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Book Review
SUBMITTED BY:Vikas Jangir
Harshad Patel
Sayali Darakh

Nishant Rathod
Kiran Bang
Kekhrieneizo Tetso

GUIDED BY...
BY:RICHARD L. MILLER

EARL S. SWENSSON
CONTENTS
 Principles :New Paradigms For A New Century
 The Traditional Hospital :A Warehouse For The
Sick
 New Market ,...
OUR REVIEW
This forward –looking book
stands the art blueprint for
new directions in hospital and
healthcare facility desi...
Drawing on more than 30 years of
experience in this challenging ,
highly specialized field , the
authors did following thi...
Principles :New Paradigms For
A New Century
reality of paradigm shift, major transitions are:

 from youth to maturity:
...
The traditional hospital: a
ware house for the sick
 The architecture of a
hospital is an
expression of a cultural
and em...
NEW MARKET,NEW DESIGN
PRINCIPLES
 ADDRESING THE EMERGING
SHAPE OF THE MARKET FOR
HEALTH CARE.
 FLEXIBILITY IS INTENSIFIE...
Aging population: guidelines:
fIVE CHARACTERISTICS FOR
SOCIALLY RESPONSIBLE DESIGN
FLEXIBLE DESIGN IS DYNAMIC DESIGN,A PROCESS THAT PART OF
WHAT JANET R...
MAKING YESTERDAY’S HOSPITALS
WORK TODAY.
 THE IDEOLOGICAL ,TECHNICAL AND MARKETING
REASONS FOR RETHINKING HOSPITAL DESIGN...
EMERGENCY UNIT
 A 1988 national public health and
hospital institute joint study with
association of American medical
col...
The principle design issues of
majority of hospitals areas
are :
-helicopter access

-access and evaluation (triage)
-the ...
Diagnostic imaging
The field of contemporary
diagnostic imaging technology
are of
-CT (computed tomography)
-MRI ( magneti...
Surgery Facilities
 The use of color in the procedure
should be consider not only from the
point of view of improving sta...
Surgical unit: design
guidelines:
Critical care
 Critical care unit
should be excluded
from traffic.
 Design should allow
for adequate privacy
without, ho...
The patient care unit

 the patient room should
be the most intensive
focus of the patient care.
 Architect customarily
...
FOR DESIGN PURPOSE , PHYSIcIANS’
needs  Bed availability
 Accommodation for all types of
payers
 Accommodation for any
...
Ambulatory Care And
Professional Offices
Principles of hospital planning•

•
•

(“separate all departments, yet keep
them all together; separate types of
traffic, ...
THANK YOU
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Book review

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book name- new directions in hospital and healthcare facility design, written by- BY:-RICHARD L. MILLER, EARL S. SWENSSON

Publicado en: Educación, Salud y medicina
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Book review

