Publications by authors named "Nirit Putievsky Pilosof"

Digital transformation in healthcare during the COVID-19 pandemic led to the development of new hybrid models integrating physical and virtual care. The ability to provide remote care by telemedicine technologies and the need to better manage and control hospitals' occupancy accelerated growth in hospital-at-home programs. The Sheba Medical Center restructured to create Sheba Beyond as the first virtual hospital in Israel.

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The challenges of the COVID-19 pandemic have led to the development of new hospital design strategies and models of care. To enhance staff safety while preserving patient safety and quality of care, hospitals have created a new model of remote inpatient care using telemedicine technologies. The design of the COVID-19 units divided the space into contaminated and clean zones and integrated a control room with audio-visual technologies to remotely supervise, communicate, and support the care being provided in the contaminated zone.

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Objective: This case study examines the implementation of inpatient telemedicine in COVID-19 intensive care units (ICUs) and explores the impact of shifting forms of visibility on the management of the unit, staff collaboration, and patient care.

Background: The COVID-19 crisis drove healthcare institutions to rapidly develop new models of care based on integrating digital technologies for remote care with transformations in the hospital-built environment. The Sheba Medical Center in Israel created COVID-19 ICUs in an underground structure with an open-ward layout and telemedicine control rooms to remotely supervise, communicate, and support the operations in the contaminated zones.

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Objective: The study examines the integration of the Evidence-based Design (EBD) approach in healthcare architecture education in the context of an academic design studio.

Background: Previous research addressed the gap between scientific research and architectural practice and the lack of research on the use of the EBD approach in architectural education.

Methods: The research examines an undergraduate architectural studio to design a Maggie's Centre for cancer care in Israel and evaluates the impact of the EBD approach on the design process and design outcomes.

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Objective: This study assesses how architectural design strategies impact the flexibility of hospitals to change over time.

Background: Most hospitals are designed for highly specialized medical functions, which is often in conflict with the need to design the hospital facility to accommodate evolvement and change of functions over time. Architectural design strategies provide different approaches to the need to design for a specific medical program while planning for its future change.

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Introduction: Current tools and methods in architectural design do not allow predicting and evaluating how people will use designed environments before their actual realization.

Objective: To investigate how computational simulation can help in evaluating design proposals as far as their use by people is concerned.

Methods: Simulation of a medicine distribution procedure in a general hospital facility, while accounting for serendipitous social interactions made possible by the presence of different users in the same space, at the same time.

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