• 제목/요약/키워드: operation room

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수술방 화재: 수술 종료 시 알코올 함유 피부 소독액을 이용한 수술부위 세척 이후 전기소작기 사용 주의 (Operation Room Fire: Caution for Using Electrocautery after Rinsing Operation Field at the End of the Surgery with Alcohol-Based Cleansing Solutions)

  • 송종근;신효정;이준용
    • 대한화상학회지
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    • 제22권2호
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    • pp.34-37
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    • 2019
  • Fires in operating rooms rarely occur. However, this type of disaster can complicate almost any surgical procedure. Fuel, heat and oxygen are related with fire outbreak. When ignition sources such as alcohol-based surgical preparation solutions are present, the risk of an operating room fire increases, and burns are more severe in such conditions. Many manufacturers recommend waiting at least three minutes after application to allow complete drying for reduce fire risk. There are a few studies regarding flame burns in the operation room, although most of these studies are related to preoperative skin preparation. However, alcohol containing solutions can be used occasionally for cleansing of the operation field after the surgery, therefore, the surgical team should pay attention to surgical fires, even if they have completed the operation successfully. We present our case of a post-operative flame burn and introduce some precautions that will reduce the risk of alcohol burns.

재난현장 소방공무원의 회복실 운영모델 개발 (Using AHP to Develop a Rehabilitation Room Management Model for Fire Officers at Disaster Sites)

  • 임동균;채진
    • 한국화재소방학회논문지
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    • 제34권4호
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    • pp.115-124
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    • 2020
  • 본 연구에서는 소방공무원의 안전과 회복탄력성 향상을 위한 재난현장 소방공무원 회복실 운영모델을 제공하고자 한다. 이를 위하여 해외의 운영사례 및 선행연구의 회복실 운영 관련 요소들을 분석하여 관리적 요인과 운영 인력적 요인, 설비적 요인, 접근성 및 편의성 요인 등으로 분류하고, 상대적 중요도를 측정하였으며, 분야별 중요도의 하위 계층에 대한 중요도를 측정하여 재난현장 소방공무원 회복실 운연을 위한 항목들의 우선순위를 파악하였다. 전문가 분석을 실시한 결과 재난현장 회복실 운영에서 운영 인력적 요인이 가장 중요한 것으로 나타났으며, 접근성 및 편의성 요인, 관리적 요인, 설비적(비품) 요인, 설비적(장비) 요인의 순으로 나타났다. 이를 기반으로 재난현장 회복실 운영 가이드라인을 제안하였다.

수술실 내 C-arm 장치의 산란선 분포에 대한 연구 (The Study on Scattered Ray by C-arm in Operation Room)

  • 박성현;박주미;김현수
    • 대한디지털의료영상학회논문지
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    • 제13권1호
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    • pp.21-26
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    • 2011
  • A radiation imaging system used in a surgery room is mainly using C-arm which is purposed to fluoroscope. C-arm is often use to watch an operation's accuracy and progress, but not only being bombed to this first beam but also affected to this scattered beam, so now we are look for the way to reduce bombed amount of doctor, nurses and radiological technologists. We measured the exposure dose in $0^{\circ}$ spot according to the distance to find out frequency distribution of scattered ray in an operation room and found the spot which has the same exposure dose from $30^{\circ}$ distance of all directions and wrote isodose curve. We analyzed the data and found out the sudden reduction of scattered ray according to the long direction also found out that scattered ray was not related to the directions. Operators must recognize the reduction of exposure dose. Because reducing scattered ray from all directions in an operation room is really difficult. So every operators must use shelters to reduce the exposure dose and notice the safety.

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실시간데이터를 활용한 응급의료 프로세스 운영에 관한 연구 (A Study on Operation Problems for the Emergency Medical Process Using Real-Time Data)

  • 김대범
    • 한국시뮬레이션학회논문지
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    • 제26권3호
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    • pp.125-139
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    • 2017
  • 최근 응급의료 서비스의 질 제고에 관심이 높아지고 있는 가운데 응급의료 프로세스의 혁신에 많은 노력을 기울이고 있다. ICT기술의 급속적인 진전에 의해 응급의료 프로세스의 자동화 또는 지능화가 가속화되고 있다. 본 연구는 자원 활용 최적화, 인적오류 최소화 그리고 진료 예측가능성 제고를 고려한 실시간데이터 기반 응급실 운영 방안을 제안한다. 응급실 운영지수-응급 케어지수, 체류 단축지수, 인적오류 유발지수, 대기 인내지수-를 개발하고, 이를 기반으로 한 응급실 운영규칙을 제시한다. 가상의 축소 응급실을 대상으로 시뮬레이션을 실시하여 제안한 운영규칙의 효과성을 검증하였다. 시뮬레이션 결과 응급실 체류시간에서 우수한 성능을 보였다.

