감염 예방을 위한 인공신장실 의료 환경에 대한 고찰 - 근거 기반의 디자인 중심으로
= A Review of Renal Dialysis Unit Environment for Infection Prevention
- 저자[authors] 한수하 ( Han Su Ha ), 윤형진 ( Yoon Hyungjin )
- 학술지명[periodical name] 의료·복지 건축
- 권호사항[Volume/Issue] Vol.24No.3[2018]
- 발행처[publisher] 한국의료복지건축학회(구 한국의료복지시설학회)
- 자료유형[Document Type] 학술저널
- 수록면[Pagination] 49-57
- 언어[language] Korean
- 발행년[Publication Year] 2018
- 주제어[descriptor] Renal Dialysis Units, Infection Prevention, Healthcare Facility Design, 투석실, 감염예방, 인공신장실 시설, 투석실 시설
초록[abstracts]
[Purpose: The increase in patients requiring hemodialysis has resulted in an increase dialysis-associated infections risk. but there are no Renal Dialysis unit design standard meet specified safety and quality standards. Therefore, appropriate Establish standards and legal regulation is important for the provision of initial certification and maintenance of facility, equipment, and human resource quality. Methods: Literature survey on the design guideline and standards of Renal Dialysis unit design in Korea, U.S, Germany, Singapore, Hongkong, Dubai. Results: There are no established standards for facilities in dialysis units in Korea. To prevent infections in dialysis patients, necessary establish standards. Considering the domestic and overseas Health-care facilities standards, the major factors to be considered in the medical environment for Renal Dialysis Unit are as follows. First, planning to separate Clean areas(treatment area) from contaminated areas(medical waste storage area). Second, ensure sufficient space and minimum separation distance. Although there may be differences depending on the circumstances of individual institutions, renal dialysis unit consider the space to prevent droplet transmission. Third, secure infrastructure of infection prevention such as sufficient amount of hand hygiene sinks. Hand washing facilities for staff within the Unit should be readily available. Hand hygiene sinks should be located to prevent water from splashing into the treatment area. Fourth, Heating, ventilation and air conditioning (HVAC) system for Renal Dialysis Unit is all about providing a safer environment for patients and staff. Implications: The results of this paper can be the basic data for the design of the Renal Dialysis Units and relevant regulations.]