Analysis of Hospital Disaster in South Korea from 1990 to 2008
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study is to systematically review and analyze disasters involving South Korean hospitals from 1990 and to introduce a newly developed implement to manage patients’ evacuation. Materials and Methods: We searched for studies reporting disaster preparedness and hospital injuries in South Korean hospitals from 1990 to 2008, by using the Korean Studies Information Service System (KISS, copyright Korean Studies Information Co, Ltd, Seoul, Korea) and, simultaneously,hospital injuries which were reported and regarded as a disaster. Then,each study and injury were analyzed. Results: Five studies (3 on prevention and structure, 1 on implement of new device, and 1 on basic supplement to current methods)and 8 injuries were found within this period. During the evacuations, the mean gait speed of walking patients was 0.82 m/s and the mean time of evacuation of individual patients was 38.39 seconds. Regarding structure evaluation, almost all hospitals had no balconies in patient rooms; hospital elevators were placed peripherally and were insufficient in number. As a new device, Savingsun (evacuation elevator) was introduced and had some merits as a fast and easy tool, regardless of patient status or the height of hospital. Conclusion: In South Korea, preparation for hospital disasters was noted to be insufficient but has involved various departments such as architectural, clinical, and building operations. In addition, Savignsun has been shown to effectively evacuate and save patients in a hospital disaster.
Abstract
Purpose: The purpose of this study is to systematically review and analyze disasters involving South Korean hospitals from 1990 and to introduce a newly developed implement to manage patients’ evacuation. Materials and Methods: We searched for studies reporting disaster preparedness and hospital injuries in South Korean hospitals from 1990 to 2008, by using the Korean Studies Information Service System (KISS, copyright Korean Studies Information Co, Ltd, Seoul, Korea) and, simultaneously,hospital injuries which were reported and regarded as a disaster. Then,each study and injury were analyzed. Results: Five studies (3 on prevention and structure, 1 on implement of new device, and 1 on basic supplement to current methods)and 8 injuries were found within this period. During the evacuations, the mean gait speed of walking patients was 0.82 m/s and the mean time of evacuation of individual patients was 38.39 seconds. Regarding structure evaluation, almost all hospitals had no balconies in patient rooms; hospital elevators were placed peripherally and were insufficient in number. As a new device, Savingsun (evacuation elevator) was introduced and had some merits as a fast and easy tool, regardless of patient status or the height of hospital. Conclusion: In South Korea, preparation for hospital disasters was noted to be insufficient but has involved various departments such as architectural, clinical, and building operations. In addition, Savignsun has been shown to effectively evacuate and save patients in a hospital disaster.
참고문헌 (29)
- Barbera JA, "Challenge of hospital emergency preparedness: analysis and recommendations", Disaster Med Public Health Prep, 3, pp.S74~82 (2009)
- Lee YJ, "A study on the life saving implement of high-rise building", T. of Korean Institute of Fire Sci. & Eng, 365, pp.71~ (2005)
- 김응식, "병원 피난에 관한 연구 : Part II", 한국화재소방학회 논문지, 19(3), pp.28~36 (2005), 한국화재소방학회
- 김응식, "병원 피난에 관한 연구 : Part I", 한국화재소방학회 논문지, 19(2), pp.20~28 (2005), 한국화재소방학회
- Yim JH, "A study on the fire protection plan of hospital building through case studies", T. of Korean Institute of Fire Sci. & Eng, pp.199~204 (2005)
- 박태진, "국내 응급의료센터의 생물학적 재난에 대한 준비현황", 대한응급의학회지, 19(3), pp.263~272 (2008), 대한응급의학회
- Baker DJ, "The pre-hospital management of injury following mass toxic release; a comparison of military and civil approaches", Resuscitation, 42, pp.155~159 (1999)
- Srivatsa LP, "The Bhopal tragedy", J Toxicol Clin Exp, 7, pp.47~49 (1987)
- Okumura T, "The Tokyo subway sarin attack: disaster management, Part I: Community emergency response", Acad Emerg Med, 5, pp.613~617 (1998)
- Greenberg MI, "Report of the CIMERC", Drexel university emergency department terrorism preparedness consensus panel, 2003, pp.10, 783~788
- 김동욱, "국내 응급의료센터의 유해물질 노출 대비현황 실태조사", 대한응급의학회지, 18(1), pp.48~55 (2007), 대한응급의학회
- 손창환, "국내 응급의료센터들의 기본재난물품 준비현황", 대한응급의학회지, 19(1), pp.22~30 (2008), 대한응급의학회
- Kai T, "Hospital disaster preparedness in Osaka, Japan", Prehosp Disaster Med, 9, pp.29~34 (1994)
- Sauer LM, "Major influences on hospital emergency management and disaster preparedness", Disaster Med Public Health Prep, 3, pp.S68~73 (2009)
- Gray BH, "Hospitals in Hurricane Katrina: challenges facing custodial institutions in a disaster", J Health Care Poor Underserved, 18, pp.283~298 (2007)
- Sanders CV, "Hurricane Katrina and the LSU-New Orleans Department of Medicine: impact and lessons learned", Am J Med Sci, 332, pp.283~288 (2006)
- Sariego J, "A year after hurricane katrina: lessons learned at one coastal trauma center", Arch Surg, 142, pp.203~205 (2007)
- Braun BI, "Integrating hospitals into community emergency preparedness planning", Ann Intern Med, 144, pp.799~811 (2006)
- LaCombe DM, "72 hours: what rescuers can anticipate before help arrives", JEMS, 30, pp.75~79 (2005)
- Ferrer RR, "Emergency drills and exercises in healthcare organizations: assessment of pediatric population involvement using after-action reports", Am J Disaster Med, 4, pp.23~32 (2009)
- Timm N, "Impact of disaster drills on patient flow in a pediatric emergency department", Acad Emerg Med, 15, pp.544~548 (2008)
- Kaji AH, "Assessing hospital disaster preparedness:a comparison of an on-site survey, directly observed drill performance, and video analysis of teamwork", Ann Emerg Med, 52, pp.195~201 (2008)