Division of Plastic, Reconstructive & Aesthetic Surgery, The Hospital for Sick Children, Toronto, Canada.
Department of Surgery, Temerty Faculty of Medicine, University of Toronto, Canada.
J Burn Care Res. 2021 May 7;42(3):369-375. doi: 10.1093/jbcr/irab011.
The relationship between infrastructure, technology, model of care, and human resources influences patient outcomes and safety, staff productivity and satisfaction, retention of personnel, and treatment and social costs. This concept underpins the need for evidence-based design and has been widely adopted to inform hospital infrastructure planning. The aim of this review is to establish evidence-based, universally applicable key features of a burn unit that support function in a comprehensive patient-centered model of care. A literature search in medical, architectural, and engineering databases was conducted. Burn associations' guidelines and relevant articles published in English, between 1990 and 2020, were included, and the available evidence is summarized in the review. Few studies have been published on burn unit design in the past 30 years. Most of them focus on the role of design in infection control and prevention and consist primarily of descriptive or observational reports, opportunistic historical cohort studies, and reviews. The evidence available in the literature is not sufficient to create a definitive infrastructure guideline to inform burn unit design, and there are considerable difficulties in creating evidence that will be widely applicable. In the absence of a strong evidence base, consensus guidelines on burn unit infrastructure should be developed, to help healthcare providers, architects, and engineers make informed decisions, when designing new or renovated facilities.
基础设施、技术、护理模式和人力资源之间的关系会影响患者的预后和安全、员工的生产力和满意度、人员保留率以及治疗和社会成本。这一概念是基于循证设计的需要，并已被广泛应用于为医院基础设施规划提供信息。本综述旨在确定基于循证的、普遍适用的烧伤病房的关键特征，以支持全面以患者为中心的护理模式的功能。在医学、建筑和工程数据库中进行了文献检索。纳入了烧伤协会指南和 1990 年至 2020 年间以英文发表的相关文章，并在综述中总结了现有证据。在过去的 30 年里，很少有关于烧伤病房设计的研究发表。其中大多数研究集中在设计在感染控制和预防方面的作用，主要由描述性或观察性报告、机会性历史队列研究和综述组成。文献中提供的证据不足以制定明确的基础设施指南来指导烧伤病房的设计，而且很难制定出具有广泛适用性的证据。在缺乏强有力的证据基础的情况下，应制定烧伤病房基础设施的共识指南，以帮助医疗保健提供者、建筑师和工程师在设计新设施或翻新现有设施时做出明智的决策。
