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Journal articles on the topic 'Hospital Design and Construction'
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Tanuwidjaja, Gunawan, Ellen Yih-Jing Huang, Ilena Hadi Sutanto, Antonius Archie Tobias, Chen Ce Siong, Jesslyn Bahtiar, and Yohanes Richo Wirawan. "Butaro Hospital, a Sustainable Hospital with Participatory Design and Construction Process." Review of Urbanism and Architectural Studies 14, no. 1 (June 1, 2016): 43–51. http://dx.doi.org/10.21776/ub.ruas.2016.014.01.5.
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Vockley, Martha. "Breaking Ground: What's New in Hospital Design, Construction?" Biomedical Instrumentation & Technology 44, no. 6 (November 1, 2010): 458–67. http://dx.doi.org/10.2345/0899-8205-44.6.458.
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Alsawaf, Ebtisam S., and Amjad M. Albadry. "Principles for the Sustainable Design of Hospital Buildings." International Journal of Sustainable Development and Planning 17, no. 6 (October 21, 2022): 1797–808. http://dx.doi.org/10.18280/ijsdp.170614.
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Technological progress has had negative effects as well as positive effects if it affects the life industry and the entire ecosystem significantly through the great consumption of natural resources, and here the construction sector in general and the health sector, in particular, have a role in this. From the perspective of keeping pace with technological development, responding to environmental changes, and paying attention to hospital environments (especially since the emergence of modern epidemics), and because the construction sector is the largest consumer of energy in the world, which made international organizations move towards creating a sustainable environment in the construction of hospital buildings by reducing energy consumption. This research focused on studying the components and principles of sustainable design for hospital buildings and the environmental, economic, health, and social benefits of sustainable development in the healthcare industry. In addition to the research objective, which is to build a model as a guide to guide health care officials interested in applying sustainable design principles in hospital design, to achieve an ideal sustainable hospital environment. To achieve this goal, a comprehensive theoretical framework was built by adopting a descriptive and analytical approach and extracting the most important vocabulary and effective indicators for sustainable design in hospitals.
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Aidy, Ahmed, Mohammed Rady, Ibrahim Mohsen Mashhour, and Sameh Youssef Mahfouz. "Structural Design Optimization of Flat Slab Hospital Buildings Using Genetic Algorithms." Buildings 12, no. 12 (December 12, 2022): 2195. http://dx.doi.org/10.3390/buildings12122195.
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The construction costs of hospital buildings are relatively high due to the need to fulfill their complex functions and avoid mishaps. In this context, this study aims to minimize the total construction costs of hospitals while still satisfying the special architectural, practical, and structural requirements specified by design codes. To this end, 48 design alternatives with two floor systems (flat slabs with and without drop panels), three column spacings, and eight concrete grades were optimized using genetic algorithms provided by Palisade Evolver. The objective function included the materials and labor costs per square meter of the floor plan. The decision variables involved the concrete dimensions and steel bars of floors and columns. The hospital buildings were subjected to gravity, earthquake, and wind loads to thoroughly examine the realistic loading conditions. The design was performed in accordance with the Egyptian code for the design and construction of concrete structures and the Egyptian guidelines for hospitals and healthcare facilities. The results revealed that using low-strength concrete, and flat slabs without drop panels could achieve the best design. The slab thickness had a governing impact on the total cost of both floor systems.
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Özgen, Elif. "Evaluation on the change of healing perception at healthcare facilities the royal children's hospital." International Journal of Emerging Trends in Health Sciences 2, no. 1 (June 28, 2018): 07–13. http://dx.doi.org/10.18844/ijeths.v2i1.3423.
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Healthcare constructions are public buildings that necessitate technical, healing and medical conditions, require common action from a number of disciplines and accommodate differing scales within themselves. Recently, these constructions have been a field of study whose momentum have continued to speed up for varying disciplines in terms of healing factors. This condition can be evaluated in terms of the basic requirement of “well-being†for each individual, the fact that the definition of health has become more comprehensive and the changes on spatial requirements in accord with developing technology. The definition by World Health Organization (WHO) will be distinctive for designers. WHO stated that “Health is not only protection from diseases and microbes but also a state of well-being physically, mentally and socially.†Furthermore, excitement, hope and other positive emotions that can be conveyed to human soul through design can be viewed as the basis of health philosophy constructed on the condition of “well-being†Even though the concept of health involves a comprehensive definition, its perception by users indicates change over time and it can be considered that this perception is far from a holistic approach in parallel with the definition of health. Healthcare constructions include places that have negative connotations in the conscious of the society. The design of modern healing places as livable spots, environments to where feelings of belonging can be attached and environments of relaxing and healing therapeutics has become a delayed requirement. This will only start with understanding the role of place on healing. Hospitals can be regarded as type of constructions that are convenient to healing reading. Therefore, the efforts to create theoretical background have been put forward in this study in order to evaluate the relation between healthcare constructions and perception of places to provide reading over hospitals. The study will mention hospital buildings in the historical process and changes on the healing perception of people. It is impossible to design the study independent of users in this healing reading from past to present. With the evaluation carried out in this respect, today’s spatial construction perception will be evaluated over The Royal Children’s Hospital, Melbourne, Australia and providing recommendations on construction design is targeted.
Keywords: Healing Places, Hospitals, Hospital design, Healing Design, Healthcare Constructions, Spatial Perception.
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Schumock, Glen T., Patrick S. Kafka, and Vicente J. Tormo. "Design, construction, implementation, and cost of a hospital pharmacy cleanroom." American Journal of Health-System Pharmacy 55, no. 5 (March 1, 1998): 458–63. http://dx.doi.org/10.1093/ajhp/55.5.458.
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Pingel, Michael J. "A National Look at Hospital Bed Tower Design." HERD: Health Environments Research & Design Journal 14, no. 3 (March 9, 2021): 305–19. http://dx.doi.org/10.1177/1937586721996251.
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This study evaluates 171 hospital bed tower designs from the past decade. The Floor-building gross square feet (BGSF)/Bed, patient care area, ratio between them, and the bed count per unit were analyzed. The findings suggest that the average patient care area has decreased 5%–10% to a 305 departmental gross square feet (DGSF)/Bed average. The patient care area, support, circulation, and area grossing on floor were found to average 908 Floor-BGSF/Bed, and were impacted by the total beds/unit. It was determined that larger bed count per unit designs with 32–36 beds/unit average 21.9% less Floor-BGSF/Bed than designs with 24 beds/unit. The research evaluates design solutions impacted by a shifting environment of regulatory change and escalating costs. The hospital bed towers represent new facilities, horizontal/vertical expansions, and 25+ design teams. Design and/or construction took place during a 10-year period (2008–2018). The acute patient unit designs were reviewed and electronically quantified. The area measurement methodology aligns with the guidelines set forth in the “Area Calculation Method for Health Care” guidelines. Each project team was faced with a unique but similar set of circumstances. The balance between core values, guiding principles, budget, and quality of care was always present and included a diverse combination of owners, designers, construction delivery methods, profit models, and clinical approaches. In today’s world, common solutions are grounded in providing the best value. Project teams face a number of challenges during design. The lack of information should never be one.
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Araujo, R. "Diseño y construcción del Hospital Infanta Leonor en Vallecas (Madrid)." Informes de la Construcción 62, no. 520 (December 13, 2010): 5–14. http://dx.doi.org/10.3989/ic.10.030.
