Battisto Dina G
Clemson University, Clemson, South Carolina, USA.
Clin Leadersh Manag Rev. 2004 Mar-Apr;18(2):86-99.
In response to the accelerating changes in the health-care field, there has been a great deal of attention devoted to creating flexible designs and furnishings in hospital-based clinical laboratories. Even so, the hypothesis that hospital laboratories require a high degree of flexibility has been essentially untested. The aim of this study is to confirm or negate this need for flexible designs and furnishings as well as provide guidance for addressing flexibility in future hospital laboratory constructions and renovations. To explore the nature and rate of change in clinical laboratories, a multi-methodological approach employing both survey research and case study research was used to triangulate conclusions. Findings are organized into three areas: specific activities, technological processes, and the physical environment. The physical environment is further divided into three physical layers: infrastructure systems, space plan, and contents in the laboratory. This research supports the premise of planning and designing clinical laboratory environments that are flexible and versatile to support multiple laboratory applications. The goal of this study is to contribute to a body of knowledge that will help reduce the recurring problem of obsolescence in health-care buildings by understanding the relationship between activities, the technological processes, and the physical environment.
为应对医疗保健领域加速变化的情况，人们高度关注在医院临床实验室中打造灵活的设计与设施。即便如此，医院实验室需要高度灵活性这一假设基本未得到验证。本研究的目的是确认或否定对灵活设计与设施的这种需求，并为未来医院实验室的建设与翻新中解决灵活性问题提供指导。为探究临床实验室变化的性质和速度，采用了一种结合调查研究和案例研究的多方法途径来使结论相互印证。研究结果分为三个领域：特定活动、技术流程和物理环境。物理环境进一步细分为三个物理层面：基础设施系统、空间规划以及实验室中的物品。本研究支持规划和设计灵活通用的临床实验室环境这一前提，以支持多种实验室应用。本研究的目标是为知识体系做出贡献，通过理解活动、技术流程和物理环境之间的关系，帮助减少医疗保健建筑中反复出现的过时问题。
