wireless integrated solution is used. This system consists of the administration office program, the medical office program, the ward management program and the rounds management program. The administration office program can enroll and accept patients, issue and reissue the RFID card. The medical office program inputs a medical examination and treatment, outputs a diagnosis, requests a hospitalization, retrieves the record of a medical examination and treatment, assigns the corresponding examination room to the accepted patients, and updates the number of an waiting patient and a patient number according to the examination room on real time. The ward management program handles hospitalizations and leaving hospital, a nurse's note, and an isolation ward monitoring. The rounds management program handles a medical examination and treatment, and a leaving hospital using PDA. This developed system can be built at low cost and increase the quality of the medical services highly by making it automated the medical administration automation. Also the small number of the medical staffs can manage the inpatients efficiently by using the monitoring functions.

The Development and Implementation of Ward Monitoring Service Using Bluetooth Low Energy Scanners for Infectious Disease Response (감염병 대응 비콘 스캐너 기반의 병실 모니터링 서비스 개발)

  • Lee, Kyu-Man;Park, Ju-young
    • Journal of Digital Convergence
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    • v.15 no.3
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    • pp.287-294
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    • 2017
  • This study attempted to develop a beacon scanner based ward monitoring service in order to respond to the new paradigm of medical environment which is trying to introduce ICT technology as medical service to track and manage the spread path of large infectious diseases such as MERS. The study also included beacon hardware development, firmware development for the beacon low-power bluetooth 4.0, and server and web-based dashboard UI development. Using these, we have developed a customized monitoring system that provides functions such as locating patients by location based service and monitoring based on web UI. It is possible to maximize the efficiency of offline hospital services and to value active infection control and patient safety by integrating online technology into the area where online technologies such as beacons are not properly integrated.

Structural health monitoring and resilient assessment by novel intelligent models

  • C.C. Hung;T. Nguyen;C.Y. Hsieh
    • Structural Monitoring and Maintenance
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    • v.10 no.4
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    • pp.339-360
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    • 2023
  • In this paper, to assess the performance of a multi-span simply supported RC bridge, the dynamic characteristics of the bridge were measured and determined by structural health monitoring and resilient assessment via operational modal analysis as well as FE modeling. Supporting finite element (FE) models were created and analyzed according to the design drawings. This study used 2D plane monitoring of locations of hole in the infill wall and used 3D health monitoring and resilient assessment. From the results of 3Dsymmetric frame, if the frame is unsymmetrical, the used model can lead to the reduction in the internal forces. The recommendations from this study is from some discrepancies observed between 2D and 3D models, if possible 3D model should be used in analyzing the real frames.

Concept Analysis of Relocation Stress - Focusing on Patients Transferred from Intensive Care Unit to General Ward - (전실 스트레스[relocation stress]의 개념분석 - 중환자실에서 일반 병실로 전실하는 환자를 중심으로 -)

  • Son, Youn-Jung;Hong, Sung-Kyung;Jun, Eun-Young
    • Journal of Korean Academy of Nursing
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    • v.38 no.3
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    • pp.353-362
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    • 2008
  • Purpose: This study was conducted to analyze and clarify the meaning of the concept for relocation stress -focusing on patients transferred from an intensive care unit to a general ward. Methods: This study used Walker and Avant's process of concept analysis. Results: Relocation stress can be defined by these attributes as follows: 1) involuntary decision about relocation, 2) moving from a familiar and safe environment to an unfamiliar one, 3) broken relationship of safety and familiarity, 4) physiological and psychosocial change after relocation. The antecedents of relocation stress consisted of these facts: 1) preparation degrees of transfer from the intensive care unit to a general ward, 2) pertinence of the information related to the transfer process, 3) change of major caregivers, 4) change in numbers of monitoring devices, 5) change in the level of self-care. There are consequences occurring as a result of relocation stress: 1) decrease in patients' quality of life, 2) decrease in coping capacity, 3) loss of control. Conclusion: Relocation stress is a core concept in intensive nursing care. Using this concept will contribute to continuity of intensive nursing care.

SPEEDUP applications in control and optimization of process plant

  • Mushin, D.A.;Ward, P.S.;Pantelides, C.C;Macchietto, S.
    • 제어로봇시스템학회:학술대회논문집
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    • 1989.10a
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    • pp.841-843
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    • 1989
  • Aspects of modelling, performance monitoring, control and optimisation are discussed, with particular reference to the application of SPEEDUP. A new facility is described which allows SPEEDUP to operate in conjunction with other systems and several examples are briefly given of its power and flexibility. In particular, its use in on-line applications alongside plant management and distributed control systems is described and how it can be used in scheduling/sequencing problems in investigating batch and cyclic problems.

