Challenges of the next generation hospitals: Rethinking the Emergency Department

Author:

Casagranda Ivo,Gola Marco,Bellone Andrea,Coen Daniele,Brambilla Andrea,Guiddo Grazia,Paolillo Ciro,Lerza Roberto,Capolongo Stefano,Boeri Stefano

Abstract

The COVID 19 outbreak dramatically highlighted the inadequacy of the Emergency Department (ED) settings in dealing with events that can acutely affect a wide range of population. The immediate urgency to create strictly distinct pathways became also a strategic aspect for reducing possible sources of contagion inside the hospital.1 This need has often clashed with inadequate structural conditions of the hospital: in fact, the rigidity of many EDs is due to the hospital typology and its localization (affected by functional program);2,3 and it prevents them from being quickly adapted to new needs in the case of maxi-emergencies.4 In several recent international projects, the presence of a multifunctional space and/or a buffer area guarantees different scenarios in relation to the healthcare/emergency needs.5 [...]

Publisher

PAGEPress Publications

Subject

General Medicine

Reference22 articles.

1. WHO. Hospital Readiness Checklist for COVID-19. World Health Organization Regional Office for, 2020. Available from: https://www.euro.who.int/__data/assets/pdf_file/0010/430210/Hospital-Readiness-Checklist.pdf

2. Capolongo S, Cocina GG, Gola M, et al. Horizontality and verticality in architectures for health. Technè 2019;17:152-60.

3. Bologna R, Emergencies and innovative processes for hospital project. In Williams P (ed), From Stone to Scalpel. A guide to developing successful hospital in emerging markets. USA: Global Health Service Network; 2022.

4. Brambilla A, Mangili S, Das M, et al. Analysis of functional layout in Emergency Departments (ED). Shedding light on the Free Standing Emergency Department (FSED) model. Appl Sci 2022;12:5099.

5. Brambilla A, Morganti A, Lindahl G, et al. Complex projects assessment. The impact of built environment on healthcare staff wellbeing. In: Gervasi O. et al. (eds) Computational Science and Its Applications – ICCSA 2020. ICCSA 2020. Lecture Notes in Computer Science, vol 12253. Springer, Cham; 2020.

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