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Quality in Healthcare: An Innovative Adaptable System for In-patient Rooms

Received: 3 December 2018     Accepted: 28 December 2018     Published: 26 March 2019
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Abstract

This article aims to study methodologically hospital buildings and, in particular, the design of inpatient rooms, identified as the place of maximum convergence between the renewed framework of the hospital and its users. The definition of design guidelines to improve and qualify the in-patient rooms, enhancing their performance, takes into account the fact that the established requirements of medical protocols must be accompanied by those new requirements related to the massive evolution in health organizations. Changes in medicine, culture and society have necessarily led to a new formulation of the hospital model and, over the last few decades, the massive introduction of technology within the hospital has conditioned the morphological-space configuration and the presence of new relationships and spatial functions in the hospitals. The research of this article attempts, therefore, to explore the use of technology to improve the quality of patient rooms' design, formulating a model that can adapt to economic, social, health and technological changes, and, at the same time, can ensure that the system, services and activities meet the evolving needs of the population.

Published in International Journal of Architecture, Arts and Applications (Volume 5, Issue 1)
DOI 10.11648/j.ijaaa.20190501.12
Page(s) 10-17
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Patient Rooms, Patient-Centeredness, Acuity Adaptable, Technology, Healthcare Structures, Strategies

References
[1] Mauri M., “The future of the hospital and of the structures of the NHS”, Technè 09/2015 (in Italian).
[2] NHS ESTATES, “Ward layouts with single rooms and space for flexibility”. Discussion Document- efm-evidence, 2006, pp. 31-45.
[3] Facility Guidelines Institute for Design and Construction of Hospitals and Outpatient Facilities, 2014.
[4] Nickl-Weller C. Nickl H., “Hospital Architecture”, Brown, London, 2007.
[5] Atkinson J. Hohenstein J. McCu C., “Using evidence-based strategies to design safe, efficient, and adaptable patient rooms”, in Healthcare Design 11 (5), May 2011), pp. 47-54.
[6] Bonuel N. Degracia A. Cesario S., “Acuity-Adaptable Patient Room: Improves Length of Stay and Cost of Patients Undergoing Renal Transplant_A Pilot Study”, in Critical Care Nursing Quarterly 36 (2), pp. 181–194, April–June 2013.
[7] Lipschutz L. D., “Acuity-adaptable rooms: Design considerations can improve patient care”, in Healthcare Construction & Operations News 7 (1), 2009.
[8] Hendrich A. Chow M., “Maximizing the impact of nursing care quality”, in Healthcare Leadership White Paper Series (4 of 5), The Center for Health Design, 2008.
[9] Sadler B. Dubose J. Malone E. Zimring C., “The business case for building better hospitals through evidence based design”, in Healthcare Leadership White Paper Series (1 of 5), The Center for Health Design, 2008.
[10] Ulrich R. Zimring C. Zhu X. DuBose J. Seo H. B. Choi Y. S. Quan X. Joseph A., “A Review of the Research Literature on Evidence-Based Healthcare Design”, in Healthcare Leadership, white paper series 5 of 5, September 2008.
[11] Glind I. Roode S. Goossensen A., “Do patients in hospitals benefit from single rooms? A literature review”, in Health Policy 84 (2-3), December 2007, pp. 153-61.
[12] Capolongo S. Buffoli M., “Quality and physical hospital environment”, in Capolongo S., Hospital buildings - Methodological and design approaches, Hoepli, Milan, 2006 (in Italian).
[13] Maze C., “Inboard, Outboard, or Nested?”, in Healthcare Design 9 (3), May 2009, pp. 38-42.
[14] Del Nord R. Peretti G., “L’umanizzazione degli spazi di cura”, Ministero della Salute, TESIS, 2012.
[15] Abati R. Salerno P., “CORE. La bella utopia. Il grande sogno del Centro oncoematologico di Reggio Emilia diventato realtà”, Compagnia Editoriale Aliberti, 2016.
[16] Arduini R., “Innovazione culturale e gestionale in sanità”, Franco Angeli, 2016.
[17] Del Nord R., “Le nuove dimensioni strategiche dell'ospedale di eccellenza”, Polistampa, 2012.
[18] Giroldi S, Lega F., “L’ospedale modern mette il paziente al centro dell’organizzazione”, in Progettare per la Sanità, 2018, pp. 22-27.
[19] Buffoli M. Nachiero D. Capolongo S., “Flexible healthcare structures: analysis and evaluation of possible strategies and technologies”, in Ann Ig, 2012.
[20] Brown K. K. Gallant D., “Impacting Patient Outcomes Through Design: Acuity Adaptable Care/Universal Room Design”, in Critical Care Nursing Quarterly 29 (4), 2006, pp. 326-341.
[21] Burmahl B., “Facilities of the future. Health Facilities Management”, 13 (2), 2000, pp. 30–34.
[22] Carera S., “A tutto Corian per il benessere del paziente”, in Progettare per la Sanità, 2018, pp. 12-16.
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  • APA Style