Design of Semiconducting Gas Sensors for Room-Temperature Operation

  • Song, Young Geun;Kim, Gwang Su;Ju, Byeong-Kwon;Kang, Chong-Yun
    • 센서학회지
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    • 제29권1호
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    • pp.1-6
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    • 2020
  • Gas sensors that operate at room temperature have been extensively studied because of sensor stability, lift time, and power consumption. To design effective room-temperature gas sensors, various nanostructures, such as nanoparticles, nanotubes, nanodomes, or nanofibers, are utilized because of their large-surface-to-volume ratio and unique surface properties. In addition, two-dimensional materials, including MoS2, SnS2, WS2, and MoSe, and ultraviolet-activated methods have been studied to develop ideal room-temperature gas sensors. Herein, a brief overview of state-of-the-art research on room-temperature gas sensors and their sensing properties, including nanostructured materials, two-dimensional materials, the ultraviolet-activated method, and ionic-activated gas sensors, is provided.

수술 중 정보제공을 통한 환자 부모 및 가족의 만족도 증진 (Improvement of Parent and Family Satisfaction by Offering Informational Interventions throughout Surgery)

  • 홍희정;이명애
    • 한국의료질향상학회지
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    • 제7권1호
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    • pp.90-104
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    • 2000
  • Background : This study was designed to assess the effects of information on the satisfaction of parents and families whose children underwent elective surgery in the Pediatric Operating Room. Methods : We measured parent and family satisfaction with information given before and after offering informational interventions. The data were collected from 510 patients parents and families whose children had undergone elective surgery in the Pediatric Operating Room of Seoul National University Hospital in Seoul. South Korea. The data collection ran from May 3. 1999 to May 30. 1999 and from September 6, 1999 to September 30, 1999. The research instrument consisted of four categories (pre-operative period, intra-operative period, post-operative period, others) and 24 questionnaires. SPSS was used to analyze the data. Results : The major findings of this study are summarized as follows: 1. Before surgery, the satisfaction with the following was increased: the explanations of the necessary preparation for the surgery (6.0%), the time the patient would enter the operating room (20.6%), the operative procedure (2.0%), and the use of the waiting room (10.0%). 2. During the operation, the satisfaction with the situation board (15.1%), public announcements in the waiting room (8.4%), and the answering of the families questions (12.2%) was increased. however, the satisfaction with the surgeons explanations of the surgical outcomes decreased by 8.3%, even though the frequency of these explanations increased by 5%. 3. After surgery, the satisfaction with the following was increased: the explanations of patient's status of recovery(10.3%) the time the patient would be moved from the recovery room (17.6%), how the patient would be transferred to the ward (19.2%), and post-operative care (6.3%). Conclusion : Based upon the above findings, we concluded that pre-, intra-, and post-operative informational interventions were effective in increasing the satisfaction of the parents and families of children undergoing elective surgery.

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지방의료원 수술부 배치 및 규모에 관한 연구 - 순면적을 중심으로 (A Study on the Location and Area Composition of the Operation Department in Regional Public Hospitals - Focused on Net Floor Area)

  • 윤우용;채철균
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제25권4호
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    • pp.93-104
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    • 2019
  • Purpose: To establish the building guidelines and to analyze the function of Regional Public Hospitals, the survey was conducted primarily on the current status focusing on the location and relationship of the department, area composition ratio, area per bed, and area per operating room. Methods: The research methods of this paper are as follows. 1) A literature survey on the function of the operating and related departments, 2) A drawing analysis for spatial composition and net area calculation. Results: The area of the Operation Department in the Regional Public Hospitals with 200 to 300 beds are as follows. Area ratio: 3.35%, area per Bed: 2.53㎡/bed, the number of beds per operating room: 64.37bed, area per operating room: 146.46㎡/n, area per operating room by plan type: integration corridor 133.84㎡/n, separation corridor 184.82㎡/n. Implications: This paper analyzed data on the current state of Operation Departments for setting up the function and role for the Regional Public Hospital. In the future, it is also required to provide size that takes into account user behavior and the user's psychological aspect in order to suggest appropriate area.

