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

• 한국간호교육학회지
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• 제25권4호
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• pp.436-447
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• 2019

Purpose: The purpose of this study is to identify the educational effect among nursing students who performed the patient role in women's health nursing simulations. Methods: In this exploratory qualitative study, a sample of 31 third- and fourth-grade nursing students who participated in scenario-based patient roles in clinical performance examination of the women's health nursing simulation practice training. Data were collected through focus group interviews. Qualitative data were analyzed using qualitative content analysis. Results: Three themes emerged from the data analysis. Participants experienced an enhancement of patient-centered nursing competence, deep learning immersion and display of self-regulated learning. The difficulty of performing the patient role contributed additional effects such as the difficulty to perform the patient role in the psychological training environment. Conclusion: It is recommended to utilize nursing students as patients in simulation practice training. On the other hand, the psychological training environment can cause difficulties in performing patient roles, a burden on the role of the patient, and involves the interruption of the role.

• 의학교육논단
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• 제21권1호
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• pp.22-30
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• 2019

Team communication, teamwork, and interprofessional collaboration are critical and the basis for patient safety in a more diverse and complex clinical environment. This study explored the current status of teamwork, team communication, and interprofessionalism in the context of patient safety within undergraduate medical education. A scoping review of the literature published since 2010 was undertaken. Fifteen papers were included for final review. The most commonly used educational methods were off-line lectures and simulations. Standard team communication tools suggested in TeamSTEPPS (team strategies and tools to enhance performance patient safety) were covered in some of the research. Knowledge, skills, and teamwork attitudes, interprofessional collaboration, and/or patient safety were improved in most of the papers. In the previous studies of team communication, the content and method of education, and the change in knowledge and attitudes of the individuals have been widely reported, but more research is needed regarding the method of evaluating the teamwork itself. In addition, education on team communication as well as patient safety and interprofessionalism is lacking. As the importance of team communication in patient safety increases, more attention is needed on this topic in undergraduate medical education.

• 융합신호처리학회논문지
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• 제8권1호
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• pp.1-5
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• 2007

본 논문에서는 24시간 감시가 필요한 코마 환자나 움직이기 힘든 중환자들에게 사용될 수 있는 움직임 검출과 음향 감지를 이용한 무인 환자감시시스템을 구현하였다. 이 시스템의 구성은 노트북, 아날로그 CCTV 카메라(또는 PC 카메라), A/D 컨버터, 마이크로폰 그리고 감시 프로그램으로 구성되었다. 감시 프로그램은 프레임 차이법과 음향 레벨측정을 기본으로 사용하며, 움직임이 검출될 때의 자료수집과 저장과 같은 기능을 가진다. 모든 시스템은 코마 상태의 환자를 가정한 실험을 통해 검증하였다. 실험 결과 본 논문에서 제안한 무인 환자감시 시스템은 응급 상황과 코마 환자의 관리에서 효율적으로 사용될 수 있을 것이라 예상된다.

• 한국정보통신학회:학술대회논문집
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• 한국해양정보통신학회 2009년도 춘계학술대회
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• pp.326-329
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• 2009

기존의 Nurse Call 제품은 환자가 비상 call을 하였을 때 환자의 이름과 병실만 간호사의 단말기에 표시되므로, 환자가 병실이 아닌 다른 장소에 있는 경우에는 환자의 위치를 찾기가 어려운 상황이다. 따라서 환자가 병실이 아닌 다른 장소에서 긴급 call을 하는 경우에는 환자의 위치를 알 수 없어 찾는데 많은 시간을 소요할 수가 있어 위급한 환자에게는 큰 타격을 줄 수 있다. 따라서 본 논문에서는 SOFM을 이용하여 중계기를 최적으로 배치하고 배치한 정보와 RSSI를 이용하여 환자의 위치를 찾아낼 수 있는 무선 너스 콜 시스템을 제안하였다. 제안한 시스템의 유용성을 확인하기 위하여 실험한 결과 위치 정보를 오차 범위 내에서 얻을 수 있었다.