    Michele Di Sivo, Claudia Balducci. (2019). Quality in Healthcare: An Innovative Adaptable System for In-patient Rooms. International Journal of Architecture, Arts and Applications, 5(1), 10-17. https://doi.org/10.11648/j.ijaaa.20190501.12

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    ACS Style

    Michele Di Sivo; Claudia Balducci. Quality in Healthcare: An Innovative Adaptable System for In-patient Rooms. Int. J. Archit. Arts Appl. 2019, 5(1), 10-17. doi: 10.11648/j.ijaaa.20190501.12

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    AMA Style

    Michele Di Sivo, Claudia Balducci. Quality in Healthcare: An Innovative Adaptable System for In-patient Rooms. Int J Archit Arts Appl. 2019;5(1):10-17. doi: 10.11648/j.ijaaa.20190501.12

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  • @article{10.11648/j.ijaaa.20190501.12,
      author = {Michele Di Sivo and Claudia Balducci},
      title = {Quality in Healthcare: An Innovative Adaptable System for In-patient Rooms},
      journal = {International Journal of Architecture, Arts and Applications},
      volume = {5},
      number = {1},
      pages = {10-17},
      doi = {10.11648/j.ijaaa.20190501.12},
      url = {https://doi.org/10.11648/j.ijaaa.20190501.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijaaa.20190501.12},
      abstract = {This article aims to study methodologically hospital buildings and, in particular, the design of inpatient rooms, identified as the place of maximum convergence between the renewed framework of the hospital and its users. The definition of design guidelines to improve and qualify the in-patient rooms, enhancing their performance, takes into account the fact that the established requirements of medical protocols must be accompanied by those new requirements related to the massive evolution in health organizations. Changes in medicine, culture and society have necessarily led to a new formulation of the hospital model and, over the last few decades, the massive introduction of technology within the hospital has conditioned the morphological-space configuration and the presence of new relationships and spatial functions in the hospitals. The research of this article attempts, therefore, to explore the use of technology to improve the quality of patient rooms' design, formulating a model that can adapt to economic, social, health and technological changes, and, at the same time, can ensure that the system, services and activities meet the evolving needs of the population.},
     year = {2019}
    }
    

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    JF  - International Journal of Architecture, Arts and Applications
    JO  - International Journal of Architecture, Arts and Applications
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    AB  - This article aims to study methodologically hospital buildings and, in particular, the design of inpatient rooms, identified as the place of maximum convergence between the renewed framework of the hospital and its users. The definition of design guidelines to improve and qualify the in-patient rooms, enhancing their performance, takes into account the fact that the established requirements of medical protocols must be accompanied by those new requirements related to the massive evolution in health organizations. Changes in medicine, culture and society have necessarily led to a new formulation of the hospital model and, over the last few decades, the massive introduction of technology within the hospital has conditioned the morphological-space configuration and the presence of new relationships and spatial functions in the hospitals. The research of this article attempts, therefore, to explore the use of technology to improve the quality of patient rooms' design, formulating a model that can adapt to economic, social, health and technological changes, and, at the same time, can ensure that the system, services and activities meet the evolving needs of the population.
    VL  - 5
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Author Information
  • Department of Engineering of Energy, Systems, Territory and Construction, University of Pisa, Pisa, Italy

  • Department of Architecture, G. D’Annunzio University of Chieti- Pescara, Pescara, Italy

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