• Title/Summary/Keyword: Hospital design

Search Result 2,931, Processing Time 0.029 seconds

Predicting Patient Safety Behaviors of Nurses in Inter-Hospital Transfer (전원 관련 안전간호수행에 영향을 미치는 요인)

  • Park, Sunhee;Lee, Taewha
    • Journal of Korean Academy of Nursing Administration
    • /
    • v.22 no.3
    • /
    • pp.230-238
    • /
    • 2016
  • Purpose: The purpose of this study was to investigate predictors of nurses' patient safety behavior during inter-hospital transfer. The study was based on the Theory of Planned Behavior (TPB). Methods: A descriptive survey design was used. Data were collected with a self-administrated 39-item questionnaire completed by 111 nurses from a university hospital in Seoul, South Korea. The questionnaire was developed based on the Theory of Planned Behavior (TPB) guideline and included measure of self-reported past patient safety behaviors, intentions, attitudes, subjective norms and perceived behavioral controls. Ethical approval was granted by the hospital review board. Hierarchical regression analyses were carried out. Results: The average score of patient safety behavior was $4.21{\pm}0.63$ (5 point scale). The TPB variables explained 49.9%of the variance in patient safety behavior. Intention and subjective norm were the most significant predictors of nurses' patient safety behavior. Attitude was related to nurses' patient safety behavior. Conclusion: TPB variables predicted the nurses' patient safety behavior during inter-hospital transfer of patients except for perceived behavioral controls. The results of this study suggest that better strategies for subjective norms and intentions related to patient safety behavior will be helpful in safety culture reform.

Relationship between Hospital Case Mix and Costs and Incomes of Tehran Heart Center

  • Langroudi, Hamed Rahimpour;Kakhani, Mohammad Jamil;Hojabri, Roozbeh
    • Asian Journal of Business Environment
    • /
    • v.7 no.3
    • /
    • pp.17-22
    • /
    • 2017
  • Purpose - Clarifying one of the biggest public Hospital Costs and incomes according to patients' case mix. It leads to prepare financial information about pubic medical tariffs and hospital operational costs. Research design, data, and methodology - This study calculates the costs both, with and without taking into account capital costs. This holds for comparison of hoteling based on case mix in all medical procedures. The checklists were reviewed and filled by reviewing accounting documents of the hospital, warehouse exclusion list, and daily books of laundry and CSR. Data was analyzed descriptively by using Excel. Results - In both cases, the hospital is losing in terms of hoteling. Because the buildings and equipment are new, this loss is not tangible. However, this will be revealed when costs of reconstruction and replacement of equipment. The loss rate per day of hospitalization was 569318 Rials for Coronary Care Unit (CCU), 528171 Rials for Post Intensive Care Unit (Post ICU), 474570 Rials for ICU, 233183 Rials for Post CCU and 204803 for Surgical ward. Conclusions - Income of hoteling was lower than its costs. ANOVA showed a strong relationship between case mix and hospital costs as well as case mix and its income. This suggests that optimal case mix can minimize the costs and maximize income.

The Effects of Multimedia Educational Program on Knowledge and Behaviors of Preschool Children in Preventing Respiratory Disorders (호흡기 질환 예방을 위한 멀티미디어 교육이 학령전기 환아의 지식 및 행위에 미치는 효과)

  • Son, Ji Young;Park, Yeon Hong;Park, Mi Hee;Son, Eun Sa;Park, Jin Young;Kim, Soon Hee
    • Journal of Korean Clinical Nursing Research
    • /
    • v.14 no.1
    • /
    • pp.173-185
    • /
    • 2008
  • Purpose: The purpose of this study was to identify the effects of multimedia educational program of the prevention of respiratory disorders on knowledge and behavior of preschool children. Method: The research design used a nonequivalent control group pre-posttest. 32 subjects in the control group received no intervention, 33 subjects in experimental group received a multimedia educational program that consists of video, named 'The strong girl and weak girl', 5 different picture boards, method of hand washing, tooth brushing, and reinforcement. The data were analyzed by using $x^2$-test and t-test for determining of homogeneity and testing the hypothesis. Results: There were significant increases in knowledge and behavior in the experimental group compared to the control group. Conclusion: From the results of this study, the multimedia educational program significantly increased knowledge and behaviors of preschool children for preventing respiratory disorders. These findings suggest that a multimedia educational program can be used as an efficient nursing intervention of preschool children for preventing respiratory disorders.