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Comparision Between Noise Levels of Hospital Wards and the Nurses Efforts for Noise Management in Selected General Hospital (종합병원 병동별 간호사실의 소음정도와 간호사실들의 소음인지도 및 소음관리노력 비교)

  • Jung, Hyun-Wook
    • Korean Journal of Occupational Health Nursing
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    • v.10 no.2
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    • pp.174-182
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    • 2001
  • This study was performed to find out the differences between noise levels of hospital wards and the nurses efforts for noise management in some general hospitals. The hospital wards selected were the intensive care unit(ICU), the emergency room(ER), the nursery room(NR), the internal medicine(IM), the general surgery(GS) among the 5 general hospitals located in Seoul. The data were collected from August 3 to September 13, 1999 through questionnaire survey and noise measurement in each nursing station of hospital wards. Data analysis was done by SPSS 8.0 package among the 305 questionnaires and 24 hours monitored noise levels. Frequency, Chi-square and ANOVA test were used. The study results were as belows: 1. The noise level measured by 24 hours monitoring survey were exceeded on the standard limit in all the hospital wards. Data also showed that noise levels were significantly different in each ward among the three shifts working duties. 2. The subjects were all female nurses. They were mostly working in the ICU ward(28.9%). They were 26~30 years old (43.9%), junior college graduates(57.0%), working for 1~5 years(55.1%) as staff-nurse(85.6%). There were no significant differences between hospital wards and general characteristics of nurses. 3. The noise levels perceived by nurses were regarded as 'Highly noisy'(56.4%), especially during the 11:30 and 15:30 (30.2%) o'clock. Data also showed that noise education was not ever given to nurses(89.9%). Nurses also responded that they hardly put an effort to reduce noise level(54.8%). However, there were significant differences between wards and noisy working time, experience of noise education and level of effort for noise reduction. 4. Nurses also perceived the ventilator alarm and EKG-alarm as the most disturbing sounds in the ICU, human voice and telephone ringing in the ER, human voice and EKG-alarming in the NR, human voices and telephone ringing in IM and GS both wards respectively in order. There were significant differences between hospital wards and noise making factors. 5. Nurses were shown that they regarded highly 'Sound reduction of the human voice', 'Careful handling on medical instruments', and 'Immediate appliances on alarming materials' as the practical method for noise management. There were significant differences between hospital wards and behavioral practical efforts for noise management. According to that results, the statistical differences were shown in the 24 hour monitored noise levels in each ward. Also, nurses perceived the noise severity differently and they approached variously on the practical efforts for noise reduction in each ward. Thus, author thinks that concrete and systematic endeavor will be necessary for noise reduction and management in hospitals for better working and healing environment for both of patients and staffs.

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Evaluation of Airborne Bacteria and Fungi in Surgical Areas at the Animal Hospital

  • Jeong, Seongsoo;Kang, Yuntae;Hwang, Yawon;Yoo, Seungwon;Jang, Hyejin;Oh, Hyejong;Kang, Jihoon;Chang, Dongwoo;Na, Kijeong;Kim, Gonhyung
    • Journal of Veterinary Clinics
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    • v.34 no.2
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    • pp.76-81
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    • 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.

Monitoring of Methicillin-resistant Staphylococcus aureus in Nasal Swabs Obtained from Dental Clinic Healthcare Providers and Medical Environment Nurses

  • Han, Seung-Ho;Song, In-Sook;Kim, Jong-Koan;Park, Jum-Gi;Park, Jang-Hwan;Lee, Myeong-Jae;Kim, Shin-Moo;Kim, Kang-Ju
    • International Journal of Oral Biology
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    • v.35 no.1
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    • pp.7-12
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    • 2010
  • The aims of this study were to investigate the nosocomial infection route of methicillin-resistant Staphylococcus aureus (MRSA) and explore preventative methods for this pathogen that involve blocking its dispersion. We cultured MRSA from nasal cavity swabs collected between June and July 2008 that we obtained from eight dental healthcare providers, 32 nurses and the sputum specimens of two patients from our hospital. In addition, we used VITEK 2 equipment to measure drug sensitivity, and we further performed biochemical testing and pulse-field gel electrophoresis (PFGE) to isolate MRSA colonies. The incidence of these bacteria on the nasal swabs was 25.0% from dental clinic healthcare providers, 13.6% from the internal medicine ward nurses and 30.0% from intensive care unit nurses. Moreover, MRSA was detectable in sputum specimens of ward patients. The antimicrobial agents resistance and partial PFGE types of MRSA showed a similar pattern. We suggest from these analyses that nasal cavity infection by MRSA could occur by cross contamination between healthcare providers and patients which underscores the importance of stringent MRSA management practices.

Front and Rear Vehicle Monitoring System using Ultrasonic Sensors (초음파 센서를 이용한 차량 전·후방 감시 시스템)

  • Choi, Hun;Jang, Si-Woong
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.16 no.6
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    • pp.1125-1132
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    • 2012
  • The researches on driver assistance systems that can prevent an accident have been actively performed due to social issues of traffic accidents with development of vehicle industry in recent. It is required for researchers to develope systems which assist driver's perception and judgment when considering that over 70% of traffic accidents occur by drivers' carelessness and 75% of the total accidents occur at the speed of less 29km per hour. In this paper, we implemented a front and rear vehicle monitoring system that monitors distance from a vehicle to obstacles in real-time at the low-speed or back-ward driving. The proposed system consists of ultrasonic sensors of high angle and wide angle of beam spread, ATmega128, and DSP processor.