TY  - CONF
TI  - Built Environment Design Knowledge Framework Supportive of Resilient Healthcare
C1  - Auckland, New Zealand
C3  - Proceedings of the 32nd Annual Conference of the International Group for Lean Construction (IGLC 32)
SP  - 60
EP  - 71
PY  - 2024
DO  - 10.24928/2024/0186
AU  - Ransolin, Natália
AU  - Saurin, Tarcísio Abreu
AU  - Formoso, Carlos Torres
AU  - ClayWilliams, Robyn
AU  - Rapport, Frances
AD  -  Postdoctoral Research Fellow, Australian Institute of Health Innovation, Macquarie University, Sydney,  Australia, natalia.ransolin@mq.edu.au, orcid.org/0000-0002-7128-8000  
AD  - Professor, Industrial Engineering Post-Graduation Program, Federal University of Rio Grande do Sul (UFRGS),  Porto Alegre, Brazil, saurin@ufrgs.br, orcid.org/0000-0003-2929-5888 
AD  - Professor, Civil Engineering Post-Graduation Program: Construction and Infrastructure, Federal University of  Rio Grande do Sul (UFRGS), Porto Alegre, Brazil, formoso@ufrgs.br, orcid.org/0000-0002-4772-3746    
AD  - Professor, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia, robyn.clay williams@mq.edu.au, orcid.org/0000-0002-6107-7445  
AD  -  Honorary Professor, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia,  frances.rapport@mq.edu.au orcid.org/0000-0002-4428-2826 
AB  - Although the evidence-based design (EBD) literature investigating the influence of the built environment (BE) on health services performance and outcomes is extensive, its contribution to resilient healthcare is scarce. This work presents a framework of BE design knowledge supportive of resilient healthcare. Firstly, a systematic literature review based on EBD, complexity, and resilience resulted in generic BE design knowledge that represented the role of BE in supporting resilient healthcare at different levels of abstraction. Next, the knowledge was used for thematic analysis in case studies in two teaching hospitals, tailored to workflows that occurred in the connecting areas to and from an intensive care and other hospital units of a large public hospital in Brazil and the surgical service of a private hospital in Australia. Joint findings allowed the development of a framework hierarchically composed of four meta-principles, seven principles, seven prescriptions, and 181 practical examples emphasizing a systems perspective that considers intra and inter-hospital workflows and areas. The resulting knowledge guides designers of both BE and operations phases during decision-making to support resilient health services. As a limitation, the framework was not applied during those phases, representing one of the main suggestions for future work.
KW  - Evidence-based Design
KW  - Built environment
KW  - Complexity
KW  - Resilient Healthcare.
PB  - 
T2  - Proceedings of the 32nd Annual Conference of the International Group for Lean Construction (IGLC 32)
DA  - 2024/07/01
CY  - Auckland, New Zealand
L1  - http://iglc.net/Papers/Details/2199/pdf
L2  - http://iglc.net/Papers/Details/2199
N1  - Export Date: 03 April 2025
DB  - IGLC.net
DP  - IGLC
LA  - English
ER  -