Emergency Department Design: A Practical Guide to Planning for the Future, 2nd Edition

“In designing effective emergency departments, we are called to be both physician and architect, both scientist and poet. To achieve this, we must ask the right questions. This book is an exellent place to begin.” —Tracy G. Sanson, MD, FACEP

“It provides insights that guide and instruct the reader on everyting from the development of the ED project leadership team through project completion. The text is unique in that it communicates with the insights of an emergency physician yet with the precision and experience of a veteran architect.” —Steven H. Mitchell, MD

Emergency Department Design: A Practical Guide to Planning for the Future, second edition, is a one-of-a-kind resource written by the nation’s foremost authority on emergency department design and published by the world’s largest emergency medicine organization. It explains the architectural design process specific to emergency departments and teaches emergency physicians, nurses, hospital administrators, and other health care providers how to prepare and lead a design team. The book presents the design process in sequence, from needs assessment through scope definition and design to the finished product, pointing out potential pitfalls and special considerations along the way.

Chapters include checklists and worksheets and hundreds of drawings and floorplans to support the planning process. Special design considerations are covered in detail, including pediatric and geriatric emergency departments, freestanding emergency centers, safety and security measures, lean design, and much more. The foundation of all the recommendations is patient care and how it can best be delivered according to the needs of the community — and not according to a “cookie cutter” or standardized design.

The second part of the book comprises 27 case studies – all designed to solve specific problems and meet specific needs, such as behavioral health, historic preservation, lean processing, “no wait,” overcrowding, physician-directed patient flow, privacy, surge capacity, threat mitigation, wayfinding, and more.

What’s in it?

• Introduction: An Architect’s Retrospective
• Preparing to Lead and Internal Team-Building
• Project Delivery Options and Selecting Your Consultants, Designers, and Builders
• Project Justification and Needs Assessment
• Scope Definition
• The Design Puzzle: Pieces and Parts
• Design Components, Configurations, and Considerations
• Pediatric, Geriatric, and Freestanding Emergency Departments and Clinical Decision Units
• Wrap-Up: Imagine the Long-Range Future of Emergency Department Design
• Case Studies

What’s new?

• Emphasis on lean operations
• Innovative approaches to streamlining patient throughput
• How operational redesign affects physical redesign
• How wireless technologies affect patient care
• New safety and security concerns
• Design considerations for special populations – pediatrics, geriatrics, behavioral health, bariatric patients
• Design alternatives to achieve efficiency, effectiveness, and sound clinical practice
• Freestanding emergency departments
• New design and construction delivery methods
• Expanded case studies section – 27 new projects from your peers and design professionals across the country – all designed to solve specific problems and meet specific needs, such as behavioral health, historic preservation, lean processing, “no wait,” overcrowding, physician-directed patient flow, privacy, surge capacity, threat mitigation, wayfinding, and more

Table of Contents

Chapter 1: An Architect’s Retrospective
Chapter 2: Preparing to Lead and Internal Team-Building
Chapter 3: Project Delivery Options and Selecting Your Consultants, Designers, and Builders
Chapter 4: Project Justification and Needs Assessment
Chapter 5: Scope Definition
Chapter 6: The Design Puzzle: Pieces and Parts
Chapter 7: Design Components, Configurations, and Considerations
Chapter 8: Insights for Specialty Emergency Departments
Chapter 9: Wrap-Up—Imagine an Emergency Care Environment in the Distant Future

PART TWO: CASE STUDIES
Case Study 1: Anne Arundel Medical Center, Emergency Department
Case Study 2: Bayhealth Medical Center, Kent General Pavilion Emergency Department
Case Study 3: CGH Medical Center, Emergency Department
Case Study 4: Charleston Area Medical Center, Memorial Hospital Emergency Department
Case Study 5: Concord Hospital, Emergency Department
Case Study 6: CoxHealth South, Emergency Department
Case Study 7: Le Bonheur Children’s Hospital, Emergency Department
Case Study 8: Lenox Health Greenwich Village, Freestanding Emergency Department
Case Study 9: Massachusetts General Hospital, Emergency Department
Case Study 10: Massachusetts General Hospital, Lunder Building Emergency Department
Case Study 11: MedStar Washington Hospital Center, Project ER One
Case Study 12: Memorial Hermann Northwest Hospital, Emergency Department
Case Study 13: Methodist Dallas Medical Center, Emergency Department
Case Study 14: Methodist University Hospital, Emergency Department
Case Study 15: OhioHealth Westerville, Freestanding Emergency Department
Case Study 16: Penn State Hershey Medical Center, Emergency Department
Case Study 17: Saint Francis Hospital, Trauma Emergency Center
Case Study 18: Southwest General Health Center, Emergency Department
Case Study 19: Stafford Hospital, Mary Washington Healthcare, Emergency Department
Case Study 20: Tampa General Hospital, Emergency and Trauma Center