A modular and easily expandable large-scale intensive surgical area

Abstract

The present invention relates to the technical field of hospitals, clinics or similar buildings, and discloses a modular, easily expandable, large-scale intensive operating area. The problem that the module is difficult to design due to the complex connection relationship of the operating room is solved by a grouped multi-core method, ensuring that the basic module can complete the operation in a short time without relying on other parts with a smaller area, and using the configuration to achieve sharing of different modules by departments. The problem that the size of the operating area cannot be increased by increasing the number of modules due to the differences between the building structure and the operating rooms is solved by a modular hierarchical method, adding two new module levels, and the splicing rules of the building modules ensure that all basic modules can play a role while increasing the number of basic modules in different buildings. The splicing rules of the partition modules ensure that the differentiated needs of different operating rooms are met while increasing the number of basic modules. The combination of the above points realizes the modular design of the operating area and the expansion of the size of the operating area by increasing the number of modules.

Description

Technical Field

[0001] The invention relates to the technical field of hospitals, clinics or similar buildings, and in particular to a large-scale intensive operating area that is modular and easy to expand. Background Art

[0002] The modular design of buildings can greatly simplify the design and construction process. After the modular design is realized, the same design can be used repeatedly in different locations. At the same time, the material preparation and construction process are simplified during construction, and prefabricated construction is convenient.

[0003] Buildings such as residential buildings, which are highly repetitive and have weak connections with other parts of the building, can easily achieve modular design. However, if the building has a strong connection with other parts, it is difficult to achieve modular design. A typical case is the operating area of ​​a hospital. The operating room itself is very easy to modularize, but surgery cannot be performed in the operating room alone. The operating room needs to rely on the nurse station, bed changing area, anesthesia room, recovery room and clean auxiliary rooms to provide direct auxiliary work, and rely on outpatient clinics, nursing, imaging examinations, and blood banks to complete the early and later auxiliary work. This leads to the need for the operating room to exchange a large amount of materials, information, and personnel with other departments, which relies on many complex interfaces, elevators and corridors. What is more fatal is that the operating room requires sterility, and the operating room and the non-clean area cannot be directly connected, but a buffer room must be set in the middle. The complex connection relationship leads to a huge workload in the design of the operating area.

[0004] Taking the Xi'an Red Cross Hospital High-speed Railway New City Campus Project involved in the present invention as an example, since this hospital is a hospital focused on orthopedic patients and has a huge number of surgeries, it needs to build 136 operating rooms, which is several times more than that of conventional hospitals (for example, Union Hospital has 47 operating rooms). Among them, 120 operating rooms are distributed in a super-large-scale centralized operating area. If the design and construction are carried out in the traditional way, the workload will be too huge.

[0005] However, the inventors found that some characteristics of the surgical area itself were in serious conflict with the modular design:

[0006] 1. Due to the complex connection relationship of the operating room, the design of a single module is seriously difficult

[0007] The complex connection relationship of the operating room means that if only the operating room is integrated into the module, it cannot meet the connection requirements of the operating room at all. If the auxiliary departments and the operating room are made into modules together, other problems will arise. First of all, the area of ​​a single module will become very large, almost the same as the area of ​​a floor of a building. If multiple modules are set up on one floor, some modules will inevitably not remain intact; and if one module is set up on one floor, the meaning of modular design will no longer exist. Secondly, some parts of the module will be seriously idle or seriously insufficient, because the demand for various auxiliary departments during the operation is not constant, and the departments integrated in the module cannot exactly match the needs during the operation.

[0008] Second, there are differences between buildings and between operating rooms, which makes it difficult to expand the operating area.

[0009] First of all, there are differences between buildings. The floor plans of different buildings are different. If you simply stack multiple modules in a building, it is very likely that some modules will not work. Secondly, there are differences between operating rooms. For example, some operating rooms require a short and fast process, some operating rooms require 24-hour standby, and some operating rooms require low costs. This requires many differences in the connection relationship and layout of the operating room. However, modular design means that each module is consistent. The practice of changing the scale of the finished product by increasing the number of modules in the existing technology will make there no difference between operating rooms and cannot meet the needs.

[0010] Due to the above problems, the operating area of ​​the hospital in the prior art cannot be modularly designed.

[0011] In the prior art, the mainstream types of planar layout of the operating area are double-channel type or central island type. The common feature of these two configurations is that the outer corridor is a clean corridor (no need for sterility) and the inner corridor is a clean corridor (need sterility). Summary of the invention

[0012] The present invention provides a modular and easily expandable large-scale intensive operating area.

