2018, Vol.24, No.2

JOURNAL OF THE KOREA INSTITUTE OF HEALTHCARE ARCHITECTURE 2023 KCI Impact Factor : 0.46

pISSN : 2733-8649 / eISSN : 2733-8657
https://journal.kci.go.kr/ikiha

Purpose: The outbreak of Middle East Respiratory Syndrome(MERS) in KOREA has brought up the demands for ventilation guideline and regulations for healthcare facilities since most of the infection was spreaded inside healthcare facility. Currently KOREA has no ventilation guideline or regulations covering entire section of healthcare facility. The purpose of this study is to investigate current ventilation methods in KOREA healthcare facilities to in future, propose ventilation guideline. Methods: Research of foreign counties ventilation guideline and regulation for healthcare facilities were conducted for reference. Field investigation with survey of 21 healthcare were conducted to identify the ventilation system and operating methods. Additionally survey for healthcare workers were conducted to observe the recognition related to ventilation system in healthcare facility. Results: The result showed that most of foreign countries ventilation guideline and regulation suggests similar items to reduce the spread of infection and maintain good indoor air quality. The investigation results indicated that fixed guideline for ventilation in healthcare facility were required due to different ventilation operating methods. Survey result of healthcare workers has told us that ventilation guideline and regulation is needed to prevent further infection. Implications: Absence of ventilation guideline and regulations for healthcare facility in KOREA is an urgent issue.

Purpose: The important things in space plan of a screening center are improving the spatial awareness by space systemization and minimizing the examination time for customers, and reducing the required time of screening work and maximizing the capacity for the screening center. Therefore, we tried to solve the problem of improving spatial awareness and reducing the examination time by using the pedestrian based discrete event simulation at the minimum cost. Methods: We have analyzed the drawbacks and the supplement points by comparing the floor plan at the time of opening and the current floor plan. Based on the analysis, we propose an improved plan which changes the location of the examination rooms and the number of services, and we also verify the improved plan based on simulation analyses. Results: 1) Through the analyses, we derived the drawbacks of the floor plan at the time of opening, and we realized that the current floor plan reflects the drawbacks. 2) The major reasons of the long examination time are the human traffic jam and the occurrence of queues due to unreasonable allocation of services. 3) Through the discrete event simulation analyses, it was possible to specify the place of the queues manually so as to use the given space fairly. 4) Using the discrete event simulation, it was possible to reduce the examination time and to improve the spatial awareness effectively at the minimum cost. Implications: Although the proposed simulation methodology in this paper is an analysis of the existing screening center, we expect that the proposed methodology will be used to develop a more efficient architectural design process by pre-applying the method to the course of designing a screening center and finding the suitability of the proposed method with the matched number of services.

Purpose: In the case of mass disaster, the establishment of temporary medical facilities for the first aid and treatment is required for the stable accommodation of patients caused by the disaster. However, the criteria for decision making related to the deployment of field emergency medical facilities are not specified. So, The purpose of this study is to draw considerable factors needed for the deployment of field emergency medical facilities and to make proposal for site selection process of field emergency medical facilities on the basis of the factor. Methods: This study performs text mining of disaster-related laws, guidelines and documents to derive key factors affecting site selection, also proposes a decision making process and conducts virtual deployment to validate the process. Results: The key factors for the site selection derived as the size of the damage, the size of the DMAT inputs, the location of available place, and distance to the disaster base hospital. As a result of virtual deployment following proposed decision making process, It is confirmed that the site of field emergency medical facilities is changed depending on the type of disaster, even if the scope of the disaster damage was the same. Implications: The deployment of field emergency medical facilities requires a separate criteria for each type of disaster, not uniform, as a future research a quantitative approach of the criteria needs to be performed.