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This study aimed to propose a performance-oriented approach of automatically generative design and optimization of hospital building layouts in consideration of public health emergency, which intended to conduct reasonable layout design of hospital building to meet different performance requirements for both high efficiency during normal periods and low risk in the pandemic.

The research design follows a sequential mixed methodology. First, key points and parameters of hospital building layout design (HBLD) are analyzed. Then, to meet the requirements of high efficiency and low risk, adjacent preference score and infection risk coefficient are constructed as constraints. On this basis, automatic generative design is conducted to generate building layout schemes. Finally, multi-objective deviation analysis is carried out to obtain the optimal scheme of hospital building layouts.

Automatic generative design of building layouts that integrates adjacent preferences and infection risks enables hospitals to achieve rapid transitions between normal (high efficiency) and pandemic (low risk) periods, which can effectively respond to public health emergencies. The proposed approach has been verified in an actual project, which can help systematically explore the solution for better decision-making.

The form of building layouts is limited to rectangles, and future work can explore conducting irregular layouts into optimization for the framework of generative design.

The contribution of this paper is the developed approach that can quickly and effectively generate more hospital layout alternatives satisfying high operational efficiency and low infection risk by formulating space design rules, which is of great significance in response to public health emergency.

Globally, several studies have shown that hospital building is charged with multiple inherent risks because a large number of users are vulnerable in tragic events. Thus, the need for the fire safety management plan (FSMP) has been proved as an instrument to mitigate fire and related risks in healthcare facilities. In Malaysia, FSMP regarding public healthcare building is yet to be explored in-depth. Therefore, this paper explores the information necessary to develop the FSMP framework for public hospital buildings.

The paper’s objectives were accomplished via a combination of five face-to-face interviews and observations of five selected public hospitals in Pulau Pinang, Malaysia. The five key participants were across the five public hospitals and collated data analysed through thematic analysis with the assistance of MAXQDA 2018.

Findings show that fire safety stakeholders practice system, fire safety action plan and fire risk management were the three main variables that promote fire safety programme and will improve FSMP for Malaysia’s public hospital buildings.

This paper’s data collection is limited to Penang, Malaysia, and a qualitative research approach was used, but this does not deteriorate the strength of the findings. Future studies are needed to consider validating findings from this paper via a quantitative approach.

The suggested framework can be employed by Malaysia’s public hospital authorities as a guideline to mitigate fire hazards in the country’s healthcare facilities.

This paper is encouraging hospital operators and other key stakeholders to improve on their FSMP for healthcare buildings across Malaysia as part of the study implications.

The purpose of this paper is to examine the role of organizational space in attempts at practice redesign and innovation that involve a break with the traditional professional boundaries in a recently established Danish hospital department.

Organizational ethnography combined with Bourdieusian theorization. The data used for this paper are derived from 13 months of ethnographic fieldwork. The author performed participant and meeting observations combined with interviews and the reading of internal and external documents.

Despite the department’s attempts at pursuing practice redesign and innovation by breaking with the institutionalized professional boundaries as well as role hierarchies, and emphasizing collaboration between nurses and doctors, the paper demonstrates how the attempts at change meet invisible impediments in practice and how organizational space plays an important yet, overlooked part in reproducing field tradition.

By virtue of Bourdieusian theorization in combination with organizational ethnography, the paper contributes with unique insights into a seldom studied part of hospital organization, which is how organizational space, rather than being a backdrop for organizational life, is constructed and used by professionals whose habitus renders this space an active component in delimiting professional work as well as the scope of change.

This paper aims to present a systematic review of the published literature on building information model (BIM)-based simulation tools used for occupant evacuation over the past 23 years.

A literature review was conducted on BIM-based simulation tools used for occupant evacuation over the past 23 years. The search identified a total of 37 relevant papers, which were reviewed. The paper describes the use of BIM-based simulation tools over the years and identifies the research gaps.

BIM-based simulation tools have undergone progressive development, with constant improvements through the integration of advanced tools and collection of more data. These tools can assist in identifying faults in the building design. The outcomes of the simulation were not entirely accurate, as real-life scenarios vary depending on the various building types and the behavior of their occupants.

This study contributes to the literature through reviewing the capabilities of BIM-based simulation tools and the different simulation methods along with their limitations.

Fire safety engineers and architects can comprehend the utilization of BIM-based simulation tools to enhance the fire evacuation in light of their shortcomings and flaws.

BIM-based simulation tools are becoming more advanced and widely used. There has not been a comprehensive evaluation of the capabilities of the integration of BIM tools and simulation modeling for occupant evacuation. This study guides researchers on the capabilities and efficiencies of integrated solutions for occupant evacuations and their inherent shortcomings. The study identifies future research areas in BIM-based tools for occupant evacuation.

This study explores how a hospital works, which is important for further enhancing hospital performance. Following the introduction of a Hospital Planning Centre (HPC), changes are explored in a hospital in terms of integration (the coordination and alignment of tasks), differentiation (the extent to which tasks are segmented into subsystems), rules, coordination mechanisms and hospital performance.

A case study was conducted examining the hospital’s social network, rules, coordination mechanisms and performance both before and after the introduction of the HPC. All planning and execution tasks for surgery patients were studied using a naturalistic inquiry and mixed-method approach.

