טכניון מכון טכנולוגי לישראל
הטכניון מכון טכנולוגי לישראל - בית הספר ללימודי מוסמכים  
M.Sc Thesis
M.Sc StudentGal Kedem Hilvert
SubjectDelivery Room Design Using Cross-Functional Collaborative
Prototyping
DepartmentDepartment of Architecture and Town Planning
Supervisors Professor Parush Avi
Dr. Hagai Kaneti
Full Thesis text - in Hebrew Full thesis text - Hebrew Version


Abstract

Social and technological developments during the last few decades required a reassessment of the methods in which medical environments are designed. Human factors engineering methods gradually integrated into the design process in order to address new challenges. Reducing medical errors for improvement of quality of care and outcomes are the main focus of current research, aiming to provide better user experience for both medical staff and patients. This research focus is in the physical aspects of the delivery room, in order for improving its design and therefore resulting in a positive user experience and better medical treatment.

The research aims to offer delivery room conceptual design principles and guidelines for designers, architects and medical directors using Cross-Functional Collaborative Prototyping (CFCPing). CFCPing used as a tool to support communication between interdisciplinary design teams in early design stage, addressing delivery room physical challenges. A secondary objective is to examine whether CFCPing is an effective tool for development in health care settings, and whether integrating end-users, in particular women who experienced giving birth, contributes to formulating customized solutions.

 The study was conducted in Meir’s Medical Center delivery ward in November 2014. A preliminary stage for CFCPing, included reviewing delivery room design themes from literature, in addition to observations, intervening observation and interview used to define the physical challenges of the delivery room environment. In the session participated 18 participants with knowledge and experience relevant to the design problem, including: medical staff members (midwifes and doctors), planners (hospital engineers, architect and medical interior designer) and women who gave birth in Meir's delivery ward in the prior year to the session. Videos of CFCPing session were taken, and using systematic observation, a coding scheme was developed to search, recognize and identify key elements defined problematic in the delivery room by the participants, and the solutions been formulated by them.

Solutions suggested in CFCPing session designed for implementation in different architectural structured rooms. The teams desired to create a visual balance between domestic and clinical visibility and to reduce visual overload in the room. Solutions included elevating portable medical equipment surrounding patient bed, portable computer station, increasing storage, natural lighting and improving line of sight to newborn station and shared medical information. Verbal communication among participants observed to be the main means of ideas transfer, and prototypes seems to represent the solutions only partially. In general, the session was perceived by participants as a useful planning method.

Delivery room design principles and guidelines, based on CFCPing session solutions analysis, can be categorized in to three main groups:

First, principles relating to users’ functions - space and mobility, control over the environment, privacy and communication between medical staff and patients. Second, principles referring to equipment and medical devices - flexibility according to changing needs, safety, preferred positions, accessibility and operation. Third, general principals regarding appearance, atmosphere, and keeping the balance between psychological and medical needs of the women at birth.