[0013] The technical problem to be solved is that the complex connection relationship between the operating rooms makes it difficult to achieve modular design of the operating area, and the differences between the building where the operating room is located and the operating room itself make it impossible to increase the size of the operating area by increasing the number of modules.

[0014] In order to solve the above technical problems, the present invention adopts the following technical solutions: a modular and easily expandable large-scale intensive operating area, the operating area is composed of standard modules, and the modules are divided into three levels: base module, building module, and partition module;

[0015] The base module includes an operating room and a surgical auxiliary room directly related to the operation, wherein the surgical auxiliary room includes a nurse station, a bed changing area, an anesthesia room, a recovery room and a clean auxiliary room; the base module is equipped with an independent clean air conditioning system, a control system, and an electrical system; the operating rooms are arranged in rows in an anti-center island type, and every two rows of operating rooms form a group and are surrounded by a ring-shaped clean corridor for convenient connection with other base modules and elevators. The corridor between two rows of operating rooms is a clean corridor, and the ring-shaped clean corridor is recorded as an interface corridor;

[0016] The building module is composed of a plurality of base modules arranged around the central traffic core and located on the same floor. A building module is formed in each building, and the interface corridors of the base modules in the same building module are interconnected; the central traffic core is provided with a plurality of clean ladders, and each clean ladder is connected to the interface corridor of each base module through the same buffer room; the specifications of the passageways connecting each building module to the outside world are consistent and recorded as standardized interfaces;

[0017] The partition module includes a building module or multiple building modules connected together by means of a standardized interface, and front and rear departments surrounding the building module and connected to the building module through the standardized interface, the front and rear departments include an outpatient department, a nursing department, an imaging department, and a functional examination department; the building module and the front and rear departments in the same partition module are located on the same floor, and the operating rooms located in the same partition module are operating rooms for the same type of surgical cycle.

[0018] Furthermore, each partition module is arranged around the central supply room, and a monitoring and dispatching center is set up in the central nurse station of the operating area, and the nurse stations of each grassroots module are electrically connected to the monitoring and dispatching center.

[0019] Furthermore, the operating area includes three partition modules, namely a day surgery module where patients complete hospitalization, surgery, and discharge on the same day, an emergency surgery module close to the hospital campus entrance, directly connected to the emergency intensive care unit, and on standby around the clock, and the rest are ordinary surgery modules.

[0020] Furthermore, a buffer room is arranged at the interface corridor near the clean ladder, and two adjacent interface corridors of two adjacent base modules share a side; each end of the clean corridor is located at the edge of the building module and leads to the dirty ladder.

[0021] Furthermore, each building module includes four base modules arranged in a matrix shape, and two atriums arranged between adjacent base modules, and atriums are arranged between adjacent building modules.

[0022] Furthermore, if the base module includes an odd number of rows of operating rooms, the operating rooms that cannot be grouped with other rows of operating rooms are recorded as isolated row operating rooms. The isolated row of operating rooms are set close to the edge of the building, and the clean corridor leading to the isolated row of operating rooms is set between the isolated row of operating rooms and the outer wall of the building.

[0023] Furthermore, in each basic module, the maximum straight length of the clean corridor shall not exceed 35 meters.

[0024] Compared with the prior art, the modular and easily expandable large-scale intensive surgical area of ​​the present invention has the following beneficial effects:

[0025] In the present invention, the problem that the module is difficult to design due to the complex connection relationship of the operating room is solved by the following method:

[0026] The grassroots module is designed with the idea of ​​grouped multi-core (each grassroots module can operate independently as a core). The auxiliary departments that need to exchange materials and personnel with the operating room in a short period of time are screened out and integrated into the grassroots module, ensuring that the grassroots module can complete the operation in a short period of time with a smaller area without relying on other parts. At the same time, the configuration of the grassroots module is an anti-central island type, and its outer corridor is a clean corridor, which can directly exchange materials and personnel with other adjacent grassroots modules and the central traffic core, thus overcoming the problem of excess or shortage of auxiliary departments.

