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Journal articles on the topic 'Hospital planning and construction'
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1
Leggat, Sandra G. "Hospital Planning: The Risks of Basing the Future on Past Data." Health Information Management Journal 37, no. 3 (2008): 6–14. http://dx.doi.org/10.1177/183335830803700302.
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Planning for capital development of public hospitals in Victoria is guided by a multi-stage process with comprehensive data analysis and thorough approval processes at each of the stages. The long development timeframes and the limitations in the data available to project service utilisation may negatively impact upon the service planning processes, and in some cases newly developed hospitals have not been sufficiently planned to meet community needs. This paper suggests that service utilisation forecasts derived from administrative databases require a more detailed verification process than currently exists. The process requires consideration of the drivers of demand to document the core assumptions about the future drivers, benchmarks with other jurisdictions, epidemiological, comparative and corporate needs assessment to explain the differences in utilisation rates, and sensitivity analysis. Given the cost of hospital construction and the rate of change in the healthcare sector, it is important that future hospital planning processes do not accept current utilisation trends as valid for future planning without this level of verification.
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Duckett, Stephen J. "REGULATING THE CONSTRUCTION OF HOSPITALS OR VICE VERSA: THE COURTS AND PRIVATE HOSPITAL PLANNING IN VICTORIA." Community Health Studies 13, no. 4 (2010): 431–40. http://dx.doi.org/10.1111/j.1753-6405.1989.tb00701.x.
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Ye, You Hua, Jin Wu, Shi Shi Lin, Jie Li, Jian Feng Zou, and De Yong Yu. "An Elicitation from the Construction of Dam on the Inlet of Sea for the Urban Planning and Urban Construction." Advanced Materials Research 450-451 (January 2012): 985–88. http://dx.doi.org/10.4028/www.scientific.net/amr.450-451.985.
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Urban planning and urban construction are two important aspects during the urbanization process. Dam, one of the common projects in urban planning and urban construction, has induced more and more interest by far. Negative ecological effect was the mainly view on the dam construction. Does all the plans and constructions of dam were destructive to ecosystem? In order to answer this question, a dam on the inlet of sea in Dongchong, Shenzhen City, China was chosen, field investigation and remote sensing analysis were carried out. Present study aims to test if the planning and construction of dam on the inlet of sea is beneficial to the mangrove ecosystem. Results showed that the planning and construction of dam on the inlet of sea had brought an environment hospitable to mangroves and increased the distribution area of mangrove ecosystem. Results indicated that the planning and construction of dam on the inlet of sea was beneficial to the mangrove ecosystem and not all the planning and constructions of dam were disadvantage to ecosystem. This study may contribute to knowledge of how to maximize favorable factors on the ecosystem in the future urban planning and urban construction.
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Huang, Yuan Huei, Che Wei Chang, and Pei Yu Hsieh. "Construction a Big Data Predictive Model to Analysis the Production Planning and Control Plan of Hospital Organization." Applied Mechanics and Materials 437 (October 2013): 977–80. http://dx.doi.org/10.4028/www.scientific.net/amm.437.977.
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Production planning and control decisions are based mainly on the results of the analysis of big data as a basis for effective data analysis can provide the most appropriate decisions. This study used the decision tree analysis implants implanted. Taiwan Diagnosis Related Groups (TW-DRGS) surgery a medical professional impact on revenue. In Taiwan, over the past 10 years, the National Health Insurance database to a Microsoft Structured Query Language (SQL) database analysis software for analysis and simulation. Used the gray theory to simulation analysis and forecasting, TW-DRG surgery medical costs for future changes. The results show that in the past few years, production growth trends, studies may provide in the future will produce what kind of cost impact results: 1. The hospital's operating costs and budget planning of Reference 2. Patients in the health insurance budget planning. 3. DRG policy revision surgery hospital costs.
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NAKAYAMA, Shigeki. "A GENEALOGICAL ANALYSIS ON THE PLANNING OF OPERATING DEPT. IN HOSPITAL ARCHITECTURE : A study on the transition of hospital architecture in last half century Part 2(Architectural Planning and Design)." AIJ Journal of Technology and Design 11, no. 22 (2005): 389–94. http://dx.doi.org/10.3130/aijt.11.389_2.
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Robertson, A. G., M. G. Leclercq, and C. Wilkinson. "(A281) Protecting and Preparing Critical Hospital Infrastructure — Redundancy, Security, and Disaster Response." Prehospital and Disaster Medicine 26, S1 (2011): s78. http://dx.doi.org/10.1017/s1049023x11002652.
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Western Australia (WA) currently is undergoing a major rebuild of its key metropolitan and regional hospitals, with the planned construction of a major tertiary hospital, pediatric hospital, and several large general hospitals in the metropolitan area, and a range of small and medium size hospitals in WA over the next five years. Protecting these hospitals from major internal failure and external assault, while preparing them to cope with mass casualties, has been a major focus of the WA Department of Health over the last five years. This program has involved capital investment in current infrastructure, including critical asset protection, and detailed planning to ensure that the new health infrastructure will have both the redundant systems, to allow for continued operations in a range of infrastructure failure and disaster scenarios, and the facilities to deal with a mass-casualty incident. This presentation will review the implementation of this critical infrastructure program, the evolving issues facing hospitals working to ensure their continued operations in a range of scenarios, the security and infrastructure threats facing major hospitals, and the planning required to ensure that these threats are addressed at an early stage of hospital development. Issues as diverse as the placement of underground garages to minimize bomb threats, the location of helicopter landing pads, and the consideration of how to lock down hospitals to prevent the uncontrolled access of contaminated patients, are some of the challenges that need measured consideration and a planned response. The preparations and planning for such contingencies, and the infrastructure to facilitate continued operations and an appropriate disaster response, are key elements in protecting critical health infrastructure.
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Chand, Anumitra Mirti, and Martin Loosemore. "Hospital disaster management’s understanding of built environment impacts on healthcare services during extreme weather events." Engineering, Construction and Architectural Management 23, no. 3 (2016): 385–402. http://dx.doi.org/10.1108/ecam-05-2015-0082.
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Purpose – The purpose of this paper is to explore the extent to which hospital disaster planners and managers understand the role of built infrastructure in delivering effective healthcare services during extreme weather events (EWEs). There is substantial evidence to indicate that many hospitals are vulnerable to EWEs. This is alarming given community reliance on hospitals during times of natural disaster and the predicted increase in the frequency and intensity of EWEs. Design/methodology/approach – In this paper, resilience and learning theories are combined to produce a new conceptual model which illustrates how hospital disaster managers learn about the relationship between health outcomes and built infrastructure during EWEs to build future hospital resilience. In this paper, the first part of the conceptual model, concerning the development of disaster management plans is explored and refined using a thematic content analysis of 14 Australian hospitals’ disaster plans and supplementary plans. Findings – The findings indicate high variability of understanding about the role of built facilities in health outcomes during an EWE. There appears to be a widespread and highly questionable assumption in the health disaster planning community that hospital built infrastructure is highly resilient to EWEs. This means that many hospitals will not be unaware of the risks that their buildings pose in the delivery of healthcare services to the community during an EWE and how to manage those risks effectively. Research limitations/implications – The theoretical framework presented in this paper provides new insights which will enable hospital infrastructure resilience to be better integrated into health service disaster risk planning and preparedness. The findings can help hospital disaster managers learn about and adapt their built environment to changing healthcare needs during EWEs. Originality/value – By integrating learning and resilience theories in a built environment context, this paper provides new insights, both theoretical and practical, into the important role of hospital infrastructure in planning for EWEs.
