Evaluation of Surgical Units in Terms of Legislation and Design Criteria

�lknur �ahin¹, Ay�a Toku�²
¹�zmir Provincial Health Directorate Investment Branch, �zmir, Turkey
²Department of Architecture, Dokuz Eylul University Faculty of Architecture, �zmir, Turkey

Legislation on several aspects of health care is constantly updated in order to provide better services. While hospitals have various specialized areas, the updates on health care space design, construction and inspection do not develop in a systematic framework, thus they cause various conflicts for designers, implementers and supervisors. Especially the design and implementation of surgical units impact surgical site infections, yet no current legislation collects all of their required features. In this context, this study aims to unify the the complex and conflicting rules under an audit form for application in a surgical unit. The proposed form details the factors that affect its design according to current legislation and groups the factors under four main headings; 1. Spatial Organization relates its relationship to other units within a hospital, 2. Organization of Surgical Unit considers the necessary spaces, their sizes and their relationship to each other, 3. Material Properties deals with the selection and application of finishing materials, 4. Properties regarding Facilities covers technical requirements such as HVAC and lighting. The form is applied to three hospitals in �zmir, Turkey to show and discuss its applicability. In conclusion, the utilization of such a form would be the first step in both elimination of unclear situations and creation of a data system to help other professionals with future decision making.

Keywords: Operating room, audit form; hospital design; healthcare legislation; health care architecture.

Cerrahi �nitelerin Mevzuat ve Tasar�m �l��tleri Ba�lam�nda De�erlendirilmesi

�lknur �ahin¹, Ay�a Toku�²
¹�zmir �l Sa�l�k M�d�rl�� Yat�r�mlar �ube M�d�rl��, �zmir
²Dokuz Eyl�l �niversitesi Mimarl�k Fak�ltesi, Mimarl�k B�l�m�, �zmir

Daha iyi sa�l�k hizmeti sa�layabilmek i�in sa�l�kla ilgili pek �ok alanda mevzuat s�rekli g�ncellenmektedir. Ancak hastanelerdeki pek �ok �zellikli birimin mek�n tasar�m�, yap�m� ve denetlemesi �zerine olan g�ncellemeler sistematik bir �er�evede ilerlememekte ve tasar�mc�lar, uygulay�c�lar ve denetleyiciler aras�nda anla�mazl�klar�n do�mas�na neden olmaktad�r. �zelikle cerrahi �nitelerin dikkatli tasar�m ve uygulamas� cerrahi alan enfeksiyonlar�n� etkilemektedir, buna ra�men bu alan ile ilgili istenen �zelliklerin tamam�n�n topland�� g�ncel bir mevzuat bulunmamaktad�r. Bu �er�evede, bu �al��ma cerrahi �nite tasar�m�yla ilgili mevzuattaki karma��k ve �eli�kili kurallar� ameliyathane denetimi i�in bir denetim formu alt�nda birle�tirmeyi hedeflemektedir. �nerilen form cerrahi �nite tasar�m�n� etkileyen fakt�rleri g�n�m�z mevzuat�na g�re detayland�rmakta ve bu fakt�rleri d�rt ana ba�l�k alt�nda s�n�flamaktad�r; 1. Mek�nsal Organizasyon hastanedeki di�er �nitelerle ba�lant�larla ilgilenmekte, 2. Ameliyathane Yap�lanmas�, gerekli mekanlar�, b�y�kl�klerini ve birbirleriyle ili�kilerini incelemekte, 3. Malzeme �zellikleri ince yap� malzemelerinin se�im ve uygulamas�n� de�erlendirmekte, 4. Tesisat ile �lgili �zellikler iklimlendirme ve ayd�nlatma tasar�m� gibi teknik detaylar�n gereksinimlerini kapsamaktad�r. Formun uygulanabilirli�i �zmir, T�rkiye�deki �� hastanede de�erlendirilmi�tir. Sonu�ta b�yle bir formun uygulanmas�n�n hem belirsizliklerin ortadan kald�r�lmas�nda hem de di�er profesyonellerin ileride karar vermekte yararlanabilece�i bir veri sisteminin yarat�lmas�nda ilk ad�m olabilecektir.

Anahtar Kelimeler: Ameliyathane, denetim formu; hastane tasar�m�; sa�l�k mevzuat�; sa�l�k mimarisi.

�lknur �ahin, Ay�a Toku�. Evaluation of Surgical Units in Terms of Legislation and Design Criteria. Megaron. 2018; 13(2): 237-249

Corresponding Author: Ay�a Toku�, T�rkiye

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