• 제목/요약/키워드: Patient accident

검색결과 592건 처리시간 0.03초

교통사고로 한방병원에 입원한 환자에 대한 후향적 분석 - 일개 한방병원을 중심으로 (A clinical analysis of Admission Patients in Korean Medicine Hospital due to Traffic Accident)

  • 조민군;안훈모;나삼식
    • 대한의료기공학회지
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    • 제17권1호
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    • pp.109-126
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    • 2017
  • Objectives : The purpose of this study was to investigate the characteristics of inpatients who were admitted to Korean medicine hospital due to traffic accident. Methods : We analyzed statistical study in 137 patients, who had admitted to M korean medicine hospital, in Gimpo city, Gyeonggi Province from January 1st, 2017 to June 31th, 2017 according to medical charts. Results : 1. In distribution according to age and sex, people in their 50s numbered the most. The 137 inpatients comprised of male (46.0%) and female (54.0%). 2. In distribution according to types of accident, Rear-end collision accident numbered the most (34.3%), followed by Frontal collision (21.2%) and Lateral collision (14.6%). 3. In distribution according to duration of treatment, most (54.7%) patients discharged within 1 week, followed by 1 week to 2 weeks(37.2%) 4. In distribution according to mean elevation of symptoms, Neck pain was the most (75.9%) symptom, followed by Low back pain (67.2%), Shoulder pain (46.0%) and Headache (37.2%). 5. In distribution according to treatment results, symptom improvement was the most (62.8%), followed by excellent (19.7%), mild improvement (14.6%). 6. In distribution according to duration of treatment, Most frequently prescribed herbal decoction was Tongdosan (45.7%), followed by Dangguijakyaksangagam (29.6%), and most frequently prescribed extract powder was Yunkyopaedocksan and Ojeoksan (12.7%). Conclusions : This study shows that aftereffects from the traffic accident tend to occur with various symptoms in various age groups. Korean medicine treatments are effective in patient who were admitted to Korean medicine hospital due to traffic accident.

환자안전 문화에 대한 방사선사의 인식도 조사 (A Survey on Perception Level of the Radiological Technologist's about Culture of Patient Safety)

  • 전민철;김영일;장재욱;한만석;서선열
    • 디지털융복합연구
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    • 제12권2호
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    • pp.423-430
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    • 2014
  • 환자안전 문화에 대한 종합병원 방사선사의 인식을 조사하여 방사선사의 환자안전관리를 위한 기반을 제공하고 안전 활동을 위한 프로그램을 개발하는데 기초자료로 제공하고자 한다. 환자안전 문화에 대한 종합병원 방사선사의 인식을 조사하여, 본 연구의 조사기간은 2012년 6월 13일부터 6월 20일까지 대전광역시 소재 5개 종합병원에 근무하는 방사선사들을 대상으로 198명의 자료를 분석하였다(SPSS 19.0v). 환자안전 활동에 영향을 미치는 요인을 부서 내, 직속상관, 의사소통, 의료사고, 병원 별, 환자안전도에 대한 안전문화와 보고된 사고, 위험하다고 느끼는 환자 안전사고, 가장 많이 발생한 환자 안전사고를 평가한 결과 의료사고 보고체계에 따른 환자안전 문화에 관한 인식에서는 근무기간 25년 이상에서 가장 높게 나타났고 환자안전도 평가에서는 근무기간 10년~15년에서 가장 높게 나타났다. 그러므로 종합병원 방사선사의 환자안전문화를 개선하기 위해서는 충분한 인력 배치, 환자안전문제에 대한 적극적인 접근, 그리고 안전사고의 재발 방지를 위해 방사선사의 근무기간을 고려한 임무 부여 등으로 체계적인 의료사고 보고 체계를 활성 시켜야 할 것이다.

의료사고의 근본원인 분석: 의료사고 판례문 이용 (Root Cause Analysis of Medical Accidents -Using Medical Accident Cases)

  • 김선녀;조덕영
    • 보건의료산업학회지
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    • 제13권3호
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    • pp.13-26
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    • 2019
  • Objectives: To investigate whether medical institutions can prevent accidents by analyzing the root cause of a medical accident and identifying the tendencies. Methods: A total of 345 medical cases were used for the RCA(Root Cause Analysis). The root causes were classified using the SHELL model. The suitability of the model was confirmed by SPSS's MDPREF and Euclidean distance. An SPSS20.0 hierarchical regression analysis was used as an influencing factor on the degree of injury resulting from medical accidents. Results: The SHELL model was suitable for classification. The rates of accident causes were LS49%, L34%, LL10.2%, LE3.7%, LH2.3%. The order in which the degree of a patient's injury was affected were: Risk Threshold (${\beta}=.180$), Time (${\beta}=.175$), Surgical stage (${\beta}=-.166$), Do not use procedure (${\beta}=.147$). Conclusions: Health care institutions should remove priorities through system improvement and training. For patients' safety, the five factors of the SHELL model should be managed in harmony.