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Shi, Lu. "Design on the Hospital Information System Growth Model Based on Ecology Theory." Advanced Materials Research 230-232 (May 2011): 491–95. http://dx.doi.org/10.4028/www.scientific.net/amr.230-232.491.
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The ecological theory is introduced into the construction of hospital information systems, focusing on the analysis of various factors in growth of hospital information system, on the basis of ecological theory ideas, the hospital information system studied as a living body, and the growth process is divided into budding of hospital information system construction, building the living environment of hospital information system, the growth stage of hospital information systems and development stage of hospital information system, the ecological chain of hospital information formed under the internal and external forces in the hospital, in order to build a complete growth model of hospital information system.
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Marawan, Emad, Hosam Rezk, and Hesham Sameh. "Architectural design criteria for infection control in hospitals during construction and development." IOP Conference Series: Earth and Environmental Science 1056, no. 1 (August 1, 2022): 012007. http://dx.doi.org/10.1088/1755-1315/1056/1/012007.
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Abstract Hospitals are the type of buildings which need development and expansion continuously so it can achieve all the demands of the progress in the medical field, medical devices, and the updates in the infrastructure of the hospitals. Due to the spread of many bacteria that are related to the construction and development process, many countries had to take into considerations many strict precautions to reduce the danger of the infection spread. These precautions are important either inside the building of the hospital or outside, so the maximum reduction of infection spread should be reached as there are many patients suffer from lack of immunity. This research aims to reach a rational design criterion for hospital designers which gains the required demands to combat the infection spread during construction and development process meanwhile continuing to present the medical services. It is strongly recommended to introduce flexible structural module that can be reused in different activities. Also, isolation of patient’s spaces during construction becomes a mandatory manner. Moreover, it is advised to design an adaptable ventilation system which facilitates different sectors separation, either patient, medical stuff, or workers paths.
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Hutriani, Ina Winiastuti, Muhammad Saddam Ali, and Zulvita Amanda. "Implementasi Prinsip Green Hospital pada Desain Lanskap Gerbang Masuk RSD DR A Dadi Tjokrodipo Bandar Lampung." Jurnal Lanskap Indonesia 16, no. 1 (April 3, 2024): 69–76. http://dx.doi.org/10.29244/jli.v16i1.48547.
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dr A Dadi Tjokrodipo Regional Hospital Bandar Lampung is one of the hospitals whose mission to create a clean, green and pollution-free hospital environment. This mission is in line with the Program of the Ministry of Health Republic of Indonesia, namely The green hospital Program, a hospital which has designed, built/renovated, operated and maintained by considering the principles of health and a sustainable environment. The implementation of the green hospital principles at dr A Dadi Tjokrodipo Regional Hospital has not been optimal, one area which is the landscape of the hospital gate. This study aims to provide recommendations in the landscape design of hospital gate by implementing the principles of green hospital to support dr A Dadi Tjokrodipo Regional Hospital towards green hospital in Bandar Lampung. This study used design method modified from LaGro (2013) which consisted of a site survey stage; literature study; analysis-synthesis stage and conceptual design stage. Based on the results of this research, the implementation of green hospital principles in the landscape design of the dr A Dadi Tjokrodipo Regional Hospital applied to two major criteria, namely design and construction criteria and operational criteria. Design and construction criteria implemented include land development criteria and healing garden criteria. The operational criteria applied include transportation criteria and green material procurement criteria. Design recommendations based on the principle of green hospital can be followed up in the form of detailed engineering design (DED) documents and proposed budget plans so that the design can be implemented in the field.
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Jia, Wei Yang. "Survey & Quantitative Design Strategies on Hospital Accessible Signs." Applied Mechanics and Materials 507 (January 2014): 31–35. http://dx.doi.org/10.4028/www.scientific.net/amm.507.31.
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Hospital accessible signs are important guide for the elderly, disabled or ordinary people. According to the theories of environmental behavior and sign-system universal design, the types of accessible signs and demand features of all sorts of disable people are analyzed, and the necessity of quantitative design for hospital accessible signs is put forward. With investigation and research on accessible signs of 25 major hospitals in Tianjin city, the existing design problems were found out with the method of comprehensive comparison between subjective perception with instances and standard literatures, thus the quantitative design recommendations on each design element of hospital accessible signs are summarized and obtained, including scale, mounting height, graphics, color, fonts and so on, to provide rational science indicator reference to accessible signs design and the construction of accessible environment.
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Villeneuve, Jocelyn. "The Contribution of Ergonomics to the Design of Hospital Architecture." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 44, no. 26 (July 2000): 189–96. http://dx.doi.org/10.1177/154193120004402615.
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While the contribution of architecture to construction projects is not in doubt, that of ergonomics raises a number of questions. What does ergonomics have to do with architecture? How does its contribution add value to a project? What does the ergonomist do that an architect cannot do? To answer these questions, the shared ground and exclusive fields of the two disciplines need to be defined. In this paper, the specific contribution of ergonomics is illustrated by the results of an intervention in a new hospital construction project.
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Collinge, William Henry. "Client requirement representations and transformations in construction project design." Journal of Engineering, Design and Technology 15, no. 2 (April 3, 2017): 222–41. http://dx.doi.org/10.1108/jedt-03-2016-0022.
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Purpose This paper aims to examine how client requirements undergo representational and transformational shifts and changes in the design process and explore the consequence of such changes. Design/methodology/approach A series of design resources relating to hospital departmental configurations are examined and analysed using a social semiotic framework. The findings are supplemented by practitioner opinion. Findings Construction project requirements are represented and transformed through semiotic resource use; such representations deliver specific meanings, make new meanings and affect project relationships. Requirement representations may be understood as socially motivated meaning-making resources. Research limitations/implications The paper focuses on one set of project requirements: hospital departmental configurations from a National Health Service hospital construction project in the UK. Practical implications The use of semiotic resources in briefing work fundamentally affects the briefing and design discourse between client and design teams; their significance should be noted and acknowledged as important. Social implications The findings of the paper indicate that briefing and design work may be understood as a social semiotic practice. Originality/value This original paper builds upon scholarly work in the area of construction project communications. Its fine-grained analysis of briefing communications around representations of specific requirements is novel and valuable.
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Bilec, M. M., R. J. Ries, K. L. Needy, M. Gokhan, A. F. Phelps, E. Enache-Pommer, M. J. Horman, et al. "Analysis of the Design Process of Green Children's Hospitals: Focus on Process Modeling and Lessons Learned." Journal of Green Building 4, no. 1 (February 1, 2009): 121–34. http://dx.doi.org/10.3992/jgb.4.1.121.
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Healthcare facilities are among the most complicated facilities to plan, design, construct and operate. A new breed of hospitals is considering the impact of the built environment on healthcare worker productivity and patient recovery in their design, construction, and operation. A crucial subset of healthcare facilities are children's hospitals where the consequences of poor building system design and performance have the potential to seriously impact young lives with compromised health. Green facilities are not always pursued: they are perceived as difficult to build and costing more than equivalent conventional hospitals. This study explored the design process of the Children's Hospital of Pittsburgh of the University of Pittsburgh Medical Center (UPMC) and Penn State's Hershey Medical Center Children's Hospital to understand the critical steps and processes for green children's hospital design. Producing a series of process maps that identify the key characteristics in the complex design requirements of a green children's hospital, this paper reveals the importance of design process to design quality. More broadly, this research will help future project teams meet the complex design requirements of green children's hospitals.
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Huang, Zheng Dong, Li Li Song, Xue Qing Guo, and Fei Xiao. "Design and Deployment of Hospital Digital Ward." Applied Mechanics and Materials 343 (July 2013): 121–25. http://dx.doi.org/10.4028/www.scientific.net/amm.343.121.
