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한국의료복지건축학회(구 한국의료복지시설학회)> 의료·복지 건축(구 한국의료복지시설학회지)> 종합병원 진단검사의학과 검사실의 시설 설비 현황 조사 - 550 병상 이상 종합병원을 중심으로

KCI등재

종합병원 진단검사의학과 검사실의 시설 설비 현황 조사 - 550 병상 이상 종합병원을 중심으로

A Study on the Facility and Equipment of Laboratory Medicine in General Hospital - Focused on more than 550 bed sized hospitals

김영애 ( Kim Youngaee ) , 송상훈 ( Song Sanghoon )
  • : 한국의료복지건축학회(구 한국의료복지시설학회)
  • : 의료·복지 건축(구 한국의료복지시설학회지) 26권1호
  • : 연속간행물
  • : 2020년 03월
  • : 73-84(12pages)

DOI


목차

1. Introduction
2. Laboratory Management
3. Laboratory Space Program
4. Space Organization
5. Infection Control
6. Conclusion
References

키워드 보기


초록 보기


						
Purpose: Though Korean healthcare services have been upgraded, infection and fire had been broken out in general hospitals. And higher concerns about quality assessment made it to clinical laboratory design guideline studies. So, this study investigates the facilities, equipment and personnel of laboratory medicine focusing on more than five hundred fifty bed hospital, and contributes to make guidelines for safety and efficiency in lab. Methods: Questionnaires to supervisor technologist and field surveys to medical laboratories in korean hospitals have been conducted for the data collection. 16 answers have been analysed statistically by MS Excel program. Results: Most of the sample tests such as hematology, clinical chemistry, immunology, transfusion, urinalysis, microbiology and molecular diagnosis are performed by more than 80% in large sized general hospital laboratory. In the test methods, automatic analyzers are used up to 80%, total laboratory automation up to 43% in clinical chemistry and immunology, and manual tests in all sorts of the test. There are placed in single lab or two and three labs above the ground, which are all in semi-open lab. There is some correlation with the number of specimens and the number of lab people depending on the number of hospital beds. Laboratory environment shows that work distance is good, but evacuation path width, visibility, separation of staff area from automatic analyzer, and equipment installations are needed to have more spaces and gears. Most of the infection controls are equipped with mechanical ventilation, air-conditioning, washbasin and wastewater separation, BSC installation and negative pressure lab room. Implications: Although the laboratory space area is calculated considering the number of hospital beds, type of tests and number of staff, hospital's expertise and the samples numbers per year should be taken into account in the planning of the hospital.

UCI(KEPA)

간행물정보

  • : 공학분야  > 건축공학
  • : KCI등재
  • :
  • : 계간
  • : 1975-3349
  • :
  • : 학술지
  • : 연속간행물
  • : 1995-2020
  • : 938


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저자 : 김중기 ( Kim Joong-gi ) , 서현보 ( Seo Hyun-bo )

발행기관 : 한국의료복지건축학회(구 한국의료복지시설학회) 간행물 : 의료·복지 건축(구 한국의료복지시설학회지) 26권 1호 발행 연도 : 2020 페이지 : pp. 7-15 (9 pages)

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Purpose: Emergency room(ER) is the first place to enter a hospital where patients who might have been infected with contagious disease. Therefore, ER should be designed with infection control in mind. Researchers examined hospital ER layouts to identify layout design that support infection control. Methods: This study analyzed the hospital ER layout of Korean and other hospitals abroad. Researchers focused on route of incoming patients who potentially have infectious disease. Crossing of this route with other routes such as for imaging and testing should be avoided for infection control. Results: There were certain hospital ERs with better control of infection related incidents. ER floor plan layout is analyzed about allocation of key functions with movement routes for each role such as patients and medical staff in mind. To identify layout strategies for ER functions researchers simplified the routes in ER into diagrams. Layout options show that bypassing infection suspected routes over other routes is possible. Implications: Hospitals can control infection easier when they adopt strategic ER layout identified in this study.

