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Toronto Canada UIA PHG seminar Hospital design: ‘evidence based ?’ architectural evaluation. Prof. em. Jan Gabriel DELRUE KU Leuven Belgium meditex. EVALUATION of NEW DESIGNS. EVIDENCE-BASED HOSPITAL DESIGN ? No Scientific Base at all. COMMON-SENSE EVALUATION OF
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Toronto Canada UIA PHG seminarHospital design: ‘evidence based ?’ architectural evaluation. Prof. em. Jan Gabriel DELRUE KU Leuven Belgium meditex
EVALUATION of NEW DESIGNS • EVIDENCE-BASED HOSPITAL DESIGN ? No Scientific Base at all. • COMMON-SENSE EVALUATION OF HOSPITAL DESIGNS NURSING UNITS HOSPITAL MASTERPLAN HOSPITAL RENOVATION AND UPGRADING
“Evidence based” design, critic Mary Stankosand Benyamin Schwarz argue in “Evidence-based design in Healthcare: A Theoretical Dilemma” compared to the concept of evidence-based medicine : “the small number of (health facilities) studies which are distributed over somany topics cannotconstitute a criticalmass of knowledgeforevaluation. Therefore the evidence-base is toonarrow in quantity and quality to bedescribed as a knowledge base” See: Interdisciplinary Design and Research e-Journal 2007 Jan,1 Online at www.idrp.wsu.edu
Evaluation of nursing unitscriteria set 1 • Criteria: • corridor width • separation of circulation • Room distribution • Room width • Sanitary facilities • Supervision • Traffic index nursing, sequential • Traffic index nursing, punctual • Nursing space, nurse base • Nursing space: utilities • Reception, facilities for family, visitors
Evaluation of nursing units, cntd:Criteria set 2 • Coupling of nursing units into nursing floor • Clustering with medico-technical departments • Overflow rooms between nursing units • Differentiation of care,continuity of care • Floorfunctions, logistics • Floorfunctions, medical • Floorfunctions, paramedical • Structure, skeleton, ducts, spans • Suitability for intensification of care • Suitability for modern nursing techniques