• 제목/요약/키워드: operation room

검색결과 867건 처리시간 0.027초

사용자 수술명과 수술분류 code (ICD-9-CM) 일치율 향상에 관한 연구 (수술실 OCS program 사용 활성화를 통하여) (Study of matching user operation name and operation classification code (ICD-9-CM) (Through OCS program use facilitation at operating room))

  • 최향하;김미영;김도진;유지원;장정화;박수정;박재성
    • 한국의료질향상학회지
    • /
    • 제12권1호
    • /
    • pp.104-112
    • /
    • 2006
  • Background : The necessity of unify and standardize codes used at hospital has been emphasized since OCS (Order Communicating System) was adopted. Therefore, the purpose of this study were to standardize operation code by continuous training of the ICD-9-CM code that is used as standard code in OCS program at operating room. Method : In 400 operation data, operation code entered in OCS program at operating room was compared to operation name recorded in medical record. In addition, a matching rate between input data of operation code by medical record department and computing input data of operation code in 3,710 cases was compared for each department. User operation name and operation code were matched and major diagnosis by operation department and operation name were also matched. Results : User operation name was reflected in operation classification code in detail, and operation code entered on user was registered. Input rate and matching rate of operation code were gradually improved after improvement activity. In particular, a matching rate was high at ophthalmology where operation name is segmented. Plastic surgery and orthopedics with a lot of emergency operation and comprehensive operation name show low input rates. Conclusions : As the medical field makes progress in computerlization, awareness of information exchange and sharing becomes higher. Among codes to classified medical institution, codes related to surgical operation are all different by user of hospital and department. Computerlization and standardization is essential. And when efforts of standardization continue in alliance with individual hospital and institution, initiative of preparing medical policy data at a national level will be accelerated.

  • PDF

오수/합병정화조의 배출물 제어시스템 연구 (The control system of sludge amount inspection and discharge materials of outlet water and affiliated water-purification tank)

  • 박주식;김건호;오지영;임총규;강경식
    • 대한안전경영과학회:학술대회논문집
    • /
    • 대한안전경영과학회 2001년도 추계학술대회
    • /
    • pp.193-202
    • /
    • 2001
  • The individual rotten water purification tank recently discharges wastewater and sewage through the outlet without purification ability. The outlet water and affiliated water purification tank with microorganism cultivator tank cultivates microorganism and then drops the value BOD, COD of sewage and discharges the quality of water into the outlet. The blower and water pump operating continuously prompts the waste of energy and deterioration of equipment. Each room of deposition tank, foaming tank, microorganism cultivator tank is equipment with the sludge detection senses so it can detect the density of each room. The power-drive plant of the blower and water pump which ate the system cultivating the microorganism must be made as fuzzy controlization (If the sludge amount of each room become higher, the rate of operation of blower and water pump must heighten, on the contrary, in case of row sludge amount, the total handling amount and microorganism handling amount of each room of control. Tank reducing the rate of operation must be DB. At present, the blower amount in proportion to the sludge and oxygen demanding amount has to control. Each mom must be checked outlet level of the outlet, also each room must flow backward discharge materials, and must operate feed-back control until we want to be come as a below value of BOD/COD(10PPM ; KS).

  • PDF

수술실 간호사의 직무스트레스, 회복탄력성, 전문직 정체성이 소진에 미치는 영향 (Influence of the Job Stress, Resilience, and Professional Identity on Burnout in Operation Room Nurses)

  • 임은진;이윤미
    • 중환자간호학회지
    • /
    • 제10권1호
    • /
    • pp.31-40
    • /
    • 2017
  • Purpose: The purpose of this study was to identify the factors influencing on burnout in operating room nurses. Methods: Using a cross-sectional design, a total of 109 operating room nurses working at 7 general hospitals with 300 beds or more in B city were analyzed. The instruments used for this study assessed job stress, resilience, professional identity, and burnout. Data was analyzed using descriptive statistics, a t-test, an ANOVA, a Pearson's correlation coefficient and a multiple regression analysis. Results: There was a statistically significant correlation between burnout and job stress (r=.53, p<.001), resilience (r=-.59, p<.001), and professional identity (r=-.47, p<.001). The factors influencing burnout include job stress (${\beta}=.27$, p<.001), resilience(${\beta}=-.37$, p<.001), dissatisfaction with the nursing job (${\beta}=.32$, p<.001), and moderate satisfaction with the nursing job (${\beta}=.19$, p=.014), and the explanatory power was 53.0%. Conclusions: The results suggest that intervention to reduce job stress and to improve resilience, which were the factors influencing burnout in operating room nurses, is necessary.

