• 제목/요약/키워드: Patient rooms

검색결과 119건 처리시간 0.034초

코로나 바이러스 대유행에 따른 치과 의료 관리 가이드라인 (Guidelines for dental clinic infection prevention during COVID-19 pandemic)

  • 김진
    • 대한치과의료관리학회지
    • /
    • 제8권1호
    • /
    • pp.1-7
    • /
    • 2020
  • Dental settings have unique characteristics that warrant specific infection control considerations, including (1) prioritizing the most critical dental services and provide care in a way that minimizes harm to patients due to delayed care, or harm to personnel from potential exposure to persons infected with the COVID-19 disease, and (2) proactively communicate to both personnel and patients the need for them to stay at home if sick. For health care, an interim infection prevention and control recommendation (COVID-19) is recommended for patients suspected of having coronavirus or those whose status has been confirmed. SARS-CoV-2, which is the virus that causes COVID-19, is thought to be spread primarily between people who are in close contact with one another (within 6 feet) through respiratory droplets that are produced when an infected person coughs, sneezes, or talks. Airborne transmission from person-to-person over long distances is unlikely. However, COVID-19 is a new disease, and there remain uncertainties about its mode of spreads and the severity of illness it causes. The virus has been shown to persist in aerosols for several hours, and on some surfaces for days under laboratory conditions. COVID-19 may also be spread by people who are asymptomatic. The practice of dentistry involves the use of rotary dental and surgical instruments, such as handpieces or ultrasonic scalers, and air-water syringes. These instruments create a visible spray that can contain particle droplets of water, saliva, blood, microorganisms, and other debris. While KF 94 masks protect the mucous membranes of the mouth and nose from droplet spatter, they do not provide complete protection against the inhalation of airborne infectious agents. If the patient is afebrile (temperature <100.4°F)* and otherwise without symptoms consistent with COVID-19, then dental care may be provided using appropriate engineering and administrative controls, work practices, and infection control considerations. It is necessary to provide supplies for respiratory hygiene and cough etiquette, including alcohol-based hand rub (ABHR) with 60%~95% alcohol, tissues, and no-touch receptacles for disposal, at healthcare facility entrances, waiting rooms, and patient check-ins. There is also the need to install physical barriers (e.g., glass or plastic windows) in reception areas to limit close contact between triage personnel and potentially infectious patients. Ideally, dental treatment should be provided in individual rooms whenever possible, with a spacing of at least 6 feet between the patient chairs. Further, the use of easy-to-clean floor-to-ceiling barriers will enhance the effectiveness of portable HEPA air filtration systems. Before and after all patient contact, contact with potentially infectious material, and before putting on and after removing personal protective equipment, including gloves, hand hygiene after removal is particularly important to remove any pathogens that may have been transferred to the bare hands during the removal process. ABHR with 60~95% alcohol is to be used, or hands should be washed with soap and water for at least 20 s.

Effect of Patient Safety Training Program of Nurses in Operating Room

  • Zhang, Peijia;Liao, Xin;Luo, Jie
    • 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.

응급실에서 소아외상환자의 치과적 처치를 위한 케타민 진정법의 사용 현황 (Use of Ketamine Hydrochloride for Pediatric Dental Patient at General Hospital)

