Evaluating patient experiences in decentralised acute care using the Picker Patient Experience Questionnaire; methodological and clinical findings

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Evidence based configuration of concrete structures to ensure adequate magnetic resonance imaging

Hospitals are complex buildings and design solutions should fulfil functionalities to enable accurate diagnosis, treatment, and care. However, scientific results are seldom the basis for the design solution choices. Magnetic resonance imaging facilities require concrete structures fulfilling high requirements on vibration isolation to ensure diagnostic accuracy. The aim of the studies was to compare evidence from the literature to the chosen solutions in eight newly designed magnetic resonance imaging facilities. The conclusions are that there is insufficient scientific evidence for which structural configurations fulfil vibration requirements of MRI facilities, while those found were only partially implemented in recent designs.QC 20221003</p

Requirements on concrete floor structures - a comparison of medical imaging facilities

Requirements management in construction projects have a tendency towards production-driven processes and definition of technical solutions. The stakeholders are involved by being asked to comment on defined products which can have consequences on the performance of the end-product. This comparison describes three projects within the Stockholm County where the scope to build new medical imaging facilities with the same requirements on the concrete floor structure. The result shows that the same requirements have resulted in different solutions which could have an impact on the performance of the buildings. Further research regarding tools for systematic requirements management is needed to ensure performance and sustainability of new buildings.QC 20171215</p

Evidence based configuration of concrete structures to ensure adequate magnetic resonance imaging

Hospitals are complex buildings and design solutions should fulfil functionalities to enable accurate diagnosis, treatment, and care. However, scientific results are seldom the basis for the design solution choices. Magnetic resonance imaging facilities require concrete structures fulfilling high requirements on vibration isolation to ensure diagnostic accuracy. The aim of the studies was to compare evidence from the literature to the chosen solutions in eight newly designed magnetic resonance imaging facilities. The conclusions are that there is insufficient scientific evidence for which structural configurations fulfil vibration requirements of MRI facilities, while those found were only partially implemented in recent designs.QC 20221003</p

A Decision Support System for Hospital Configurations in Construction Projects

Hospitals are complex buildings and their functionality is essential for patient healthcare. Definition, verification and implementation of accurate configuration information during construction projects are therefore essential. The purpose of this study was to develop a decision support system by establishing a value chain of configuration information with an end-to-end perspective. The approach of this study was explorative, investigating how building data can support construction projects in making hospital configuration decisions. A literature review provided a knowledge base about the configuration decision process flow, which determined the prerequisites for the proposed data and model management. Exchange and relationships of required building data were ensured by using Industry Foundation Classes (IFC) and a database model, respectively. The results show that using building model data for configuration decision support is feasible. A case study compared data exchanged in three construction projects of Magnetic Resonance Imaging rooms to those identified in the decision support system. Operational gaps regarding data exchange in the studied cases indicate what changes are required in current data collection and management. The contribution of this study is filling a research gap regarding end-to-end information management to support hospital configuration decisions in construction projects