[0027] The problem that the size of the operating area cannot be increased by adding more modules due to differences in building structure and operating rooms is solved in the following way:

[0028] Adopting the idea of ​​modular hierarchy, two new module levels, building module and partition module, are added on the basis of the basic module to realize the expansion of the operating area. The building module is a secondary module structure formed by combining the basic modules in the building with the central traffic core as the center and the interface corridor as the interface of different basic modules. The combination rule of the building module ensures that all basic modules can play a role while increasing the number of basic modules in different buildings. The partition module is a tertiary module formed by connecting the building modules with similar surgical cycles with other parts of the same floor across buildings through standardized interfaces. The combination rule of the partition module ensures that the differentiated needs of different operating rooms can be met while increasing the number of basic modules.

[0029] The combination of the above points realizes the modular design of the operating area and the expansion of the operating area by simply increasing the number of modules. At the same time, such an operating area has better performance than the existing technology:

[0030] Supplies and personnel needed immediately during surgery can be obtained faster than with existing technologies (because they are directly integrated into the operating room and very close to the patient);

[0031] Supplies and personnel that are not needed immediately during surgery can be obtained centrally and efficiently (due to the modular layout of the building);

[0032] Patient allocation and pathfinding in the early stages of surgery can be carried out centrally and efficiently (because surgeries with similar cycles are integrated into the same partition module, and the same partition module is located on the same floor and interconnected). BRIEF DESCRIPTION OF THE DRAWINGS

[0033] Figure 1 This is a floor plan of a building module that includes four base modules, in which a base module is marked with a dotted box;

[0034] Figure 2 It is a floor plan of a partition module;

[0035] Figure 3 It is a floor plan of the entire surgical area;

[0036] In the figure, 1-base module, 11-interface corridor, 2-building module, 21-central traffic core, 22-standardized interface, 3-partition module, 31-front and rear departments, 4-atrium, 5-central supply room DETAILED DESCRIPTION

[0037] Take the Xi'an Red Cross Hospital High-speed Railway New City Campus Project as an example. Figure 1-3 As shown, a modular and easily expandable large-scale intensive operating area is formed by combining standard modules, and the modules are divided into three levels: base module 1, building module 2, and partition module 3;

[0038] like Figure 1 As shown, the basic module 1 includes an operating room and a surgical auxiliary room directly related to the operation. The surgical auxiliary room includes a nurse station, a bed changing area, anesthesia room, a recovery room and a clean auxiliary room; the screening criteria for the surgical auxiliary room here is that there may be a direct and rapid exchange of personnel and materials with the operating room. This project requires the design of an ultra-large-scale operating area with 120 operating rooms and various auxiliary departments to match it. The purpose of classification here is to ensure that all kinds of emergency personnel and materials required for the operation process can be supplied nearby, while those that are not urgent are supplied in a centralized manner, while the area of ​​the basic module 1 is as small as possible. Previous designs did not classify, and all were supplied nearby.

[0039] The base module 1 is equipped with an independent clean air conditioning system, control system, and electrical system; the independent structure here not only facilitates electromechanical design and installation, but also ensures that each base module 1 can be independently turned on and off, so as to flexibly adapt to the number of patients in the hospital at different times and achieve energy-saving effects.

[0040] The operating rooms are arranged in rows in an anti-center island type, and every two rows of operating rooms form a group and are surrounded by a ring-shaped clean corridor for convenient connection with other base modules 1 and elevators. The corridor between the two rows of operating rooms is a clean corridor, and the ring-shaped clean corridor is recorded as an interface corridor 11;

[0041] The anti-center island type arrangement here is not an existing configuration. In the center island type arrangement in the prior art, the outer corridor (that is, the interface corridor 11 in the present embodiment) is a clean corridor, and the inner corridor is a clean corridor. The clean corridor is a corridor that needs to consume electrical energy and adopt various disinfection measures to maintain sterility. The total length of the outer corridor is much larger than that of the inner corridor. If the anti-center island configuration is adopted (the inner corridor is a clean corridor, and the outer corridor is a clean corridor), the energy consumption will be greatly improved under the premise of the same traffic effect. However, since the present invention is applied in large-scale intensive operating areas, there are a large number of base modules 1 that are assembled together, and a considerable number of outer corridors of the base modules 1 are shared, thereby eliminating the high energy consumption problem of the anti-center island configuration.

[0042] The advantage of this configuration is that personnel and materials can be exchanged directly between different grassroots modules 1 (different from the prior art, the surgical auxiliary room in this embodiment is also in a sterile environment and connected to the interface corridor 11). If one grassroots module 1 does not have enough personnel / materials / departments, it can be directly borrowed from another grassroots module 1 without passing through the buffer room. And personnel and materials from the central traffic core 21 can lead to all grassroots modules 1. On the other hand, the buffer room can be set at a very free position (because the interface corridor 11 is annular), no matter where the standardized interface 22 is set, the buffer room can be directly set at the position of the standardized interface 22.

