• 제목/요약/키워드: out-patient

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수술실 간호사의 환자안전의식과 안전관리활동 (A Study on Perception and Nursing Activity for Patient Safety of Operating Room Nurses)

  • 박소정;최은희;이경수;정귀애
    • 한국산학기술학회논문지
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    • 제17권11호
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    • pp.332-339
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    • 2016
  • 본 연구는 수술실 간호사의 환자안전인식과 안전관리활동을 분석한 후 상관관계를 파악한 연구이다. 목적은 수술환자의 안전관리활동 수행정도를 향상시키기 위한 교육 프로그램 개발과 안전한 수술실 환경 조성을 위한 기초자료를 제공하고자 함이다. 연구대상은 대구광역시와 경상북도에 소재한 8개 종합병원 수술실 간호사 161명이었고, 자료 분석은 SPSS 21.0 program을 이용하여 t-test, ANOVA, Correlation coefficient를 실시하였으며 사후분석으로 Scheffe's test를 실시하였다. 그 결과 수술실 간호사의 환자안전인식 점수는 5점 만점에 3.33점이었으며, 환자안전관리활동 점수는 5점 만점에 4.28점이었다. 대상자의 일반적 특성과 근무특성에 따른 환자안전인식을 분석한 결과 수술실 간호사의 근무시간에 따라서 환자안전인식이 차이가 있었으며 안전관리활동은 병상 수와 인증평가 준비 유무에 따라 차이가 있었다. 수술실 간호사의 환자안전에 대한 인식과 안전관리활동 간의 관계를 파악한 결과 유의한 양의 상관관계가 있어 환자안전인식이 높을수록 안전관리활동 정도가 높은 것으로 나타났다. 결론적으로 안전관리활동을 향상시키기 위해서는 환자안전에 대한 인식을 증가시키는 것이 필요하며, 환자안전에 대한 인식을 증가시키기 위해서는 직원 간의 개방적인 논의와 환자안전에 대한 병원의 지원 및 주기적인 교육과 같은 중재가 필요하다.

통계적(統計的) 방법(方法)에 의한 병원관리(病院管理) System 설계(設計) (Design of Hospital Management System Using the Statistic Methodologyo)

  • 이상완;이근부
    • 품질경영학회지
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    • 제13권2호
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    • pp.21-28
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    • 1985
  • The purpose of this study is to analyze the direct relationship between doctors and number of patients to be treated by applying many kinds of IE techniques. Generally, doctors in this research work both at Out Patient Data & In Patient Data. Under the hospital management system that they are applying in, doctor's daily working schedules are instable because the number of OPD patients daily. Therefore, the amount of time they spend for inward patients are variable too. So the numbers of patients have great influence to the whole hospital system management.

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총상에 의한 식도천공 치험 1례 (Esophageal Perforation due to Air-gun Shut Injury - A Report of Case -)

  • 전예지
    • Journal of Chest Surgery
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    • 제22권2호
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    • pp.342-347
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    • 1989
  • A 4-year-old male developed the esophageal perforation after air-gun shut injury in the thorax. The esophageal perforation was found on esophagogram at the next day after the accident. Because of delayed diagnosis, mediastinitis and pyopneumothorax were developed. The general conditions of the patient were very critical with sepsis on admission. Therefore, two staged operation was planned. At the first stage, exclusion and diversion of the esophagus was carried out to treat chemical pneumonitis due to gastric contents through the esophago-bronchial fistula by gastroesophageal reflux. Clinical conditions of the patient were improved after the first stage operation. At the second stage, the esophageal reconstruction with right colon was performed.

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다인설 환자의 심리행태와 건축적 대응에 관한 연구 (A Study on the Patients' Behavior and Architectural Correspondence for the Multi-patient Room)

  • 최영미;양내원
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제6권11호
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    • pp.71-78
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    • 2000
  • This study indicates bed-transfer as the significant behavior of a ward and points out architecture that cannot meet the patient's need. It is examined that inpatient's behavior depends on visibility, psychological security, privacy & communication, control, support and this study applies them to analyze the selected cases. This study also emphasizes the supportive role of hospital architecture so that the function of a ward as a healing environment may be maintained.