  1. 1. Book Review SUBMITTED BY:Vikas Jangir Harshad Patel Sayali Darakh Nishant Rathod Kiran Bang Kekhrieneizo Tetso GUIDED BY:- AR. Vaibhavi Ayre
  2. 2. BY:RICHARD L. MILLER EARL S. SWENSSON
  3. 3. CONTENTS  Principles :New Paradigms For A New Century  The Traditional Hospital :A Warehouse For The Sick  New Market ,New Design Principles  Making Yesterday’s Hospitals Work Today  The Emergency Unit  Diagnostic Imaging  Surgery Facilities  Critical Care  The Patient Care Unit  Ambulatory Care And Professional Offices
  4. 4. OUR REVIEW This forward –looking book stands the art blueprint for new directions in hospital and healthcare facility design Among the design challenges explored :  Emergency care design Differentiation among critical care ,chronic care and community-based ambulatory care.
  5. 5. Drawing on more than 30 years of experience in this challenging , highly specialized field , the authors did following things1)explore current and emerging treads in medical treatment 2) technology and delivery 3) discuss practical issues facing contemporary and future designers and 4)present a rich cross-section of innovative examples and case studies from around the country .
  6. 6. Principles :New Paradigms For A New Century reality of paradigm shift, major transitions are:  from youth to maturity:  remediation to health:  reaction to anticipation  exclusivity to system  sickness to wellness  fragmentation to integration  hierarchical to functional  nursing home to subjacute center  institutional dependency to self care Architecture is a profession of wellness-a sister, in fact, to the medical profession.
  7. 7. The traditional hospital: a ware house for the sick  The architecture of a hospital is an expression of a cultural and emotional dynamics of the institution.  The growth of technology and further Many hospitals built during 1950’s and 60’s development of the partake more of a functional modernism, germ theory and deliberately stripping away such ecclesiastical reminders as gothic ornamentation in order to antisepsis, architecture present efficient professional and sterile having challenge. figuratively as well as laterally.
  8. 8. NEW MARKET,NEW DESIGN PRINCIPLES  ADDRESING THE EMERGING SHAPE OF THE MARKET FOR HEALTH CARE.  FLEXIBILITY IS INTENSIFIED BY THE TECCHNOLOGICAL NATURE OF THE HEALTH CARE.  AGING POPULATION IS IMPORTANT ASPECT SINCE IT WILL MAKE INCREASINGLY EXTENSIVE USE OF HEALTH AND HOSPITAL FACILITIES.
  9. 9. Aging population: guidelines:
  10. 10. fIVE CHARACTERISTICS FOR SOCIALLY RESPONSIBLE DESIGN FLEXIBLE DESIGN IS DYNAMIC DESIGN,A PROCESS THAT PART OF WHAT JANET R. CARPMAN WRITING IN „GROUP PRACTICE JOURNAL,CALLS “ SOCIALLY RESPONSIBLE HEALTH FACILITY DESIGN”,WHICH SHE IDENTIFIES AS A MAJOR NEW DIRECTION FOR THE INDUSTRY.  VALUE SYSTEM  INFORMATION.  PARTICIPATORY DESIGN PROCESS  PERIODIC SYSTEMATIC DESIGN REVIEW.  PERIODIC EVALUATION OF THE FINISH PROJECT.
  11. 11. MAKING YESTERDAY’S HOSPITALS WORK TODAY.  THE IDEOLOGICAL ,TECHNICAL AND MARKETING REASONS FOR RETHINKING HOSPITAL DESIGN ARE AMPLE AND MANIFESTED.  TO RENOVATE OR TO BUILT TO CONSIDER THE FOLLOWING ISSUES: DETERMINE IF THE RENOVATION IS COSMETIC OR FUNCTIONAL. CONSIDER THE AGE OF FACULTY. EVALUATE THE DIFFERENT LEVEL OF USE THAT EFFECT THE CHOICE TO RENOVATE VERSUS COMISSION NEW CONSTRUCTION. THINK FOR BUILDING’S CODE STATUS. PERIODIC UTILITY DISRUPTION TO FORCE TEMPORARY DEPARTMENTAL RELOCATIONS.
  12. 12. EMERGENCY UNIT  A 1988 national public health and hospital institute joint study with association of American medical college revealed that, of 277 urban hospitals responding, 38% experienced emergency room crowding so severe that patients or sometimes forced to wait for 12 hours for a bed.  These numbers in themselves are sufficient to suggest the magnitude of the work load weighing on emergency dept.  Architects’ role to put attention to the emergency entries and other units is important.
  13. 13. The principle design issues of majority of hospitals areas are : -helicopter access -access and evaluation (triage) -the waiting area -staff and support spaces -accommodation of data and diagnostic technologies -flexible design for flexible response -specialty emergency treatment spaces or units -security - Near by parking -prominent signage and access
  14. 14. Diagnostic imaging The field of contemporary diagnostic imaging technology are of -CT (computed tomography) -MRI ( magnetic resonance imaging) -US (ultra sonography) -DSA ( digital subtraction angiography) -PET ( positron emission tomography) -SPECT ( single photon emission computed tomography )
  15. 15. Surgery Facilities  The use of color in the procedure should be consider not only from the point of view of improving staff performance by reducing fatigue and enhancing concentration but also from the point of view of well being of patient  The current standards for the operating room environment address air exchange rate, filtration, temperature, humidity, and the maintenance of positive pressure .  Two types of illumination are required in operating room: 1)general(ambient) room lighting 2)task lighting.
  16. 16. Surgical unit: design guidelines:
  17. 17. Critical care  Critical care unit should be excluded from traffic.  Design should allow for adequate privacy without, however isolating the patient. Ceiling materials should be chosen with care to reduce glare and to provide an interesting texture that promotes a sense of orientation in the supine occupant of the room.  An adequate lounge area adjacent to critical care area is essential for relatives of patient.
  18. 18. The patient care unit  the patient room should be the most intensive focus of the patient care.  Architect customarily conceal functional items ,especially toilets. Architect and designers must be sensitive to balancing the perceptions and expectations of the patient’s family on the one hand with building features that benefit the patient on the other .  Even acute environment may be inappropriate for long term care facilities.
  19. 19. FOR DESIGN PURPOSE , PHYSIcIANS’ needs  Bed availability  Accommodation for all types of payers  Accommodation for any specialty or subspecialty.  Cutting edge care setting  Care giver easy to find  Patient easy to find  Chart easy to find  Ability for all care providers to confer in privacy  Quiet place for dictation or direct data entry, data retrieval, reference  Access to properly equipped procedure room
  20. 20. Ambulatory Care And Professional Offices
  21. 21. Principles of hospital planning• • • (“separate all departments, yet keep them all together; separate types of traffic, yet save steps for everybody; that is all there is to hospital planning “– Emerson Goble) • Protection from unwanted and unnecessary disturbances in order to help speedy recovery Separation of dissimilar activities Control – the nurses station should be positioned strategically to enable proper monitoring of visitors entering and leaving the ward, infants and children should be protected from theft and infection etc. Circulation- all the departments of a hospital must be properly integrated.
  22. 22. THANK YOU

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