  • PDF

함정 Crew Mess Room 운용성 검증을 위한 혼잡도 평가 시뮬레이션 사례 연구 (A Simulation Case Study of Congestion Assessment for Validation of Naval Ship's Operability Performance in a Crew Mess Room)

  • 오대균;이동건
    • 한국시뮬레이션학회논문지
    • /
    • 제19권4호
    • /
    • pp.31-41
    • /
    • 2010
  • 지금까지의 함정과 관련된 연구들은 전술 체계 및 함정 개발 위주로 진행되어 왔으며 승조원의 거주 생활 환경 개선에 대한 연구는 부족했다. 본 연구 대상인 함정 crew mess room은 승조원 불특정 다수가 이용하는 함정 내 대표적인 복지 시설물로 기존의 전술 전략 중심의 모델링 및 시뮬레이션 방법론의 적용은 어려움이 있다. 이에 시설물의 혼잡도 평가 및 운용 시나리오 검증을 위한 3차원 이산 사건 시뮬레이션 기반의 시뮬레이션 모델링 프레임워크를 제안하고 구체적인 사례를 통해 대기시간 이동시간, 이동거리 등의 결과 분석을 통해 이를 검증하였다. 제안한 혼잡도 평가 시뮬레이션 프레임워크는 함정 crew mess room과 같은 복지성격의 시설물의 모델링 및 시뮬레이션을 적용하기 위한 절차 및 시스템 구성 요소를 포함하고 있으며 이는 향후 시뮬레이션 연구 수행에 가이드 역할을 수행할 수 있다.

실내 습도 증가를 이용한 무재열 냉방시스템 개선에 관한 연구 (A Study on the Improvement of a Cooling System by the Increment of Room Humidity without Reheating Process)

  • 이홍주;김용구
    • 대한설비공학회지:설비저널
    • /
    • 제16권6호
    • /
    • pp.613-619
    • /
    • 1987
  • In a room air conditioning cooling system, if the room-sensible-heat-factor as plotted on a Psychrometric Chart intersects the saturation curve below the apparatus leaving air dewpoint, reheat must be used to maintain the design room air conditions. However, if the design room humidity is permitted to be raised to some degree, the cooling system will not require reheat as a new room-sensible-heat-factor line is developed between the apparatus leaving air dew-Point and the adjusted design room air conddition point. The advantages to this are the cost of reheat equipment and operation can be avoided. The cycle of this system can be shown on a Psychrometric Chart to plot the design condition points.

  • PDF

실온동작 세라믹 가스센서의 제작 및 특성 (Fabrication of Ceramic Gas Sensors at Room Temperature and Characteristics)

  • 정재업;윤여경;이성필
    • 한국전기전자재료학회:학술대회논문집
    • /
    • 한국전기전자재료학회 2003년도 하계학술대회 논문집 Vol.4 No.2
    • /
    • pp.814-817
    • /
    • 2003
  • As additive Pt of a little to $SnO_2$ that gas sensing property is superior oxide-semiconductor material to fabricate gas sensor that operation is possible at room temperature and fabricated ceramic gas sensing devices. And, the change amount and sintering temperature of addition material investigated gas sensitivity by change of operation temperature, humidity relativity, Long-term stability and hysteresis. And achieved SEM and XRD analysis for characteristics searching examination of devices.

  • PDF

조선시대 성균관 유생 식당의 급식운영 고찰 및 급식비용의 추정 (A Study of Operation of Sungkyunkwan(成均館) Dining Room and Estimation of Food Cost)

  • 한복진;차진아
    • 한국식생활문화학회지
    • /
    • 제18권5호
    • /
    • pp.457-465
    • /
    • 2003
  • The purpose of this study was to review the operation systems and estimate the food cost of the dining room(進士食堂) in Sungkyunkwan, the highest national education institute of confucianism in the Chosun dynasty. ${\ulcorner}$the true records of the Chosun dynasty(朝鮮王朝實錄)$\lrcorner$, $\ulcorner$Taehak-Ji(太學志)$\lrcorner$ and $\ulcorner$Banjungjabyoung(泮中雜詠)$\lrcorner$were reviewed. Because the foodservices for the students were related to the Wonjeom(圓點) regulation, the qualification for the national examination(大科), Chosun dynasty government took the much considerations for the operation of the foodservice. Especially, YangHyunGo(養賢庫) was established to support the finances for Sungkyunkwan and took an important role to procure all the supplies including food. The budget of the foodservice was on a large scale. Over 960 suks(石) of rices were needed for the 200 students, and it can be converted as 276,480,000 won for the current price and the food cost per meal can be estimated about $4,000{\sim}5,000$ won.

