http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
제상모,이지숙,홍정석 대한소아응급의학회 2017 대한소아응급의학회지 Vol.4 No.2
Pediatric patients (younger than 19 years) account for approximately 25% of all emergency patients. Pediatric patients have large proportions of toddlers (aged 1-5 years), low severity, illness (rather than injury), and after-hours visits. Considering these features, the authors, affiliated with the policy research team in the Korean Society of Pediatric Emergency Medicine, suggest the establishment of the pediatric certified emergency center (PCEC) to stratify Korean pediatric emergency medical system according to the Korean Acuity and Triage Scale (KTAS). The PCEC is a facility dedicated to the emergency care for a large population of KTAS 3-4 patients (i.e., mildly ill). In addition, the PCEC may perform early stabilization and transfer to the pediatric emergency centers for pediatric patients having KTAS 1-2 illnesses and injuries. To facilitate the application of emergency centers for the PCEC, the designation criteria should be flexible in terms of manpower, facility, and equipment. Financial support from the government is essential for sustainable PCEC. .
제상모,윤유상,박인철,김승호 대한응급의학회 2004 大韓應急醫學會誌 Vol.15 No.5
Pneumomediastinum can result from fractures involving paranasal sinuses, orbits, mandibles, other facial bones. This is a case report of an 25-year-old man who fell from a third floor. He suffered injuries to the maxillofacial region. Initial examination revealed a mandibular complex fracture and tooth loss, but the man developed neck swelling, dyspnea, and dysphagia over the next 3 days. Repeat examination revealed marked pneumomediastinum and subcutaneous emphysema.
제상모,정현수,김현종,유제성,정성필,조준호,이진희,이한식 연세대학교의과대학 2014 Yonsei medical journal Vol.55 No.2
Purpose: Cardiopulmonary resuscitation (CPR) is commonly performed in high-risk, high intensity situations and is therefore a good procedure around which to developand implement safety culture strategies in the hospital. The purpose of this study was to evaluate the impact of a hospital-wide quality improvement program on the management of sudden cardiac arrests by assessing healthcare providers’ attitudestowards patient safety. Materials and Methods: This study was designed as a prospective cohort study at a single academic medical center. The comprehensive hospital-based safety program included steps to identify areas of hazard, partner units with the Resuscitation Committee, and to conduct a Safety Attitudes Questionnaire(SAQ). The SAQ evaluated 35 questions in seven domains to assess changes in patient safety culture by comparing the results before and after the hospital-wide high risk patient care improvement program. Results: The response rates of the pre- and post-SAQ survey were 489 out of 1121 (43.6%) and 575 out of 1270 (45.3%), respectively. SAQ survey responses revealed significant improvementin all seven domains of the questionnaire (p-values of 0.006 and lower). In a subgroup analysis, doctors and nurses showed improvement in five domains. Both doctors and nurses did not show improvement in the “sharing information” domain. Conclusion: A hospital-wide quality improvement program for high-risk, high reliabilitypatient care involving CPR care was shown to be associated with a change in healthcare providers’ attitudes towards patient safety. Through an immersive and active program on CPR care, change in healthcare providers’ attitudes towards patientsafety was initiated.