• 한국정밀공학회지
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• 제20권11호
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• pp.171-179
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• 2003

This paper presents a rehabilitation exercise system which utilizes a 6 DOF robot as a motion generator. This system was proposed for a stroke patient or a patient who has hemiplegia. A master-slave system was designed to exercise either paralysis or abnormal limb by using normal limb motion. The study on the human body was applied to calculate the motion range of elbows and shoulders. In addition, a force-torque sensor was applied to the slave robot to estimate the rehabilitation extent of the patient. Therefore, the stability of the rehabilitation robot could be improved. By using the rehabilitation robot. the patients could exercise by themselves without assistance. In conclusion, the proposed system was verified by computer simulations and system experiment.

• 한국간호교육학회지
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• 제13권1호
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• pp.90-94
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• 2007

Purpose: Since the 1990s, there has been an increasing interest in patient safety and quality of care. As a result, undergraduate nursing students have difficulties in clinical nursing practice such as health assessment or providing nursing skills. The purpose of this paper was to review current issues related to use of simulations in nursing education. Method: We conducted a thorough literature review including related proceedings to identify present issues in use of simulation education in nursing. Result/Conclusion: Simulation education in nursing differs from that in medical science. In nursing education, we need to focus on developing competencies for nursing students, for example, nursing process, nursing skills, and therapeutic communication skills With an increasing number of human patient simulators, we suggest a more careful approach including faculty development, curriculum development, and cost effective strategic planning. We propose a reliable and valid scenario development among nursing faculty as a consortium in the future.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제18권3호
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• pp.29-39
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• 2012

Window and shading designs have a great influence on energy consumption and daylighting in buildings. As far as energy is concerned, small window area is advantageous. But it is not good to the patient healing in hospital. So it is important to find out the optimum window shape which is favorable for both energy consumption and patient healing. In this study, annual energy consumption and daylight illumination levels were analyzed according to the window shapes and shading devices for a multi-beded patient room in hospitals. The simulations were conducted for 19 different cases by COMFEN 4.0 computer simulation program. The results of this paper are as follows. First, window to wall area ratio and shading devices have great influences on annual energy consumption. But it is a problem in that they decrease significantly daylight level in bed room. Second, considering the same energy consumption, reducing the width of window rather than the hight of window is desirable for the secure of daylight level. Third, increase of the number of horizontal shade is not desirable in south face of the building for the energy consumption and daylight level. Fourth, sun shade is not necessary in north face of the building for the energy consumption and daylight level.

• Industrial Engineering and Management Systems
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• 제16권1호
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• pp.92-102
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• 2017

In this paper, we consider a typical health care system via the help of Wireless Sensor Network (WSN) for wireless patient tracking. The wireless patient tracking module of this system performs localization out of samples of Received Signal Strength (RSS) variations and tracking through a Particle Filter (PF) for WSN assisted by multiple transmit-power information. We propose a modified PF, Kullback-Leibler Distance (KLD)-resampling PF, to ameliorate the effect of RSS variations by generating a sample set near the high-likelihood region for improving the wireless patient tracking. The key idea of this method is to approximate a discrete distribution with an upper bound error on the KLD for reducing both location error and the number of particles used. To determine this bound error, an optimal algorithm is proposed based on the maximum gap error between the proposal and Sampling Important Resampling (SIR) algorithms. By setting up these values, a number of simulations using the health care system's data sets which contains the real RSSI measurements to evaluate the location error in term of various power levels and density nodes for all methods. Finally, we point out the effect of different power levels vs. different density nodes for the wireless patient tracking.

• 대한전기학회논문지:시스템및제어부문D
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• 제54권3호
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• pp.206-214
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• 2005

In these days the virtual reality technology has been applied to treat such an anxiety disorders. And also a medical doctor can diagnose the patient in distance with the telemedicine system. In this thesis, an telemedicine assistant system for treatment of acrophobia using biomedical signals and virtual reality technique is proposed. I made two virtual reality simulations for treatment of acrophobia and telemedicine system for communication between doctor and patient using personal computer. Multimedia conference service, online questionary, signal transfer system are needed to configure such system. Virtual reality simulation system that composed of position sensor, head mount display, and audio system, is also included in this telemedicine system. I added virtual environment update system to this virtual reality telemedicine system for treatment of acrophobia. With this virtual environment update system, the doctors can change virtual reality simulation stage based on the status of each patient and symptom of phobia. We will apply this system to the acrophobia patient in distance and be able to offer better medical treatment for mental illness in near future.