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Purpose: The purpose of this study is to identify the difference in toilet approach way by wheelchair users according to the direction of the door and to suggest the layout of the toilet rooms most accessible to the wheelchair users. Methods: Survey to wheelchair users about approach to toilet have been conducted for the data collection. 90 answers have been analyzed statistically by SPSS 19.0 program. Results: The conclusions of this study are as follows. Firstly, spinal cord disorders prefer diagonal approach and lateral approach to the toilet, but brain lesions prefer diagonal approach and frontal approach to toilet. Secondly, the manual wheelchair users prefer the diagonal approach and the lateral approach to the toilet, and the electric wheelchair users has a different approach way to the toillet depending on the direction of the door. Finally, the layout of accessible toilets have to be designed for the diagonal approach to toilet, which is most preferred by wheelchair users. Implications: The toilet approach varies according to the disability types and the wheelchair types. Therefore, the size of accessible toilets should be larger than now considering the access of variety wheelchair users.

3LEED-Healthcare 세부항목의 평균득점률을 통한 병원의 친환경성 분석

저자 : 강지은 ( Kang Jeeeun )

발행기관 : 한국의료복지건축학회(구 한국의료복지시설학회) 간행물 : 의료·복지 건축(구 한국의료복지시설학회지) 26권 1호 발행 연도 : 2020 페이지 : pp. 29-37 (9 pages)

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Purpose: The purpose of the research is to find difficulty levels of LEED credits in each LEED level based on credits achievement in order to find important of LEED-HC credits to gain LEED-HC. Methods: The individual credits of LEED-HC v.2009 scorecards from USGBC website are analyzed. With achieved scores rate of LEED credits per each Level, all credits are reassembled in 4 different ranges (A~D); easy (A), easy-moderate (B), moderate-hard (C) and hard (D) to achieve scores. Results: 1) Achieved point rate in LEED-HC specific credits are low. These credits need to be reviewed carefully. 2) In 88 projects, 37 projects are gained Silver level which is more than projects in certification level. In order to encourage to gain LEED-HC level, Average Achieved rate to earn Certificate level needs to be risen. 3) Credits in range D rarely affect to gain platinum level. EAc1 (24 points) are critical to gain Silver and Gold level. However, EAc1 points are not effective to achieve Certificate level. Implications: This research will provide a fundamental back data to set up Korean Green building rating system for Healthcare.

4지방의료원 정신건강의학과 운영 및 병동 환경에 관한 연구

저자 : 문하늬 ( Moon Hani ) , 여정 ( Lyu Cheng ) , 윤우용 ( Yun Woo Yong ) , 채철균 ( Chai Choul Gyun )

발행기관 : 한국의료복지건축학회(구 한국의료복지시설학회) 간행물 : 의료·복지 건축(구 한국의료복지시설학회지) 26권 1호 발행 연도 : 2020 페이지 : pp. 39-49 (11 pages)

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Purpose : The purpose of this study is to investigate the current status of operation and ward environment of psychiatry in regional public hospitals. Methods: The method of this study utilized legal system and statistical data analysis, and drawing analysis of psychiatric ward. Results: In addition to treatment, psychiatric wards require additional space for special purposes such as psychological stability, social rehabilitation, and psychotherapy and so on. The room should improve the quality of the environment, taking into account the patient's psychological state, privacy, safety, amenity and hygiene. In addition, various types of room are needed to ensure sufficient area per bed. Implications: Psychiatric wards should be provided with a preference for psychological consideration of patients. The result of this study would be useful as a reference to plan psychiatric wards.

