• 한국산학기술학회논문지
• /
• 제17권11호
• /
• pp.332-339
• /
• 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.

• 대한간호학회지
• /
• 제52권4호
• /
• pp.378-390
• /
• 2022

Purpose: This study developed an in-service training program for patient safety and aimed to evaluate the impact of the program on nurses in the operating room (OR). Methods: A pretest-posttest self-controlled survey was conducted on OR nurses from May 6 to June 14, 2020. An in-service training program for patient safety was developed on the basis of the knowledge-attitude-practice (KAP) theory through various teaching methods. The levels of safety attitude, cognition, and attitudes toward the adverse event reporting of nurses were compared to evaluate the effect of the program. Nurses who attended the training were surveyed one week before the training (pretest) and two weeks after the training (posttest). Results: A total of 84 nurses participated in the study. After the training, the scores of safety attitude, cognition, and attitudes toward adverse event reporting of nurses showed a significant increase relative to the scores before the training (p < .001). The effects of safety training on the total score and the dimensions of safety attitude, cognition, and attitudes toward nurses' adverse event reporting were above the moderate level. Conclusion: The proposed patient safety training program based on KAP theory improves the safety attitude of OR nurses. Further studies are required to develop an interprofessional patient safety training program. In addition to strength training, hospital managers need to focus on the aspects of workflow, management system, department culture, and other means to promote safety culture.

• 산업공학
• /
• 제24권4호
• /
• pp.274-280
• /
• 2011

Delayed access to surgery may lead to deterioration in the patient condition, poor clinical outcomes, increase in the probability of emergency admission, or even death. The purpose of this work is to decide the number of patients selected from a waiting list and to schedule them in accordance with the operating room capacity in the next period. We formulate the problem as an infinite horizon Markov Decision Process (MDP), which attempts to strike a balance between the patient waiting times and overtime works. Structural properties of the proposed model are investigated to facilitate the solution procedure. The proposed procedure modifies the conventional value iteration method along with the binary search technique. An example of the optimal policy is provided, and computational results are given to show that the proposed procedure improves computational efficiency.

• 간호행정학회지
• /
• 제9권2호
• /
• pp.193-203
• /
• 2003

Purpose : The purpose of this study was to develop the Operating Room Nursing Malpractice Scale and to test reliability and validity of the instrument and to describe frequency of malpractice. Method : The subjects used to verify the Scale's reliability and validity were 179 nurses who working at 3 university hospital and 6 general hospital in Busan and Kyoung nam province from september 1 to October 10, 2002. The data was analyzed by the SPSS/ WIN 10.0 program. Result : The factor analysis classified a total 5 factors statistically, it's communality was 44.18%. Item content are as follows. The factor were 'malpractice in the patient's preparation', 'malpractice in nursing technique', 'malpractice in the management of the environment', 'malpractice of the patient's security', 'malpractice in the supervision of the patient'. The most frequent malpractice was 'The patient complained of waiting for a long time to go back from the operating room because of inadequate communication with another department'. Conclusion : The scale of operating room nursing malpractice was to prevent the severe nursing accident and to provide the basis of needs of educational program.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제25권3호
• /
• pp.47-55
• /
• 2019

Purpose: This study tries to propose the dimensions and area related to patient bed and surroundings in ICU considering nurses' observation and medical care. Methods: Literature survey, 11 Case studies, some Interviews with nurses and measuring of medical equipments' dimension in ICU have been mobilized in order to deepen the ICU bed area standards. Results: 0.3m clearance between head wall and patient bed is necessary for emergency cases. The minimum distance at the foot of the bed should not be less than 0.9m for EMR cart and medical tray. The clear floor area of one bed and surroundings in open ward is $10.2m^2(3m{\times}3.4m)$. In a single-bed patient room, the minimum clear floor area is $16.0m^2(4m{\times}4m)$. Considering the control of cross infection in ICU, Single bed patient room is recommended. Implications: The result of this study can be applied to the design of ICU and legislation of ICU standard.

• 동서간호학연구지
• /
• 제29권1호
• /
• pp.24-32
• /
• 2023

Purpose: This study aims to examine level of perception and performance of privacy protection behavior of anesthesia and operating room (OR) nurses for patients who underwent general anesthesia surgery. Methods: Data collection was conducted from August 2020 to January 2021 for a total of 101 participants, consisting of 49 patients and 52 nurses. Independent t-test and Pearson's correlation were conducted using SPSS 21. Results: Anesthesia and OR nurses showed the highest score in patient privacy, followed by patient information management, body privacy, and the lowest score in communication. There was a significant difference between the patient information and the communication. Conclusion: Anesthesia and OR nurses had the highest level of perception and performance of patient privacy protection behavior for body privacy, and the lowest for communication. In addition, there was a significant difference in patient information management and communication. In order to protect the privacy of patients undergoing general anesthesia surgery, efforts are needed to learn standardized nursing knowledge, attitudes, and practice.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제24권1호
• /
• pp.33-40
• /
• 2018