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Salah, Mohamed, Hesham Osman, and Ossama Hosny. "Performance-Based Reliability-Centered Maintenance Planning for Hospital Facilities." Journal of Performance of Constructed Facilities 32, no. 1 (2018): 04017113. http://dx.doi.org/10.1061/(asce)cf.1943-5509.0001112.
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KAMIYA, Hitomi, Asuka YAMADA, Tetsuro YAMASHITA, and Eiji SATOH. "PRE-INVESTIGATION ON THE RELATIONS BETWEEN HOSPITAL WARD PLANNING AND NURSES^|^rsquo; BURDEN-FEELING." AIJ Journal of Technology and Design 20, no. 45 (2014): 677–82. http://dx.doi.org/10.3130/aijt.20.677.
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KAMITOMO, Yoki, and Kenji TAKEMIYA. "STUDY ON THE PLANNING METHODS USED AGAINST THE GROWTH AND CHANGE OF HOSPITAL ARCHITECTURE." AIJ Journal of Technology and Design 25, no. 59 (2019): 281–86. http://dx.doi.org/10.3130/aijt.25.281.
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Zhao, Mingyue. "Critical success factors associated with time performance in prefabricated construction." E3S Web of Conferences 253 (2021): 02044. http://dx.doi.org/10.1051/e3sconf/202125302044.
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Prefabricated construction becomes an increasingly important construction mode especially for buildings that require a short construction time. The construction of Huoshenshan Hospital shows how efficient prefabricated construction could be. In order to provide a clearer blueprint for how to improve time performance in prefabricated construction, this paper identifies 13 important critical success factors associated with time performance and groups them into five categories—project planning and design, supply chain, techniques, teamwork, and external influences. The findings of this paper provide a better understanding of time management in prefabricated construction, which can help to develop appropriate strategies to improve productivity.
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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 (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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Bilec, M. M., R. J. Ries, K. L. Needy, 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 (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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Maxwell, Michelle, Patrick Harris, Sharon Peters, Mark Thornell, and Leah D'Souza. "A health impact assessment on the construction phase of a major hospital redevelopment." Australian Health Review 32, no. 3 (2008): 509. http://dx.doi.org/10.1071/ah080509.
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A prospective health impact assessment (HIA) was conducted to identify potential health impacts arising from the planned redevelopment of Liverpool Hospital, a major teaching hospital in New South Wales, Australia. A multidisciplinary team of health professionals oversaw the HIA and a core project team led by population health practitioners conducted the HIA using a structured, stepwise process. Methods used to gather data for the identification of impacts were a literature review, development of a population profile and consultation with stakeholders. A range of positive and negative health impacts were identified and an assessment matrix was used to prioritise the health impacts and develop recommendations for the proponents of the redevelopment plan.The HIA added value to the planning process for the hospital redevelopment, increasing capacity to conduct future HIAs.
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Gerali, Maria, Dimitra Paikopoulou, and Marina Servitzoglou. "Sustainable Development in Healthcare." International Journal of Reliable and Quality E-Healthcare 4, no. 2 (2015): 31–38. http://dx.doi.org/10.4018/ijrqeh.2015040103.
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The implementation of the concept of sustainable development in the establishment of “Green Hospital” is attracting growing interest. The health sector and, in particular, a hospital may affect the environment and the economy in the a) maximization of energy consumption b) waste of natural resources c) difficulty in waste management due to their rapidly increasing volume d) construction of non-friendly for people and environment buildings e) growing demand for funds to cover operating expenses. Moreover, it seems that the strategic planning of a Green Hospital can cause significant changes to: a) Energy saving – Green development – Environment protection; b) Building reconstruction; c) Improvement of provided services to citizens; d) Saving of financial resources. Therefore, efforts should be made to save energy and money in the hospitals through sustainable development projects. Finally, the Green Hospital has the potential to provide improved therapeutic results for patients and more pleasant and comfortable working environment for employees.
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Trickey, Amber W., Cody C. Arnold, Ankit Parmar, and Robert E. Lasky. "Sound Levels, Staff Perceptions, and Patient Outcomes During Renovation Near the Neonatal Intensive Care Unit." HERD: Health Environments Research & Design Journal 5, no. 4 (2012): 76–87. http://dx.doi.org/10.1177/193758671200500407.
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Objective: Sound levels, staff perceptions, and patient outcomes were evaluated during a year-long hospital renovation project on the floor above a neonatal intensive care unit (NICU). Background: Construction noise may be detrimental to NICU patients and healthcare professionals. There are no comprehensive studies evaluating the impact of hospital construction on sound levels, staff, and patients. Methods: Prospective observational study comparing sound measures and patient outcomes before, during, and after construction. Staff were surveyed about the construction noise, and hospital employee satisfaction scores are reported. Results: Equivalent sound levels were not significantly higher during construction. Most staff members (89%) perceived the renovation period as louder, and 83% reported interruptions of their work. Patient outcomes were the same or more positive during construction. Very low birth weight (VLBW infants were less likely to require 24+ hours' mechanical ventilation during construction: 54% vs. 59% before ( OR = 1.6, p = 0.018) and 62% after ( OR = 1.48, p = 0.065); and they required a shorter total period of mechanical ventilation: 3.6 days vs. 8.0 before ( p = 0.011) and 9.5 after ( p = 0.001). VLBW newborns' differences in ventilation days were mostly in the upper extremes; medians were similar in all periods: 0.6 days vs. 1 day preconstruction and 2 days postconstruction. Conclusions: Construction above the NICU did not cause substantially louder sound levels, but staff perceived important changes in noise and work routines. No evidence suggested that patients were negatively affected by the renovation period. Meticulous construction planning remains necessary to avoid interference with patient care and caregiver work environments.
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Prugsiganont, Supuck, and Per Anker Jensen. "Identification of space management problems in public hospitals." Facilities 37, no. 7/8 (2019): 435–54. http://dx.doi.org/10.1108/f-01-2018-0001.
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Purpose In the past decades, public hospitals in Thailand have developed gradually and been characterized by an incremental development of hospital facilities. First, this study aims to investigate the factors that have caused the incremental development and how such development has affected the hospital’s architectural layout. Second, the paper assesses the functional quality of nonclinical areas in the Maharaj Hospital to identify space management problems. Design/methodology/approach The first part of the study is based on a literature review of the Thai health-care landscape. The second part includes the functional quality assessment of nonclinical areas, walk-through observations and documentation. Obtained data were synthesized using building quality method and measurement criteria and analytical drawing techniques for design assessment. Findings The first part identified three factors: the lack of local general practitioners, the limited number of public hospitals and the implementation of Thailand’s universal coverage scheme. These factors have resulted in a dramatically high number of patients in public hospitals. The second part identified problems regarding poor accessibility, a low level of spatial flexibility and poor spatial orientation. These problems are related to a lack of appropriate strategic space planning and lack of integration of the Thai culture into hospital design processes. Practical implications An identification of space management problems is a prerequisite to the improvement of hospital facilities. Originality/value This paper presents the first study of space management problems concerning nonclinical areas in Asian hospitals.
