THE BUILT ENVIRONMENT’S INFLUENCE ON
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THE BUILT ENVIRONMENT’S INFLUENCE ON RESILIENCE OF HEALTHCARE SERVICES: LESSONS LEARNT FROM THE COVID-19 PANDEMIC Natália Ransolin, Rafael Parmeggiani Gering, Tarcísio Abreu Saurin, Carlos Torres Formoso Carlos Emilio Stigler Marczyk Master Student [email protected]
Transcript of THE BUILT ENVIRONMENT’S INFLUENCE ON
THE BUILT ENVIRONMENT’S INFLUENCE ON RESILIENCE OF HEALTHCARE SERVICES: LESSONS
LEARNT FROM THE COVID-19 PANDEMIC
Natália Ransolin, Rafael Parmeggiani Gering, Tarcísio Abreu Saurin, Carlos Torres Formoso
Carlos Emilio Stigler MarczykMaster Student
• Lessons learned by a leading private hospital in Southern Brazil.
• Lens resilience engineering.• Implications for services and the built environment.
INTRODUCTION
Walkthrough
8 semi-structuredInterviews
Resilient practices
Design – WAI - BEAI
Operations – WAD -BEAD
6 lessons learnt
NewFunctions
Performedby patients
Performedby staff
COVID-19 TENT
EMERGENCY DEPARTMENT
LIFTS/ CORRIDORS
COVID-19 WARD
COVID-19 ICU
REGULAR WARD
REGULAR ICU
COVID-19 LAB
COPE WITH THE
PANDEMIC
DONNING AND
DOFFING PPE
LAB TESTS (C-19)
PROVIDE C-19 CARE (EMERG)
COLLECT SAMPLES
EXAMS (C-19)PROVIDE C-19 ICU
CARE
PROVIDE C-19 WARD
CARE
SUPPORT AREAS
PROTECT.
CARRY OUT SURGERY
TRIAGEMEDICAL EVALUATION
TOMOGRAP. EXAMS PROVIDE
EMERGENCY CARE
SEEK FOR C-19 CARE
TOMOGRAP. EXAMS (C-19)
WAIT FOR MEDICAL CONSULT.
TRIAGE (COVID-19)
MEDICAL EVALUAT.
(C-19)
SEEK FOR EMERG.CARE
TRANSPORT PATIENTS
PATIENT DISCHARGE
PROVIDE WARD CARE
PROVIDE ICU CARE
FRAM model
PROCESSES MODELLING
• Adaptations built environment (care + support areas)
• COVID-19 tent / lab• Review + purchase inventory buffer• Reallocation and optimization resources
Presentación Presentación
RESULTS
COPE WITH THE PANDEMIC: COVID-19 (outputs)COVID-19 TENT
EMERGENCY DEPARTMENT
LIFTS/ CORRIDORS
COVID-19 WARD
COVID-19 ICU
REGULAR WARD
REGULAR ICU
COVID-19 LAB
COPE WITH THE
PANDEMIC
DONNING AND DOFFING
PPE
LAB TESTS (C-19)
PROVIDE C-19 CARE (EMERG)
COLLECT SAMPLES
EXAMS (C-19)PROVIDE C-19 ICU
CARE
PROVIDE C-19 WARD CARE
SUPPORT AREAS
PROTECT.
CARRY OUT SURGERY
TRIAGEMEDICAL EVALUATION
TOMOGRAP. EXAMS PROVIDE
EMERGENCY CARE
SEEK FOR C-19 CARE
TOMOGRAP. EXAMS (C-19)
WAIT FOR MEDICAL CONSULT.
TRIAGE (COVID-19)
MEDICAL EVALUAT.
(C-19)
SEEK FOR EMERG.CARE
TRANSPORT PATIENTS
PATIENT DISCHARGE
PROVIDE WARD CARE
PROVIDE ICU CARE
Resilientpractices
DISCUSSION 6 lessons learnt
Design – WAI - BEAI Operations – WAD - BEAD
CAPACITY x DEMAND
“Built environment-as-imagined (BEAI)” x “Built environment-as-done (BEAD)” Ransolin et al., 2020
DISCUSSION 6 lessons learnt
Design – WAI - BEAI Operations – WAD - BEAD
• To design flexible workspaces;
• To design short patient flows (contagious diseases).
DISCUSSION 6 lessons learnt
Design – WAI - BEAI Operations – WAD - BEAD
• To save financial resources for acquiring scarce supplies and maintain a
multi-skilled workforce (capacity x demand);
• To develop capabilities for resources optimization;
• To use wayfinding to communicate changes built environment;
• To strengthen collaborative organizational culture.
DISCUSSION 6 lessons learnt
Design – WAI - BEAI Operations – WAD - BEAD
• Bridge the gap BEAI x BEAD
• Resilient healthcare x evidence-based design.
• Update the lessons learnt as the pandemic evolves and retrospective in-depth studies.
THANK YOU!
Natália Ransolin - PhD Student UFRGS - [email protected] Emilio Stigler Marczyk - Master Student UFRGS - [email protected] Parmeggiani Gering - Master Student UFRGS - [email protected]
Tarcísio Abreu Saurin - Professor, Industrial Engineering PPGEP, UFRGS - [email protected] Torres Formoso - Professor, Civil Engineering PPGCI, UFRGS - [email protected]
Tor Olav Grøtan - Associate Professor NTNU - [email protected]
