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DISSERTATIONHOSPITAL SERVICES

SUBMITTED BY:

IMRAN KHAN

SCH. NO.- 101110056

HOSPITAL SERVICES

Hospital services is a term that refers to

medical and surgical services and the

supporting laboratories, equipment

and personnel that make up the

medical and surgical mission of a

hospital or hospital system.

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BACKGROUND

Historically, building services have been little more than a few

cables, pipes and ducts. In the past half-century the role of

service engineers, as they were known, has transformed to

architectural design team consultants and construction site

coordinators

OBJECTIVES

1. To list and study all general facilities provided in a

hospital.

2. To understand service planning in hospitals and

their requirements.

3. To list and study any special facilities provided in a

hospital (like medical gas pipelines etc.)

4. To study how service planning can help improve

functional efficiency in hospitals.

AIM

Improving functional efficiency in hospitals through service

planning.

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SCOPE

1. Study of different services in a general hospital.

2. Study of requirements, design parameters and types of

different services and facilities provided in a hospital building.

3. Study of work flow followed for the installation of these

facilities.

4. Study of user comfort affected by facilities planning.

LIMITATIONS

1. The financial aspects of service planning has not been

considered.

2. Super specialized services for super speciality hospitals has not

been considered.

3. Technological aspects of machinery have not been discussed.

NEED

Globally, healthcare systems are experiencing increasing fiscal,

demographic and consumer pressure. There have been

metamorphic changes in the recent past in the sphere of

healthcare delivery. Hospitals are amongst the largest and most

complex of all modern institutions. To add to this complexity are

the major transformations that are occurring in the delivery ofhealthcare worldwide.

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JUSTIFICATION

Hospitals are institutions comprising basic services and personnelusually departments of medicine and surgerythat administerclinical and other services for specific diseases and conditions, aswell as emergency services. Hospital services cover a range ofmedical offerings from basic health care necessities or training andresearch for major medical school centers to services designed byan industry-owned network of such institutions as healthmaintenance organizations (HMOs). The mix of services that ahospital may offer depends almost entirely upon its basic mission(s)

or objective(s).In addition, new medical technologies have allowed hospitals toprovide life-saving diagnostic and therapeutic alternatives thatwere unavailable in the 1990s.

The basic services provided

in a hospital building are:

1. Hot and cold water

systems

2. Electrical installations

3. Mechanical systems like

lifts and escalators

4. HVAC systems

5. Drainage

6. Sanitary systems

7. Fire protection and

control systems

8. Lighting installations

Also specialized services

provided

in hospitals include:

1. Medical gas pipelines

2. Hospital waste management

services

3. Mortuary services

4. Medical imaging services

5. ICUs (Intensive Care Units)

6. Operation theatres

7. Laboratory services

8. Housekeeping and laundry

services

9. Central sterile supply department

10.Catering services

11.Hospital information and records

systems

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GENERAL BUILDING SERVICES

Building services are the dynamics in a staticstructure. They provide facilities for light,comfort, movement, communications andconvenience. The impact of services in amodern building can be measured againstthe amount of space they occupy and thecost of installation, notwithstanding themaintenance bill thereafter. In spatial terms,the equivalent of one floor in six, i.e. over 15%of a buildingsvolume can be attributed toaccommodating cables, ducts, pipes, etc.As a proportion of the capital cost ofconstructing a highly serviced structure, suchas a hospital or a sports centre, in excess of75% is not unusual.

SPECIALIZED BUILDING SERVICES

Modern hospital buildings are designed tominimise the effort of medical personneland the possibility of contamination whilemaximising the efficiency of the wholesystem. Travel time for personnel within thehospital and the transportation of patientsbetween units is facilitated and minimised.The building also should be built toaccommodate heavy departments suchas radiology and operating rooms whilespace for special wiring, plumbing, andwaste disposal must be allowed for in thedesign.Each hospital is comprised of a wide rangeof services and functional units.

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SERVICE PLANNING IN HOSPITALS

Hospital buildings also have extensive mechanical,electrical, plumbing and medical gas systems whoseneeds drive architectural planning as well. Each of theseservices needs significant space for its equipment, andbenefits from the shortest and most direct distributionwhile keeping building services out of sight and separatefrom the clinical and public areas. Structural design forfuture hospitals emphasizes a high degree of flexibility toaccommodate planning requirements that change all

through the design process and interior layouts whichcan be expected to change many times over the years.To deal with these systems, modular planning within aconsistent structural grid can be established early in theplanning process to lend order to the result.

THE METHODOLOGY FOLLOWED IN THE FORMOF A FLOWCHART IS SHOWN AS FOLLOWS:

SELECTION ANDFINALIZATION OF THE

TOPIC

STUDY OF THE SUBJECTAND COLLECTION OF

VARIOUS INFORMATIONSOURCES

DEFINING OF THE AIMAND OBJECTIVES OF THE

STUDY

SEARCHING DIFFERENT

SOURCES FORINFORMATION AND DATACOLLECTION

SORTING AND ORDERINGOF COLLECTED DATA

AND LIMITING OF THESCOPE OF STUDY ANDTHE LIMITATIONS OF THE

STUDY

ARRANGING OF THE

DATA ACCORDING TOTHE DIFFERENTOBJECTIVES

ANALYSIS ANDCONCLUSION OF THE

STUDY

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REFERENCES

http://www.surgeryencyclopedia.com/Fi-La/Hospital-Services.html

(11:17pm on 2/3/2014)

Book: Modern trends in planning and designing of hospitals, JAYPEE

PUBLICATIONS

Book: Building services Handbook by Fred Hall and Roger Greeno

Modern health care delivery systems, care coordination and the role of

hospitals: Compiled report of the workshop organized by the Belgium

Federal Public Health Service and WHO Europe, Brussels, Belgium,21-22 November 2011, and the internal WHO expert meeting on

roadmap development, Copenhagen, Denmark, 12 January 2012

THANK YOU

http://www.surgeryencyclopedia.com/Fi-La/Hospital-Services.htmlhttp://www.surgeryencyclopedia.com/Fi-La/Hospital-Services.htmlhttp://www.surgeryencyclopedia.com/Fi-La/Hospital-Services.html