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Hashim, Ahmad Ezanee, Hasnizan Aksah, Mohamad Sufian Hasim, and Siti Aida Samikon. "Health Care Building Assessment through Post Occupancy Audit." Environment-Behaviour Proceedings Journal 1, no. 1 (2016): 81. http://dx.doi.org/10.21834/e-bpj.v1i1.199.
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Health care and hospital buildings are among the most complex construction in the built environment which comprises a broad range of utility, services, and functional units. The objectives of the study are to review the built environment performance level of the public teaching health care hospital in meeting user’s need. Three (3) public training health care hospitals in Selangor district in Malaysia are selected as a case study sample. Based on the finding the study revealed that the correlation coefficient between technical building performance and the importance of POE Guideline are positively correlated based on security, safety, and efficiency and health criteria.© 2016. The Authors. Published for AMER ABRA by e-International Publishing House, Ltd., UK. Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies, Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.Keywords: Health care; public; training hospital; performance
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NAKAYAMA, Shigeki. "A GENEOLOGICAL ANALYSIS ON THE BLOCK PLAN DESIGN OF HOSPITAL ARCHITECTURE : A study on the transition of hospital architecture in last half century Part 1(Architectural Planning and Design)." AIJ Journal of Technology and Design 11, no. 21 (2005): 243–48. http://dx.doi.org/10.3130/aijt.11.243_1.
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Sari, Vanúzia, and Silviamar Camponogara. "Challenges of environmental education in a hospital institution." Texto & Contexto - Enfermagem 23, no. 2 (2014): 469–78. http://dx.doi.org/10.1590/0104-07072014001130013.
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A study aimed to get to know the challenges of environmental education in a hospital, from the perspective of the individuals involved in its planning and execution. The research used a qualitative approach, case study type, using the workers of the Center for Environmental Education of a hospital group in the Rio Grande do Sul state, Brazil, as subjects. Data were collected, between August 2011 and January 2012, through documental research and interviews, and analyzed by content analysis. The challenges of environmental education include the lack of an institutional environmental policy that works as a financial, legal, human, and structural background for the development of actions focused on this topic. It was also observed that academic graduation does not consider environmental sustainability. It is clear that to work on these institutional challenges and overcome them during the development of environmental education is a prerogative for the construction of knowledge in environmental sustainability.
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Starostenko, Yulia D. "The Hospital Town of «the First Garden City in Russia» near Prozorovka: the History of Design and Construction (1912-1930)." Scientific journal “ACADEMIA. ARCHITECTURE AND CONSTRUCTION”, no. 2 (June 28, 2018): 40–49. http://dx.doi.org/10.22337/2077-9038-2018-2-40-49.
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The article is devoted to the buildings of the hospital town
an implemented fragment of one of the most famous town planning projects of early 20th century. «The first Garden City in Russia» at Prozorovka (now Kratovo), which was to include not only the hospital town, but a set of other major public buildings, was designed by civil engineer V. N. Semyonov, by order of the Board of Directors of Joint-stock company of the Moscow-Kazan Railway for this company employees. The initiator of the project was the Chairman of The Board of Directors N.K. von Meck. The article on base on a wide range of archival sources, recreates the history of designing the hospital town in 1912-1913 and contains previously unknown facts and materials. Among these materials is the original project of the hospital town (primary drawings of this project published in the article the first time) and the discussions papiers of the project in the Ministry of Railways in 1913. It also provides information about the construction process of the buildings of the hospital town in 1915-1918. For the first time on archival documents is fixed the condition of buildings at the time of completion of the first constructions phase in 1918. Special attention is paid to the hospital complex fate in 1924-1930, when the buildings were rebuilt and adapted for accommodation of the tuberculosis sanatorium of Cusstrah No. 1. The revealed papiers make it possible to understand how during completing of the buildings in the second half of the 1920s, there preserves neoclassical facades, designed by architect A.I. Tamanov (Tamanyan) in 1913.
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Bulakh, Irina. "TERRITORIAL DEVELOPMENT OF KYIV HOSPITAL NETWORK." Urban development and spatial planning, no. 77 (May 24, 2021): 57–64. http://dx.doi.org/10.32347/2076-815x.2021.77.57-64.
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The article examines the actual state of the hospital network in Kyiv, offers proposals for its further territorial development, which are based on the current and future needs and capabilities of residents and managers of the city, nearby settlements. The study is part of a comprehensive study of the problem of urban planning foundations of the territorial and spatial development of the system of healthcare institutions and is aimed at finding the optimization of the existing material fund of medical institutions. The city of Kyiv is the capital of our state and, at the same time, its largest city, which historically has the largest number of hospitals among Ukrainian cities. There are historical architectural monuments among Kyiv’s hospitals, but most of the facilities were built during the Soviet era in Ukraine according to typical industrial construction projects. The current state of the network of hospitals in Kyiv does not correspond to either the world indicators for the provision of beds per 100 thousand of the population (significantly exceeds), or the quality of medical care, or the comfortable conditions for the implementation of treatment. Unfortunately, Ukraine is not able (and it is not necessary) to maintain the functioning of all hospitals that were built before and during Soviet times - the number of the population has significantly decreased, medical standards have changed, and most importantly, it is necessary to develop a network of prehospital institutions. So, the article contains proposals for optimizing the hospital network of the city of Kyiv, which, on the one hand, are aimed at removing individual hospitals from mono-state funding, and on the other, expanding the possibilities of treating children in a larger number of city hospitals.
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Zahn Erthal, Giselly de Oliveira, and Renato da Costa Teixeira. "Analysis of Professional and Educational Profile of Nurses of a General Hospital, to Create Professional Competence Matrix." Frontiers in Education Technology 3, no. 4 (2020): p114. http://dx.doi.org/10.22158/fet.v3n4p114.
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This study tries to identify the perceptions of hospital nurses about the gaps and skills found during their training process that can help in the construction of a matrix of competence for working in a general hospital. This study is descriptive and exploratory, with a quantitative-qualitative approach, in which 30 hospital nurses participated. The data was collected through the application of a semi-structured interview and were analyzed using the Bardin technique. The participation of nurses brought answers so that gaps observed in their graduation, are reduced through future planning of teaching learning of a nursing undergraduate course, which will be addressed and developed in hospital practice. It is determined for the need to build a matrix of professional competence for nurses to work in a general hospital, strengthening the training of these future professionals.
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Wei, Jun Feng, Yu Guang Wei, and Kun Jiang. "Study on the Affecting Factors of Housing Prices along Rail Transit Based on Hedonic Price Model - Case Study of Beijing Subway Line 5." Applied Mechanics and Materials 507 (January 2014): 642–45. http://dx.doi.org/10.4028/www.scientific.net/amm.507.642.
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In order to study the major affecting factors of commercial housing prices along rail transit lines, the paper chooses samples of commercial housing prices along the Beijing Subway Line 5, and uses 11 elements of location, structure and neighborhood factors as independent variables and housing prices as dependent variable to construct the housing hedonic price model. Make regression analysis by using SPSS software, and come to three major affecting factors and their influence degree which are distance from the nearest subway station, whether there is a hospital nearby and distance from CBD. In the planning and construction of rail transit, the coordination and convergence of subway stations, commercial housing and hospitals should be a serious consideration to improve the driving effect of rail transit on real estate.
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Soltani, Ali, Rasoul Balaghi Inaloo, Mohammad Rezaei, Fatemeh Shaer, and M. Akbari Riyabi. "Spatial analysis and urban land use planning emphasising hospital site selection: a case study of Isfahan city." Bulletin of Geography. Socio-economic Series 43, no. 43 (2019): 71–89. http://dx.doi.org/10.2478/bog-2019-0005.