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s. In order to explore the building pattern of digital ward for medical affairs and management, the business process and function of digital ward is discussed. The digital ward building pattern combining multi business system, such as clinical treatment and nursing, logistic support like drugs and equipment, quality surveillance, performance checking, cost auditing and office administrating, is constructed. Based on the methodology of process management, the architecture of digital ward is design and implemented, which is focus on electronic medical records, medical quality and management. The construction of digital ward has implemented the overall process intelligent and automatic management of medical and administration business.
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Lavikka, Rita Henriikka, Riikka Kyrö, Antti Peltokorpi, and Anna Särkilahti. "Revealing change dynamics in hospital construction projects." Engineering, Construction and Architectural Management 26, no. 9 (October 21, 2019): 1946–61. http://dx.doi.org/10.1108/ecam-03-2018-0119.
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Purpose Hospital construction projects often suffer from relatively late changes in the project lifecycle, which disrupt the project execution and impact project productivity. The purpose of this paper is to explore the root causes of changes in hospital construction projects. The paper aims to propose ways to prepare for the changes. Design/methodology/approach The study focuses on changes during the construction of new hospital facilities. An explorative, case study research design is utilised. Five case projects from Finland, Sweden and the USA were selected for in-depth analysis. The primary data comprise semi-structured interviews, supported by secondary evidence such as change order documents. Findings The findings reveal eight categories for change sources: contracts, and equipment and systems are reflective of the fast-paced healthcare technology and changing user requirements, while external environment comprises changes caused by both regulatory and physical environment. Changes in operations are reflected in the continuous development of treatment methods and processes. The user, owner, designer and contractor initiated changes represent the stakeholder influence. The paper makes a connection between these change sources and project complexity dimension. A framework for change dynamics is introduced, and product and process flexibility is suggested as a suitable method to prepare for and manage changes. Originality/value The paper is the first to link construction changes to project complexity factors. The paper argues that changes, when managed appropriately, are not only necessary but also beneficial to large construction projects in a quickly changing environment. The findings guide project stakeholders in implementing project flexibility, in the product and process dimensions, which is a balancing force to project complexity.
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Turpin, Malcolm, and Andrew Rolf. "The King's Health Partners Cancer Centre at Guy's Hospital, London." Structural Engineer 97, no. 7 (July 1, 2019): 20–28. http://dx.doi.org/10.56330/bhos1450.
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This paper discusses the design and construction of the King's Health Partners Cancer Centre, including the constraints imposed by an inner-city site of archaeological interest, the requirements associated with specialist medical equipment, and the incorporation of extensive off-site construction methods into the structural design.
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Gaur, Rupesh, and Amandeep Kaur. "Covid 19 Hospital Management System." International Journal for Research in Applied Science and Engineering Technology 10, no. 4 (April 30, 2022): 2629–33. http://dx.doi.org/10.22214/ijraset.2022.41855.
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Abstract: This research work is on design and construction of Covid-19 hospital management system. The system uses html and css as frontend and Django as frontend and has an connection with the backend. Covid-19 Hospital Management System is an integrated hospital management system which address all the major functional areas of the multi- speciality hospitals. This hospital system management enables better patient care and prevents the confusion and misleading of information at the time of need. Keywords: Pandemic, integrity, sustainability
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Bu, Nayan. "Analysing the Key Points for Cost Control of EPC Model Hospital Construction Project." World Construction 5, no. 1 (August 22, 2016): 41. http://dx.doi.org/10.18686/wc.v5i1.71.
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<p>As the EPC (Engineering Procurement Construction) model became one of the widely used models in the areas of local and international construction, project management based on the EPC highlights its importance. EPC project commonly refers to the four stages of the project implementation process which are design, procurement, construction and delivery to a construction enterprise for integrated management.The advantage is that it can unleash the leading role of the design by overall optimization in the implementation of the project to realize reasonable cross and full coordination in the various stages of design, procurement and construction, achieving savings in investments as desired by the owners, shorten the construction period, improve the quality and other targets.</p>
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Teel, Jeff, Josh Thede, Kevin Butler, and Elaina Bargas. "Prefabricated partitions in a hospital clinic—Airborne sound isolation design and field measurements." Journal of the Acoustical Society of America 151, no. 4 (April 2022): A106. http://dx.doi.org/10.1121/10.0010796.
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We will discuss the benefits, challenges, and requirements from an acoustics case study using modular prefabricated walls in healthcare. A recent hospital expansion/renovation project successfully used multi-trade prefab construction extensively in administrative, outpatient, inpatient, and surgical suite prep/recovery areas. This session will cover the acoustic and technical issues related to prefab partitions encountered during design and construction and post-construction acoustics observations and noise isolation class measurements.
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Ahmad, Julfikar, Antony Kumar Boity, Harnoor Kaur Chauhan, and Kritika Arora. "Evaluation of Architectural Design Features in Achieving Sustainability in Hospital Projects." ECS Transactions 107, no. 1 (April 24, 2022): 9453–63. http://dx.doi.org/10.1149/10701.9453ecst.
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Newly built hospitals need to be assessed to evaluate the performance in the context of sustainability by means of comparing the thermal comfort level of the users and the ambient thermal conditions in hospital environment of high- and low-level designs. A perspective of facility management has been used to decide the responsibility of hospital administrators towards contributing for sustainable design outcome in order to make operational sustainable hospital with newly and restructured construction. To asses this, study data was extracted by using thermal environment equipment and energy simulation applications, through conducting survey of thermal comfort and interviewing authoritative personnel who provide services and care, facility provider and patients. The hypothesis suggests about how sophisticated sustainable ventilation design provisions provide a feel-good fact or from thermal comfort point of view and it helps to push down lower heat index in the wards that are designed with natural ventilation features.
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Canales, Pablo, Claudia Valderrama-Ulloa, and Ximena Ferrada. "Hospitales sustentables: partidas críticas para su construcción y el rol de la inspección técnica." Revista Hábitat Sustentable 11, no. 2 (December 30, 2021): 22–33. http://dx.doi.org/10.22320/07190700.2021.11.02.02.
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Currently, the public health infrastructure in Chile, at its different scales, has made important advances in determining sustainability design criteria. However, it is possible to see that, during its construction, there are no standardized verification processes on sustainability aspects, and that the work of technical inspection focuses on the administrative compliance of construction contracts, rather than on checking technical aspects. This research proposes a list of critical items and activities to supervise hospital construction, to guarantee sustainable criteria in their operation. A survey was also made to professionals involved in the design, construction, and supervision of hospital construction, ranking the results with a multi-criteria methodology (AHP), which showed a preference in the thermal envelope (20%) and thermal and ventilation installations (17%). Finally, based on the weaknesses stated by the professionals, a control and monitoring process of these items and activities is proposed, redesigning the work of the Worksite’ Technical Inspector.
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Ekhaese, Eghosa Noel, Ibrahim Abudulsalam Mohammed, and Praise Ojuoluwa Akindoyin. "Bioclimatic design strategies and energy efficiency in an orthopaedic hospital in Nigerian cities: A cross-sectional study." Journal of Infrastructure, Policy and Development 8, no. 7 (July 15, 2024): 2736. http://dx.doi.org/10.24294/jipd.v8i7.2736.
