TY - JOUR
T1 - Beyond the operating room
T2 - built environment design knowledge supportive of resilient surgical services
AU - Ransolin, Natália
AU - Saurin, Tarcisio Abreu
AU - Clay-Williams, Robyn
AU - Formoso, Carlos Torres
AU - Rapport, Frances
AU - Cartmill, John
PY - 2024/3/12
Y1 - 2024/3/12
N2 - 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.
AB - 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.
KW - Built environment
KW - Design
KW - Resilience
KW - Surgical services
UR - http://www.scopus.com/inward/record.url?scp=85187432609&partnerID=8YFLogxK
U2 - 10.1108/ECAM-10-2023-1063
DO - 10.1108/ECAM-10-2023-1063
M3 - Article
AN - SCOPUS:85187432609
SN - 0969-9988
JO - Engineering, Construction and Architectural Management
JF - Engineering, Construction and Architectural Management
ER -