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Hospital emergency room environment and infections: post-occupancy evaluation carried out in the context of the COVID-19 pandemic

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Author(s):
Vitória Sanches Lemes Soares
Total Authors: 1
Document type: Master's Dissertation
Press: São Paulo.
Institution: Universidade de São Paulo (USP). Faculdade de Arquitetura e Urbanismo (FAU/SBI)
Defense date:
Examining board members:
Sheila Walbe Ornstein; Márcio Minto Fabricio; César Imai; Fernando Akira Kurokawa
Advisor: Sheila Walbe Ornstein; Ana Judite Galbiatti Limongi França
Abstract

This research aims to identify relevant aspects of the built environment and related to nosocomial infections in order to prepare consistent diagnoses and recommendations for Emergency Room (ER) environments, considering the situation experienced and the experience gained in the COVID-19 pandemic. A healthcare facility must support complex activities, meet the various requirements present in standards, offer support to the activities of healthcare professionals, and function as an environment that contributes to the patients recovery. The ERs, as they work full-time and, generally, with open doors, are examples of overcrowded environments, sheltering people with different diseases. Outbreaks, endemics, epidemics, and pandemics, such as the one caused by the SARS-CoV-2 coronavirus, corroborate the importance of evaluating the building in use, verifying its adequacy to the performance requirements, identifying the positive and negative aspects, from the environmental perspective, and the need for changes. Thus, the following research strategies were adopted: the search for existing literature and research; the organization of standards and good practices related to the subject, considering as main aspects the organization of activity flows and indoor air quality; and the use of a case study, in this case the ER of the University Hospital at the University of São Paulo. As methodological procedures, the Post-Occupancy Evaluation multi- methods were used, in order to consider the opinion of users and specialists for the evaluation of the ER. For data collection, semi-structured interviews were applied with employees and a specialist architect; walkthrough accompanied by key people; behavior observation for mapping and quantifying flows; physical surveys and visual records; measurements of environmental conditions; and simulation in Computational Fluid Dynamics. Finally, diagnoses and recommendations were prepared for the evaluated environment, related to the activity flows and indoor air quality, which can be considered in buildings and projects of a similar typology, contributing to the improvement in the quality of the built environment of ERs and healthcare facilities in general. (AU)

FAPESP's process: 21/04063-3 - Flows and air quality inside an emergency hospital care: project requirements and recommendations in a post-pandemic scenario
Grantee:Vitória Sanches Lemes Soares
Support Opportunities: Scholarships in Brazil - Master