Conference Paper

Facilities Planning Promoting Efficient Space Use at Hospital Buildings

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Abstract

Purpose-Due to an increasing demand for care delivery and emerging new health care technologies facility managers are frequently confronted with changing spatial demands of end-users. The purpose of this study is to explore if facilities planning at a diagnostic outpatient clinic can increase the level of space utilization and the speed of care delivery. Design / methodology/ approach-The current study was made in the context of discovery and exemplification. The influence of facilities planning, by means of resource allocation and patient categorization, on the actual use of facilities was investigated. A comparison was made between the planned and the actual space utilization level of a scanning room. In a time study the actual utilization times of 55 patient examinations were compared with the planned times. Moreover, the nature of activities was registered by a multidimensional work sampling method. Findings-This study showed that the actual space utilization level deviated from the planned utilization level. In this case the actual fluorodeoxyglucose (FDG) whole-body examinations on a positron emission tomography-computed tomography (PET-CT) scanner took less time than planned and, in addition, the weight of patients significantly influenced the actual examination times. Patients with a heavy body weight took more time than patients with low weight. Moreover, this study showed that employees only spend 47% of their activities on care-related activities. Practical implications-This current study has shown that facility management research (FMR) allows facility managers to improve their insight in the efficiency of space use, and, in addition,

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... The manual approach is always time-consuming and error-prone in terms of the expected results of space utilization, whereas the automatic method lacks details of user space demands, such as room area, indoor and outdoor environments. This method is more applied to the planning and design phases of a building instead of the operation and maintenance (O&M) phase (Zijlstra, Mobach, Van Der Schans, & Hagedoorn, 2014). However, the O&M phase is the longest period in the life cycle of a building, its space management is also critical. ...
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Lists and floor plans have been widely adopted as space management tools for educational office buildings. However, the two-dimensional floor plans fail to present the indoor complexity, which hinders users from intuitively observing the indoor equipment arrangements and adapting to the indoor environment within a short time. Meanwhile, insufficient research has been conducted on space management tools regarding building indoor navigation. A Building Information Modeling Space Management (BIMSM) system was proposed in this study based on BIM. This system is comprised of two components, i.e. indoor space allocation management and indoor path navigation. The real-time space usage can be queried and user demands may be matched with available space by applying the Space Usage Analysis (SUA) theory. After the establishment of indoor maps, an improved A* algorithm is used to provide smooth navigation paths, and the visualization of such paths can be provided in mobile terminals. The BIMSM system was applied in an office building in a university in Shanghai, China. In this case study, the overall user satisfaction reached 91.6% by greatly reducing space arrangement failures. The time indoor navigation took outperformed that based on the traditional A* algorithm, with the search efficiency increasing 5.28%. First published online 17 December 2019
... Space is one of the most valuable and essential resources of any organization (Zijlstra, Mobach, van der Schans and Hagedoorn 2014). It has to be managed systematically and efficiently because is expensive to buy and costly to maintain (SMG, 2007;Wiggins 2014). ...
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