환자안전을 위한 병원건축 설계지침과 디자인 기본구조 비교조사 - 미국과 영국을 중심으로
Comparative Study of Hospital Architecture Design Guidelines and Frameworks for the Patient Safety - Focused on the US and UK
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study is to compare the changes in hospital accreditation evaluations, the changes in hospital building design guidelines, and the development of design indicators for reducing medical accidents in the state-of-the-art healthcare providers. Methods: The changes and tools were carefully investigated and compared that had been taken place and used in the building certification standards, design guidelines, and patient safety design standards to reduce accidents in the United States and the United Kingdom. Results: First, medical accidents are recognized as multiple defense layers rather than personal ones, and a public reporting and learning system is created, reporting the accidents in question publicly and suggesting ways to improve them based on the data at a time. Second, for the accreditation institute that secures the service quality of medical institutions, detailed standards for patient safety are continuously updated with focus on clinical trials. The United States is in charge of the private sector, but on the other hand the United Kingdom is in charge of the public sector. Third, the design guidelines are provided as web-based tools that complement various guidelines for patient safety, and are improved and developed as well. Fourth, detailed approaches are continuously developed and provided to secure patient safety and reduce medical accidents through appropriate research, evidence-based design and strict evaluations. Implications: When medical institutions make efforts to strength patient safety methods through valid design standards, accidents are expected to decrease, whereby hospital finances are also to be improved. A higher level of medical quality service will sure be secured through comprehensive certification evaluation.
Abstract
Purpose: The purpose of this study is to compare the changes in hospital accreditation evaluations, the changes in hospital building design guidelines, and the development of design indicators for reducing medical accidents in the state-of-the-art healthcare providers. Methods: The changes and tools were carefully investigated and compared that had been taken place and used in the building certification standards, design guidelines, and patient safety design standards to reduce accidents in the United States and the United Kingdom. Results: First, medical accidents are recognized as multiple defense layers rather than personal ones, and a public reporting and learning system is created, reporting the accidents in question publicly and suggesting ways to improve them based on the data at a time. Second, for the accreditation institute that secures the service quality of medical institutions, detailed standards for patient safety are continuously updated with focus on clinical trials. The United States is in charge of the private sector, but on the other hand the United Kingdom is in charge of the public sector. Third, the design guidelines are provided as web-based tools that complement various guidelines for patient safety, and are improved and developed as well. Fourth, detailed approaches are continuously developed and provided to secure patient safety and reduce medical accidents through appropriate research, evidence-based design and strict evaluations. Implications: When medical institutions make efforts to strength patient safety methods through valid design standards, accidents are expected to decrease, whereby hospital finances are also to be improved. A higher level of medical quality service will sure be secured through comprehensive certification evaluation.
참고문헌 (28)
- 김상복, "진단검사의학과 시설 가이드라인에 관한 연구", 2018 한국의료복지건축학회 학술발표대회 논문집, 9(1), pp.3~8 (2018)
- 김석화, "환자안전: 새로운 의료표준", 대한병원협회지, 35(5), pp.86~96 (2006)
- 김석화, "환자안전 : 유비쿼터스 병원", 대한병원협회지, 36(5), pp.84~92 (2007)
- 염호기, "환자안전 관리와 전망", 대한의사협회지, 56(6), pp.454~458 (2013), 대한의사협회
- 오창현, "2020년도 하반기 보건의료정책 방향", 2020 병원건축포럼, K-Hospital Fair (2020)
- 유선주, "의료기관인증제도의 국내외 비교 연구-한국, 미국 및 호주 중심으로-", 융합정보논문지, 7(4), pp.27~38 (2017), 중소기업융합학회[DOI]
- 이승지, "주요 국가별 보건의료시설 가이드라인의 체계 비교 및 시사점 연구 - 미국, 호주, 영국을 중심으로", 의료·복지 건축, 26(3), pp.27~35 (2020), 한국의료복지건축학회[DOI]
- 임리사, "감염예방 및 통제에 있어서 의료시설 디자인의 역할과 방향", 대한건축학회논문집, 36(8), pp.11~20 (2020), 대한건축학회[DOI]
- Alalouch, Chaham, "Design Criteria for Privacy-Sensitive Healthcare Buildings", IACSIT International Journal of Engineering and Technology, 8(1), pp.32~39 (2016)
- Colman, Nora, "Prevent safety threats through integration of simulation and FMEA in new construction", Pediatric Quality and Safety, 4(4), pp.e189~ (2019)
- Department of Health, "Disseminating good practice (DGP):developing an exemplar layer for AEDET Evolution and ASPECT design evaluation tools" (2007), NHS Trusts
- Engineering Design Centre, "Design for Patient Safety: A scoping study to identify how the effective use of design could help to reduce medical accidents" (2004), Engineering Design Centre at Cambridge University
- "50 years of Ideas in health care buildings" (1999)[URL]
- Institute of Medicine, "To err is human: building a safer health system" (1999), National Academies Press
- "Designing for patient safety: developing methods to integrate patient safety concerns in the design process" (2012)[URL]
- Joseph, Anjali, "Designing Safety-Net Clinics for Flexibility" (2011), The Center for Health Design
- Phiri, Michael, "Design Tools for Evidence-Based Healthcare Design" (2015), Routledge
- Reason, James, "Human error: models and management", West J Med,, 172(6), pp.393~396 (2000)
- Reiling, J, "Safe design of healthcare facilities", Quality Safety Health Care, 15, pp.34~40 (2006)
- Taylor, Ellen, "The environment of safe care: considering building design as one facet of safety", 2014 International Symposium on Human Factors and Ergonomics in Health Care: Advancing the Cause, pp.123~127 (2014)
- "Patient room design checklist and evaluation tool" (2015)[URL]
- "Guilines for Design and Construction of Hospitals and Outpatient Facilities" (2014)[URL]
- The Joint Commission, "2021 Comprehensive Accreditation Manuals for Hospital" (2019), The Joint Commission
- Ulrich, R. S, "View through a window may influence recovery from surgery", Science,, 224, pp.420~421 (1984)
- Ulrich, Roger, "A review of the research literature on evidence-based healthcare design", Health Environments Research & Design Journal, 1(3), pp.61~125 (2008)
- Vincent, Charles, "Framework for analysing risk and safety in clinical medicine", British Medical Journal, 316(11), pp.1154~1157 (1998)
- Wachter, Robert. M, "Patient safety at ten: Unmistakable progress, troubling gaps", Health Affairs, 29(1), pp.165~173 (2010)