Beyond the operating room: built environment design knowledge supportive of resilient surgical services

IF 3.6 2区工程技术 Q1 ENGINEERING, CIVIL

Engineering, Construction and Architectural Management Pub Date : 2024-03-12 DOI:10.1108/ecam-10-2023-1063

Natália Ransolin, Tarcisio Abreu Saurin, Robyn Clay-Williams, Carlos Torres Formoso, Frances Rapport, John Cartmill

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引用次数: 0

Abstract

Purpose

Surgical services are settings where resilient performance (RP) is necessary to cope with a wide range of variabilities. Although RP can benefit from a supportive built environment (BE), prior studies have focused on the operating room, giving scant attention to support areas. This study takes a broader perspective, aiming at developing BE design knowledge supportive of RP at the surgical service as a whole.

Design/methodology/approach

Seven BE design prescriptions developed in a previous work in the context of internal logistics of hospitals, and thus addressing interactions between workspaces, were used as a point of departure. The prescriptions were used as a data analysis framework in a case study of the surgical service of a medium-sized private hospital. The scope of the study included surgical and support areas, in addition to workflows involving patients and family members, staff, equipment, sterile instruments and materials, supplies, and waste. Data collection included document analysis, observations, interviews, and meetings with hospital staff.

Findings

Results identified 60 examples of using the prescriptions, 77% of which were related to areas other than the operating rooms. The developed design knowledge is framed as a set of prescriptions, examples, and their association to workflows and areas, indicating where it should be applied.

Originality/value

The design knowledge is new in surgical services and offers guidance to both BE and logistics designers.

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手术室之外：支持弹性外科服务的建筑环境设计知识

目的外科服务是需要弹性表现（RP）来应对各种变化的环境。虽然弹性性能可以从支持性建筑环境（BE）中获益，但之前的研究主要集中在手术室，很少关注支持性区域。本研究从更广阔的视角出发，旨在开发建筑环境设计知识，从整体上支持外科手术服务中的康复治疗。设计/方法/途径以之前在医院内部后勤工作中开发的七个建筑环境设计方案为出发点，解决工作空间之间的互动问题。在对一家中型私立医院的外科手术服务进行案例研究时，这些设计方案被用作数据分析框架。研究范围包括手术区和辅助区，以及涉及病人和家属、员工、设备、无菌器械和材料、用品和废物的工作流程。数据收集包括文件分析、观察、访谈以及与医院员工的会谈。研究结果研究结果发现了 60 个使用处方的例子，其中 77% 与手术室以外的区域有关。所开发的设计知识以一系列处方、实例及其与工作流程和区域的关联为框架，指明了应在何处应用这些知识。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Engineering, Construction and Architectural Management Business, Management and Accounting-General Business,Management and Accounting

CiteScore

8.10

自引率

19.50%

发文量

226

期刊介绍： ECAM publishes original peer-reviewed research papers, case studies, technical notes, book reviews, features, discussions and other contemporary articles that advance research and practice in engineering, construction and architectural management. In particular, ECAM seeks to advance integrated design and construction practices, project lifecycle management, and sustainable construction. The journal’s scope covers all aspects of architectural design, design management, construction/project management, engineering management of major infrastructure projects, and the operation and management of constructed facilities. ECAM also addresses the technological, process, economic/business, environmental/sustainability, political, and social/human developments that influence the construction project delivery process. ECAM strives to establish strong theoretical and empirical debates in the above areas of engineering, architecture, and construction research. Papers should be heavily integrated with the existing and current body of knowledge within the field and develop explicit and novel contributions. Acknowledging the global character of the field, we welcome papers on regional studies but encourage authors to position the work within the broader international context by reviewing and comparing findings from their regional study with studies conducted in other regions or countries whenever possible.