  • 차윤선;김지훈
    • 대한소아치과학회지
    • /
    • 제42권1호
    • /
    • pp.38-44
    • /
    • 2015
  • 어린이는 쉽게 넘어지거나 부딪혀 구강안면부의 손상을 흔히 경험하며, 응급치료를 필요로 한다. 이러한 환자들에서는 공포와 불안으로 인해 협조도가 불량해지게 된다. 케타민은 일반 응급실에서 어린 환자의 치료와 검사를 위한 진정제로 잘 알려져 있다. 본 연구에서는 원주 세브란스 기독병원 응급실에서 케타민을 이용한 진정법을 시행한 현황에 대해 알아보았다. 2010년 1월에서 2014년 5월까지 치과적 응급처치를 위해 의뢰된 만 18세 이하의 환자들의 기록이 수집되었으며, 연령, 성별, 시행된 치과적 치료, 케타민 진정법 시행 여부에 대한 자료를 분석하였다. 총 659명의 소아 환자가 치과적 응급처치를 필요로 하였으며, 이중 118명이 케타민 진정법이 시행되었다. 조사 결과 열상의 봉합을 시행한 환자에서 진정법이 더 많이 시행되었고, 연령이 어릴수록 진정법이 시행되었던 상관성이 확인되었다. 케타민 진정법은 치과의사 단독으로 사용하지 않아야 하지만, 응급실에서 1차 진료를 담당하는 치과의사는 케타민 진정법이 적용된 환자들을 쉽게 접할 수 있다. 따라서, 응급실에서 근무하는 치과의사는 케타민의 임상적 효과, 고려사항, 그리고 발생 가능한 합병증 및 대처 방안에 대해 숙지하고 있어야 할 것으로 사료된다.

Utilization of End-of-Life Care Rooms by Patients Who Died in a Single Hospice Unit at a National University Hospital in South Korea

  • Gyu Lee Kim;Seung Hun Lee;Yun Jin Kim;Jeong Gyu Lee;Yu Hyeon Yi;Young Jin Tak;Young Jin Ra;Sang Yeoup Lee;Young Hye Cho;Eun Ju Park;Young In Lee;Jung In Choi;Sae Rom Lee;Ryuk Jun Kwon;Soo Min Son
    • Journal of Hospice and Palliative Care
    • /
    • 제26권2호
    • /
    • pp.60-68
    • /
    • 2023
  • Purpose: For the dignity of patients nearing the end of their lives, it is essential to provide end-of-life (EoL) care in a separate, dedicated space. This study investigated the utilization of specialized rooms for dying patients within a hospice unit. Methods: This retrospective study examined patients who died in a single hospice unit between January 1, 2017, and December 31, 2021. Utilizing medical records, we analyzed the circumstances surrounding death, the employment of specialized rooms for terminally ill patients, and the characteristics of those who received EoL care in a shared room. Results: During the 1,825-day survey period, deaths occurred on 632 days, and 799 patients died. Of these patients, 496 (62.1%) received EoL care in a dedicated room. The average duration of using this dedicated space was 1.08 days. Meanwhile, 188 patients (23.5%) died in a shared room. Logistic regression analysis revealed that a longer stay in the hospice unit was associated with a lower risk of receiving EoL care in a shared room (odds ratio [OR]=0.98, 95% confidence interval [CI] 0.97~0.99; P=0.002). Furthermore, a higher number of deaths on the day a patient died was associated with a greater risk of receiving EoL care in a shared room (OR=1.66, 95% CI 1.33~2.08; P<0.001). Conclusion: To ensure that more patients receive EoL care for an adequate duration in a private setting, additional research is necessary to increase the number of dedicated rooms and incorporate them into the hospice unit at an early stage.

A Scheduling System for the Patient Treatment on a Heavy-ion Radiotherapy

  • Toyama, Hinako;Shibayama, Kouichi;Kanatsu, Syusuke;Kuroiwa, Toshitaka;Watanabe, Hideo;Wakaisami, Mitsuji;Tsuji, Hiroshi;Endo, Masahiro;Tsujii, Hirohiko
    • 한국의학물리학회:학술대회논문집
    • /
    • 한국의학물리학회 2002년도 Proceedings
    • /
    • pp.177-179
    • /
    • 2002
  • We have developed a scheduling system for heavy ion radiotherapy considering the condition of three treatment rooms and treatment planning for each patient. This system consists of a database (patient information, treatment method and machine schedule), a schedule for radiotherapy and WEB server. All operation of this system, such as data input, to change and to view the schedule, are performed by using a WEB browser. In order to protect personal information for the patients, access privilege to each information are limited by according to the occupational category. This system is connected with a hospital central information management system (AMIDAS) and an irradiation-managing computer for the heavy ion radiotherapy. A basic information for the patient is got from AMIDAS and the daily schedule sends to the treatment control computer at each treatment room through the irradiation-managing computer every morning. The daily, weekly, monthly schedules in the treatment room and the treatment condition of each patient are shared on the WEB browser with the all participants of the heavy ion therapy. This system could be useful to save a time to generate a treatment schedule and to inform us the most up-to-date treatment schedule and the related information at the same time.