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AbstractProviding appropriate and equal healthcare to the various classes of society is among the major issues in social welfare. The spatial distribution and locating of health service centres are significant in addressing the healthcare needs of citizens. This issue needs to be evaluated using quantitative and qualitative approaches throughout those cities with high populations and activity density levels. By taking Isfahan metropolitan area as the case study area, in this study, a combination of Network Analyst tool within Geographic Information System (GIS) and an Analytic Hierarchy Process (AHP) model was used to evaluate the catchment areas of the 26 existing hospitals within the study area. Thus, with effective data collection in the form of layers of information such as transportation network, population density, land use, etc. using (GIS), the authors categorised urban land in seven categories from poor to very good for the construction of hospitals. The result of analysis indicated that existing hospitals covered approximately 24% of active urban areas within a standard access time. The result can be used for policy making and healthcare planning.
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Prathama, Aulia Yudha. "Predicting the Required Volume Need for Architectural Work Using Artificial Neural Networks in Hospital Buildings." Journal of the Civil Engineering Forum 5, no. 1 (2019): 83. http://dx.doi.org/10.22146/jcef.39772.
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Decision-making in construction design has an important role. The need for estimation tools of planning and project management aspects needs to develop. This paper discussed the benefits of artificial neural network methodology to overcome the problem of estimated the needs of the volume of wall paired, ceiling worked pairing, and ceramic floor pairing for architectural work at the designed stage of the building. The average architecture cost of state building is 29%-51% of total construction value. Data from 15 projects was used for being trained and tested by Artificial Neural Network (ANN) methods with 5 design input variables. The ANN helped to estimate the value of volume requirement on the architectural working of Pratama Hospital building project in remote areas of Indonesia. Those input variables include building area, average column span distance, the height of the building, the shape of the building, and a number of inpatient rooms. From ANN simulation, the best empirical equation of P2V5 modeling was used to predict the need of hospital architecture work volume at conceptual stage with best ANN structure 5-9-3 (5 input variables, 1 hidden layer with 9 neurons and 3 output) with result of estimation accuracy a maximum of 96.40% was reached.
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Gardner, Lauren, Toby Gillgrass, and Mark Devlin. "The role of three-dimensional imaging in patients with cleft lip and palate." Faculty Dental Journal 4, no. 3 (2013): 118–23. http://dx.doi.org/10.1308/204268513x13703528618960.
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Three-dimensional (3D) imaging is revolutionising patient assessment, diagnosis, management and treatment planning. Restorative dentistry is using optical scanning such as the computer aided design/computer aided manufacture systems to help with tooth preparation design and construction of fixed prosthodontics. Other specialties in dentistry are frequently employing cone beam computed tomography (CBCT) to facilitate 3D imaging. This article outlines how CBCT and 3D sterophotogrammetry have been used in the management of cleft lip and palate with reference to the cleft team based at Glasgow Dental Hospital.
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Fanelli, Simone, Gianluca Lanza, and Antonello Zangrandi. "Competences management for improving performance in health organizations." International Journal of Health Care Quality Assurance 31, no. 4 (2018): 337–49. http://dx.doi.org/10.1108/ijhcqa-02-2017-0035.
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PurposeThe purpose of this paper is to describe the design and construction of a privilege mapping system (clinical and organizational competences) of the medical staff of the Niguarda Hospital in Milan, Italy. The second aim is to measure and assess the impact of implementing an evaluation process of clinical competences at the same hospital.Design/methodology/approachThe paper retraces the development and implementation of the evaluation of the privilege system, highlighting the subjects involved, the phases and outputs. Moreover, a questionnaire was distributed to 50 heads of unit involved in the planning, building and implementation of competences mapping. Five areas were investigated: competences evaluation for professional development; the impact on work organization and professional roles; professional collaboration; its impact according to context (hospital or unit) and time scale (short or long term); and ability to evaluate clinical outcome.FindingsResults reveal success factors for the development and implementation of a privilege mapping system. Furthermore, the survey revealed that clinical leaders are aware of the importance of competences evaluation. In particular, they consider it as a management tool useful for professional development, for identifying excellence and planning operational activities.Originality/valueLiterature and practical evidence recognize the need to assess the clinical and organizational competences in order to assign tasks and responsibilities. However, there are no studies that describe the construction of systems of evaluation of privileges, as it has never been investigated as professionals perceive these tools.
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Mara Marin, Sandra, Jean Bender, and Danielle Bezerra Cabral. "Construction of an Operational Protocol for Multiple Victims and Disasters in Southern Brazil." Prehospital and Disaster Medicine 34, s1 (2019): s111. http://dx.doi.org/10.1017/s1049023x19002358.
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Introduction:Unpredictable events, such as disasters, can change the organizational configuration of health facilities. In a situation of multiple victims, this scenario modifies the flow of care to adapt to the reality that is there. In addition, emergency and emergency units provide immediate care to maintain and preserve the lives of these victims, making it a challenge for all health professionals.Aim:To construct an Operational Protocol for nursing care with multiple victims and disasters in a Hospital Emergency and Emergency Service.Methods:We used a descriptive study with a qualitative approach using the Focal Group technique (GF). The participants included nursing staff and residents who work in the emergency and emergency unit in a hospital in the south of Brazil. The topics from the GF discussion were analyzed by the scientific content of Minayo (2013).Results:The operational assistance protocol for multiple victims and disasters was planned with a redistribution of materials, equipment, human resources of the service, and physical restructuring of the service and other units with the construction of a flow chart to meet the proposed demand.Discussion:In the study, we observed the importance of discussing and planning proposals for care with multiple victims. In addition, the interest of the participants was fundamental to the success of this protocol. This protocol serves as an incentive for nursing professionals and academics for future research that evaluates the effectiveness of using nursing competencies to assist multiple victims in emergency and disaster situations.
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Andress, K., and E. Downey. "(A146) Disaster Patient Tracking – Local, State and Federal Interoperability during a Multi-Hospital Evacuation Exercise." Prehospital and Disaster Medicine 26, S1 (2011): s42. http://dx.doi.org/10.1017/s1049023x11001476.
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IntroductionAssociated with hospital evacuation is the need to track multiple patient evacuees from point of origination to final hospital reception. Patient tracking, a component of the hospital emergency operations plan, is vital to patient care; family association, resource management, financial reimbursement, risk management, and repatriation. Tracking strategies and plans can include a variety of vendors, hardware, software, and coordination issues. Hospital evacuee tracking plans and platforms exist at multiple jurisdictional levels but may not be interoperable.MethodsThree patient tracking platforms representing a local, state and federal application were used during a multi-hospital evacuation exercise, initiated in New Orleans, Louisiana, May 2010. Simulated patients were flown and tracked to multiple patient reception centers in the southern United States, including the Federal Coordinating Center in Shreveport, Louisiana, and receiving National Disaster Medical System hospitals. This review summarizes tracking operations, patient data characteristics captured and interoperability at the Shreveport reception location.Results7 New Orleans hospitals entered 51 patients for evacuation into Louisiana's web-based, At-Risk-Registry (ARR) database including 8 patient identifiers each. ARR data was shared with federal and Louisiana Region 7 patient evacuee receivers for flight manifest construction and reception planning. 34 ARR evacuee patients were indicated for the Shreveport, Louisiana, reception site. 34 patients with 6 identifying characteristics were entered from ARR into EMTrack, the local patient tracking system. A C130 arrived with a TRAC2ES manifest of 20 simulated patients with 6 patient data characteristics. The local tracking system was reconfigured for the hardcopy manifest; simulated patients were received at the airport; transported and received at local hospitals.ConclusionsTracking system interoperability may be challenged by tracking technologies, jurisdictional requirements and degree of implementation at the local, state and federal level. Tracking should be standardized based on national recommendations with local systems remaining flexible for just-in-time requirements.
