The Effect of the Operational phase of Construction on The Physical built Environment in Hospital Facilities

Abstract

A Healthcare Facility (HF) is the most complex environment to design, build and operate. In the one, hand diverse stakeholders are coming along with integrated demands for satisfaction. On the other hand, International design standards tend to define the spatial requirements of HF only. Many details are left for HF operators to define resulting in a gap between Designers and Operators. Having Emergency Department (ED) as an Exemplar, trends like: Room Saturation, Patient Safety, Length of stay and caregivers satisfaction, tend to re-form the concept design of ED. The Research aims to fill in the gap between the designer’s knowledge about the elements Physical Built Environment (PBE) and the stakeholders’ demands for greater value in ED. Both Qualitative and Quantitative analysis are undertaken in this research.

The Quantitative survey for Post Occupancy Evaluation (POE) is used to define the measures of operational efficiency. Nationally case studies of Emergency department of Dar Al Fouad – Hospital Building (DAF, Giza, Egypt) and the new extension DAF (Cairo, Egypt), were selected. Internationally the post occupancy evaluation (POE) was reviewed for EDs in the United Kingdom National Healthcare services (NHS), utilizing this governmental development recognized POE system. The selection of case studies was based on application of local and global design standards of ED in Hospitals. These selections reflect the outcomes of POE on Healthcare architecture of ED to cover unseen points of on design standards regarding efficiency. Subsequently a Qualitative analysis is undertaken in order to generate a design check list capable to form a conceptual design of ED based on Post Occupancy Evaluation to have higher operational performance.