Document Type : Original Article
Authors
1 Assistant Professor, Health Services Management, Health Management and Economic Research Center, School of Health Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan, Iran
2 Health Services Management, School of Health Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
Introduction: Studies of design location are done in order to respond better to the needs of the physical
spaces of the hospital. The present study aimed to improve workflow processes of emergency department
through the study of designing the location in restructuring of the emergency department of Shariati Hospital
in 2011 as one of the largest hospitals in Isfahan Province, Iran that has to deal with emergency patients.
Methods: This was a descriptive case study related to Emergency Department of Shariati Hospital in
2011. Data were collected in 4 Parts, i.e. reviewing the duties and functions, workflows, challenges and
existing spaces and design changes. According to the clinical and supportive areas in emergency plans in
2011, data were collected through standardized questionnaire and direct observations to codification
processes. Data were analyzed using Excel Software.
Results: Out of six objectives of restructuring, setting up triage had the first priority and among processes
and spaces, emergency patient admission process, toxicity admission process, children admission process,
entrance, triage, critical and noncritical patient section, had the most fundamental changes, respectively.
Conclusion: According to the accreditation standards, it is essential for hospital managers to pay
particular attention to the building standards, which is one of the major causes of patient satisfaction. They
may use the simple, comprehensive and applicable method of design location plans in hospital
restructuring, process improvement, and develop building quality improvement program according to
accreditation standards.
Keywords
Kashani, chamran, noor&ali Asghar Baastandard University in 2006, [Thesis]. Isfahan, Iran: School of
Medical Information & Management, Isfahan University of medical sciences; 2006. [In Persian].
2. Asefzadeh S, Reza Pour A. Management and Research of Hospital. 2nd ed. Qazvin, Iran: Qazvin University of
Medical Sciences; 2007. p. 133-8. [In Persian]. 3. Alirezaei M. Standard Design Guide spaces hospital (surgery). Tehran, Iran: Mahkameh Publication; 2010.
p. 24, 43-4. [In Persian].
4. Bahadori MK, Mirhashemi S, Panahi F, Tofighi Sh, Zaboli R, Hoseini shokoh SM, et al. Structure, process and
practices of the emergency unit of hospitals of baqyatallah University of Medical Sciences. J Mil Med 2007;
9(4): 257-64. [In Persian].
5. Jahani MA, Rastegar A, Hosseinpour M, Bijani A. Structure of space, personnel and equipment of hospital
emergency department of babol university of medical sciences based on national standards. J Babol Univ Med
Sci 2008; 10(6): 73-9. [In Persian].
6. Raissi AR, Shams L, Antique Chian G, Noori M. Optical design of therapeutic areas in the hospital. Isfahan,
Iran: Isfahan University of Medical Sciences; 2011. [In Persian].
7. Jalili M, Fathi M, Eslami B. Emergency management principle. Tehran, Iran: Ebonus; 2008. p. 4-14.
[In Persian].
8. Rahmani H, Arab M., Akbari F, Zeraati H. Structure, process and performance of the emergency unit of
teaching hospitals of Tehran University of Medical Sciences. J Sch Public Health Inst Public Health Res 2006;
4(4): 13-22. [In Persian].
9. Tadvylr O. The design and operation of the hospital, Ferasat MR. Tehran, Iran: Moein Publication; 1997.
p.23.
10.Sadler BL, Berry LL, Guenther R, Hamilton DK, Hessler FA, Merritt C, et al. Fable Hospital 2.0: The
Business Case for Building Better Health Care Facilities The Hastings Center Report. Academic journal article
from The Hastings Center Report 2011; 41(1): 12-3.
11.Mashayekhi S. Performance evaluation, emergency care hospitals of Semnan University [Thesis]. Tehran,
Iran: Science and Research Branch of Tehran, Islamic Azad University; 2000. [In Persian].
12.Seyedi M, Heidari A, Khorrami Rad A, Ahmari Tehran H, Mashayekhi S. Performance evaluation, emergency
care hospitals of Semnan University, Islamic Azad University, Science and Research Branch of Tehran, 2000.
Iran J Nurs 2009; 22(59): 42-50. [In Persian].
13.Khosravi S, Pouria mofrad A, Shamsipour M, Sorani H. Optimization design of the emergency services. J
Shahrekord Univ Med Sci 2006; 7(2): 71-80. [In Persian].
14.Keyvanara M, Rooholamin L. Comparison of Physical Space of Pediatric Wards in Isfahan Hospitals with
Standards. Health Inf Manage 2007; 4(1): 123-32. [In Persian].
15.Alimohammadi H, Alamdari S, Amini A, Sohrabi MR. Assessing access criteria to different parts of
emergency unit in general teaching hospitals of Shahid Beheshti Medical University. Payesh 2009; 8(3):
227-34. [In Persian].
16.Pines JM, Localio AR, Hollander JE, Baxt WG, Lee H, Phillips C, et al. The impact of emergency department
crowding measures on time to antibiotics for patients with community-acquired pneumonia. Ann Emerg Med
2007; 50(5): 510-6.
17.Sohrabi MR, Alimohammadi H. Privacy, Confidentiality and Facility Criteria in Designing Emer-gency
Departments of the Teaching Hospitals of Shahid Be notheshti University of Medical Sciences in 2007. J Res
Health Sci 2010; 10(1): 36-41.
18.Olsen JC, Cutcliffe B, O'Brien BC. Emergency department design and patient perceptions of privacy and
confidentiality. J Emerg Med 2008; 35(3): 317-20.
19.Vos L, Groothuis S, van Merode GG. Evaluating hospital design from an operations management perspective.
Health Care Manag Sci 2007; 10(4): 357-64.
20.Dr Ali Shariati Hospital. Quality improvement Unit, Code Quality Shariati Hospital, QI-QM-001. 2nd ed.
Isfahan, Iran: Dr Ali Shariati Hospital; 2011. (Unpublished).
21.Subordinate units, Isfahan management, Dr Ali Shariati hospital [Online]. 2012 [cite 2012 Aug 27]; Available
from: URL: www.isf-darman-sso.com/ShowPage.aspx? [In Persian].
22.Moskop JC, Marco CA, Larkin GL, Geiderman JM, Derse AR. From Hippocrates to HIPAA: privacy and
confidentiality in emergency medicine--Part I: conceptual, moral, and legal foundations. Ann Emerg Med
2005; 45(1): 53-9.
23.Dickinson G. Emergency department design and patient flow. Ann Emerg Med 1988; 17(6): 664. 24.Emami Razavi H, Mohaghegh MR, Razavi S. Standards for the accreditation of hospital. Tehran, Iran: Seda
Publication; 2010. [In Persian].
25.Hignett S, Lu J, Fray M. Observational study of treatment space in individual neonatal cot spaces. J Perinat
Neonatal Nurs 2010; 24(3): 267-73.
26.Moshabbaki AR. Health Facilities Design Manual - Hospital Architecture. Tehran, Iran: Parham Naghsh
Publication; 2009. [In Persian
)