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호흡기 감염 격리병원의 물류시스템 계획에 관한 연구

A Study on the Architectural Planning of Material Handling System for the Airborne Infection Isolation Hospitals

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참고문헌

키워드

주제분류건축공학

초록

Purpose: The purpose of this study is to review the material handling system of the Airborne Infection Isolation Hospitals which is the one of the key elements of infection control and to improve the basic data for the planning and design of those facilities. Methods: Research was conducted by literature reviews and case studies for the material handling system of domestic and foreign Isolation hospitals. Results: The result of this study can be summarized into three points. First, a general isolation unit and a high level isolated unit need to be distinguished in terms of efficiency and safety. In particular, it is desirable that a high level isolated unit have to completely separate clean and soiled circulations, and soiled corridor should be installed by those means. By doing this, the medical staff can observe patient rooms and supply clean materials directly in the clean zone without wearing PPE, so that safety and work efficiency can be improved at the same time. Second, for the safe disposal of wastes, it is desirable to install a dedicated sterilizer per ward and sterilize it at least in the ward. In addition, It is desirable to install a central waste treatment room and a dedicated soiled corridor in consideration of the inadequate handling capacity and emergency situation. Third, the characteristics of material flow chart in the negative pressured isolation hospitals and the corresponding material handling system have been presented. Implications: Infection control is very important in safety, but it is necessary to respond to the symptoms of the patient.

Abstract

Purpose: The purpose of this study is to review the material handling system of the Airborne Infection Isolation Hospitals which is the one of the key elements of infection control and to improve the basic data for the planning and design of those facilities. Methods: Research was conducted by literature reviews and case studies for the material handling system of domestic and foreign Isolation hospitals. Results: The result of this study can be summarized into three points. First, a general isolation unit and a high level isolated unit need to be distinguished in terms of efficiency and safety. In particular, it is desirable that a high level isolated unit have to completely separate clean and soiled circulations, and soiled corridor should be installed by those means. By doing this, the medical staff can observe patient rooms and supply clean materials directly in the clean zone without wearing PPE, so that safety and work efficiency can be improved at the same time. Second, for the safe disposal of wastes, it is desirable to install a dedicated sterilizer per ward and sterilize it at least in the ward. In addition, It is desirable to install a central waste treatment room and a dedicated soiled corridor in consideration of the inadequate handling capacity and emergency situation. Third, the characteristics of material flow chart in the negative pressured isolation hospitals and the corresponding material handling system have been presented. Implications: Infection control is very important in safety, but it is necessary to respond to the symptoms of the patient.

참고문헌 (14)

  1. European Network for Highly Infectious Diseases, "Manual for the safe and appropriate management of Highly Infectious Disease patients in isolation facilities", ~
  2. Kuwait Ministry of Health, "Infectious Disease Hospital Tender No. 2013", 2012, pp.2013, ~
  3. Owen Tsang, "Hospital Authority Infectious Disease Centre at Princess Margaret Hospital", ~ (2015)
  4. "Seoul Center for Infectious Disease Control", ~ (2015)
  5. The Facility Guidelines Institute(FGI), "Guidelines For Design and Construction of Health Care Facilities", ~ (2014)
  6. 권순정, "독일, 영국의 감염병 전문병원", ~ (2016)
  7. 권순정, "일본과 홍콩의 감염병 전문병원", ~ (2015)
  8. 권순정, "중증 호흡기 감염병 진료를 고려한 음압격리병동부의 건축계획", 의료·복지 건축, 22(3), pp.45~56 (2016), 한국의료복지건축학회[DOI]
  9. 고위험 감염병 대비 대응 발전방안, "박재현", ~ (2015)
  10. "보건복지부,질병관리본부" (2016)[URL]
  11. 감염병 전문병원 설립방안 연구개발, "질병관리본부", ~ (2016)
  12. SARS, 조류인플루엔자 인체감염증, 신종 인플루엔자대상 입원치료(격리)병상 운영과 관리(안), "질병관리본부", ~ (2011)
  13. 서울특별시 감염병전문센터 설치 타당성 조사, "한국의료복지건축학회", ~ (2016)
  14. 감염병 전문병원 기본모델 연구, "희림건축사사무소", ~ (2016)

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