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2050 building stock might be buildings that already exist today. A large percentage of these buildings fail today’s energy performance standards. Highly inefficient buildings delay progress toward a zero-carbon-building goal (SDGs 7 and 13) and can lead to investments in renewable energy infrastructure. The study aims to investigate how bioclimatic design strategies enhance energy efficiency in selected orthopaedic hospitals in Nigeria. The study objective includes Identifying the bioclimatic design strategies that improve energy efficiency in orthopaedic hospitals, assessing the energy efficiency requirements in an orthopaedic hospital in Nigeria and analysing the effects of bioclimatic design strategies in enhancing energy efficiency in an orthopaedic hospital in Nigeria. The study engaged a mixed (qualitative and quantitative) research method. The investigators used case study research as a research design and a deductive approach as the research paradigm. The research employed a questionnaire survey for quantitative data while the in-depth Interview (IDI) guide and observation schedule for qualitative data. The findings present a relationship between bioclimatic design strategies and energy conservation practices in an orthopaedic hospital building. Therefore, implementing bioclimatic design strategies might enhance energy efficiency in hospital buildings. The result of the study revealed that bioclimatic hospital designs may cost the same amount to build but can save a great deal on energy costs. Despite the challenges, healthcare designers and owners are finding new ways to integrate bioclimatic design strategies into new healthcare construction to accelerate patient and planet healing.
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Lan, Haotian. "Research on the design of prefabricated buildings." Highlights in Science, Engineering and Technology 28 (December 31, 2022): 280–85. http://dx.doi.org/10.54097/hset.v28i.4158.
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In recent years, the traditional cast-in-situ construction is faced with many problems, such as construction quality relying too much on the level of construction personnel, design can sometimes increase construction difficulty, lack of construction of fine management, more and more high cost, serious material waste and so on a series of problems, this paper mainly discussed the prefabricated modular architecture compared to traditional cast-in-situ construction, Analyzed it in architectural design, construction, and some of the advantages on the building structure, this paper introduces the design of prefabricated modular building personalized, standardization, construction quality and construction of low cost, high material utilization, high construction efficiency, less waste and less pollution, and lists the specific application of prefabricated modular buildings, such as: Huoshen Mountain Hospital, Beijing Yizhuang blue Collar Apartment, Croatia Clark Stadium and Arab Jeddah port breakwater lights. This paper expects that the development of prefabricated modular building will be better and better. With the breakthrough of technology, the shortcomings of the construction industry will be completely changed, and the prefabricated modular building can break the shackles, the design mode and content can be more mature, and the degree of mechanization, information and individuation can be higher.
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Dains, Angie, Michael Edmond, Daniel Diekema, Stephanie Holley, Oluchi Abosi, Mary Kukla, Kyle Jenn, et al. "Infection Prevention Time Required for Construction and Design at a Large Tertiary-Care Hospital, 2019." Infection Control & Hospital Epidemiology 41, S1 (October 2020): s69—s70. http://dx.doi.org/10.1017/ice.2020.557.
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Background: Including infection preventionists (IPs) in hospital design, construction, and renovation projects is important. According to the Joint Commission, “Infection control oversights during building design or renovations commonly result in regulatory problems, millions lost and even patient deaths.” We evaluated the number of active major construction projects at our 800-bed hospital with 6.0 IP FTEs and the IP time required for oversight. Methods: We reviewed construction records from October 2018 through October 2019. We classified projects as active if any construction occurred during the study period. We describe the types of projects: inpatient, outpatient, non–patient care, and the potential impact to patient health through infection control risk assessments (ICRA). ICRAs were classified as class I (non–patient-care area and minimal construction activity), class II (patients are not likely to be in the area and work is small scale), class III (patient care area and work requires demolition that generates dust), and class IV (any area requiring environmental precautions). We calculated the time spent visiting construction sites and in design meetings. Results: During October 2018–October 2019, there were 51 active construction projects with an average of 15 active sites per week. These sites included a wide range of projects from a new bone marrow transplant unit, labor and delivery expansion and renovation, space conversion to an inpatient unit to a project for multiple air handler replacements. All 51 projects were classified as class III or class IV. We visited, on average, 4 construction sites each week for 30 minutes per site, leaving 11 sites unobserved due to time constraints. We spent an average of 120 minutes weekly, but 450 minutes would have been required to observe all 15 sites. Yearly, the required hours to observe these active construction sites once weekly would be 390 hours. In addition to the observational hours, 124 hours were spent in design meetings alone, not considering the preparation time and follow-up required for these meetings. Conclusions: In a large academic medical center, IPs had time available to visit only a quarter of active projects on an ongoing basis. Increasing dedicated IP time in construction projects is essential to mitigating infection control risks in large hospitals.Funding: NoneDisclosures: None
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Gao, Si, Hu Xie, Mian Yang, Qiang Zhang, Ming Zhang, Xin Wang, and Ze-Hao Jiang. "A BIM-Based Simulation Approach for Life-Cycle Quality Control in Post-Pandemic Hospitals." Buildings 13, no. 6 (June 17, 2023): 1549. http://dx.doi.org/10.3390/buildings13061549.
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The outbreak of COVID-19 has engendered extensive challenges for conventional hospital operations. To adapt to this problematic issue, a mixed-use hospital functioning system for normal and epidemic situations is proposed. However, the inherent complexity of a hospital embedded with a function of epidemic prevention and control renders a restrained construction process that may compromise quality. In this stance, we developed a BIM (building information modelling)-based simulation approach addressing life-cycle quality control in post-pandemic hospitals. An illustrative case study approach, which draws on the grey literature, was used to address the research question. BIM forward design was employed to integrate with such elements as functional streamline, emergency site, and ward conversion in the process of transformation from normal to epidemic-related operations. Computational fluid dynamics-based fluid simulation was conducted to obtain the most suitable air supply and exhaust solutions for negative pressure wards. BIM forward design method contributed to improving design efficiency and quality. The results of ventilation simulation and environmental analysis showed that the design scheme met all the functional requirements and technical specifications. Meanwhile, the best pipeline synthesis scheme was obtained, which reduced the rework and saved on construction time. The proposed method is beneficial to improve the efficiency of design information sharing and business collaboration. Implications generated from this study can be used as a significant reference for the future construction of various healthcare facilities.
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Xidous, Dimitra, Tom Grey, Sean P. Kennelly, and Desmond O’Neill. "Understanding the knowledge and engagement of facilities management with dementia-friendly design in Irish hospitals: an exploratory study." Facilities 39, no. 9/10 (January 11, 2021): 601–14. http://dx.doi.org/10.1108/f-01-2020-0012.
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Purpose This exploratory study stems from research conducted between 2015–2018 focussing on dementia-friendly design (DFD) in hospitals (Grey T. et al. 2018). Specifically, this study focusses on facilities management (FM) staff in Irish hospitals to gain a preliminary understanding of the level of knowledge and engagement of FM in the implementation of dementia-friendly hospital (DFH) design. Design/methodology/approach A mixed-methods approach based on a series of ad hoc semi-structured interviews, and an online survey. The aims were, namely, assess the extent of FM engagement in hospital works; measure the level of awareness regarding DFD; and identify facilitators and barriers to DFD in hospital settings. Participants (74) comprised FM staff in 35 Irish acute care hospitals. The research findings are based on thematic analysis of ad hoc semi-structured interviews (participants, n = 4) and survey responses (participants, n = 13). Findings While FM staff reported to possess important knowledge for building DFH, they also mentioned a lack of engagement of FM in design processes and hospital works. Practical implications The research has gained insight into the role of FM in promoting a dementia-friendly approach. Lack of or poor engagement of FM in design processes and hospital works means not fully tapping into rich expertise that would be invaluable in the development, implementation and maintenance of DFH. Universal design is a key driver for facilitating their engagement in the design, implementation and maintenance of DFH environments. Originality/value This is the first study exploring the role of FM in supporting a DFD approach in acute care hospitals.