[0043] like Figure 1 As shown, the building module 2 is composed of a plurality of base modules 1 arranged around a central traffic core 21 and located on the same floor. A building module 2 is formed in each building, and the interface corridors 11 of the base modules 1 in the same building module 2 are interconnected. Here, the base modules 1 are assembled on the same floor to ensure that the exchange of materials and personnel between the base modules 1 does not require vertical movement (vertical movement is very slow).

[0044] The central transportation core 21 is provided with multiple clean ladders, each of which is connected to the interface corridor 11 of each base module 1 through the same buffer room; the specifications of the passageways connecting each building module 2 to the outside world are consistent and recorded as standardized interfaces 22; if the specifications of the passageways are inconsistent, the design of the splicing between the building modules 2 requires additional work. Here, a unified interface is designed. If a certain location cannot meet the logistics needs with one interface, a new interface is added.

[0045] like Figure 2As shown, the partition module 3 includes a building module 2 or multiple building modules 2 connected together by means of a standardized interface 22, and front and rear departments 31 surrounding the building module 2 and connected to the building module 2 through the standardized interface 22. The front and rear departments 31 include an outpatient department, a nursing department, an imaging department, and a functional examination department. The building module 2 and the front and rear departments 31 in the same partition module 3 are located on the same floor, and the operating rooms in the same partition module 3 are operating rooms of the same type of surgical cycle. Here, similar operating rooms can be integrated together without building a large-scale single-family building that is not conducive to earthquake resistance.

[0046] like Figure 3 As shown, each partition module 3 is arranged around the central supply room 5, and a monitoring and dispatching center is set up at the central nurse station of the operating area, and the nurse stations of each grassroots module 1 are electrically connected to the monitoring and dispatching center.

[0047] The monitoring and dispatching center here allocates personnel and materials between different modules according to the feedback from the nurse stations of each grassroots module 1. Generally, personnel and materials are allocated between adjacent grassroots modules 1 in the same building module 2. The partition modules 3 are arranged around the central supply room 5 to ensure that each partition module 3 is close to the central supply room 5.

[0048] In this embodiment, the operation area includes three partition modules 3, namely, a day operation module for patients who complete hospitalization, operation, and discharge on the same day, an emergency operation module close to the hospital entrance, directly connected to the emergency intensive care unit, and on standby around the clock, and the rest are common operation modules. Of course, if there are other partition requirements, the partition method can also be adjusted according to the requirements.

[0049] The interface corridor 11 is provided with a buffer room near the clean ladder. The two adjacent interface corridors 11 of two adjacent base modules 1 share a side, that is, the clean corridors on the shared side are integrated to form a buffer room. Figure 1 The wide clean corridor shown in the middle is used as a main road. Each clean corridor end is located at the edge of the building module 2 and leads to the dirty ladder, that is, the dirty ladder is located at the edge of the building and separated from the central traffic core 21.

[0050] Each building module 2 includes four base modules 1 arranged in a matrix shape, and two atriums 4 arranged between adjacent base modules 1 . An atrium 4 is arranged between adjacent building modules 2 .

[0051] The structure here is the boundary of the base module 1 on the one hand, and brings some natural light to the huge functional unit area on the other hand, which has positive significance for the long-term working environment and energy saving, and avoids the operating room being too gloomy and causing unnecessary psychological pressure on patients.

[0052] If the base module 1 includes an odd number of rows of operating rooms, the operating rooms that cannot be grouped with other rows of operating rooms are recorded as isolated row operating rooms. The isolated row of operating rooms are set close to the edge of the building, and the clean corridor leading to the isolated row of operating rooms is set between the isolated row of operating rooms and the outer wall of the building.

[0053] It is impossible to set up an inner corridor as a clean corridor for an isolated operating room, but it also needs a clean corridor. This structure is chosen here to ensure that the isolated operating room can be connected to the clean corridor while avoiding affecting the splicing between the basic modules 1.

[0054] In each base module 1, the maximum straight length of the clean corridor shall not exceed 35 meters.

