Lessons from the first wave of COVID-19 in Italy: A collection of design strategies to face pandemic situations in healthcare facilities.

Q3 Medicine
Andrea Brambilla, Erica Brusamolin, Alexander Achille Johnson, Francesco Scullica, Stefano Capolongo
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引用次数: 1

Abstract

Objectives: This study aims to provide metadesign indications for the improvement of healthcare facilities, emphasizing the role of spatial design in the management of epidemic health emergencies.

Study design: A parallel mixed-method study including literature reviews, survey creation, and survey distribution was performed.

Methods: Data were collected between August and October 2020 capturing information related to the first wave of the COVID-19 pandemic, utilizing a review of existing literature, a comparison of existing hospital planning guidelines and assessment tools, and distribution of a survey to analyze design changes within selected Italian hospitals.

Results: Among the changes identified, the most frequently identified included the conversion of space into intensive care units, space expansion, and the usage of wayfinding strategies for the reduction of cross-contamination risks. There was limited attention given to solutions with a human-centered approach, and those that addressed physical and psycho-logical well-being of all users, including healthcare staff. The solutions were collected and systematized into a list of metadesign guidelines.

Conclusions: The resulting indications represent a starting point for developing design solutions to aid healthcare facilities in facing future epidemics.

意大利从COVID-19第一波疫情中吸取的教训:应对医疗机构大流行情况的一系列设计策略
目的:探讨空间设计在突发流行病卫生事件管理中的作用,为卫生设施优化提供元设计依据。研究设计:采用平行混合方法进行研究,包括文献综述、调查创建和调查分配。方法:收集2020年8月至10月期间的数据,获取与第一波COVID-19大流行相关的信息,利用现有文献综述,比较现有医院规划指南和评估工具,并分发调查问卷,分析选定意大利医院的设计变化。结果:在确定的变化中,最常见的变化包括将空间转换为重症监护病房,空间扩展以及使用寻路策略以减少交叉污染风险。对于以人为中心的解决方案,以及解决所有用户(包括医疗保健人员)身心健康问题的解决方案,关注有限。这些解决方案被收集并系统化,形成了一个元设计指南列表。结论:由此产生的适应症为开发设计解决方案提供了一个起点,以帮助医疗机构应对未来的流行病。
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来源期刊
American journal of disaster medicine
American journal of disaster medicine Medicine-Medicine (all)
CiteScore
1.10
自引率
0.00%
发文量
8
期刊介绍: With the publication of the American Journal of Disaster Medicine, for the first time, comes real guidance in this new medical specialty from the country"s foremost experts in areas most physicians and medical professionals have never seen…a deadly cocktail of catastrophic events like blast wounds and post explosion injuries, biological weapons contamination and mass physical and psychological trauma that comes in the wake of natural disasters and disease outbreak. The journal has one goal: to provide physicians and medical professionals the essential informational tools they need as they seek to combine emergency medical and trauma skills with crisis management and new forms of triage.
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