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Smith, Charles. "The Central Mental Hospital, Dundrum—Small can be Interesting." Bulletin of the Royal College of Psychiatrists 11, no. 11 (1987): 375–76. http://dx.doi.org/10.1192/s0140078900018459.
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The Central Mental Hospital, Dundrum opened its doors for business in 1850. We cannot be sure why our English masters at the time considered it more urgent to open a security hospital in Ireland before planning and constructing Broadmoor. Were the Irish, as a race, sick and dangerous, or does an old institution like Dundrum reflect the views of the colonists on the colonised!
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Vazquez, E., S. Rola, D. Martins, L. Alves, M. Freitas, and L. Pinguelli Rosa. "Sustainability in civil construction: application of an environmental certification process (leed) during the construction phase of a hospital enterprise – rio de janeiro/brazil." International Journal of Sustainable Development and Planning 8, no. 1 (2013): 1–19. http://dx.doi.org/10.2495/sdp-v8-n1-1-19.
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Halberthal, MD, MHA, Michal, Gidon Berger, MD, Khetam Hussein, MD, et al. "Israeli underground hospital conversion for treating COVID-19 patients." American Journal of Disaster Medicine 15, no. 3 (2020): 159–67. http://dx.doi.org/10.5055/ajdm.2020.0371.
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Objective: This paper describes how a large academic medical center solved the challenges of war preparedness and subsequently adapted them for the COVID-19 pandemic.Setting: A 1,000-bed academic medical center in Northern Israel has faced two extreme challenges since 2006: operating under missile attack during the 2006 Second Lebanon War, and rapid establishment of a scalable infrastructure for COVID-19 patients. The first challenge led to construction of a dual-use facility: a parking lot during peacetime, and a fully functioning fortified underground emergency hospital (FUEH) in times of emergency. Several drills have confirmed readiness for various scenarios including conventional and unconventional warfare, and treating isolated patients during the Ebola and SARS threats.Results: The hospital achieved preparedness for patient care during the COVID-19 pandemic, including all facilities and personnel, including infrastructure, laboratories, and innovations, to maintain standard patient care and separate COVID-19 treatment facilities. The hospital’s second challenge represented by the COVID-19 pandemic led to adaptation of the FUEH as a key strategic facility in Northern Israel for treating hundreds of COVID-19 patients. Each solution was supported by innovations targeted for specific purposes and needs.Conclusions: The function and unique mechanisms used to leverage use of a dual facility was proven viable for several emergency conditions, including the COVID-19 pandemic. Infrastructure and technological flexibility is essential when planning for handling different emergencies situations.
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Kyrö, Riikka, Antti Peltokorpi, and Lauri Luoma-Halkola. "Connecting adaptability strategies to building system lifecycles in hospital retrofits." Engineering, Construction and Architectural Management 26, no. 4 (2019): 633–47. http://dx.doi.org/10.1108/ecam-10-2017-0217.
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PurposeThe fast advancement of medical technology and processes poses challenges to hospital construction and management. The purpose of this paper is to provide a structured approach to advancing adaptability in hospital retrofits, proposing the preferable timing and scope of different adaptability strategies.Design/methodology/approachA qualitative research approach was chosen, with 28 semi-structured interviews designers, project managers, clients and healthcare professionals as the primary research data.FindingsThis paper presents a model for planning for the future in hospital retrofits. The model includes 11 different adaptability strategies, categorized based on the level of adaptability. Furthermore, each strategy is linked to an open building system level, indicating the appropriate timing. Based on the findings, generality strategies in the tertiary building system level are the most effective forms of adaptability, as they are easy to implement and answer to non-specific changes in hospital operations.Research limitations/implicationsThe findings contribute to existing knowledge on adaptability in buildings, and provide practical guidance particularly for designers. A new type of service offering, an adaptability roadmap detailing the scope and timing of adaptability, is suggested.Originality/valueThe paper contributes to the existing research by detailing different approaches and knowledge related to adaptability and its strategies in hospital retrofits. More specifically, the three-fold categorization of adaptability is linked to both timing and intrusiveness in a novel way.
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Dascalaki, Elena G., Argyro Lagoudi, Constantinos A. Balaras, and Athina G. Gaglia. "Air quality in hospital operating rooms." Building and Environment 43, no. 11 (2008): 1945–52. http://dx.doi.org/10.1016/j.buildenv.2007.11.015.
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Gomes, Roseane Lins Vasconcelos, Rebeka Kelly Alves Guimarães de Souza, Rosalie Barreto Belian, and Eliane Maria Ribeiro de Vasconcelos. "Systematization of nursing care in the hospital: construction of a system applied to academic practice." Revista de Enfermagem UFPE on line 4, no. 4 (2010): 1914. http://dx.doi.org/10.5205/reuol.1410-10062-1-le.0404spe201010.
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ABSTRACTObjective: to devise an information system applied to the Nursing Care System in academic practice. Method for structuring the system used the following steps: planning and literature on related systems, followed by the requirements elicitation, specification and system validation. The theoretical for the training of Nursing Diagnosis was based on the International Classification for Nursing Practice Beta 2. Results: the computerized model functionally reproduces the sequential stages of nursing practice: data collection, establishment of the diagnosis and plan of nursing care. Initially the students should record the information about the client's nursing problems, and then traced the Nursing Diagnosis from the Nursing Phenomena raised. The care plan would be presented as a final result of the care system, where it could evaluate the implementation of nursing actions proposed by the students. Conclusion: the use of the system proposed in academic practice will serve as an important auxiliary tool in the teaching - learning process, contributing to a distinguished student training. Descriptors: nursing care; nursing education; medical informatics; computer-assisted instruction.RESUMOObjetivo: arquitetar um sistema de informação aplicado à Sistematização da Assistência de Enfermagem na prática acadêmica. Método: para a estruturação do sistema foram adotadas as seguintes etapas: planejamento e levantamento bibliográfico sobre sistemas correlatos, seguido do levantamento de requisitos, da especificação do sistema e da validação dos modelos. A fundamentação teórica para a formação dos Diagnósticos de Enfermagem foi baseada na Classificação Internacional para a Prática de Enfermagem Beta 2. Resultados: o modelo informatizado reproduziu funcionalmente as etapas sequenciais da prática de enfermagem: coleta de dados, estabelecimento dos diagnósticos e do plano de cuidados de enfermagem. O sistema possibilita que os acadêmicos registrem as informações sobre os problemas de enfermagem do cliente, sendo então traçados os Diagnósticos de Enfermagem a partir dos Fenômenos de Enfermagem levantados. O plano de cuidados é apresentado como resultado final da sistematização da assistência, onde é possível avaliar a implementação das ações de enfermagem propostas pelos estudantes. Conclusão: a utilização do sistema proposto na prática acadêmica servirá como uma ferramenta auxiliar importante no processo ensino - aprendizagem, contribuindo para uma formação discente diferenciada. Descritores: assistência de enfermagem; educação em enfermagem; informática em saúde; instrução por computador.RESUMENObjetivo: diseñar un sistema de información aplicadas al Sistema de Atención de Enfermería en la práctica académica. Método: para la estructuración del sistema que se utilice los pasos siguientes: la planificación y la literatura en los sistemas relacionados, seguido por la obtención de requerimientos, especificación y validación del sistema. El teórico de la formación de Enfermería diagnóstico se basó en la Clasificación Internacional de Enfermería Práctica Beta 2. Resultados: El modelo computarizado funcionalmente reproduce las etapas secuenciales de la práctica de enfermería: la recopilación de datos, el establecimiento del diagnóstico y el plan de cuidados de enfermería. Inicialmente, los estudiantes deben registrar la información acerca de los problemas de enfermería del cliente y, a continuación trazó el Diagnóstico de Enfermería de los fenómenos de enfermería planteadas. El plan de atención se presenta como un resultado final del sistema de atención, donde se podría evaluar la aplicación de las acciones de enfermería propuesto por los estudiantes. Conclusión: el uso del sistema propuesto en la práctica académica servirá como una importante herramienta auxiliar en el proceso enseñanza - aprendizaje, contribuyendo a una formación de los estudiantes distinguidos. Descriptores: cuidados de enfermería, educación en enfermería; informática médica; instrucción por computador.
