SECOND SEMESTER TOPIC COVERAGE SY 2023-2024 Trends, Networks, and Critical Th...
12International Healthcare Building Standards Codes - Henning Lensch
1. 1
Hospital Planning and Building Standards – AIA, NHS, DIN
INTERNATIONAL HEALTHCARE BUILDING STANDARDS &
CODES – LATEST ON HARMONIZATION OF CODES AND
ACCREDITATION
HENNING LENSCH, RRP International Hospital Planners Pte Ltd
Munich-Germany-Singapore
September 2013
Toronto UIA 2013
2. 2
RRP
1. Comparison of AIA, NHS and DIN
2. Case Study 1: planned in accordance with AIA, not acceptable for NHS?
3. Case Study 2: Third Party Review and standards – please re-design?
4. Accreditation and Planning Standards – JCI instead of AIA/NHS/DIN
5. HAAD Abu Dhabi standards, based on Australia hospital standards
6. Outlook and recommendation – what to follow?
7. Question and Answers
Agenda
6. 6
RRP
AUS SICHT DES KRANKENHAUSES
What is the minimum clear door
opening in patient rooms?
International projects, state of the art?
7. 7
1. Standards for clear opening in patient room doors
Example
AIA: 1.12 m clear opening
Recommendation for clear opening more than 1.22 m
NHS: 1.30 m structural opening
Recommendation for opening of minimum 1.50 m
Germany: 1.10 m clear opening
In the average around 1.25 m
11. 11
RRP
11
STANDARDS FOR………
Hotel
Nurse-school
Home for dementia
Home for the Elderly
REHAB
Imaging
Outpatient Department
Public Health Office
Private Hospital
Special. Clinics
Daycare Operation
Centre
Hospice Health-Park
Phyiotherapy
Lifestyle and Spa
Core-Hospital
22. 6
Rehabilitation
Clinic
250 beds
Ideal distribution of ward area according to Business Planning:
• V VIP
• VIP
• Single
• Double
• Clinic Standard (double)
TOTAL
• All relevant medical specialties and diagnostic equipment
• separated workflow and VIP suites for Medical Check Ups
• Room categories according to Rehab Clinic
use guest rooms as overflow for rehab patients
Outpatient Center
with Diagnostic
Boarding House/
Accommodation
Mix of Rehabilitation, Outpatient Center and Hotel
# Rooms # Beds
10
20
60
60
20
170
10
20
60
120
40
250
32. 32
RRP
2. Case Study 1: planned in accordance with AIA, not acceptable for NHS?
Agenda
33.
34.
35. 35
RRP
Comparison AIA and NHS
Agenda
Main difference between US and UK NHS design principles for Cath Lab:
In the US (AIA), a dirty utility room is not required to be adjacent to the cath
lab room
In the US (AIA), rooms for preparation and anaesthesia could be shared and
do not have to be adjacent to the cath lab procedure room
In the UK (NHS), the cath lab shall have the following adjacent rooms:
Anaesthesia, preparation, store room, scrub and gowning and control room.
39. 39
Agenda
Main differences between US and UK NHS design principles for OT:
In the UK (NHS), the direct access of the scrub / gowning room, Anaesthetic, Dirty
Utility and Preparation room is mandatory
In the UK (NHS), the room for preparation is only not needed if the preparation could
be done under the ultra-clean canopy in the operation theatre itself
In the US (AIA), the ANAE area is the so called “induction room”, and this room
could be shared between the OT and also be located not directly adjacent to the OT
In the US (AIA), shared scrub zones can be located outside of the OT, in a more or
less open zone (ventilation system to be designed in a way that a “air curtain” is more
and less prohibiting water from the scrub to come contaminate other areas)
In the UK (NHS), separated single room recovery spaces are requested. In the US, a
curtain between recovery spaces can be accepted
In the US (AIA), the transfer from the patient bed to the OT stretcher could be done
in the OT. We do not see any clear requirements / procedure in the NHS guidelines.
Here, we can only find the following: “increasing number of patients are transferred onto
their beds rather than a trolley. A bed is significantly larger than a trolley.”
In the UK (NHS), there are many requirements for the admission lounge, waiting
room, administration office as integral to communication base etc. which are more
and less referring to very specific workflows and procedures. Here, many of these basic
requirements (also for ambulant / outpatient) are not fulfilled and must normally being
discussed with the user.
69. 69
Hospital Planning and Building Standards – AIA, NHS, DIN
INTERNATIONAL HEALTHCARE BUILDING STANDARDS &
CODES – LATEST ON HARMONIZATION OF CODES AND
ACCREDITATION
HENNING LENSCH, RRP International Hospital Planners Pte Ltd
Munich-Germany-Singapore
September 2013
Toronto UIA 2013