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Setiawan, Handika. "ANALYSIS OF CAUSES DELAYS IN THE ROYAL RUNGKUT SURABAYA HOSPITAL PROJECT USING FTA METHOD." SONDIR 6, no. 2 (October 23, 2022): 18–25. http://dx.doi.org/10.36040/sondir.v6i2.5078.
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Hospitals are one of the most strategic parts of the health field. This is none other than because a quality hospital is a service to create a healthy Indonesian society, in terms of physical and mental. Therefore, the construction of the Hospital building which is included in the development of this development is needed by the Royal Surabaya Hospital. But in reality, the development of development has been delayed since December 6, 2021, which can be seen through the S curve. In this study, researchers used a questionnaire that was distributed to respondents, namely the construction staff of the Royal Extension Hospital Surabaya to obtain data, then the data was processed using the fault tree analysis method to find out what caused the delay in the project. The results of this study found that the cause of the delay was caused by the owner's late payment to the contractor or related parties, the owner's delay in approving and making changes to the design, lack of supervision of the design, damage and effectiveness of the use of heavy equipment, and lack of construction materials. It can be concluded that the cause of the occurrence of delays is due to 4 factors.
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Nourmusavi Nasab, Sara, Amir Reza Karimi Azeri, and Seyedjalal Mirbazel. "Ideal physical features of environmental design in children’s hospital." Facilities 38, no. 5/6 (January 8, 2020): 445–66. http://dx.doi.org/10.1108/f-03-2019-0032.
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Purpose During hospitalization, children are faced with physical disorders and many psychological challenges. One important factor affecting children is the environmental design of the hospital. The inappropriate design of hospitals may contribute to an increase in fear, anxiety and behavioral disorders. The purpose of this study is to use children’s perspectives to evaluate the importance and impact of effective environmental factors to generate children’s hospital design guidelines. Design/methodology/approach In this study, children’s desired atmosphere during treatment was examined via 16 drawings and 24 interviews from children at a children’s hospital in Iran. Findings The encoding of information extracted environmental components such as window view, color, hobby, playing, decorations, family presence, structure of hospital, presence of nurse, furniture, water features, light and green space. The results indicate that children prefer a hospital environment that provides entertainment facilities while also offering design features such as the presence of light, colorful decorations, the existence of green spaces and conditions suitable for their families to be present. Research limitations/implications Depending on the location and their living conditions, the children’s prioritization can be different in any society. In addition, the data of this research was descriptive; thus, the conclusions must be considered tentative. Originality/value A number of studies focus on the needs of populations in developed countries. This topic has not been investigated in a major way via professionals in non-western countries such as Iran. Thus, the context of this study and present findings can be deemed unique.
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Bu, Nayan. "Analysing the Key Points for Cost Control of EPC Model Hospital Construction Project." World Construction 5, no. 1 (August 22, 2016): 41. http://dx.doi.org/10.18686/wcj.v5i1.7.
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<span style="color: black; font-family: 'Times New Roman','serif'; font-size: 12pt; mso-fareast-font-family: Calibri; mso-bidi-font-family: Calibri; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;" lang="EN-US">As the EPC (Engineering Procurement Construction) model became one of the widely used models in the areas of local and international construction, project management based on the EPC highlights its importance. EPC project commonly refers to the four stages of the project implementation process which are design, procurement, construction and delivery to a construction enterprise for integrated management.</span><span style="color: black; font-family: 'Times New Roman','serif'; font-size: 12pt; mso-fareast-font-family: Calibri; mso-bidi-font-family: Calibri; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;" lang="EN-US">The advantage is that it can unleash the leading role of the design by overall optimization in the implementation of the project to realize reasonable cross and full coordination in the various stages of design, procurement and construction, achieving savings in investments as desired by the owners, shorten the construction period, improve the quality and other targets</span>.
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Senhaji, Zineb, and Khalid Fikri. "Construction of a multidimensional performance model based on the perceptions of hospital stakeholders." SHS Web of Conferences 175 (2023): 01053. http://dx.doi.org/10.1051/shsconf/202317501053.
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The objective of this article is to design a performance model through a qualitative study conducted on the different stakeholders of the University Health center in regards to their perception of the hospital performance. The study was conducted by dint of interview guides addressing the internal as well as the external stakeholders of the hospital having an influence on the performance of the University Health Centre UHC. The model constructed illustrates that hospital performance is a multidimensional construct that is close to two theoretical performance models, namely the BSC and the WHO PATH model. The combination of the two models allowed for a reconciliation between the visions of the different professional categories of hospitals, resulting in a performance model, which reconciles the vision of caregiving, and the vision of management.
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Luo, Xi, and Chaoqun Jiang. "Design of Hospital Operation Management System Based on Business-Finance Integration." Computational Intelligence and Neuroscience 2022 (July 19, 2022): 1–11. http://dx.doi.org/10.1155/2022/8426044.
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In order to meet the requirements of the medical reform on the informatization construction of hospital operation management, a new and refined management system is established for the hospital, which integrates and analyzes the daily management data, realizes the unification of “capital flow and business flow,” and enhances the management’s understanding of people, management of the planning use, and coordination and control of various comprehensive resources of finance and materials. In this study, by creating a new type of comprehensive operation management platform for the hospital, and by establishing a whole new set of operation management decision-making system, the hospital can effectively and unifiedly manage the business related to people, finance, and materials, so that the multifaceted business data can be effectively managed. Interoperability and sharing, with cost accounting as the center, enhance the management’s intuitive understanding of the operation of various aspects of the hospital and provide strong support for the management of planning, coordination, resource allocation, comprehensive analysis, etc., forming financial management categories and logistics. There are four management categories: management category, human resource management category, business analysis, and decision-making category; the ultimate realization of the optimization of hospital resources and operation mode, the decision-making system aiming at the comprehensive management of hospital personnel, finance, and materials, that is, the comprehensive operation management of the hospital system. The system can provide a strong guarantee for the stable, safe, and healthy economic operation of the hospital and improve the information construction and sustainable development of the hospital. Ultimately, the purpose of improving the comprehensive operation management of the hospital, realizing the refined management, enhancing the core competitiveness of the hospital, and finally realizing the integration of business and finance is achieved.
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Van, Khai Tran. "Enhancing appropriate environmental design in healthcare facilities for the inhibition of nosocomial infection." E3S Web of Conferences 135 (2019): 01059. http://dx.doi.org/10.1051/e3sconf/201913501059.
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A Nosocomial infection also known as a hospital-acquired infection (HAI), is an infection that is acquired in a hospital or other health care facility are increasing even in Contemporary Hospitals of Vietnam. This study described how HALs occur in patients during the time under medical care in healthcare facilities as during hospitalization, the patient is exposed to pathogens through different sources which mostly are environment, healthcare staff, and other infected patients. The prevention and control of HALs requires the implementation of infection control interventions. The role of infection control mentioned in this study is to review and approve construction and architecture design measures to ensure they meet the demands for minimizing nosocomial infections. This study examines how HALs spread among hospitalized patients via environmental routes and how the application of appropriate design of the hospital plays a critical part in preventing the spread of infection. As the application of new technologies has application range within stamina in cases of climate changes, the findings of this study is the adoption of flexible transformable hospital design strategies in Vietnam to prevent infection.