Purpose: The main objective of this paper is, to assess environment, care process, and patient-related factors associated with patient falls. The study also aims at identifying various factors that would affect inpatient falls and, therefore, helping both caregivers and designers contribute to better prevent inpatient falls in their own areas of expertise. Methods: A retrospective analysis of inpatient falls that occurred in the unit of General Medicine in the United States has been conducted and environment, care process, patient-related factors associated with those falls have been analyzed at the same time. Results: The study identified several factors associated with inpatient falls. They range from environmental factors to care process- and patient-related factors. Patient visibility and patient accessibility can matter to patient falls and where those falls occur, along with patient days per room, the percentage of patient days with high fall risk patients per room, the percentage of high fall risk patients per room. Implications: The findings of the study can provide design implications that can be incorporated into design process and design decisions to promote fall prevention in inpatient care units. Inpatient falls can be effectively reduced when caregivers and designers work together to understand the complex nature of inpatient falls and the importance of multidisplinary efforts among various experts in the areas of healthcare.

• 한국콘텐츠학회논문지
• /
• 제17권10호
• /
• pp.268-279
• /
• 2017

본 연구는 응급실 간호사를 대상으로 환자안전문화에 대한 인식, 환자안전역량, 안전간호활동의 관계를 파악하기 위하여 시도되었다. 연구대상은 9개 종합병원에서 근무하는 1년 이상의 경력간호사 중 응급실에서 근무하는 간호사 121명을 대상으로 하였으며, 연구도구는 환자안전문화, 환자안전역량, 안전간호활동의 구조화된 설문지를 이용하였다. 본 연구 결과 환자안전문화에 대한 인식은 5점 만점에 3.51, 개인차원의 환자안전 지식/태도가 가장 높게 나타났다. 환자안전역량은 5점 만점에 3.60으로 나타났으며, 하위영역은 태도 3.91, 기술 3.47, 지식 3.24 순이었다. 안전간호활동은 5점 만점에 3.85로 나타났으며 하위영역은 투약 간호가 가장 높게 나타났다. 안전간호활동과 환자안전문화에 대한 인식(r=.40, p<.001), 환자안전역량과 안전간호활동(r=.70, p<.001), 환자안전역량과 환자안전문화(r=.40, p<.001) 모두 정적상관이 있는 것으로 나타났다. 특히 환자안전문화에 대한 인식, 환자안전역량, 안전간호활동에 차이를 보이는 특성 중 최근 1년 이내 안전교육을 받은 것이 영향을 미치는 것으로 나타나 임상현장에서 이루어지는 안전교육의 중요성이 부각되었다. 또한 환자안전역량의 하위영역 중 지식 영역의 점수가 가장 낮게 측정되어 환자안전 관련 지식수준을 높이기 위한 노력이 필요하다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제20권1호
• /
• pp.7-14
• /
• 2014

Purpose: In this study, we performed ventilation simulations for a standard isolation ward including three intensive care rooms, one anteroom(buffer room), and its recommended ventilation equipments. The purpose of this study is to predict outflow of pathogenic bacteria from patient breath to verify the reliability and the safety of the isolation ward. Methods: We suppose three scenarios of the movement of medical staff. The leakage of patient's breath to out of the ward is predicted in these scenarios using CFD simulations. Results: The patient's breath leakage rate to out of the ward in scenario 1 according to room air changes per hour(ACH : 6 and 12) is predicted to be 0.000057% and 0.00002%, respectively. The patient's breath leakage rate to out of the ward in scenario 2 according to room air changes(ACH : 6 and 12) is predicted to be 0.00063% and 0.00019%, respectively. The patient's breath leakage rate to out of the ward in scenario 3, which is the worst case(6 room air changes) is predicted to be 0.1%. Implications: Through the ventilation simulation like that in this study, the reliability and the safety on isolation performance of various plan of isolation ward are predicted quantitatively.

• KIEAE Journal
• /
• 제17권1호
• /
• pp.55-61
• /
• 2017

Purpose : As the necessity of reinforcement of infections management in medical facilities after MERS increased, Ministry of Health and Welfare promulgated the enforcement regulations of medical law on February 3, 2017. Its main objective is to improve patients' safety and medical-care quality through the establishment of isolation facilities from infectious diseases and the set-up of standards for In-patient and ICU facilities. The purpose of this study is necessarily to propose a standardized spatial composition model for ward modules by analyzing changing environments of in-patient facilities according to the strengthened medical law. Method: Theoretical studies will be undergone of Evidence-based Designs to improve patients' safety, medical quality, and domestic/overseas in-patient room guidelines. With reference to the status of 24 general hospitals over 500 beds, the spatial compositions of the in-patient rooms and the types of multi/single bed room modules will be analyzed. The directions of future in-patient room module changes through the study of the minimum ward module types and various ward types will be presented. Result: This paper will hopefully provide guidelines for hospitalization rooms that can be applied to the revised rules of medical law enforcement and provide a basis for a comprehensive study of patients' safety and efficient infection control as well.