의료기관 건축설계 가이드라인 연구

- 일반병동, 격리병실, 중환자실, 신생아실, 신생아중환자실,

인공신장실, 수술부, 병원공조 등을 중심으로 -

Architectural Guidelines for the Design of Healthcare Facilities

– Focused on General ward, Isolation ward, ICU, Newborn unit,

NICU, Dialysis Unit, Surgical Unit, HVAC -

제목 차례

1. 서론 ····································································································································· 1

1.1 연구의 배경 ············································································································································· 1

1.2 연구 목적 ················································································································································· 3

1.3 연구의 범위 및 내용 ····························································································································· 3

1.4 연구 방법 및 절차 ································································································································· 6

1.5 연구결과의 활용방안 및 기대효과 ····································································································· 8

1.6 연구의 한계 및 향후 연구 방향 ········································································································· 9

2. 예비적 고찰 ····················································································································· 11

2.1 지침의 수준 ··········································································································································· 11

2.2 면적의 산정기준 ··································································································································· 11

2.3 용어의 정리 ··········································································································································· 15

2.4 의료시설의 배치 계획 ························································································································· 25

3. 일반병동 ··························································································································· 27

3.1 위치 ······················································································································································· 27

3.2 공간구성 ················································································································································· 28

3.3 단위공간의 계획 ································································································································· 32

3.4 세부 고려사항 ······································································································································· 44

4. 음압격리병실 ··················································································································· 48

4.1 음압격리병실 ········································································································································· 48

4.2 음압격리중환자실 ································································································································· 57

4.3 세부 고려사항 ······································································································································· 62

5. 중환자실 ··························································································································· 63

5.1 위치 ····················································································································································· 63

5.2 공간구성 ················································································································································· 63

5.3 단위공간의 계획 ································································································································· 66

5.4 세부 고려사항 ······································································································································· 77

6. 신생아실 ··························································································································· 81

6.1 위치 ························································································································································· 81

6.2 공간구성 ················································································································································· 81

6.3 단위공간의 계획 ······························································································································· 83

6.4 세부 고려사항 ······································································································································· 90

7. 신생아 중환자실 ············································································································· 93

7.1 위치 ························································································································································· 93

7.2 공간구성 ················································································································································· 94

7.3 단위공간의 계획 ································································································································· 95

7.4 세부 고려사항 ··································································································································· 105

8. 인공신장실 ····················································································································· 107

8.1 위치 ······················································································································································· 108

8.2 공간구성 ··············································································································································· 109

8.3 단위공간의 계획 ······························································································································· 112

8.4 세부 고려사항 ····································································································································· 122

9. 수술부 ··························································································································· 126

9.1 위치 ····················································································································································· 126

9.2 공간구성 ··············································································································································· 126

9.3 단위공간의 계획 ································································································································· 130

9.4 세부 고려사항 ····································································································································· 139

10. 설비계획 ······················································································································· 144

10.1 공조(환기) 설비 ································································································································ 144

10.2 급배수 설비 ······································································································································· 155

10.3 비상전원설비 ····································································································································· 159

11. 의료시설의 화재안전 ································································································· 161

11.1 기본전제 ············································································································································· 161

11.2 관련법상 주요시설기준내용 검토 ································································································· 161

11.3 화재안전관리 매뉴얼 검토 ············································································································· 166

12. 의료법 시행규칙 개선안 : [별표4] 의료기관의 시설규격 <개정 2017. 2. 3> ············ 168

12.1 입원실. 중환자실 관련 법 조문 ···································································································· 168

12.2 수술실 관련 법 조문 ······················································································································· 170

12.3 신생아실 관련 법 조문 ··················································································································· 172

12.4 인공신장실 관련 법 조문 ··············································································································· 173

13. 참고문헌 ······················································································································· 174