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Anandita, Dianya Puan, Asri Nurdiana Nurdiana, and Bambang Setiabudi. "Perancanaan Jembatan Beton Prategang RSUD Temanggung dengan Berbasis Building Information Modeling (BIM) 3D, 4D, dan 5D." Jurnal Sipil dan Arsitektur 1, no. 3 (December 3, 2023): 60–75. http://dx.doi.org/10.14710/pilars.1.3.2023.60-75.
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Building Information Modeling (BIM) technological innovations can assist in designing construction designs to be integrated with each other, so that the process can be more effective and efficient. This Building Information Modeling (BIM) technology can be applied to various construction works, including road and bridge construction work. In this study the authors will plan the construction work of a prestressed concrete bridge at Temanggung Hospital which includes bridge geometric planning, structural loading and reinforcement calculations, 3D modeling and calculation of concrete volume and reinforcement using Autodesk Revit, as well as designing a cost budget and time schedule using Microsoft Project. From the analysis. Based on the results of the analysis, obtained a 17,453-meter-long Full Circle bend plan with a 4% incline, the elevation of the bridge is 14,470 meters from the riverbed, the design of the bridge at the Temanggung Hospital is safe against work loads, the total cost needed in the construction of the Temanggung Hospital Bridge is Rp. 7,875,323,851, with a duration of work of 5 months starting from 1 August 2023 to 9 December 2023.
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Bingham, Evan, David Whitaker, Jay Christofferson, and Justin Weidman. "Evidence-Based Design in Hospital Renovation Projects: A Study of Design Implementation for User Controls." HERD: Health Environments Research & Design Journal 13, no. 2 (March 16, 2020): 133–42. http://dx.doi.org/10.1177/1937586720905021.
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Purpose: The purpose of this article was to investigate and report the implementation of evidence-based design (EBD) principles relating to user controls into hospital renovation projects. Background: Progress requires the application of the most recent knowledge and technology. When it comes to the design and construction of healthcare facilities, the latest knowledge comes in the form of EBD research. EBD is the process of basing decisions about the built environment on credible research to achieve the best possible outcomes. The desired outcomes of EBD recommendations include improvements to enhance user control. User control factors include the individual control over bed position, air temperature, lights, sound, and natural light. Method: A list of recommendations from existing EBD literature related to user controls was compiled. Construction documents from 30 recent healthcare facility renovation projects across the United States were obtained and analyzed. Implementation levels for the EBD categories of user controls were reported. Results: The findings indicate relatively extensive industry use of EBD principles relating to user control of temperature, lights, and natural lighting. Conclusions: The findings indicate that EBD recommendations related to user controls are being adopted in practice at consistently high levels. These findings also reveal that there are still areas of potential improvement which could inform those who influence or determine building design, codes, standards, and guidelines. The results are helpful to owners, designers, and contractors by providing a glimpse into how well the industry is recognizing and implementing known best practices. The findings likewise introduce new opportunities for further research which could lead to additional improvement in the healthcare facilities of the future.
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Patsiatzi, Eleni, and Nick JA Grey. "An Investigation of Aspects of Design of Resin-Bonded Bridges in General Dental Practice and Hospital Services." Primary Dental Care os11, no. 3 (July 2004): 87–89. http://dx.doi.org/10.1308/1355761041208467.
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Purpose of study To assess the design of resin-bonded bridges (RBBs) by dentists, the quality of information provided to a dental laboratory, and aid identification of best practice. Design A retrospective case series study of slips for RBB construction, sent by hospital and general dental practitioners to a dental laboratory based in a postgraduate dental institute in Scotland, UK. Main findings 384 forms were reviewed. For single-tooth replacements, 40% of designs for upper anterior bridges and 46% for lower posterior bridges were fixed-fixed (F-F) when a cantilever design was a better option. Thirty-six (9.3%) of RBB designs involved double abutting. On the laboratory forms, fewer than five (1%) cases included instructions about the thickness of the metal framework and in 48% there was no reference to the extension of the metal framework. Principal conclusions For single-tooth replacements, a relatively high percentage of dentists prescribed a fixed-fixed design for RBBs, despite the evidence advocating the use of a cantilever design. A significant number of dentists used double abutments. The information provided to the laboratory for the construction of resin-bonded bridges was often insufficient.
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Yao, Biwen, Huiming Wang, Mingliang Shao, Jian Chen, and Guo Wei. "Evaluation System of Smart Logistics Comprehensive Management Based on Hospital Data Fusion Technology." Journal of Healthcare Engineering 2022 (January 7, 2022): 1–11. http://dx.doi.org/10.1155/2022/1490874.
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With the acceleration of the informatization process, but because of the late start of the informatization construction of logistics management, the current digital system construction of logistics management has not been popularized, and the intelligent logistics integrated management evaluation system is also extremely lacking. In order to solve the lack of existing intelligent logistics comprehensive management evaluation system, this paper introduces the research of intelligent logistics comprehensive management evaluation system based on hospital data fusion technology. This paper analyzes and utilizes the Kalman filter and adaptive weighted data fusion technology in data fusion technology and then analyzes the evaluation index and system design principles of the intelligent logistics comprehensive management evaluation system and then designs the application layer from the application layer. Design the application layer from the application layer. Then design the framework of the intelligent logistics comprehensive management evaluation system at the network layer and the data layer. The system is finally tested, and the test results show that the evaluation accuracy of the system reaches 80%.
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Bulakh, Irina, Margaryta Didichenko, Olena Kozakova, Olena Chala, and Gelena Kovalska. "Is the hospital-park future of the sustainable hospital architecture?" E3S Web of Conferences 280 (2021): 04014. http://dx.doi.org/10.1051/e3sconf/202128004014.
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The article deals with important issues of the ecological approach to the health care facilities design within the general world's attention to the problem of sustainable development of the urban environment. Taking as the example the innovative foreign experience of implemented projects of medical institutions, as well as design, competitive and conceptual proposals revealed the latest idea of coexistence and harmonization of natural and man-made worlds within the medical environment that meets the challenges and needs of the XXI century. It is the concept of the hospital-park, that synthetically combines the architectural environment, natural environment, as well as man-made oasis and creates the basis for emergent results both in the medical field and in the need for a neat attitude to our planet. The article reveals the possibilities of designing a hospital-park of different stories and in different initial conditions: in a dense urban environment with a minimum size of the construction site, in suburban and peripheral areas of the city.
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Tam, David A., Thomas Chessum, and Jay Leopold. "The Challenge of Innovation and the High-Performance Team." HERD: Health Environments Research & Design Journal 5, no. 3 (April 2012): 66–73. http://dx.doi.org/10.1177/193758671200500307.
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Purpose: This paper describes the use of a high-performance team model in the leadership of a healthcare construction project with a vision of fostering innovation in the design and building process. This model facilitated the effective implementation of = Lean principles and a joint governance model combining stakeholders under a shared vision. Background: The healthcare facility discussed is a California healthcare district in San Diego. Because of state seismic safety legislation, the district elected to build a replacement hospital for its tertiary care trauma facility. The organization's leadership decided to pursue a course that demanded innovation in both the design and construction process. The owner, architects, construction manager, and trade contractors adopted a high-performance team model to meet this challenge. Conclusions and Recommendations: The governance and leadership of a construction project should reflect the design and ultimate intent of the facility. The vision of building the most innovative hospital under constrained resources required the implementation of an innovative approach to leading the construction process.