태양열을 이용한 흡수식 냉방기의 동특성 시뮬레이션 (Dynamic simulation of a solar absorption cooling system)

  • 정시영;조광운
    • 설비공학논문집
    • /
    • 제10권6호
    • /
    • pp.784-794
    • /
    • 1998
  • The present study has been directed at developing thermal models to investigate the dynamic behavior of a solar cooling system including an absorption chiller, solar collectors, a hot water storage tank, a fan coil unit, and the air-conditioned space. The operation of the system was simulated for 8 hours in two different operation modes. In the mode 1, the system operated without any capacity control.0 the mode 2, an auxiliary boiler supplied heat to the generator if hot water temperature became lower than a certain value. Moreover, the mass flow rate of hot water to the generator was controlled by comparing the instantaneous room air temperature with the design value. The variation of temperature and concentration in the system components and that of heat transfer rates in the system were obtained for both modes of operation. It was found that the room temperature was maintained near the desired value in the mode 2 by supplying auxiliary heat or controlling the mass flow rate of hot water, while the deviation of room temperature was quite great in the mode 2.

  • PDF

수술대기실 환자현황판을 이용한 수술진행 정보제공이 환아 어머니의 불안에 미치는 효과 (The Effect of Informational Intervention Delivered by Electronic Patient Information Board in The Waiting Room on The Anxiety of Mothers Whose Children Underwent Elective Surgery)

  • 홍희정;이명선
    • 성인간호학회지
    • /
    • 제16권3호
    • /
    • pp.388-397
    • /
    • 2004
  • Purpose: The purpose of this study was to explore the effectiveness of informational intervention delivered by electronic patient information board in the OR waiting room for reduction of anxiety of mothers with child having operation. Method: Nonequivalent control group non-synchronized design was used in this study. The subjects was 52 mothers whose children underwent elective surgery in one Pediatric Hospital. Informational intervention in this study consisted of four critical stages. State anxiety by Spielberger, mean arterial pressure, and heart rates at preoperative and postoperative period were measured. The data were analyzed by using Chi-Square test and t-test with SPSS/PC 10.0 program. Results: 1) There was a significant difference in the state anxiety between the control and the experimental groups. 2) There was no significant difference in the mean arterial pressure between the two groups. 3) There was no significant difference in the heart rate between the two groups. Conclusion: The results of this study indicate that informational intervention delivered by electronic patient information board would be an effective intervention during the operation in reducing anxiety of mothers with child having operation.

  • PDF

어린이도서관 디지털자료실의 사례분석 연구 - 노원어린이도서관을 중심으로 - (A Study on the Case Analysis of Digital Materials in Children Library - Based on Nowon Children Library -)

  • 이경민
    • 한국도서관정보학회지
    • /
    • 제36권4호
    • /
    • pp.349-364
    • /
    • 2005
  • 제7차 교육과정은 어린이의 개성과 창의성 개발을 중시하고 학생의 자발적인 활동과 디지털 자료를 활용하는 교수-학습 방법을 권장하고 있다. 학생 중심의 자기 주도적 학습이 강조되고 스스로 문제해결 능력을 배양하기 위해 컴퓨터와 정보통신기술의 패러다임을 기반으로 어린이도서관에서도 디지털 자료실의 이용현황과 이용자 만족도 및 요구사항을 분석함으로 향후 디지털 자료실 운영 시 고려할 사항을 제시할 필요가 있다. 이에 본 연구에서는 2003년 2월에 개관한 노원어린이도서관 디지털 자료실을 대상으로 운영 및 이용 현황을 분석함으로써 어린이도서관 디지털 자료실의 효과적인 이용을 통한 운영시 고려할 사항을 제시하고 보다 적극적인 정보서비스를 제공하는데 토대를 마련하고자 한다. 2장에서는 어린이도서관의 개념과 어린이도서관 내 디지털자료실의 개념적 모델을 정립하고3장에서는 노원어린이도서관 디지털 자료실의 운영현황을 분석하고 디지털자료실 이용자초등학생 100명을 대상으로 이용현황 및 요구사항을 분석한다. 4장에서는 분석을 통해 나타난 이용현황 및 요구사항을 기반으로 어린이도서관 디지털자료실 운영 시 고려해야 할 사항을 제시하고 결론을 맺고자 한다.

  • PDF