염소가스 누출사고에 대한 역학적 조사연구 (An Epidemiological Study on the Accident resulting from Leakage of Chloride)

  • 김준연;조원제;박종환;이종균;김용준;김돈균
    • Journal of Preventive Medicine and Public Health
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    • 제5권1호
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    • pp.49-56
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    • 1972
  • During the Period from 22th to November 26th, 1971, An Epidemiological Survey was performed on the Accident which was occurred by Leakage of Chloride Gases in A Chemical Industry, one of Wul San Industrial Areas. The obtained results were as follows; 1. The largest damage was observed at Yeo Cheon Dong, 5.38 Km2 in Area and 8,192 in the Residents. 2. By the age distribution of Yeo Cheon Dong, The largest damaged area resulting from chloride accident, the age group of between 10 and 39 was highly occupied with 55.2% Of all Yeo Cheon residents. 3. The number of patient was 436 totally, 198 in male and 238 in female. 4. By the age group distribution of the patient, in case of male, the largest group was under 20 age (96) and female, between 20 and 40 age group. 5. By the educational level of the patient, No-Education group was 116 (26.6%), and primary school, middle school and high school were respectively 168 (38.5%), 68 (15.6%) and 12 (2.8%). 6. By the occupational distribution of the patient, No-Occupation group was 49.7%, students and agriculture were respectively 14.4% and 8.1%. 7. By the complaints of the patient, most of all were for respiratory tract, those are coughing (56.9%), chest tightness (35.6%), sore throat (24.8%), and so forth. 8. By the injured domestic animal, the Dog was most highly injured with 46.2%.

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교통사고 후 발생한 과호흡증후군에 대한 증례 보고 (Clinical Case Report of a Patient with Hyperventilation Syndrome Developed after Traffic Accident)

  • 이정우;이상규;정순관;염승룡;한명금;윤상학;권영달
    • 동의생리병리학회지
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    • 제20권4호
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    • pp.1063-1067
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    • 2006
  • The purpose of this study was to investigate the clinical application of oriental medical treatment to a patient with hypeventilation syndrome developed after traffic accident. Hypeventilation syndrome is a kind of psychosomatic disorder. Typical complaints are tachypnea, palpitation, paresthesia, muscle spasm and tetany. We treated the patient with herbal medication, physical therapy, acupuncture and moxibustion therapy, etc. In acute hyperventilation attack, we used bloodletting therapy(+宣, shihhsuan), cupping therapy(B40, B57), emergency treatment with paper bag rebreathing and herbal medication in order to tranquilize. After 2 months of oriental medical treatment, we obtained good improvement in patient's state. This results suggest that oriental medical treatment has the positive effects on a patient with hyperventilation syndrome.

Occupancy 센서와 도플러 Radar를 이용한 침상 모니터링 시스템 (Bed Side Monitoring System using Occupancy Sensor and Doppler Radar)

  • 강병욱;유선국
    • 한국멀티미디어학회논문지
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    • 제21권3호
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    • pp.382-390
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    • 2018
  • A major accident occurring on the bed is falls that occur during at times when the care of nurses or protectors is inadequate, which is fatal to patients or the elderly. In particular, Enuresis or sleepiness caused by sleep apnea increases the risk of falls. Therefore, it is very important to detect falls and sleep apnea of patients without infringing privacy in the bed to patient's safety and accident prevention. In this paper, we reviewed the technologies developed for bed monitoring and implemented a non-intrusive monitoring system. The Occupancy Sensor allows the temperature of the bed and surrounding area to be extracted to enable track of the patient's motion. The Doppler Radar detects the patient's movements at normal times and the respiration state when patients have no movement during sleeping. It is specially designed for real-time monitoring of falling and respiration during sleeping through contactless multi-sensing while solving patient's privacy problems.

경골골절 치료 중 만성 경막하 혈종이 발견된 교통사고 환자 2례 고찰 (Late Detection of Chronic Subdural Hematoma in Traffic Accident Patients Who Treated Tibial Fractures; Report of 2 Cases)

  • 김병준;신병철;황의형;황만석;허인;허광호
    • 한방재활의학과학회지
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    • 제25권3호
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    • pp.119-125
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    • 2015
  • A chronic subdural hematoma (CSDH) is an old collection of blood and blood breakdown products between the surface of the brain and its outermost covering. We present two cases with tibia fracture caused by traffic accident progressed to chronic subdural hematoma. A 72-year-old male patient had shown signs of headache, urinary incontinence and mental storm when he has been in the hospital after 3weeks without CSDH diagnosis. And a 78-year-old male patient with mild head injury suffered from right side headache after traffic accident. We took korean medical treatments associate with tibial fracture. And we knew subdural hematoma through Brain CT. It is good report which shows CSDH can can occur from traffic accident. It requires correct diagnosis and closed observation for traffic accident patients.

