University of Twente Student Theses


Medische ruimten: hoe gaan we daarmee om? : een ontwerp voor het veilig toepassen van medische ruimten in het ziekenhuis

Kamp, P.G. and Kooistra, R.L. (2015) Medische ruimten: hoe gaan we daarmee om? : een ontwerp voor het veilig toepassen van medische ruimten in het ziekenhuis.

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Abstract:Building-related hospital systems have a large influence on the quality of care in the hospital, however, up until now, there is no party that focuses on these influences on healthcare. In order to change this, the Ziekenhuisgroep Twente hospital group and the University of Twente have started a joint educational program which has led to this research. An inquiry at the facilities department of the hospital has led to various possible directions for research projects, in both technical and communicational areas. Initial research by means of an influence diagram, however, has shown that there is not enough clarity in the requirements that medical treatments have regarding the medical room in which they are performed. This problem has to be solved first, before other research based on this information can be started. Medics are responsible for the suitability of the room in which they work, but at the moment, it is not possible to take on this responsibility. There are hundreds of different rooms, and it is often not clear what the possibilities are of a certain room with certain technical provisions. This report describes the development of an idea for the standardization of medical rooms that can solve this problem. By means of standardization of medical rooms, rooms may be grouped and clear requirements for groups can be defined. This makes it possible to greatly reduce the number of medical room types in the hospital. For every medical treatment, a required medical room type is defined, making it immediately clear whether a room is suitable for a certain treatment. This systematic approach is called the ‘medische ruimten-systematiek’, or ‘medical rooms-system’. Room classifications are based on the hygiene and electrical safety of rooms. These parameters turn out to be valid for every medical room, while maintaining several clear levels. Besides these two parameters, there are ‘toppings’; additional provisions of a room that allow for certain specific treatments to be performed. Examples are provisions for the use of lasers or radioactive substances. In cooperation with the expert group ‘medische ruimten’ (‘medical rooms’), background research was done, making process, risk and requirements overviews. An approach for testing the system is also defined based on a plan-do-check-act cycle, consisting of two pilot projects. The two pilot projects are carried out in order to acquire insight into the best approach forimplementation of the system: The first at the ENT Department of the Almelo Hospital, where the main goal was to see what the difficulties and consequences are of classification of performed treatments and the available rooms. This first classification indicated that it is possible to classify the treatments and rooms, and that there are no treatments performed in unsuitable rooms by the department. The second pilot was carried out at the Cardiology Department of the Hengelo Hospital, in order to find out what the difficulties and consequences are of actual implementation of the system. The results indicated that the system and its usefulness are clear to staff, and they want to continue using the method. Based on these outcomes, several solutions are described for the classification of treatments and rooms, and the communication of these classifications with hospital personnel. Three main areas are defined; treatment, room and personnel. For these areas both initial implementation and the securing of the system are treated. Among others, these solutions encompass a door identification sign, and the mentioning of the required medical room class in the treatment protocol. Besides these solutions, an approach for information provision has been defined and advice is given regarding the order in which the system is implemented in the hospital is given. In the future, the scope of the medical rooms system can be expanded. This may be done by including other (non-medical) rooms in the scope, by including other parameters, or by increasing the frequency of classification.
Item Type:Essay (Master)
Faculty:ET: Engineering Technology
Subject:56 civil engineering
Programme:Civil Engineering and Management MSc (60026)
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