DOI QR코드

DOI QR Code

A Study on the Guideline of Spatial Composition and Circulation in Triages and Entrances Area in Emergency Departments for Efficient Infection Control

응급부 진입구역과 환자분류구역의 감염관리를 위한 환자동선과 공간구성 계획에 대한 연구

  • Received : 2019.01.23
  • Accepted : 2019.02.11
  • Published : 2019.03.15

Abstract

Purpose: After Mers breakout in 2015, major hospital in Korea have been renovated the emergency department to make a separate infection control zone for high-risk patient with potential infection and to improve a triage area and an entrance area for efficient patient evaluation. However, there are no specific design standards to reinforce infection control for patients and staffs safety. Therefore, it is important to establish of initial design factors in the triage and entrance area as a guideline. Methods: 5 cases which had been recently renovated are selected to analyze patient circulation and spatial composition in a triage area and an entrance area. The partial floor plans of each case are represented as bubble diagrams to help understanding of different patient circulation flows. Based on this analysis, significant design factors which should be considered in planning stage for infection control have been extracted. Results: 13 design factors are established. Using these design factors, patient circulation diagram is generated to provide an optimized suggestion for efficient infection control. Implications: This suggestion provides basic databases to start to establish design guideline in the triage area and the entrance area to minimize infection spreading in the emergency department.

Keywords

OBSHBY_2019_v25n1_41_f0001.png 이미지

[Figure 1] Composition of Emergency Department

OBSHBY_2019_v25n1_41_f0002.png 이미지

[Figure 2] Basic Planning Guideline in Entrance and Triage area in Emergency Department

[Table 1] General Information of the Analyzed Emergency Department

OBSHBY_2019_v25n1_41_t0001.png 이미지

[Table 2] Different Patient Circulation and Different Type of Line in the Diagram Analysis

OBSHBY_2019_v25n1_41_t0002.png 이미지

[Table 3] Analysis of Characteristic of Spatial Composition and Different Patient Circulation

OBSHBY_2019_v25n1_41_t0003.png 이미지

[Table 4] Analysis of Patient Flow

OBSHBY_2019_v25n1_41_t0004.png 이미지

[Table 5] Architectural Design Factors

OBSHBY_2019_v25n1_41_t0005.png 이미지

References

  1. Cheong, Chang Heon, 2016, "Improvement of Airborne Infection Prevention Methods in Emergency Room by Design Case Study", J. Korean Soc. Living Environ. Sys. Vol. 23, No. 3, pp 433-442 https://doi.org/10.21086/ksles.2016.06.23.3.433
  2. Cheong, Chang Heon, 2018, "A Study on Perception of Medical-Staff about Airborn Infection Risk in Emergency District",Journal of KIAEBS, Vol.12, No.3, June pp.187-201
  3. Jin Yong Kim, Joon Young Song, Young Kyung Yoon, Seong-Ho Choi, Young Goo Song, Sung-Ran Kim, Hee-Jung Son, Sun-Young Jeong, Jung-Hwa Choi, Kyung Mi Kim, Hee Jung Yoon, Jun Yong Choi, Tae Hyong Kim, Young Hwa Choi, Hong Bin Kim, Ji Hyun Yoon, Jacob Lee, Joong Sik Eom, Sang-Oh Lee, Won Sup Oh, Jung-Hyun Choi, Jin-Hong Yoo, Woo Joo Kim, Hee Jin Cheong 2015, "Middle East Respiratory Syndrome Infection Control and Prevention Guideline for Healthcare Facilities", Infection and Chemotherphy, Vol 47, No. 4 : pp 278-302 https://doi.org/10.3947/ic.2015.47.4.278
  4. Jung, Hyun-hwa, 2015, "병원 감염에 대비한 응급부 계획", 한국의료복지건축학회 세미나 발표자료
  5. Kang, Jeeeun, Park, Soonhee, Park, Wonbae, Jung, Heejung, Hue, Eunyoung, Yoo, Jisang, Ann, Jungwoong, Kim, Dongwook, Kwon, Soonjung, 2017, "A study on Emergency Department Guildeline for Korean Healthcare Facility", Research Paper of Annual Conference of the KIHA
  6. Kim, Joong-gi, Seo, Hyun-Bo, 2016, "Infection Control in Triage Space for Emergency Room: Based on Analysis of Healthcare Facility Standards", Korean Institute of Healthcare Architecture, Vol. 22, No. 4, pp 97-104 https://doi.org/10.15682/jkiha.2016.22.4.97
  7. Kwon, Soon-Jung, 2016, "공기전파 감염병의 전파방지를 고려한 응급센터의 건축계획", 대한병원협회 강의자료
  8. 보건복지부, 2015, "16년 의료관련감염 예방.관리대책 중점 추진", 보건복지부 보도자료
  9. 서울특별시 서울의료원, 2015, "권역응급의료센터 사업계획서"
  10. 홍창표, 2017, "새 시준을 적용한 응급진료센터 Remodeling", 2017 K-Hospital 병원건축포럼