응급실 내원 아동에 대한 분석 (A study on the pedicatric accident)

  • 손인아
    • 한국보건간호학회지
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    • 제14권2호
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    • pp.332-341
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    • 2000
  • Children's accident is a largely preventable public health problem. Little is known. however, about population-based incident and outcome of pediatric accident. From 1997.9 through 1998,8. admission data from emergency center in I city were collected. 1418 patient from 0 through 13 years of age were selected. All children with unintensional accidental problems were identified through coded sheet which categorizes epidemiologic characteristics. The specific purposes of this study are analysis about the characteristics of pediatric accidents. And it aims to produce the basic data necessary for accident prevention policy development. The results of this study were as follows; 1. The number of male children$(62.6\%)$ were higher than female children$(37.4\%)$ 2. The age group from 1 to 3 years represents the highest proportion$(45.4\%)$ of every accidents except on traffic accident. 3. The highest proportion of accident were as follows occured during the June-August$(34\%)$, Sunday$(22.6\%)$, and 17-21 p.m. $(37.2\%)$ 4. The main causes of accident include general trauma$(70.9\%)$, environmental accident$(l6.8\%)$. and traffic accident$(l2.1\%)$, 5. Preschool age group represents more than half$(65.4\%)$ of traffic accident. 6. environmental injury includes burns $(46.6\%)$, foreign body$(43.6\%)$, exposure to poisonous materials$(6.3\%)$. and bite(3.3) This results could be used to develope prevention programs and assist in accident prevention system development. And also these data substantiate that accident prevention program decrease safety-related injury rate in preschool age group must be concentrated on enhancing access to a system to have a significant effect. Furthermore, it is necessary for accident prevention. So several suggestions are described here: 1. Development of parent's educational program for accident prevention and safety education should be done actively. 2. Home safety surveillance system should be initiated. 3. The initiation of children's accident report system could be contribute the analysis and the reduction of accident.

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교통사고 후 발생한 후두통의 근골격계 초음파를 이용한 침도치료 임상증례 (The Case Report of Posterior Headache Caused by Traffic Accident Treated with Musculoskeletal Ultrasound-guided Acupotomy Therapy)

  • 박만용;김성하;이상미;이종덕;임진영;권소연;정일민;김성철
    • Journal of Acupuncture Research
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    • 제28권2호
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    • pp.165-172
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    • 2011
  • Objectives : The objective of this case report was to observe the effect of musculoskeletal ultrasound-guided acupotomy therapy on posterior headache caused by traffic accident. Methods : Musculoskeletal ultrasound-guided acupotomy therapy was performed to two patients whose brain MRI or CT results were normal, but posterior headache did not improve with general eastern medical treatment. Results : One patient's VAS(visual analogue scale) of posterior headache was decreased for the first time after ultrasound-guided acupotomy therapy, and steadily reduced. The other patient's VAS was also decreased for the first time after musculoskeletal ultrasound-guided acupotomy therapy. Two patient's Korean HIT-6(Korean headache impact test-6) scores were decreased after one month. Conclusions : If general eastern medical treatment had little effect on traffic accident induced posterior headache, musculoskeletal ultrasound-guided acupotomy therapy can be applied.

임신 중 교통사고로 인한 경추 염좌 환자 1례 증례보고 (The clinical study on one case of cervical sprain patient due to traffic accident in pregnancy)

  • 백승훈;나효석;박현재;정은아;최순
    • 대한한방부인과학회지
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    • 제18권1호
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    • pp.207-217
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    • 2005
  • Purpose : With the development of society, traffic accident(TA) rate is increasing accordingly. And the number of women in pregnancy who are damaged by TA is increasing as more women are involved in economical and social activities. TA victim in pregnancy cannot get proper treatment(Tx) in western medicine. Oriental medicine Tx is noted as alternative in treating TA victims recently. The main purpose of this clinical study is to make a survey of effective way of the oriental gynecological Tx about TA victim in pregnancy. Methods : The patient in this case, 28-year-old, was admitted for 14days(27th/May/2004 - 9th/June/2004) to cure severe neck pain and limitaion of cervical ROM(range of motion) occured from TA on the 4th week of pregnancy. This patient was treated with the acupunture, herbal medicine and physical treatment. Result and Conclusion : The symptoms of patient in this case are remarkable alleviated. And we think that the TA victims in pregnancy can be managed effectively by oriental gynecological Tx due to consider preservation of fetus and pregnant woman. After this, further study, approach and case will be needed about oriental gynecological Tx of TA victims in pregnancy.

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