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A Study of the Planning Guidelines to Ensure the Safety of Geriatric Long-term Care Hospitals

환자 안전을 고려한 노인요양병원 실내건축디자인 가이드라인 연구

  • Chun, Soo-Kyung (Department of Interior Architecture, Hanyang University)
  • Received : 2021.11.06
  • Accepted : 2021.12.13
  • Published : 2021.12.30

Abstract

Providing a safe patient environment is one of the basic rights of patients. The environmental conditions required for patient safety can vary depending on the severity and vulnerability of the patients. Given that the accidents related to patient safety, including all types of errors, mistakes, or accidents occurring a hospital, are directly related to the patient's lives, providing an appropriate medical environment for patients is the most important factor when determining the quality of medical services. Recently, the number of geriatric long-term care hospitals has increased. However, it has been revealed that many safety-related accidents are occurring in the geriatric long-term care hospitals due to a lack of understanding of the physical characteristics of elderly patients. In this regard, this paper aims to provide guidelines to ensure a safe hospital environment for elderly patients in geriatric long-term care hospitals. In this study, we initially reviewed domestic and international standards, guidelines, and related previous studies and safety-related factors were summarized. Secondly, based on an analysis of the existing factors, expert interviews and case studies were conducted according to the factors and the current statuses of facilities were analyzed. Lastly, the guidelines for ensuring patient safety in geriatric long-term care hospitals were provided.

Keywords

References

  1. Act on the Promotion of Convenience for the Disabled, the Elderly and Pregnant Women. (2021, November 17).
  2. AHIA (Australasian Health Infrastructure Alliance) (2015). Australasian Health Facility Guidelines, part B-Health Facility Briefing and Planning
  3. Building code. (2021, November 17).
  4. Calkins, M. P., S. Biddle, & O. Biesan. (2012). Contribution of the Designed Environment to Fall Risk in Hospitals. Concord, CA: Center for Health Design.
  5. Chun. S., & Nam. K. (2017). A Study on the Development of the Healing Environment Evaluation Criteria for Elderly Care Hospital focusing on the Elderly Inpatient Characteristics, Korean Institute of interior design journal, 26(4), 22-29. https://doi.org/10.14774/JKIID.2017.26.4.022
  6. Department of Health. (2014). General Design Guidance for Healthcare Buildings. Health building note, London.
  7. Fire Act. (2021, November 17).
  8. Go. J., & Kim. I. (2020). Healing Environment Analysis and Improvement Strategy for Geriatric Hospital Bedroom, Korean Institute of Spatial design, 15 (7), 263-276.
  9. Kohn LT., Corrigan JM., & Donaldson MS(eds.). (2003). To error is human: Building a safer health system. Washington D.C.: National Academy Press
  10. Kim, D. (2010). Planning for healing environment through evidence-based design: focusing on geriatric hospital, Yonsei University, Master thesis.
  11. Kim, H., Park, S., Lee, H., & Kim, Y. (2019). A Study on Fire Evacuation and Evacuation Countermeasures for Patients in Elderly Hospital, International Conference of the Korean Institute of Ecological architecture and Environment, 19(2)
  12. Kim, M. (2011). Concept analysis of patient safety, Jouranl of Korean Academy of Nursing, 41(1), 3-8
  13. Kim, S., Lee, J., & Kang, K. (2003). A study on the architectural planning of geriatric hospitals: focused on analyzing the spatial organization and size of major areas, Korean Institute of Interior design journal, 36, 69-75
  14. Kim, Y. M., Kil, Y. K., Min, J., Jung, Y. Y., & Choi, E. K. (2009). Safety care, Korean Nurses Association.
  15. Kim. Y., & Yang. N. (2003). A Study on the Architectural Planning for Improvement of the Healing Environment in Multi-bed Room of General Hospitals, Korean Institute of interior design journal, 36, 76-83.
  16. Lee, J. H., & Lee, S. I. (2009). Patient safety, Journal of Korean Society of Quality Assurance in Health Care, 15(1), 9-18.
  17. Lee, H., & Park, J. (2005). A study of the spatial composition and departmental area distribution in geriatric hospital, Korea Institute of Healthcare Architecture, 11(3), 19-30.
  18. Lee. L., & Lee. H. (2016). A Study on Characteristics of Sensory Richness Towards Healing Environments at the Lobby of Geriatric Hospital Using Biophilic Design Approach, Korea Institute of Healthcare Architecture, 25(6), 21-30.
  19. Lee, T., & Yoon, S. (2001). A study on the special composition for ward in geriatric hospital, Korea Institute of Healthcare Architecture, 7(2), 59-70.
  20. Medical Act. (2021, November 17).
  21. Ministry of Health and Welfare. (2013). Geriatric Long-Term Care Hospital Certification Criteria. Seoul.
  22. Park, S. (2007). A study on the architectural planning of women's hospital by the evaluation of the healing environment, Kyungpook National Univerisity.
  23. Quan, X., A. Joseph, & U. Nanda. (2017). "Developing Evidence- Based Tools for Designing and Evaluating Hospital Inpatient Rooms." Journal of Interior Design, 42 (1):19-38. doi:10.1111/ joid.12091.
  24. Son, Y. (2012). A study on the environmental characteristics of women's hospital wards in the aspect of user sensibility, Hanyang University.
  25. The Facility Guidelines Institute. (2014). Guidelines for Design and Construction of Hospitals and Outpatient Facilities.
  26. The Korean Academy of Clinical Geriatrics. (2018). The textbook of Geriatric Medicine, Doctor's book
  27. World Health Organization. (2009). Final technical report for the conceptual framework for the international classification for patient safety. Retrieved January, 2021, https://www.who.int/patientsafety/taxonomy/icps_full_report.pdf