• 임상간호연구
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• 제16권1호
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• pp.61-70
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• 2010

Purpose: The purpose of this study was to examine knowledge, perception, safety climate and compliance with hospital infection standard precautions and to identify the factors influencing nurse's compliance with standard precautions. Methods: Using the structured survey, data were collected from 292 nurses working at 4 general hospitals in the metropolitan city Seoul in October, 2008. Data were entered and analyzed with SPSS 12.0. Results: The majority of nurses were female with a mean age of 27.8. The mean score for knowledge of standard precautions was 21.2 out of 25. The nurses lacked knowledge on reusable gloves or gowns. Nurses perceived use of protective devices may not only increase time strain but also hinder development of therapeutic relationships with patients. Of safety climate factors, lack of time was the most frequently reported barrier to compliance with standard precautions. Knowledge, perception, and safety climate explained 16.1% variance of compliance with standard precautions. Conclusion: To improve nurses' compliance with standard precautions, provision of education and support for safety climate are necessary.

• 한국병원경영학회지
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• 제19권2호
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• pp.34-43
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• 2014

This study was conducted to investigate the degree of nurses' knowledge, attitudes, and compliance with hospital infection standard precautions. The study subjects were nurses in a university hospital in Daegu, South Korea, and a self-administered survey was carried out using a standardized questionnaire from 1st to 15th August, 2012. A total of 187 questionnaires were used for analysis. Those who were injured by a syringe needle for the last year accounted for 29.96%, and those exposed to patients' blood or body fluid on their damaged skin/mucous membranes accounted for 26.2%. There were statistically significant differences in attitude and compliance according to safety environment for hospital infection standard precautions. The knowledge score of the subjects about standard precautions was $15.30{\pm}1.51$ on a 19 point scale and had significant difference according to the subjects' education level. The attitude score was $2.86{\pm}0.49$ on a 4 point scale and had significant difference depending on how experienced they were on the career. The compliance score was $3.41{\pm}0.38$ on a 4 point scale and had significant difference depending on their age and their experience on the career. In conclusion, it can be said that systematic and continuous practical training is required to improve compliance with standard precautions. Particularly, it is needed to provide less experienced nurses with educational opportunities along with their supervisors' ongoing attention and position personnel appropriately.

• 대한한방내과학회지
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• 제29권1호
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• pp.160-176
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• 2008

Objective : We designed this study to analyse the Natural Standard methodology and apply the results to new study and evaluation methods. Methods : We investigated the main stream of complementary and alternative medicine (CAM), the methodology of Natural Standard, guideline in CAM, and concrete 35 cancer-related herbs and dietary supplements in 98 ones. Results : There are 35 graded herbs and supplements associated with cancer in natural standard contents: 9 foods, 17 herbs, 7 amino acids, enzymes and vitamins, and 2 herbal mixture formulas. Most of them get a grade of C: unclear or conflicting scientific evidence. Conclusion : Natural Standard aims to provide high-quality, reliable information about CAM therapies to clinicians, patients, and healthcare institutions. The more demands for and use of CAM grows, the more the needs for related studies increases. According to this international and multidisciplinary collaborative effort, we have to develop how to study and evaluate the results. We need guidelines in association with the evidence and recommendations of CAM.

• Journal of Korean Neurosurgical Society
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• 제56권2호
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• pp.130-134
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• 2014

Objective : A groove technique for securing an electrode connector was described as an alternative surgical technique in deep brain stimulation (DBS) surgery to avoid electrode connector-related complications, such as skin erosion, infection, and migration. Methods : We retrospectively reviewed 109 patients undergoing one of two techniques; the standard technique (52 patients using 104 electrodes) and the groove technique (57 patients using 109 electrodes) for securing the electrode connector in DBS surgery, regardless of patient disease. In the standard percutaneous tunneling technique, the connector was placed on the vertex of the cranial surface. The other technique, so called the groove technique, created a groove (about 4 cm long, 8 mm wide) in the cranial bone at the posterior parietal area. Wound erosion and migration related to the connectors were compared between the two techniques. Results : The mean follow-up period was 73 months for the standard method and 46 months for the groove technique. Connector-related complications were observed in three patients with the groove technique and in seven patients with the standard technique. Wound erosion at the connector sites per electrode was one (0.9%) with the groove technique and six (5.8%) with the standard technique. This difference was statistically significant. The electrode connector was migrated in two patients with the groove technique and in one patient with the standard technique. Conclusions : The groove technique, which involves securing an electrode using a groove in the cranial bone at the posterior parietal area, offers an effective and safe method to avoid electrode connector-related complications during DBS surgery.

