Facility planning for healthcare organizations has become increasingly important in recent years, due primarily to the complicated needs of patient rooms and the escalating pressure to provide high-quality care to satisfy patients. Concurrently, there has been a considerable development in the field of evidence-based design (EBD) on the impact the healthcare environment has on patients and the operations of clinical staff. Although tools are being developed to assist in measuring EBD principles, they have not been universally adopted by organizations regarding how they either develop or assess healthcare facilities. This case study focuses on our attempt to implement an internal facilities evaluation process and a Post-Occupancy Evaluation (POE) on a major Academic Medical Center's (AMC) new bed tower. An assembled auditing team comprised of diverse professional healthcare backgrounds performed an audit on three patient rooms using a Center for Health Design POE Questionnaire. The results of this evaluation were then compared to the guiding principles developed for the hospital during its design. Results indicated that the project narrowly missed the threshold score agreed upon by the AMC's facilities leadership. This project demonstrated the difficulty in implementing a POE without prior experience, while highlighting the value of a standardized evaluation tool to assess past and future facilities projects.
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http://dx.doi.org/10.1177/1937586718820712 | DOI Listing |
Front Public Health
December 2024
Institute of Architectural Design and Theoretical Research, Zhejiang University, Hangzhou, China.
Stud Health Technol Inform
November 2024
Universidad Politécnica de Madrid, Spain.
Observation tools are increasingly important in healthcare building design research. They enable us to understand how the design of healthcare buildings affects users' health and organisational outcomes. Observations are used in case studies and pre- and post-occupancy evaluations.
View Article and Find Full Text PDFHERD
January 2025
HGA Architects and Engineers, Milwaukee, WI, USA.
Purpose: The current study performed a post-occupancy evaluation on a new cancer infusion center with pod-like layout and compared results to a pre-occupancy evaluation to investigate the impact of different cancer infusion center designs on staff efficiency and patient and staff satisfaction.
Background: The new cancer infusion center opened in October 2020 and replaced two previously existing infusion centers, in the same healthcare system.
Methods: The study used a similar mixed-method approach as the pre-occupancy research, which included staff shadowing, medication delivery shadowing, and staff and patient questionnaires.
Am J Infect Control
December 2024
Department of Architecture and Architectural Engineering, College of Engineering, Seoul National University, Seoul, South Korea; Institute of Construction and Environmental Engineering (ICEE), Seoul National University, Seoul, South Korea. Electronic address:
Background: During the COVID-19 pandemic, in South Korea, several inpatient wards were converted to temporary negative pressure isolation (TNPI) wards by using portable high-efficiency particulate air filter units (PHUs). This study proposes improvements to the TNPI ward to prepare for airborne infections.
Methods: Existing air-conditioning systems were investigated during the pandemic in 4 hospitals through a document review and field investigation with staff interviews.
HERD
October 2024
GBBN Architects, Pittsburgh, PA, USA.
Background: This study addresses the challenges in hospital navigation, particularly focusing on the sequence of arrival experiences through foot traffic or driving within a medical campus. While previous research has emphasized wayfinding in interiors, this study recognizes the importance of transition from outdoor to indoor spaces in the hospital arrival zone.
Objectives: Twofold research efforts include: (1) Exploring vehicular and pedestrian behaviors in a hospital arrival zone using Space Syntax Analyses (SSA), and (2) Validating the SSA results using empirical data collected from onsite observations and behavior mapping.
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