  • PDF

CFD를 이용한 격리병동의 격리성능 검토 (A CFD Simulation Study on the Isolation Performance of a Isolation Ward)

  • 손덕영;권순정;최윤호
    • 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.

일 의료원의 통합 고충처리센터 접수 내용과 이에 대한 해결방안 분석 (Analysis of the Issues received by Quality Improvement Department and their Management in a Medical Center)

  • 탁관철;박현주;천자혜;강은숙;문주영;최미영;김현주;강진경
    • 한국의료질향상학회지
    • /
    • 제7권1호
    • /
    • pp.118-131
    • /
    • 2000
  • Background : A continuous healthcare quality improvement is needed to provide high quality healthcare service as well as to maintain trust in terms of satisfying the needs of the patients. Recently it also became an essential issue. in hospital management, recognized for it's competitive potentiality among healthcare organization groups. This study was conducted to analyze patient complaints and issues received by the Quality Improvement Department. Its purpose is to improve healthcare qualities within the hospital, as well as establish policies and appropriate strategies in hospital management. Method : From July 1st to September 30th of the year 1999, we analyzed all complaints and issues made by various patients and their families, which were received through 24 hour phone consultation, numerous suggestion boxes, letters and E-mails, The issues were classified into 16 different categories based on a Patient Satisfaction Assessment Tool. All data were segregated according to the departmental frequencies and their contents. To come up with for environmental and patient satisfaction improvement, all complaints or issues were communicated with hospital administrators, medical and nursing staff and employees. Comprehensive customer satisfaction activities including improving phone etiquette were discussed in Customer Satisfaction Team, CQI Team and each Department. All opportunities for improvement were implemented. Feedback actions were discussed. Results : A total of 317 cases were collected. Issues regarding parking and other accommodation facilities were most common complaints that were 14.5% of total. Issues regarding admission rooms (10.7%), admission procedures (10.7%), waiting room environment (8.8%), nurses and nurse assistants (7.6%), physicians (6.6%) and others (23%) followed. Thirteen of 45 departments received more than 8 complaints. The Nursing Department had the most complaint, receiving 9.8% of total complaints. Complaints regarding the Nursing Department were predominantly related to the environment of patient rooms. The Department of Psychiatry for phone etiquette (4.7%), Department of Otolaryngology for the nursing staff's attitude and phone etiquette (4.4%), and the Admission Department followed. As a part of efforts to improve patient satisfaction, a new parking structure was built and reallocation of the parking space was done. Renovation of other accommodation facilities were carried out by hospital administration, Monthly phone call and answering attitude survey was done by QI Department. Based on this survey we made a phone etiquette manual and distributed throughout the hospital. Compare to the last year, Patient Satisfaction Index measured by Korea Productivity Center using National Customer Satisfaction Index was improved 7 points. According to our organization's own study, we confirmed the phone etiquette was improved 11% than last year. Conclusions : Issues related to parking and other accommodation facilities ranked first followed by complaints made regarding the patient care area, the admission and cashier process, and nurses' and doctors' attitude. The Nursing and Psychiatry Departments need improvement regarding phone etiquette. Results were shared and played a vital role in policymaking and strategic planning of the hospital. It is imperative that we keep our database updated by listening to and solving the needs of each patient. The CQI activities can be achieved only by full commitment of the hospital top management supported by related personal.