[0055] Clean corridors will not encounter urgent personnel and material transfers, but clean corridors will, so it is necessary to control the length of the clean corridor. Since the clean corridor in this embodiment is the outer corridor of the base module 1, its straight length is also the length of one side of the base module 1. The maximum distance between the doors of two departments in the same base module 1 will not exceed the two sides of the base module 1. By controlling the straight length of the clean corridor, the maximum distance between the doors of two departments in the same base module 1 can be controlled, and controlling the straight length of the clean corridor is very intuitive.

[0056] The embodiments described above are merely descriptions of preferred implementation modes of the present invention and are not intended to limit the scope of the present invention. Without departing from the design spirit of the present invention, various modifications and improvements made to the technical solutions of the present invention by ordinary technicians in this field should all fall within the protection scope determined by the claims of the present invention.

Claims

1. A modular and easily expandable large-scale intensive surgical area, characterized by: The operating area is composed of a combination of standard modules, and the modules are divided into three levels: a base module (1), a building module (2), and a partition module (3); The base module (1) includes an operating room and a surgical auxiliary room directly associated with the operation, wherein the surgical auxiliary room includes a nurse station, a bed changing area, an anesthesia room, a recovery room, and a clean auxiliary room; the base module (1) is provided with an independent clean air conditioning system, a control system, and an electrical system; the operating rooms are arranged in rows in an anti-center island type, with each two rows of operating rooms forming a group and surrounded by a ring-shaped clean corridor for convenient connection with other base modules (1) and elevators, the corridor between the two rows of operating rooms being a clean corridor, and the ring-shaped clean corridor being recorded as an interface corridor (11); The building module (2) is composed of a plurality of base modules (1) arranged around a central traffic core (21) and located on the same floor. A building module (2) is formed in each building. The interface corridors (11) of the base modules (1) in the same building module (2) are interconnected. The base modules (1) are assembled on the same floor, ensuring that the exchange of materials and personnel between the base modules (1) does not require vertical movement. The central traffic core (21) is provided with a plurality of clean ladders, each of which is connected to the interface corridor (11) of each base module (1) through the same buffer chamber; the specifications of the passage openings connecting each building module (2) to the outside world are consistent and are recorded as standardized interfaces (22); The partition module (3) comprises a building module (2) or a plurality of building modules (2) connected together by means of a standardized interface (22), and front-end and rear-end departments (31) surrounding the building module (2) and connected to the building module (2) via the standardized interface (22), wherein the front-end and rear-end departments (31) comprise an outpatient department, a nursing department, an imaging department, and a functional examination department; the building modules (2) and the front-end and rear-end departments (31) in the same partition module (3) are located on the same floor, and the operating rooms located in the same partition module (3) are operating rooms of the same type of surgical cycle.

2. A modular and easily expandable large-scale intensive surgical area according to claim 1, characterized in that: Each partition module (3) is arranged around the central supply room (5), and a monitoring and dispatching center is set up at the central nurse station of the operating area, and the nurse stations of each grassroots module (1) are electrically connected to the monitoring and dispatching center.

3. A modular and easily expandable large-scale intensive surgical area according to claim 1, characterized in that: The operating area includes three partition modules (3), namely a day surgery module for patients to complete hospitalization, surgery, and discharge on the same day, an emergency surgery module close to the hospital campus entrance, directly connected to the emergency intensive care unit, and on standby around the clock, and the rest are ordinary surgery modules.

4. The modular and easily expandable large-scale intensive surgical area according to claim 1, characterized in that: The interface corridor (11) is provided with a buffer room near the clean ladder, and two adjacent interface corridors (11) of two adjacent base modules (1) share a common edge; each end of the clean corridor is located at the edge of the building module (2) and leads to the dirty ladder.

5. The modular and easily expandable large-scale intensive surgical area according to claim 1, characterized in that: Each building module (2) comprises four base modules (1) arranged in a matrix shape, and two atriums (4) arranged between adjacent base modules (1), and atriums (4) are arranged between adjacent building modules (2).

6. The modular and easily expandable large-scale intensive surgical area according to claim 1, characterized in that: If the base module (1) includes an odd number of rows of operating rooms, the operating rooms that cannot be grouped with other rows of operating rooms are recorded as isolated row operating rooms. The isolated row of operating rooms is arranged close to the edge of the building, and the clean corridor leading to the isolated row of operating rooms is arranged between the isolated row of operating rooms and the outer wall of the building.

7. The modular and easily expandable large-scale intensive surgical area according to claim 1, characterized in that: In each base module (1), the maximum straight length of the clean corridor shall not exceed 35 meters.

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