الفهرس 
Overviewing the Environment of CareOnly 14 pages are availabe for public view
Abstract
A Healthcare Facility (HF) is the most complex environment to design, build and operate. In the one, hand diverse stakeholders are coming along with integrated demands for satisfaction. On the other hand, International design standards tend to define the spatial requirements of HF only. Many details are left for HF operators to define resulting in a gap between Designers and Operators. Having Emergency Department (ED) as an Exemplar, trends like: Room Saturation, Patient Safety, Length of stay and caregivers satisfaction, tend to re-form the concept design of ED. The Research aims to fill in the gap between the designer’s knowledge about the elements Physical Built Environment (PBE) and the stakeholders’ demands for greater value in ED. Both Qualitative and Quantitative analysis are undertaken in this research.
The Quantitative survey for Post Occupancy Evaluation (POE) is used to define the measures of operational efficiency. Nationally case studies of Emergency department of Dar Al Fouad – Hospital Building (DAF, Giza, Egypt) and the new extension DAF (Cairo, Egypt), were selected. Internationally the post occupancy evaluation (POE) was reviewed for EDs in the United Kingdom National Healthcare services (NHS), utilizing this governmental development recognized POE system. The selection of case studies was based on application of local and global design standards of ED in Hospitals. These selections reflect the outcomes of POE on Healthcare architecture of ED to cover unseen points of on design standards regarding efficiency. Subsequently a Qualitative analysis is undertaken in order to generate a design check list capable to form a conceptual design of ED based on Post Occupancy Evaluation to have higher operational performance.
Mostly, a strong connection between a smooth flow among rates of admission and re-allocation of facilities were observed .The findings were extended to the developed design checklist that managed to cover the patient flow spine, and the same-handed room operational concepts impact on designing room’s layout. Briefly, this research proposes a design checklist inducted from end-users experience to promote the physical built environment of an ED towards better performance.
It was proven that design guidelines are not enough for performance guarantee. This research is limited to emergency preparedness as key measures of operational efficiency. Further investigations should proceed on design of adjacent departments to ED; Like Imaging, Intensive Care Units, etc... When applying the feedback from post occupancy stage to have a holistic approach to the Hospital Building as one Unit.
The Dissertation is composed of three Units:
Unit 1: Overviewing the Environment of Care: the unit explores the stakeholders of the healthcare industry their claims for the physical built environment and the reasons of choosing the Emergency department.
Unit 2: Identifying the measures of operational efficiency and methods architects have been using to figure out these measures. This section came closer to evidence based design methods and lean design methods to investigate the valid points in stakeholders’ claims for changing design concept relatively.
Unit 3: Conducting a design lead checklist after analyzing case studies through diverse types of base plan comparisons to deduce the lessons to be learned from practical experience of currently operated hospital buildings.
Keywords: Emergency Department ED, Evidence Based Design EBD, Lean Design, Environment of Care EOC, Operational Efficiency, Physical Built Environment PBE, Healing Environment
Acknowledgment
First and foremost, I would like to primarily thank God for leading me to the path of Knowledge. I also wish to express my gratitude to people who have provided me with great support and advices. Without the support I gained from my Parents, Family, Professors, friends, and colleagues I would not have been able to reach this current stage of success.
I am indebted to many people who have continuous support which pushed forward this work to be successfully accomplished. In no means of exaggeration, words can’t express my appreciation to my supervisors Dr. Akram Farouk, and Dr. Mostafa Refat for their intensive help and valuable advice, constant effort, and their continuous encouragement throughout the whole research.
I am speechless when trying to describe my gratitude for the inspiration and support I was provided by my mentor; Dr. Mervat Radwan. Worlds also remain insufficient in appreciating the quality unit in MoHP, Hospitals Engineering Units , physicians, Operators and even patients that if it wasn’t for them I wouldn’t have accomplishes my search. On that side I would like to thanks many professors of ASU Medical School; Dr.Samia Abdelhohsen, Dr.Mervat Abo el Maati, Dr. Sherif Wadee, and Dr.Hafez Ahmed along with a very long list that were all providing me with their valuable experience in Healthcare Facilities.
I would like to express my pride for belonging to ECG family in Architectural Department that motivates engineers to join academic high studies. Especially, I would like to thanks Eng. Mokhles Al-Tabba for his guidance for his support in both technical and personal aspects. Moreover, I would like to thank Eng. Mohamed Farouk for his tremendous support and encouragement. Many thanks as well should go to Eng. Sherif Younan, Eng. Sherif Amer, Eng. Mahmoud Moussa, Eng. Rania ElKateb, Eng. Omar Ahmed, Eng. Sameh Awaad, and Eng. Sara Magdy, along with many ECGians that would take me several pages to thank them per each person.
Acknowledgements as well should go to Eng. Yasser Salma, he introduced me to healthcare architecture through working in his team in ECG for two years. Yasser’s great work in Healthcare Architecture has influenced my approach to problem solving, especially in my thesis work. I would also like to thank Eng. Safa Salem for her efforts, I have also benefited from her continuous advice, guidance, and comments.
Finally, I would like to thank my friend Eng. Rehab Khaled. Furthermore, I would like to thank Eng. Shaimaa Ahmed, Eng. Sara Moustafa, Eng. Omnia Mohamed, Eng. Marwa Shahine, Eng. Manal Amir, Eng. Aya Tarik, Eng.Weam Hamed, Eng. Alaa Khaled and Eng. Mai Mahmoud that have expressed to me their true best wishers and support whenever needed.
December 2019