• 대한방사선기술학회지:방사선기술과학
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• 제24권2호
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• pp.71-75
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• 2001

As the adoption of PACS and hospital information system among university hospitals and hospital level institutions grows bigger, the need of sharing and transferring medical information among medical institutions is rising. For the medical information, which is saved in the hospital medical system, to be transferred within the same hospital, domestic, or foreign medical institutions, a standard protocol is necessary. But realistically, most of the domestic hospitals do not abide by H7L which is the HIS standard and so, information transferring is not possible as of present. As such, the purpose of this research is to implement the information between HIS and PACS to an international standard by constructing HL7 messages through HL7 Interface. which will eventually make possible information transferring between different hospitals. Our research team has developed a method which will make the PACS equip hospitals that do not follow HL7 standard which will make possible to transfer information between HIS and PACS through HL7 Message. By constructing message files, which follow the form of HL7 Message in the HL7 Interface, they can be transferred to PACS through the ftp protocol. The realization of the HIS/OCS Interface through HL7 enables data transferring between domestic and foreign medical institutions possible by implementing the international standard in the PACS and HIS data transferring process. The HL7 that our research team has developed made patient data transfer between medical institutions possible. The Interface is for a specific system model and in order for the data transfer between different systems to be realized, interfaces that are fit for each system must be needed. If the interface is improvised and implemented to each hospital's information system, the data sharing among medical institutions can be broadened.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제24권2호
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• pp.55-64
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• 2018

Purpose: The ward division is a representative part of the hospital, where a variety of user activities are performed. Users can be broadly categorized as patients and carers, visitors, and medical staff (doctors and nurses). The relationship between these two is a major issue with ward planning as the patient's place of life centers around the hospital room and the task of the clinical workforce centers around the nursing station (NS). Against this backdrop, the study divides the ward units of the General Hospital of China into patient areas, medical team areas, supply areas, and public domain, with the focus on the ward areas affecting most significantly in the hospital patients. Methods: The theoretical advance studies of the standard ward unit are identified by the associated guidelines, articles, and documentation. Results: This study is a summary analysis of relevant regulations, reference literature, and drawing data from the target hospital. Further work is expected to be undertaken, including further surveys and observational surveys, to produce more detailed results. Implications: It is expected that the research in this paper will provide an effective reference for the future research of China General Hospital Ward department, so as to promote and improve the work system of China General Hospital Ward department.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제3권4호
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• pp.59-68
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• 1997

This study is intended to review the Nucleus System of standard hospitals in U.K. The research is focused on the theoretical background, contents of Nucleus System, and the operational problems through the survey of sample hospitals. The contents of research include the development history of standardization, outlines, aimes, advantages, the data of Nucleus system, and the study-visits of sample hospitals. The conclusion could be summarized as follows ; 1) The form of standard hospitals is compact and low-rise the major movements are horizontal. The standard plans of the functional dpartments are unified as cruciform with $15m{\times}15m$ module. 2) The Nulceus System has been developed. The hospitals have 3 stories maximum and courtyards for natural light & ventilation. 3) The advantages of Nucleus System includes reduction of design & construction period, the buildability due to the repetitive construction, and the running cost. And the disadvantages are mentioned as the lack of storage, staff accomodation, pantry, and sanitary facilities. 4) Sample hospitals provide human scale, possibilities of growth & change, and curing environment from art decoration & artificial lake. 5) In case of Korean situation, even the minimum standardization such as hospital design guidelines should be developed in near future.

• 핵의학기술
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• 제15권2호
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• pp.111-115
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• 2011