5지방의료원 중환자부 건축계획을 위한 영역별 공간구성에 관한 연구

저자 : 여정 ( Lyu Cheng ) , 채철균 ( Chai Choul Gyun )

발행기관 : 한국의료복지건축학회(구 한국의료복지시설학회) 간행물 : 의료·복지 건축(구 한국의료복지시설학회지) 26권 1호 발행 연도 : 2020 페이지 : pp. 51-62 (12 pages)

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Purpose: The Intensive Care Unit (ICU) is an important inpatient care area where critical patients are treated intensively with advanced medical technology. The level of care of ICU and the modernization of related facilities is an important indicator of health care quality. At the present time, when the Regional public hospitals are frequently expanding, the rational planning of the ICU has become an important part of the medical institutions treating the ICU. The purpose of this study is to present basic data with net area which can be used in the architectural planning of the ICU. Methods: The investigation and analysis of the ICUs were conducted on 26 medical facilities, based on theoretical analysis through relevant guidelines, articles, and documents, and on the basis of the actual space composition and net area analysis through the architectural drawings. Results: This study provides basic data such as zone division, spatial composition, relationship between main activities and zones, composition of facilities in the zone and area ratio within each zone. Implications: The results of this paper are expected to be effective reference materials for future research for rational spatial organization and efficient operation of the Intensive Care Unit in regional public hospitals.

6국내 종합병원의 에너지 사용량에 영향을 미치는 요인 도출

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발행기관 : 한국의료복지건축학회(구 한국의료복지시설학회) 간행물 : 의료·복지 건축(구 한국의료복지시설학회지) 26권 1호 발행 연도 : 2020 페이지 : pp. 63-71 (9 pages)

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Purpose : The purpose of this study is to analyze the elements that affect the energy consumption of general hospitals in Korea. Methods : Factors affecting energy consumption in general hospitals include facility elements and operating elements. The effects of these elements on energy consumption of general hospitals were analyzed by statistical methods such as t-test, anova, correlation analysis, and regression analysis. Results : Total floor area, number of operating rooms, number of MRI, number of staffs, and number of outpatients can be said as useful variables that can explain energy consumption in general hospitals. Implication : It is possible to save energy consumption in general hospitals by adjusting major variables that affect the energy consumption of general hospitals.

7종합병원 진단검사의학과 검사실의 시설 설비 현황 조사 - 550 병상 이상 종합병원을 중심으로

저자 : 김영애 ( Kim Youngaee ) , 송상훈 ( Song Sanghoon )

발행기관 : 한국의료복지건축학회(구 한국의료복지시설학회) 간행물 : 의료·복지 건축(구 한국의료복지시설학회지) 26권 1호 발행 연도 : 2020 페이지 : pp. 73-84 (12 pages)

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(기관인증 필요)

초록보기

Purpose: Though Korean healthcare services have been upgraded, infection and fire had been broken out in general hospitals. And higher concerns about quality assessment made it to clinical laboratory design guideline studies. So, this study investigates the facilities, equipment and personnel of laboratory medicine focusing on more than five hundred fifty bed hospital, and contributes to make guidelines for safety and efficiency in lab. Methods: Questionnaires to supervisor technologist and field surveys to medical laboratories in korean hospitals have been conducted for the data collection. 16 answers have been analysed statistically by MS Excel program. Results: Most of the sample tests such as hematology, clinical chemistry, immunology, transfusion, urinalysis, microbiology and molecular diagnosis are performed by more than 80% in large sized general hospital laboratory. In the test methods, automatic analyzers are used up to 80%, total laboratory automation up to 43% in clinical chemistry and immunology, and manual tests in all sorts of the test. There are placed in single lab or two and three labs above the ground, which are all in semi-open lab. There is some correlation with the number of specimens and the number of lab people depending on the number of hospital beds. Laboratory environment shows that work distance is good, but evacuation path width, visibility, separation of staff area from automatic analyzer, and equipment installations are needed to have more spaces and gears. Most of the infection controls are equipped with mechanical ventilation, air-conditioning, washbasin and wastewater separation, BSC installation and negative pressure lab room. Implications: Although the laboratory space area is calculated considering the number of hospital beds, type of tests and number of staff, hospital's expertise and the samples numbers per year should be taken into account in the planning of the hospital.

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