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Ebekozien, Andrew, Solomon Oisasoje Ayo-Odifiri, Angeline Ngozika Chibuike Nwaole, Aginah Lawrence Ibeabuchi, and Felix Ebholo Uwadia. "Barriers in Nigeria’s public hospital green buildings implementation initiatives." Journal of Facilities Management 20, no. 4 (August 18, 2021): 586–605. http://dx.doi.org/10.1108/jfm-01-2021-0009.
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Purpose The high consumption of energy by buildings may have enhanced land degradation, flooding, air pollution and many other hazardous environmental issues. However, green practices in buildings have been proved as one of the successful technologies to mitigate these issues. Past studies have shown lax green practices in Nigerian buildings. Concerning public hospital buildings, this is yet to be explored. Therefore, this paper aims to investigate the barriers to green practices and proffer possible policy solutions to promote hospital green buildings. Design/methodology/approach In attaining these objectives, the view of hospital building contractors, design team, hospital management and policymakers in the relevant ministries/agencies was engaged via virtual interviews. The collated data were analysed and presented in the thematic pattern. Findings Findings show that green building construction is extremely low in Nigeria, but the worst hit is the health-care buildings across the states. Government/policy-related, organisational/leadership-related, financial-related, technical-related, design team-related and stakeholders’ behaviour-related barriers emerged as the main six themes of barriers affecting public hospital green buildings implementation initiatives. Findings show that proffering possible policies to addressing these barriers may improve public hospital green construction across the states. Research limitations/implications This paper is limited to barriers to green buildings implementation in public hospitals in Nigeria, and data collection was through virtual interviews but does not affect the strength of the findings. Thus, this paper suggests that the sub-themes and variables/items that emerged from the collated data as presented in Figure 1 can be further developed quantitatively via questionnaire survey to validate and improve the reliability of results from this paper. Practical implications As part of this study’s implications, suggestions from this paper will stir up policymakers’ decisions, to be tailored towards achieving green buildings implementation initiatives in Nigerian public hospitals. Originality/value To the best of the authors’ knowledge, this paper is probably the first that attempted to investigate the barriers to green buildings implementation in public hospitals in Nigeria.
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Adewumi Isaac Popoola and Ibukun Ayodeji Olumodeji. "Design and construction of a radiographic film dryer." World Journal of Advanced Research and Reviews 15, no. 2 (August 30, 2022): 352–61. http://dx.doi.org/10.30574/wjarr.2022.15.2.0798.
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Radiographs are vital in hospital diagnostic processes. After a radiograph is processed from the developer, it must be dried before it can be interpreted by the radiologist. Two methods are basically available for radiograph drying – open sun drying and oven drying. Despite variability in weather conditions which can hamper effective radiograph drying, most diagnostic centers still rely on the open sun drying method due to the unavailability of radiograph dryer. This project presents the design and construction of a radiographic film dryer that is cost effective, user friendly and serviceable using local technology. The dryer is composed of a heater, a blower, an extractor and a drying cabin that is capable of containing 25 detachable film hangers (49.5 cm) placed into two rails (37 cm) at both sides. Good quality of dried radiographs were obtained when chamber heating/air evacuation were done at 5 minutes time interval. 25 radiographs of two major sizes; 18 cm × 24 cm (smallest) and 35 cm × 43 cm (largest) were dried approximately 5 and 10 minutes respectively at maximum temperature of 55 0C. The drying process was both temperature and time controlled as moisture content was removed from the processed films in real time for quick diagnostic processes.
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Liu, Yi, Lulu Chen, Mu Qi, and Dezheng Kong. "Construction of a Spatial Equalization Assessment System for Medical Facilities." Buildings 14, no. 5 (April 30, 2024): 1265. http://dx.doi.org/10.3390/buildings14051265.
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The spatial equalization of medical facilities can alleviate the wastage of medical resources and improve the efficiency of medical services. Therefore, it is necessary to carry out spatially balanced planning and assessment of medical facilities in cities. Existing studies on the balanced planning, design, and evaluation of medical facilities have been conducted from the perspective of hospital buildings in terms of spatial utilization efficiency, service satisfaction, and their physical environment on one hand, and from the perspective of regional planning of medical facilities in terms of spatial accessibility to medical facilities and the suitability of medical facilities to the social environment on the other hand. This study hopes to break down the boundaries of each perspective and effectively integrate the architecture, planning, and social well-being of medical facilities, taking spatial equilibrium as the core, in order to establish a spatial equilibrium system for medical facilities and achieve a spatial equilibrium-based assessment of the current state of medical facilities. First, the factors influencing the spatial equilibrium of hospital buildings with the support of the system and environment of hospital buildings are determined. Second, the indicators of the spatial equilibrium of hospital buildings are extracted through the consideration of influencing factors, and the indicator weights are determined by discussing the degree to which they contribute to the influence of the operation of hospital building spatial equilibrium systems, thus forming a system of equilibrium indicators for hospital buildings. Finally, a spatial equilibrium evaluation model for hospital buildings is established to assess the effects of equilibrium. The results obtained in this study provide insights into the regional planning of medical facilities and the design of hospital buildings.
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Scialpi, G., J. Declercq, L. Grisay, and D. Perrotti. "An urban hospital base79,2d on the principles of circular economy: the case of Joseph Bracops hospital." IOP Conference Series: Earth and Environmental Science 1078, no. 1 (September 1, 2022): 012011. http://dx.doi.org/10.1088/1755-1315/1078/1/012011.
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Abstract The building industry has mainly focused on improving operational energy consumption to minimise the environmental impacts of buildings which are major sources of greenhouse gas emissions (GHG). However, considering the full life cycle of buildings, energy use and GHG emissions occur for reasons that extend beyond the operational phase and involve the embodied impacts of construction and disassembly. Circular building design can provide a holistic approach where the building’s whole life cycle is considered in a manner consistent with circular economy principles, minimizing global material consumption, reducing waste and insuring a more circular building material stock. To date, research on the wide-scale adoption of circular design and construction strategies in public projects is still lacking. On this basis, the case study of the new Joseph Bracops hospital in Brussels shows that circular building design principles can be applied in the healthcare sector within the framework of a public tender. The project integrates circular economy principles at different scales (city, site, building, element), optimises different material and energy flows and takes into account different timespans (short and long term). The study also offers insight and guidance for future research into how the urban hospital of tomorrow will be a resilient public venue. Such a venue can enable a more comprehensive approach of health promotion, reflected by the qualitative integration of circular economy principles both with a social and technical focus, connected to the community and capable to mutate over time.
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Wahyuningrum, S. H., M. A. Wibowo, and A. B. Sardjono. "Adaptive Re-use in Hospital Building for Development Efficiency, Case Study: Regular ward use for a new function of the psychiatric ward at RSUP Dr. Kariadi." IOP Conference Series: Earth and Environmental Science 1058, no. 1 (July 1, 2022): 012028. http://dx.doi.org/10.1088/1755-1315/1058/1/012028.