  • PDF

Factors Associated with Injuries after Inpatient Falls in a Tertiary Hospital (상급종합병원 입원환자의 낙상 후 상해 실태 및 상해에 영향을 미치는 요인)

  • Cho, Moon Suk;Lee, Hyang Yuol
    • Journal of Korean Clinical Nursing Research
    • /
    • v.23 no.2
    • /
    • pp.202-210
    • /
    • 2017
  • Purpose: In this study an investigation was done of injuries from inpatient falls and diagnostic tests and treatment after falls to identify what factors affect the occurrence of injury from inpatient falls in a tertiary hospital. Methods: Data for this cross-sectional study were retrieved for 428 fall events from data reported between January 1 and December 31, 2015 and were retrieved from the patient-safety reporting system in the hospital's electronic health records. A multivariate logistic regression model was developed with STATA 13.0. Results: Of the patients, 197 (46.0%) had physical injuries due to falls, 119 (27.8%) were given further diagnostic tests, and 358 (83.6%) received treatment including close observation after inpatient falls. Logistic-regression results identified that age, department, and risk factors had significant impact on injuries from falls. Conclusion: Findings indicate that to reduce the severity of injury after inpatient falls, each hospital should regularly evaluate identified factors, design fall-prevention practices specialized for elders and vulnerable patients, and initiate environmental and equipment innovations.

A study on the development of hospital rounds information system utilizing NFC (NFC를 활용한 병원 회진 안내 시스템 개발에 관한 연구)

  • Lee, Hyo Seung;Oh, Jae Chul
    • Smart Media Journal
    • /
    • v.5 no.3
    • /
    • pp.67-73
    • /
    • 2016
  • Now, Korean health technology and health service is proud to be world class one at a level of not falling behind anywhere in the world. However, this health service has been provided, centering on hospital or medical staff, not patient so far. And there is a tendency to gradually change into patient-centered health service. According to the results of survey performed by Korea Institute for Health and Social Affairs, it was reported that, as of 2016, 30% or more of inpatients were not sufficiently given information relating to hospital rounds, and in particular, 50% or more of inpatients in their twenties to thirties expressed discontent, and approximately 17% of inpatients in their seventies and beyond expressed discontent. In the light of these data, especially inpatients in their twenties to thirties want information relating to hospital rounds and the like. And taking into consideration that they are characterized by being accustomed to using a smartphone, it is intended to design and implement a hospital rounds information smartphone application. Now, in some of medium and large hospitals, information about hospital is provided through smartphone application. However, the main purpose is hospital information or outpatient's appointment to see a doctor and so on. Even in case of providing information about hospital rounds, only information about approximate time to make rounds is provided. This paper is intended to design and implement hospital rounds information system making it possible to check their turn when rounds are made by utilizing NFC function in smart phone.

Korean Domestic Trends of Clinical Research and Direction of Intervention for Fibromyalgia (섬유근통에 대한 국내 임상 연구 동향 및 중재 방향)

  • Lee, Jung-Han;Geum, Ji-Hye;Woo, Hyeon-Jun;Lee, Chang-Hoon;Chung, Chong-Hyuk;Lee, Myeung-Su
    • The Journal of Churna Manual Medicine for Spine and Nerves
    • /
    • v.15 no.2
    • /
    • pp.43-54
    • /
    • 2020
  • Objectives The purpose of this review was to analyze the trend of clinical research related to fibromyalgia and to suggest the direction of intervention Methods We reviewed the clinical research by searching seven Korean web databases and classified the studies by the year of publication, academic field, and study design. Results A total of 75 clinical studies were selected. Except for 2002, more than one study was annually published; however, the number was below 10. In the academic field, there were 34 in the medical field, 21 in the Korean medicine field, and 15 in the nursing science field. By study design, there were 62 observational studies, mostly case reports and case-control studies. There were 13 experimental studies, including non-random control studies and one group pre and post-test design studies. Conclusions Fibromyalgia-related clinical research requires a greater number of studies, and a study design with a high level of evidence should be conducted along with various observational and intervention studies. Additionally, multidisciplinary and integrated intervention plans and research are needed.