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국소마취하에 비디오 흉강경을 이용한 폐기포절제술 (Video-Assisted Thoracoscopic Bullectomy under Local Anesthesia)

  • 박만실
    • Journal of Chest Surgery
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    • 제27권2호
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    • pp.128-131
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    • 1994
  • Recently we performed video-assisted thoracoscopic[VAT] examination and bullectomy under local anesthesia. Of the 10 patients undergoing VAT examination under local anesthesia with primary spontaneous pneumothorax, 8 patients underwent VAT bullectomy under local anesthesia using endo-GIA; 7 patients discharged within 24 hours after operation; 1 patient had an air leak after operation, so chemical pleurodesis with doxycycline was performed and discharged postoperative day 3. There have been no recurrence to date[60-120 days after operation]. We think spontaneous pneumothorax can be treated on an out-patient basis.

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소양인(少陽人) 결흉증(結胸證)에 도적강기탕(導赤降氣湯)을 투여(投與)한 증례보고(證例報告) (A Clinical Study of the Treatment Prescribed Dojukganggi-tang for Soyangin's Gyolhyungjeung)

  • 홍세영;임은철
    • 사상체질의학회지
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    • 제13권3호
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    • pp.118-120
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    • 2001
  • Gyolhyungjeung is typical in soyangin and occur when Pyo and Li are all out of balance. The patient was treated with Dojukganggi-tang and showed improvement. This report is to describe the process and contents about the way the patient got the disease and cured.

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What is the gold standard of the dental anxiety scale?

  • Seong In Chi
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제23권4호
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    • pp.193-212
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    • 2023
  • It is important to understand patients' anxiety and fear about dental treatment. A patient's anxiety can be quantified through a self-report questionnaire, and many related scales have been developed. In this review, I tried to find out which scale is most suitable for the patient's dental anxiety and fear evaluation by examining the contents of previously developed scales and comparing the strengths and weaknesses of each scale.

요통환자의 도수교정 전.후의 천장관절 변위 비교(천골 위주로) (A comparison of sacroiliac joint subluxation before and after manipulation of patients with low back pain(by sacrum))

  • 마상렬
    • 대한물리치료과학회지
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    • 제13권1호
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    • pp.53-59
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    • 2006
  • This study was performed to assess the efficacy of manipulation for the sacroiliac joint subluxation patients. The subjects of this study ware 8 patients with sacroiliac joint subluxation who visited the out patient department of the physical therapy wooridul clinic, from January 1, 2005 through July 3, 2005. To find out the effect of manipulation, we sampled 8 patient treated with manipulation(Thompson technique), using by radiographic. All patients were treated 2days a week for 12 weeks. The results after 12 week treatment, compared with before treatment, were as follows : 1. The improved in sacrum lateral subluxation in the manipulation after 12 week treatment was very significant(p<.01) 2. The improved in sacrum rotation subluxation in the manipulation after 12 week treatment was significant(p<.05) 3. The improved in lumbo-sacral anger subluxation in the manipulation after 12 week treatment was very significant(p<.01).

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Retrobulbar Hematoma in Blow-Out Fracture after Open Reduction

  • Cheon, Ji Seon;Seo, Bin Na;Yang, Jeong Yeol;Son, Kyung Min
    • Archives of Plastic Surgery
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    • 제40권4호
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    • pp.445-449
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    • 2013
  • Retrobulbar hemorrhage, especially when associated with visual loss, is a rare but significant complication after facial bone reconstruction. In this article, two cases of retrobulbar hematoma after surgical repair of blow-out fracture are reported. In one patient, permanent loss of vision was involved, but with the other patient, we were able to prevent this by performing immediate decompression after definite diagnosis. We present our clinical experience with regard to the treatment process and method for prevention of retrobulbar hematoma using a scalp vein set tube and a negative pressure drainage system.

Waardenburg Syndrome 환아의 치과치료를 위한 정주 깊은 진정법 -증례보고- (IV Deep Sedation Management of Waardenburg Syndrome Child during Dental Treatment - A case report -)

  • 김승오
    • 대한치과마취과학회지
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    • 제6권1호
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    • pp.6-12
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    • 2006
  • IV Deep sedation is useful for Waardenburg syndrome Child undergoing extensive dental treatment. We experienced a case of dental treatment under W deep sedation in a 3 years old boy with Waardenburg syndrome. He was treated on an outpateint basis. He was diagnosed hypothyroidism and received thyroid hormone. Premedication was done using ketamine and atropine IM. Induction using $N_2O$-enflurane mask ventilation was uneventful and intravenous cathetering was carried out. IV deep sedation was maintained with midazolam-$N_2O$ combination. After monitoring the patient for 2 hours and confirming his recovery, he was discharged from the day care unit. In summary, we report this successful IV Deep sedation management of Waardenburg syndrome child during dental treatment in as out patient.

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