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Abstract This paper aims to develop design guidelines in the architectural design process, especially for developing new facilities in the hospital complex, which is optimized by using existing buildings transformed into a new function. A specific approach for the adaptive re-use technique will help find a comprehensive method and efficiency of construction budgeting. This paper will discuss changes and developments for providing space for specific healthcare treatment facilities that are always developing every time as long as the hospital still stands, besides developing services or specific treatment for a specific disease for improving healthcare services. To answer hospital design and development, which can be adapted for every development, we can also develop adaptive re-use technique as one of the alternatives for accommodating fulfilling the need for new functions or adding new treatment facilities in the existing hospital. Existing buildings can be transformed into new functions with minimum editing or retrofitting procedures, so the existing building can extend the duty for accommodating building functions. This technique is also to save the budget for construction of the new building, for at least use the existing structure as a basic start and find out for optimum re-adjustment in other parts of buildings components to fit new function. The case study took at RSUP Dr. Kariadi Hospital, which transformed from an existing regular ward into a psychiatric ward with specific requirements in inpatient facilities. The result of the research can be used as a guide in the design process for developing the new function in hospital buildings that fulfills the efficiency of the construction budget. A specific approach to the design model will help find a comprehensive design method.
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Khairullah, Hilmi, Muhammad Ridha Alhamdani, and Jawas Dwijo Putro. "RUMAH SAKIT TIPE C DI KECAMATAN PONTIANAK UTARA." JMARS: Jurnal Mosaik Arsitektur 10, no. 2 (August 19, 2022): 500. http://dx.doi.org/10.26418/jmars.v10i2.57079.
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Health is a healthy state of a person who is not only physically but also socially, spiritually and mentally. In every area there must be a health service facility called a hospital. The construction of hospitals in Pontianak City is not so evenly distributed, especially in North Pontianak District. Type C general hospital is a hospital with a capacity of at least 100 inpatient beds, and related to the number of facilities and the ability of specialized medical services at least 4 (four) basic specialists. The approach used in planning a type C hospital is a healing environment approach, which is an approach that combines elements of nature, psychology, and the senses with considerations of site, actors and activities, size of space, architectural elements, structures, utilities. The purpose of this design is the design of a type C hospital that can meet the needs of health facilities in North Pontianak District and the design of a hospital building that is comfortable, safe, and can respond to the surrounding environment by combining natural, psychological, and sensory elements. The methodology used is data collection, data analysis and synthesis, and the design phase. The result of the design of a type C hospital is a hospital building that is comfortable, safe, and able to respond to the surrounding environment by combining natural, psychological, and sensory elements in North Pontianak District.
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Willis, Valerie. "The Relationship Between Hospital Construction and High-Risk Infant Auditory Function at NICU Discharge: A Retrospective Descriptive Cohort Study." HERD: Health Environments Research & Design Journal 11, no. 2 (December 15, 2017): 124–36. http://dx.doi.org/10.1177/1937586717742123.
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Purpose: To describe the difference in auditory function at neonatal intensive care unit (NICU) discharge between high-risk infant cases exposed to hospital construction during NICU stay and those not exposed. Background: Noise produced by routine NICU caregiving exceeds recommended intensity. As California hospitals undergo construction to meet seismic safety regulations, vulnerable neonates are potentially exposed to even higher levels of noise. Ramifications are unknown. Methods: Retrospective data-based descriptive cohort design was used to compare high-risk infant auditory function at NICU discharge between hospital construction exposed and unexposed groups. Sample size: N = 540 infant cases (243 construction exposed and 297 unexposed controls). Inclusion criteria: Infant cases born and discharged from the study site NICU in the year 2010 (unexposed) and year 2015 (exposed) and received a newborn hearing screening by automated auditory brainstem evoked response (ABER) prior to discharge with results reported. Infant cases excluded: hearing screen results by ABER unavailable, potentially confounding characteristics (congenital infection, major anomalies including cleft lip and/or palate), and transferred into or out of the study site. Instrumentation: ABER. Analysis: descriptive statistics (SPSS Version 24.0), hypothesis testing, correlation, and logistic regression. Results: The difference in auditory function at NICU discharge between high-risk infant cases exposed to hospital construction noise and those unexposed was statistically insignificant, χ2 = 1.666, df = 4, p = .1968, 95% confidence interval [−0.635, 2.570]. Conclusions: More research is needed to better understand whether hospital construction exposure during NICU admission negatively affects high-risk infant auditory function. Findings may catalyze theory development, future research, and child health policy.
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Ansari, Iman. "A Clinical Construct: Research, Experimentation, and Education at the Johns Hopkins Hospital." Building Healthy Academic Communities Journal 8, no. 2 (July 15, 2024): 28–46. http://dx.doi.org/10.18061/bhac.v8i2.9765.
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Background: The Johns Hopkins Hospital, the first U.S. institution to integrate medical education with practice, has served as a critical case study in understanding the evolution of American medical institutions in response to advancements in medical science, education, and technology. However, the role of architecture and design in informing those institutional practices has not been sufficiently explored. Aim: This study examines the intricate interplay between architecture and medicine in the late nineteenth century through a historical analysis of the design, construction, and early operation of the Johns Hopkins Hospital in Baltimore, focusing on how this interdisciplinary relationship shaped both the hospital’s physical environment and institutional practices. Methods: This paper utilizes historical analysis to investigate the design, construction, and operations of the Johns Hopkins Hospital. By examining primary archival materials, it details how architectural strategies addressed scientific, technological, and educational advancements. Results: The investigation reveals that the hospital’s architecture not only facilitated medical research, experimentation, and education but also embodied a novel blend of scientific inquiry and architectural design. Conclusions: The Johns Hopkins Hospital exemplifies the transformative potential of integrating architectural design with medical science. This case study underscores the enduring significance of interdisciplinary collaboration, offering insights into contemporary practices and the future of hospital design and medical education and practice in academic communities.
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Ribeiro, Alexandre Passos, Kemmylle Sanny de Matos Ferreira, Christine Kowal Chinelli, and Carlos Alberto Pereira Soares. "Field hospitals to face COVID-19: Requirements and lessons learned in the design and construction of the Lagoa Barra Hospital - Brazil." Strategic Design Research Journal 13, no. 3 (December 23, 2020): 387–400. http://dx.doi.org/10.4013/sdrj.2020.133.08.
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The construction of field hospitals has been a strategy adopted worldwide to face the consequences of the pandemic impacts caused by COVID-19 on healthcare systems. Specific characteristics of this pandemic, such as different ways and speeds of the disease transmission, and the implications at the population health and the productive system, has made the project, management, and construction of field hospitals for the patients with COVID-19 present specific features. In this work, for each phase of the FHLB implantation, we present the main concepts, premises, restrictions, and challenges, focusing mainly on the needs programs of the project that guided the configuration of the environments, the definition of the circulation flows, the typology of the beds, the main management tools used during the project's planning and control process, and in the lessons learned.
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Tam, David A. "Building the “Fable Hospital”—The CEO's Perspective." HERD: Health Environments Research & Design Journal 5, no. 3 (April 2012): 12–20. http://dx.doi.org/10.1177/193758671200500303.
Full textAbstract:
Hospital construction is a significant event in any health system. The financial implications are great, especially at a time of shrinking capital resources. Personnel are affected, as are the processes to perform their tasks. Often, new facilities are catalysts that change organizational culture; it has been clearly shown that new facilities have a positive impact on patient satisfaction scores. The members of the C-suite of a hospital/health system play important roles in construction projects. However, no one is more critical to the success of such major endeavors than the chief executive officer (CEO). The CEO sets the tone for the project, giving direction to the design and construction process that may have implications for the rest of the organization. Palomar Pomerado Health (PPH) is the largest public health district in California. In 2002, the PPH governing board authorized the creation of a new facility master plan for the district, which included the construction of a replacement facility for its tertiary care trauma center. The new Palomar Medical Center is slated to open in August 2012. HERD had the opportunity to speak with PPH CEO Michael H. Covert on the role of the CEO in the building of this “fable hospital.”