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Pradipta, Yoga. "IDENTIFIKASI KEBUTUHAN ALAT PEMADAM API RINGAN DI RSP UNIVERSITAS BRAWIJAYA MALANG." Indonesian Journal of Occupational Safety and Health 5, no. 1 (2017): 11. http://dx.doi.org/10.20473/ijosh.v5i1.2016.11-20.
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The hospital will have a high fire risk in case of fire because in accommodating a lot of patients. Extinguish the fire at the first event of a fire can use the fire extinguisher. The aim of this study was to evaluate the fire extinguisher installation planning. This research was an observational research with a descriptive analysis method. The primary data were collected with observation, interviewing and the secondary data were collected from PT Nindya Karya, Rumah Sakit Pendidikan Universitas Brawijaya Malang projects. The sample of study was selected using by purposive sampling. The variables in this study were building construction classification and fire risk, fire classification and fire extinguisher requirement. The data were analyzed using descriptive analysis. The results showed that Rumah Sakit Pendidikan Universitas Brawijaya Malang project’s were public buildings classification with a low risk fire accident. This building’s risk fire classification were A, B and C. Each floor required 9 pieces of fire extinguisher with CO2 and dry powder types. This research was concluded that the fire extinguisher needs was accordance with Permenakertrans No. 4, 1980. It’s suggested to use the terms and conditions of Permenakertrans No.4, 1980 about the installation and maintenance requirements in planning the installation fire extinguisher.Keywords: Portable Fire Extinguisher identification, hospital buildin
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Aleksandrovna Boenko, Elena, Leonid Andreevich Repin, and Lyudmila Leonidovna Repina. "Medical and technical aspects of activities at hospital departments of infectious diseases during the pandemic of the Coronavirus disease 2019 and other highly infectious diseases." Medical review 73, no. 7-8 (2020): 249–57. http://dx.doi.org/10.2298/mpns2008250b.
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Introduction. The article presents information on the activities of inpatient facilities for infectious diseases during the pandemic of the new coronavirus disease 2019, taking into account current regulatory documents. The authors reviewed the principles of hospital zoning and patient controlled movement in hospitals for infectious diseases. The paper deals with the organization of the admission departments and equipment of the diagnostic units of hospitals for infectious diseases, providing a graphical presentation of an individual isolation unit (Melzer box) including description of the control and management system for safe access to infectious units. The characteristics of engineering and communication systems, disposal of hazardous medical waste, catering, navigation systems, operational remote communication between doctors and patients, application of barcoding for patient identification and medical records are also discussed. The purpose of this paper was to: Identify the shortcomings of the existing regulatory framework concerning the management and organization of health care institutions that provide medical care to patients with the new coronavirus infection; Identify areas that require adjustments, given the modern requirements for high quality treatment, as well as to ensure epidemiological safety for medical staff and patients; Specify additional requirements for hospitals for infectious diseases, which should be taken into account when planning major repairs, reconstruction and construction of new medical facilities for providing health care during the pandemic of new coronavirus disease 2019 and other highly infectious infections.
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Bussière, Marc R., and Judith A. Adams. "Treatment Planning for Conformal Proton Radiation Therapy." Technology in Cancer Research & Treatment 2, no. 5 (2003): 389–99. http://dx.doi.org/10.1177/153303460300200504.
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Clinical results from various trials have demonstrated the viability of protons in radiation therapy and radiosurgery. This has motivated a few large medical centers to design and build expensive hospital based proton facilities based proton facilities (current cost estimates for a proton facility is around $100 million). Until this development proton therapy was done using retrofitted equipment originally designed for nuclear experiments. There are presently only three active proton therapy centers in the United States, 22 worldwide. However, more centers are under construction and being proposed in the US and abroad. The important difference between proton and x-ray therapy is in the dose distribution. X-rays deposit most of their dose at shallow depths of a few centimeters with a gradual decay with depth in the patient. Protons deliver most of their dose in the Bragg peak, which can be delivered at most clinically required depths followed by a sharp fall-off. This sharp falloff makes protons sensitive to variations in treatment depths within patients. Treatment planning incorporates all the knowledge of protons into a process, which allows patients to be treated accurately and reliably. This process includes patient immobilization, imaging, targeting, and modeling of planned dose distributions. Although the principles are similar to x-ray therapy some significant differences exist in the planning process, which described in this paper. Target dose conformality has recently taken on much momentum with the advent of intensity modulated radiation therapy (IMRT) with photon beams. Proton treatments provide a viable alternative to IMRT because they are inherently conformal avoiding normal tissue while irradiating the intended targets. Proton therapy will soon bring conformality to a new high with the development of intensity modulated proton therapy (IMPT). Future challenges include keeping the cost down, increasing access to conventional proton therapy as well as the clinical implementation of IMPT. Computing advances are making Monte Carlo techniques more accessible to treatment planning for all modalities including proton therapy. This technique will allow complex delivery configurations to be properly modeled in a clinical setting.
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Wang, Xinhua, Xinhui Bi, Duohong Chen, Guoying Sheng, and Jiamo Fu. "Hospital indoor respirable particles and carbonaceous composition." Building and Environment 41, no. 8 (2006): 992–1000. http://dx.doi.org/10.1016/j.buildenv.2005.04.024.
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Golinelli, Davide, Erik Boetto, Antonio Mazzotti, et al. "Cost Determinants of Continuum-Care Episodes for Hip Fracture." Health Services Insights 14 (January 2021): 117863292199112. http://dx.doi.org/10.1177/1178632921991122.
