HOSPITAL LAYOUT
services and adapt to subsequent improvements. The systems separation approach applied in Switzerland deals with the organisation of systems. Local studies and international research have recently demonstrated that a hospital is a complex organisational system. In the Netherlands, the layers approach divides the hospital functions according to the building typology. In the USA, the up-to- date elemental approach suggests a more comprehensive perspective on the physical, technological, and social elements that contribute to the definition of a hospital. These elements interact in an enriched framework that takes account of the built environment, information and communication technologies, the population, and the economics.
Project design for the new department The project concerned the refurbishment of the first floor of an existing building within the Hospital Di Venere in Bari. The new department is close to the provincial Hub of Clinical Pathology and the Immune Transfusion Service, both located on the ground floor of the same building, resulting in exceptionally comprehensive diagnostics laboratories capable of providing joint service delivery. The choice of the building was driven
by two aspects: l Accessibility, as the first floor has direct access from outside and inside the other hospital buildings, which are connected through an underground network of tunnels.
l Availability, as the floor had already been vacated by the department previously located there, which was moved to a different building.
Fetal medicine and genetic counselling joint corridor.
The building actually comprises two separate structures, one made of beams and pillars and one of masonry, which are linked together by a short corridor. The design strategy considered the
physical elements (e.g. differing ceiling heights in the two structures, levelled out by the installation of the false ceiling at 3 m) and the clinical needs (e.g. flow separation between the patients of fetal medicine and reproductive/prenatal counselling, and the staff of genetic laboratories). It also accounted for the need for fulfilling the following requirements: a room for genetic consultancy linked to the test, capable of allowing patient privacy at all times, and an archive room for the storage of genetic test results within the data protection regulation. The final layout delivered three
interdependent but clearly separated areas with the aim of keeping bespoke pathways for patients, according to the consultancy and/or treatment in question; improving working processes for staff; avoiding interruptions and/or overlapping tasks; ensuring better outcomes for patients by treating them in a calmer and non-institutional environment, which in turn would also impact on staff efficiency; and reducing work-related stress, with bespoke areas for staff away from the patients and visitors. The design layout took into account the need for: l Additional space in fetal medicine, reproductive/prenatal counselling, and genetic laboratories, which now cover 1310 m2
in total.
Fetal medicine ultrasound room exam space.
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l Four dedicated rooms for cytogenetic diagnostics.
l Additional ultrasound rooms. Link corridor. IFHE DIGEST 2023
Fetal medicine ultrasound room consultation space.
l Dedicated waiting rooms for patients according to their clinical pathway in proximity to the two public entrances to the new department, with separate fast check-in areas.
l Separate changing rooms for the staff of each specialty.
l Dedicated archives, including a fully automated archive for Dried Blood Spots (DBS) samples.
The new layout has kept two separate pathways for the patients, albeit in direct proximity to reproductive/prenatal counselling, to enable consultancies and transfer of patients according to the risk level of the pregnancy. Likewise, the blood sample room is adjacent to the counselling room, to enable blood sample collection with minimal disruption to the patients, in case of emergency. The project design and construction management were by Nikolaos Pantzartzis. The project was delivered via a traditional procurement scheme and included the installation of new furniture and equipment in all the new spaces. The design phase lasted 90 days, while the construction and installation phase was completed in seven months, as planned.
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