After the introduction of the HPC, the overall network structure and coordination mechanisms and coordination mechanisms remained largely the same. Integration and certain rules changed for specific planning tasks. Differentiation based on medical discipline remained. The number of local rules decreased and hospital-wide rules increased, and these remained largely in people’s minds. Coordination mechanisms remained largely unchanged, primarily involving mutual adjustment and standardization of work both before and after the introduction of the HPC. Overall, the hospital’s performance did not change substantially. The findings suggest that integration seems to “emerge” instead of being designed. Hospitals could benefit, we argue, from a more conscious system-wide approach that includes collective learning and information sharing.

This exploratory study provides in-depth insight into how a hospital works, yielding important knowledge for further research and the enhancement of hospital performance.

This paper aims to investigate the potential role of the Emergency Department (ED) layout in enhancing its functionality. It applies a performance-based building design (PBBD) approach to evaluate emergency department functionality and efficiency as the most important criterion behind the success of the hospital service.

A quantitative approach based on space syntax theory was adopted through four syntactic maps (isovist, axial, convex, and visibility graph analysis VGA), to depict three case studies in Erbil city hospitals by analyzing three different layout typologies of ED such as Podular, Ballroom and Linear through measuring wayfinding, accessibility, privacy, visibility, time spend-length of stay and corridor circulation as layout factors.

This paper provides empirical insights on how the ED layout typology factors significantly affect producing functionally efficient EDs, whereas the Ballroom ED layout typology is the most effective compared to others. Given the importance of ED in enhancing a healthy environment for patients and staff, study findings are valuable resource for health designers, who play a critical role in ensuring patients enjoy a healthy and safe environment.

This paper has attempted to identify the appropriate layout of ED for effective functional performance in hospitals. A syntactical analysis between three different ED layout typologies based on the layout variables has been analysed using the PBBD approach. There has been no attempt carried out so far to analyse the functional performance of the PBBD approach in different ED layouts using layout variables.

The design of the emergency department (ED) requires high precision in the process of distributing spaces. An increase in population and continuous development during the past years caused the addition of new services, changes in patients’ numbers, movement flow and treatment procedures which makes the existing layout plan of the ED no longer appropriate for its current needs. Therefore, the purpose of this paper is to generate a process of finding better alternatives for ED’s spatial planning.

The genetic algorithm method as a part of the systematic layout planning strategy was adopted for decision-making in redesigning the ED layout and finding the most appropriate alternative. This methodology was applied to a teaching hospital in Jordan to create layout alternatives with better functional dimensions.

The design that is based on the study of the movement of users and the relationship of spaces increases the layout performance.

The structural method of this study can be adopted for different hospital designs, but the results are limited only to the study case itself because of the different factors and data for each building.

This study demonstrates the process of making the most appropriate decision to redesign the ED in the hospital; therefore, the method can be adopted in restructuring the scheme of different hospitals and evaluated, especially before implementation.

This study aims to investigate the physical environmental problems of two Thai community hospitals’ outpatient departments (OPDs) during the COVID-19 outbreak and to provide design guidelines for respiratory disease prevention.

A three-step method was used. The first step involved walk-through observations at Mae Wang Hospital and Doi Saket Hospital to assess the physical environment. The second step consisted of interviews with 22 medical staff working in the two hospitals. Third, the observation and interview data were used to develop a preliminary design guideline, which was evaluated by two focus groups comprising the same interview participants.

The observational findings showed that the two hospitals had difficulties following the COVID-19 prevention protocol due to physical environmental problems. Four different themes emerged from the analysis of the medical staff interviews. The preliminary design guidelines that were evaluated through two focus group discussions resulted in design recommendations for four areas (the overall building, clinical, support and staff areas) in the Mae Wang and Doi Saket OPD buildings. Three topics of design recommendations were provided to reduce the spread of COVID-19: improving hospital management, space design and air quality.

To the best of the authors’ knowledge, this study is the first to provide design guidelines for COVID-19 and respiratory disease prevention in Thai community hospital OPD buildings.

Spatial arrangement of hospital environments has been proven to have impacts on hospital users such as wayfinding, privacy and operational efficiency. Many studies examined the spatial quality of hospitals, but there is a lack of comparative research between Chinese and Australian hospitals. Hospitals in both countries have salient features that are worth to learn and can inform hospital stakeholders internationally on design decisions. The purpose of this paper is to evaluate and compare the spatial quality of hospitals from both countries using space syntax approach and field observation.

This study uses space syntax analysis and observation to provide qualitative and quantitative data. Illustrative case studies from both countries are selected for comparison. The main benchmarks involved in measuring the spatial qualities, such as step depth and visual connectivity, are analysed using Depthmap X before comparing with the results from observation.

For Chinese hospitals to be more human-centred, public space design and facility management need additional attention. Australian hospitals could learn from Hospital D on how to design highly centralised nursing stations that cope with a high patient flow. Global policy and decision-makers should consider the potential inconsistency between initial design intention and practical use.

Practical implications were made based on the results for bettering hospital environments. It is hoped that the methodology presented in this research is of significance to the enhancement of global healthcare environment research.