A knowledge framework for the design of built environment supportive of resilient internal logistics in hospitals.

Appl Ergon

AIHI/MQ (Australian Institute of Health Innovation, Macquarie University), 75 Talavera Rd, North Ryde, Sydney, NSW, 2113, Australia. Electronic address:

Published: April 2024

AI Article Synopsis

  • Internal logistics in hospitals is important because it helps manage the flow of people and supplies while keeping everything safe and efficient.
  • This study looked at how the design of hospital buildings can help improve internal logistics by developing a new framework based on real-life observations and interviews.
  • The framework includes seven design tips and 63 examples to help designers create better hospital spaces that support effective logistics and resilience.

Article Abstract

Internal logistics is crucial for hospitals, occurring within facilities that pose constraints and opportunities, demanding resilient performance (RP) to adapt to dynamic conditions and balance safety and efficiency pressures. However, the role of the built environment (BE) to support RP is not explicitly analysed in the hospital logistics literature, which is usually limited to discuss BE in terms of layout and routing issues. To address this gap, this study presents a knowledge framework of BE supportive of RP in internal hospital logistics. The framework was developed based on a study in a large teaching hospital, encompassing 11 service flows of people and supplies between an intensive care unit and other units. Data collection was based on 38 interviews, documents such as floor plans, and observations of logistics activities. Seven BE design principles developed in a previous study, concerned with RP in general but not focused on logistics, were adopted as initial themes for data analysis. Results of the thematic analysis gave rise to a knowledge framework composed of seven design prescriptions and 63 practical examples of BE supportive of RP in hospital internal logistics. The paper discusses how these prescriptions and examples are connected to resilience management. The framework is new in the context of internal hospital logistics and offers guidance to both BE and logistics designers.

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Source
http://dx.doi.org/10.1016/j.apergo.2023.104209DOI Listing

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