  • PDF

수술실간호사의 수술환자 안전관리에 대한 중요성인지도와 실천이행도 (Importance awareness and Compliance on Patient Safety for Nurses Working in Operating Rooms)

  • 김정순;김주성
    • 한국산학기술학회논문지
    • /
    • 제12권12호
    • /
    • pp.5748-5758
    • /
    • 2011
  • 본 연구의 목적은 수술실간호사의 수술환자 안전관리수준, 안전사고유형, 및 수술환자 안전관리에 대한 중요성인지도와 실천이행도를 파악하고 수술환자 안전관리 중요성인지도와 실천이행도의 관계를 분석하여 실천이행도 영향요인을 규명하는 것이다. 191명의 수술실간호사를 대상으로 구조화된 설문지를 이용하여 자료수집하였으며 기술통계, t-test, paired t-test, ANOVA, Pearson correlation coefficients, multiple regression으로 분석하였다. 수술실 간호사들은 수술환자 안전관리수준을 중등도(6.3)로 평가하였으며 수술환자 안전사고는 환자손상(39.8%), 계수(18.4%), 감염관리(17.5%) 영역에서 주로 발생하였다. 수술실간호사의 수술환자 안전관리에 대한 실천이행도는 중요성인지도 보다 유의하게 낮았으며(t=18.01, P<.001) 중요성인지도와 실천이행도 간에는 유의한 정적 상관관계가 나타났다(r=.56, p<.001). 안전교육경험, 동료수술간호사의 사고경험, 직위, 병원경력이 수술환자안전관리 실천이행도의 유의한 설명변수(13.9%)로 규명되었다(F=8.407, P<.001). 그러므로 각 병원은 수술환자안전관리 교육프로그램을 개발하여 교육을 제공하고, 안전관리지침서를 준수할 수 있도록 제도적인 지원을 하며 안전관리에 대한 개방적 의사소통을 활성화하는 노력이 필요하다.

국내 종합병원 병동부 복도공간의 환자 이용행태에 관한 비교 연구 - 중정형과 중복도형을 중심으로 - (A Comparative Study on the Patient Behavior of Corridor Space on the Ward in General Hospital in Korea - Focused on the Courtyard and Double-loaded Corridor type -)

  • 이홍식;김상복;양내원
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
    • /
    • 제11권3호
    • /
    • pp.31-39
    • /
    • 2005
  • The conventional corridor space was a functional space simply linking the rooms and facilitating the circulations in a hospital. Today, however, they are no longer the spaces for simple circulation. Now, they are changing into healing spaces. Healing space must have some spatial characteristics helpful to curing the patients, and therefore, such a space should be designed to encourage patients to have diverse experiences and behaviors in terms of psychological stability, rehabilitation and personal communication. With such basic conceptions in mind, this study was aimed at surveying and analyzing patients' behaviors of using the corridor spaces for general hospital wards. To this end, middle corridors and patio-type side corridors for general hospital wards in Korea were sampled. It was found through this study that various healing behaviors shown in the conventional middle corridors were witnessed in the patio-type side corridors. On the other hand, behavioral characteristics of each area were analyzed to determine the factors encouraging patients to be cured, and thereupon, some design points for the corridor spaces of general hospital wards were suggested to help their users quick recovering.

  • PDF

2015년 메르스 사태 이후 신축된 종합병원 병동부의 공간구성 특징 및 입원실 세부시설기준에 관한 연구 (A Study of the Spatial Composition and the Facility Criteria of In-patient Rooms in General Hospitals after MERS 2015)

  • 이현진;권순정
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
    • /
    • 제25권2호
    • /
    • pp.27-35
    • /
    • 2019
  • Purpose: This study is to address the spacial composition of a standard ward and bedroom size for sake of infection control and efficient medical service. Methods: Spacial composition of a standard ward has been proposed by comparative analysis of 5 big hospitals' wards. Bedroom sizes have been explored on the ground of Health care facility regulations from Korea, USA, Australia and Canada. Of course, Literature and field survey have been conducted in order to draw out various bedroom sizes. Results: 16 basic and some other additional spaces have been proposed for the composition of hospital standard ward. Area of Single bedroom is $11.6m^2$, and that of multi-beded room is $7.4m^2$. Bed to bed Clearance is 1.5m, spacing between bedsize and hard wall is 0.9m in 1~2 beded room, 0.75m in 4-beded room. Space clearance between Foot side of bed and curtain is proposed as 0.3m and additional 0.9m is necessary for the circulation. Implications: The result of this study can be applied to the new cons.