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Many factors affect the healthcare costs and outcomes in patients with hip fracture (HF). Through the construction of a Continuum-Care Episode (CCE), we investigated the costs of CCEs for HF and their determinants. We used data extracted from administrative databases of 5094 consecutive elderly patients hospitalized in 2017 in Emilia Romagna, Italy, to evaluate the overall costs of the CCE. We calculated the acute and post-acute costs from the date of the hospital admission to the end of the CCE. The determinants of costs by type of surgical intervention (total hip replacement, partial hip replacement, open reduction, and internal fixation) were investigated using generalized linear regression models. Regardless of the type of surgical intervention, hospital bed-based rehabilitation in public or private healthcare facilities either followed by rehabilitation in a community hospital/temporary nursing home beds or not were the strongest determinants of costs, while rehabilitation in intermediate care facilities alone was associated with lower costs. CCE’s cost and its variability is mainly related to the rehabilitation setting. Cost-wise, intermediate care resulted to be an appropriate setting for providing post-acute rehabilitation for HF, representing the one associated with lower overall costs. Intermediate care organizational setting should be privileged when planning integrated care HF pathways.
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Rodea-Montero, Edel Rafael, Rodolfo Guardado-Mendoza, Brenda Jesús Rodríguez-Alcántar, Jesús Rubén Rodríguez-Nuñez, Carlos Alberto Núñez-Colín, and Lina Sofía Palacio-Mejía. "Trends, structural changes, and assessment of time series models for forecasting hospital discharge due to death at a Mexican tertiary care hospital." PLOS ONE 16, no. 3 (2021): e0248277. http://dx.doi.org/10.1371/journal.pone.0248277.
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Background Data on hospital discharges can be used as a valuable instrument for hospital planning and management. The quantification of deaths can be considered a measure of the effectiveness of hospital intervention, and a high percentage of hospital discharges due to death can be associated with deficiencies in the quality of hospital care. Objective To determine the overall percentage of hospital discharges due to death in a Mexican tertiary care hospital from its opening, to describe the characteristics of the time series generated from the monthly percentage of hospital discharges due to death and to make and evaluate predictions. Methods This was a retrospective study involving the medical records of 81,083 patients who were discharged from a tertiary care hospital from April 2007 to December 2019 (first 153 months of operation). The records of the first 129 months (April 2007 to December 2017) were used for the analysis and construction of the models (training dataset). In addition, the records of the last 24 months (January 2018 to December 2019) were used to evaluate the predictions made (test dataset). Structural change was identified (Chow test), ARIMA models were adjusted, predictions were estimated with and without considering the structural change, and predictions were evaluated using error indices (MAE, RMSE, MAPE, and MASE). Results The total percentage of discharges due to death was 3.41%. A structural change was observed in the time series (March 2009, p>0.001), and ARIMA(0,0,0)(1,1,2)12 with drift models were adjusted with and without consideration of the structural change. The error metrics favored the model that did not consider the structural change (MAE = 0.63, RMSE = 0.81, MAPE = 25.89%, and MASE = 0.65). Conclusion Our study suggests that the ARIMA models are an adequate tool for future monitoring of the monthly percentage of hospital discharges due to death, allowing us to detect observations that depart from the described trend and identify future structural changes.
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Miranda, Eka, Firmansyah Firmansyah, and Davies Ezra Emerald. "Desain Business Intelligence untuk Manajemen Rumah Sakit." JURNAL SISTEM INFORMASI BISNIS 11, no. 1 (2021): 62–69. http://dx.doi.org/10.21456/vol11iss1pp62-69.
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Organizational management, as well as hospital management, could not work precisely without defining the performance indicators to control all business process. This situation encourages the need for information and data analysis availability. BI includes applications, infrastructure, tools and practices that enable organizations to access and analyze data and information to improve and optimize the decisions and organization performance. BI has the potential to improve the quality, efficiency and effectiveness of hospital health services as well. The objective of this study was to design business intelligence prototype for the hospital. BI design was carried out with a Business Intelligence Roadmap approach which has 6 main stages, namely: (1) Justification, (2) Planning, (3) Business Analysis, (4) Design, (5) Construction and (6) Deployment. Data were collected from hospital activities includes registration, Electronic Medical Record (EMR) in the Imaging, Laboratory, Pharmacy, Operating Theater and Medical Check-Up departments activities. Designing BI was preceded by identifying technical and non-technical needs, then continued by designing BI itself. BI roadmap approach was used for this propose. Technical requirements for designing BI include hardware and software infrastructure readiness, while non-technical requirements include Business Analysis which consists of Project Requirements Definition, Data Analysis, Application Prototyping and Metadata repository Analysis. Designing BI itself includes: Designing a multidimensional database and designing ETL. The user interfaces for BI was shown in the Performance Dashboard, which allows organizations to track all aspects of their daily business activities and performance.
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Ten Eyck, Raymond P. "Ability of Regional Hospitals to Meet Projected Avian Flu Pandemic Surge Capacity Requirements." Prehospital and Disaster Medicine 23, no. 2 (2008): 103–12. http://dx.doi.org/10.1017/s1049023x00005707.
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AbstractIntroduction:Hospital surge capacity is a crucial part of community disaster preparedness planning, which focuses on the requirements for additional beds, equipment, personnel, and special capabilities.The scope and urgency of these requirements must be balanced with a practical approach addressing cost and space concerns. Renewed concerns for infectious disease threats, particularly from a potential avian flu pandemic perspective, have emphasized the need to be prepared for a prolonged surge that could last six to eight weeks.Null Hypothesis:The surge capacity that realistically would be generated by the cumulative Greater Dayton Area Hospital Association (GDAHA) plan is sufficient to meet the demands of an avian influenza pandemic as predicted by the [US] Centers for Disease Control and Prevention (CDC) models.Methods:Using a standardized data form, surge response plans for each hospital in the GDAHA were assessed.The cumulative results were compared to the demand projected for an avian influenza pandemic using the CDC's FluAid and FluSurge models.Results:The cumulative GDAHA capacity is sufficient to meet the projected demand for bed space, intensive care unit beds, ventilators, morgue space, and initial personal protective equipment (PPE) use. There is a shortage of negative pressure rooms, some basic equipment, and neuraminidase inhibitors. Many facilities lack a complete set of written surge policies, including screening plans to segregate contaminated patients and staff prior to entering the hospital. Few hospitals have agreements with nursing homes or home healthcare agencies to provide care for patients discharged in order to clear surge beds. If some of the assumptions in the CDC's models are changed to match the morbidity and mortality rates reported from the 1918 pandemic, the surge capacity of GDAHA facilities would not meet the projected demand.Conclusions:The GDAHA hospitals should test their regional distributors' ability to resupply PPE for multiple facilities simultaneously. Facilities should retrofit current air exchange systems to increase the number of potential negative pressure rooms and include such designs in all future construction. Neuraminidase inhibitor supplies should be increased to provide treatment for healthcare workers exposed in the course of their duties. Each hospital should have a complete set of policies to address the special considerations for a prolonged surge. Additional capacity is required to meet the predicted demands of a threat similar to the 1918 pandemic.
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Geiser, Stefan. "Open Building in Health Care Architecture: The Case of the Ino Project in Bern, Switzerland." Open House International 30, no. 1 (2005): 13–21. http://dx.doi.org/10.1108/ohi-01-2005-b0004.
