2019, Vol.25, No.3

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 purpose of this research is to find out week and strong aspects in LEED categories based on achieved scores earned by LEED-HC(Healthcare) v.2009. Methods: The LEED-HC scorecards of 88 healthcare projects are analyzed. The analysis are focused on relationship between achieved scores, LEED categories and achieved levels. This relationship was presented by graphs and charts. Results: 1) Compare to LEED-NC, in LEED-HC, sub-categories related to public health are added. The scores are added in Energy Atmosphere and Indoor Environmental Quality. 2) Achieve scores in Sustainable Site are high and one in Energy Atmosphere and Indoor Environmental Quality are low at all levels. 3) Scores which was lost in Energy Atmosphere are recovered in Material Resource and Sustainable Site in order to keep its level. 4) Since most of scores in Energy Atmosphere are under EAc1 Optimize energy performance sub-categories, it is important to achieve more score in Optimize Energy Performance Sub-Categories to gain a higher level. Even if LEED-HC has more score in Energy Atmosphere, this is a hard to achieve scores in that categories. It is important to review Energy Atmosphere categories and its points for improvement. Implications: This study will provide basic database in order to establish Korean green building rating system for hospital.

Purpose: As the medical laboratories in general hospitals have made an efforts on quality management and employee health, they recognized the need of design guideline for clinical laboratory. As laboratories are prohibited to patients, their environments are becoming more congested and deteriorated as time goes by. So, this study investigates the current status of facility and equipment of laboratory medicine focusing on less than three hundred patient bed hospitals, and searches the improving matters. Methods: Questionnaires to technologist captains and field surveys to medical laboratories in korean hospitals have been conducted for the data collection. 18 answers have been analysed statistically by MS Excel program. Results: The result of this study can be summarized into followings. Clinical laboratory functions are all hematology, clinical chemistry, immunology, transfusion and urine microscopy, and except for three including microbiology for infection and bio safety level. Average man power of lab are 12.3 man including lab director and captain. Patient bed number, space area and total specimen numbers are not correlated with each other, but specimen numbers and employee number are correlated with. Work space distances are usually good, but exit distances are not adequate for escape owing to obstacles. Specimen delivery system by courier, test method by automatic analyzer, access floor for exposed plumbing and electricities are more practical. Open lab layed out in the center and lab support layed peripheral in space diagram. Lab space configuration by SD method showed that lab support area and employee support area are dissatisfied. Implications: Specialized hospital and yearly total specimen numbers are related to the space area and organization for laboratory planning and design.

Purpose: To establish guidelines for local public hospitals, the survey was conducted primarily on the current status of local public hospitals, focusing on the zone configuration and the spatial area of the operating department. Methods: 3 Methods have been used in this paper. 1) Analyzing drawings to derive the net floor area of each room. 2) A literature survey about composition of the zone by infection control. 3) Observation survey for user circulation analysis. Results: The operation department consists of the major, secondary, support and connected zones according to the user's actions. The spatial area composition ratio for each zone is major zone: 41.79%, secondary zone: 10.87%, support zone: 23.10%, and connected zone: 24.24%. Implications: This study is a basic research for guideline for the operation department in local public hospitals. In this study, zones configuration of the operation departments are classified in terms of user actions and room functions. In the future, it is required to establish criteria considering infection control and copper connection aspects.