농촌마을 활성화를 위한 도농교류센터 건축계획에 관한 연구 (A Study on the Architectural Planning of Urban-Rural Exchange Center for the Activation of Rural Village)

  • 조원석;김흥기
    • 한국농촌건축학회논문집
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    • 제13권2호
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    • pp.31-38
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    • 2011
  • The domestic rural villages have faced on the many problems in future society. The major purposes of this paper are to clarify in space program for the Rural Activating through the Urban-Rural Exchange. Firstly, it has examined the rural amenities of rural resources, such as natural surroundings, culture, history, landscape, economy, community power etc. Secondary, it was checked about analysis of operation programs corresponding to the rural resources. Thirdly, These space program of Urban-Rural Exchange, which has been archived process of spacial planning, was investigated the spacial conditions corresponding to the operation programs. To make Urban-Rural Exchange Center, it was necessary to analyze physical spacial size of building gross area, by data of cross checking with the area per capita and area per household in the rural village. According to the research, Urban-Rural Exchange Center was to be included visiting center, multipurpose room and dining room, exhibiting space, conference room, experience room, welfare space and specialized room with activation of rural village. However additional conditions are required that it is based on the sustainable development, environmentally friendly architecture both operation program and space program for the value of common society, citizen and villagers.

의학과 학생들의 수술실 임상실습 중 실신 및 실신 전조증상 경험 빈도 (Prevalence of Operation Room-Related Syncope and Presyncope among Medical Students)

  • 최성진;박경혜;한경희;박은영;김성훈;어영
    • 의학교육논단
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    • 제20권2호
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    • pp.112-117
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    • 2018
  • Attending the operation room is an essential part of surgical clerkships. Syncope or presyncopal attacks in the operation room may negatively affect students' learning and career development. This study set out to identify the prevalence of syncope and presyncopal attacks in the operation room during medical students' surgical clerkships. Data from 420 medical students (303 men and 117 women) in their 3rd year of clerkship were collected between 2014 and 2017. An anonymous questionnaire was distributed to assess the prevalence and degree of syncope and presyncopal symptoms. A total of 27% of the respondents had experienced syncope or presyncopal symptoms, 49.6% of the female students and 18.8% of the male students (p<0.001). Fifty students (43.5%) had been attending as observers at the time of the syncopal attack, while 65 students (56.5%) had been participating as assistants. Thirty-four students (29.6%) had recently eaten at the time of the syncopal attack, while 81 students (70.4%) had not recently eaten. Prodromal symptoms included the urge to sit down (21.2%), sweating (19.3%), nausea (16.9%), a feeling of warmth (13.3%), darkened vision (12.6%), yawning (11.7%), palpitation (11.0%), ear fullness (10.2%), black spots in one's vision (7.6%), and hyperventilation (7.1%). This study showed the prevalence of syncope and presyncopal symptoms in the operation room during surgical clerkships. For students' safety and effective clerkship learning, thorough proactive education on syncopal attacks is required.

중국 종합병원 수술부 관련 법·제도에 관한 연구 (A Study on the relevant laws and regulations for Operation Department of General Hospital in China)

  • 여정;윤우용;채철균
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제23권3호
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    • pp.39-46
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    • 2017
  • Purpose: Here is little information about China's operation department of general hospital in Korean medical architecture papers, which is inconvenient for scholars engaged in medical building research and comparison. Furthermore, Surgery is to provide patients with surgery and rescue sites, is an important technical department of the hospital, and then with the development of medical technology and people's trust in medical science, the role of the operating room will become increasingly important. Therefore, the purpose of this research is to analyze history, changes and definitions of the operating room and China's operation department of general hospital related laws and regulations for future research to provide effective analysis of data, and find shortcomings. Methods: This research was conducted according to the relevant laws, books, and papers of the operation department of Chinese general hospital. Results: At present hospital construction in China is in the period of rapid development and coupled with the growing medical technology, operating room layout and configuration is still in the continuous trial of continuous improvement stage. Overall, it requires more detailed guidelines to improve the quality of the operating room. Implications: Implications: It is expected that the research of this paper will provide an effective reference for the future research of the operation department of China General Hospital, which can promote and improve the work system of the operation department of China General Hospital.