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The west surgery wing of the University Hospital “Insel” in Bern, which was completed in 1971, no longer meets operational requirements. A decision was made in 1995 that it must be completely renovated. The INO renovation project embraces in particular the Intensive care, Emergency and Surgery Centre. The Building Department of the Canton of Bern, which is responsible for overseeing construction work on the Insel hospital, is pursuing an open building method for the INO project to ensure that the “serviced structure” of the building (with main utility infrastructure) will continue to be highly adaptable, and that the components of the building are interchangeable and reusable. Building sections with differing service lives and designated purposes are therefore kept consistently separate in the planning and execution phases. The use of separate (discrete) systems anticipates the long-term life cycle of the building, and thus safeguards its value in terms of future use. Work is divided into discrete system levels: the primary system (building shell) is designed for a service life of 50 to 100 years, the secondary system (fit-out) for 15 to 50 years and the tertiary system (hospital equipment) for 5 to 15 years. The project is currently in the execution phase and is being developed in three stages. The 1st stage, the primary system, was completed at the end of 2002, the other stages have not yet been implemented. The 1st stage of the INO project is to go into operation by 2006 and the 2nd stage by 2009.
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Purbiantoro, Alvian, and Adwitya Bhaskara. "FAULT TREE ANALYSIS DAN AUDIT AKURASI PADA PENERAPAN SISTEM MANAJEMEN KESELAMATAN KERJA KONSTRUKSI TERINTEGRASI Studi Kasus: Proyek Pembangunan Gedung Pelayanan (Fisik) RSUD Tidar Kota Magelang, Kontraktor B1." Jurnal Riset Rekayasa Sipil 3, no. 2 (2020): 42. http://dx.doi.org/10.20961/jrrs.v3i2.40952.
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<p><em>Building a construction project is an activity which contains many dangerous elements. It causes the construction industries have bad record in the terms of occupational safety. Therefore, occupational safety is an aspect that must be improved any time because it is a very complex problem which covers issues in the terms of humanity, legal aspect, accountability and the image of the organization itself. This study aims to (1) Determine the accuracy level of the Occupational Safety Management System Application in the Service Building (physical) Construction Project in Tidar Regional Hospital (RSUD) Magelang, (2) Identify and analyze the potential risks of work accident by using Fault Tree Analysis (FTA) method and planning mitigation to reduce the scope of construction in progress. This study is a quantitative analysis where the research is conducted by collecting the primary data through interview and observation, meanwhile the secondary data is in the form of data from the project itself. FTA is used to investigate the potential of workplace accidents by analyzing the direct causes to the basic causes of the accident itself. The results of the study show that (1) The accuracy level of the application of Occupational Safety Management System which has been applied has an assessment rate of 97.29% and it is included in the level of satisfactory assessment. (2) The results of the analysis using FTA obtained several incidents that potentially can cause workplace accidents, incidents such as the workers who do not wear personal protective equipment, workers who act carelessly, and the lack of work experience are the frequent cases in the basic FTA incidents. </em></p>
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Sham, Noraishah Mohammad, Nurul Izzah Ahmad, Muhammad Alfatih Pahrol, and Yin-Hui Leong. "Fungus and mycotoxins studies in hospital environment: A scoping review." Building and Environment 193 (April 2021): 107626. http://dx.doi.org/10.1016/j.buildenv.2021.107626.
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Rahman, Noor Muhammad Abd, Lim Chin Haw, and Ahmad Fazlizan. "A Literature Review of Naturally Ventilated Public Hospital Wards in Tropical Climate Countries for Thermal Comfort and Energy Saving Improvements." Energies 14, no. 2 (2021): 435. http://dx.doi.org/10.3390/en14020435.
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The tropical climate with its high average temperatures throughout the year affects the thermal comfort of buildings, especially for naturally ventilated spaces. The government’s move to turn hospitals into green buildings is seen in line with the global commitment to conserve the environment and the country’s current policy of supporting sustainable development. To achieve this goal, energy efficiency and thermal comfort need to be given priority in the focus on hospital planning and implementation for a better quality of the indoor environment. This literature review has led to the need to improve thermal comfort in natural ventilated wards in government hospitals. Some wards are built without air conditioning to save on construction costs, reduce utility costs through low energy consumption, as well as the need for infection control and airborne infections. However, current climate change requires a special study of thermal comfort in wards that use natural ventilation. An innovative solution is proposed to solve the problem statement identified in the reviewed literature through the application of solar PV/T systems and heat pumps. This hybrid system re-uses the heat energy (cogeneration) generated from solar PV panels to be cooled by heat pumps and is then pumped into the ward for cooling purposes. The proposed system has the potential to improve thermal comfort in natural ventilation wards and increase efficiency of the solar PV system for optimal electricity generation as well as improve the overall energy performance of buildings through low-energy cooling systems. It is not only solving the thermal comfort issue but also avoid the use of extra energy for cooling by optimizing the renewable energy.
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Tostões, Ana. "Manuel Salgado interviewed by Ana Tostões." Modern Lisbon, no. 55 (2016): 74–77. http://dx.doi.org/10.52200/55.a.wdsh9h4l.
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On August 2016, Ana Tostões interviewed the architect Manuel Salgado, councilor of the Municipality of Lisbon since 2007, in order to discuss the main policies undertaken and his ideas on urban planning in its connection to mobility infrastructures, public space and the continuous reconstruction of park and green areas, in Lisbon. Manuel Salgado was born in 1944, Lisbon, and studied architecture at the Lisbon School of Fine Art (1968). From 1971 to 1982, he was the technical responsible for the architectural office CIPRO and in 1984 he became manager of the architectural office Risco. From 2002 to 2008, he was architecture professor, at Instituto Superior Técnico. He has participated in conferences worldwide and widely published, on urban planning, and has designed major urban projects and buildings in Portugal: the Belém Cultural Centre (with Vittorio Gregotti), the Lisbon Theatre and Film School, the Polytechnic Institute of Setúbal, the Expo’98 public areas, the FC Porto Dragão Stadium, the Lisbon Luz Hospital, etc. His architectural and public space projects received several awards: the Valmor Award (1980, 1998), the International Award Architecture in Stone (1993), the AICA Award (1998); the Portuguese National Design Award (1999) and the Brick in Architecture Award (2003). Within the Municipality of Lisbon, he took the position of councilor of the Urbanism and Strategic Planning Department in 2007, which accumulates, from 2009 to 2013, with the Municipality Vice-Presidency. Currently, as councilor, heads the Department of Planning, Urbanism, Urban Rehabilitation, Public Space and Construction of the Municipality of Lisbon.
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Du, Gang, Xinyue Li, Hui Hu, and Xiaoling Ouyang. "Optimizing Daily Service Scheduling for Medical Diagnostic Equipment Considering Patient Satisfaction and Hospital Revenue." Sustainability 10, no. 9 (2018): 3349. http://dx.doi.org/10.3390/su10093349.
Full textAbstract:
Under the background of the unbalanced supply and demand of medical diagnostic equipment and rising health care costs, this study aims to optimize the service scheduling for medical diagnostic equipment so as to improve patient satisfaction by ensuring the equipment utilization rate and hospital revenue. The finite horizon Markov Decision Process (MDP) was adopted to solve this problem. On the basis of field research, we divided patients into four categories: emergency patients, inpatients, appointed outpatients, and the randomly arrived outpatients according to the severity of illness and appointment situations. In the construction of the MDP model, we considered the possibility of cancellation (no-show patients) in scheduling optimization. Combined with the benefits and costs related to patient satisfaction, based on the value iteration algorithm, we took patient satisfaction and hospital revenue as the objective functions. Results indicated that, compared with the current scheduling strategy, the integrated strategy proposed in this study has a better performance, which could maintain the sustainable usage rate of large medical resources and patient satisfaction.