체외 검사는 각 검사 마다 6-7개의 standard 농도를 이용한 표준곡선(Dose response curve)을 사용하여 검사 결과를 분석하며, 표준곡선 사용은 진료재료 소모에 많은 부분을 차지하고 있다. 현재 원내에서 검사하는 검사항목 가운데 일부 검사 항목은, standard 농도를 이용한 환자의 검사 결과 분석수치가 대부분 낮은 결과의 분포를 보이고 있었으며, 이러한 검사 들은 마지막 standard 농도의 사용이 불필요하다고 판단하였다. 이에 낮은 검사 결과의 분포를 보이는 검사항목들을 선정하고, 마지막 standard 농도의 자리에 사용했던 진료 재료를 절감하여 진료재료의 소모비용을 줄였다. 원내 검사 항목 중 11개의 검사 항목을 진료재료 절감 대상항목으로 하였고, 검사가 진행한 횟수 만큼 마지막 standard농도에 사용되었던 진료재료(검사 Tube)를 절감할 수 있었다. 2009년 7월부터 2011년 2월까지 월별 진료재료 절감 개수, 절감 개수를 진료재료 단가로 계산하여 진료재료 절감액과, 절감된 진료재료를 환자 검사용 진료재료로 사용하여 발생한 수익을 ABC 원가계산을 근거로 산정하였다. 2009년 7월부터 2011년 2월까지 절감된 진료 재료는 3,131개였다. 이는 약 31kit의 검사 시약에 해당되는 진료재료를 절감하였다. 이것을 진료재료 단가로 계산하면 약 640만원의 진료재료비가 절감되었고, 이러한 진료 재료는 환자 검사 진료재료로 사용되어 약 1,370만원의 수익이 발생하였다. 환자의 검사 결과가 정상이거나, 낮게 분포하는 검사항목들은 마지막 standard 농도를 사용하지 않고 범위를 줄여서 검사를 진행하여도 검사 결과를 분석하는데는 영향이 없었고, standard 농도 범위 조정이 검사 결과의 신뢰성에는 영향이 없는 것으로 분석 되었다. 따라서 이 활동은 핵의학 체외검사의 진료재료 사용에 효율성을 높이고 진료재료 절감 및 병원 수익에 많은 효과가 있을 것으로 생각한다.

• 디지털융복합연구
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• 제19권9호
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• pp.453-461
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• 2021

본 연구는 중소병원 간호사의 환자안전에 대한 태도, 도덕적 민감성, 표준주의지침 수행과의 관련성을 파악하고, 표준주의지침 수행에 영향을 미치는 요인을 규명하기 위해 시도되었다. 자료수집은 2021년 1월 11일부터 1월 22일까지 중소병원에 근무하는 150명의 간호사를 대상으로 설문조사를 시행하였다. 자료분석은 Descriptive statistics, Independent t-test, one-way ANOVA, Pearson's correlation coefficient, Multiple regression analysis를 이용하였다. 연구결과 표준주의지침 수행에 환자안전에 대한 태도 (r=.539, p<.001), 도덕적 민감성(r=.249, p=.002)에 유의한 상관관계가 있는 것으로 나타났다. 다중회귀분석결과 중소병원 간호사의 표준주의지침 수행에 영향을 미치는 요인은 환자안전에 대한 태도와 근무부서로 설명력은 33.8%이었다(F=18.47, p<.001). 연구결과를 통해 중소병원 간호사의 표준주의지침 수행을 높이기 위해서는 환자안전에 대한 올바른 태도를 정립할 수 있는 교육프로그램 개발이 필요하다.

• Clinics in Shoulder and Elbow
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• 제26권1호
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• pp.3-9
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• 2023

Background: Modifications of the medialized design of Grammont-type reverse shoulder arthroplasty (RSA) using a bony increased offset (BIO-RSA) has shown better clinical results and fewer complications. The aim of this study is to compare the clinical results, complications, and radiological outcomes between patients undergoing standard RSA and BIO-RSA. Methods: A retrospective review was performed of 42 RSA procedures (22 standard RSA and 20 BIO-RSA). With a minimum of 1 year of follow-up, range of motion (ROM), Constant shoulder score (CSS), visual analog scale (VAS), and subjective shoulder score (SSS) were compared. Radiographs and computed tomography (CT) scan were examined for scapular notching, glenoid and humeral fixation, and graft healing. Results: At a mean follow-up of 27.6 months (range, 12-48 months), a significant difference was found for active-internal rotation (P=0.038) and for passive-external rotation (P=0.013), with better results in BIO-RSA. No other differences were found in ROM, CSS (P=0.884), VAS score, and SSS. Graft healing and viability were verified in all patients with CT scan (n=34). The notching rate was 28% in the standard RSA group and 33% in the BIO-RSA group, but the standard RSA had more severe notching (grade 2) than BIO-RSA (P=0.039). No other significative differences were found in glenoid and humeral fixation. Conclusions: Bone-graft lateralization is associated with better internal and external rotation and with less severe scapular notching compared to the standard RSA. Integration of the bone graft occurs effectively, with no relevant changes observed on radiographic evaluation. Level of evidence: III.