A hierarchical design method for multi-core modules in large-scale intensive surgical area grouping

Abstract

The present invention relates to the technical field of hospitals, clinics or similar buildings, and discloses a hierarchical design method for grouping multi-core modules of large-scale intensive operating areas. The idea of ​​grouping multi-core is adopted to design the grassroots modules, and the auxiliary departments that need to exchange materials and personnel with the operating room in a short time are screened and integrated into the grassroots modules, ensuring that the grassroots modules can complete the operation in a short time without relying on other parts with a smaller area; at the same time, the anti-center island-type grassroots modules can directly exchange materials and personnel with other adjacent grassroots modules and the central traffic core, and the auxiliary departments will not be excessive or insufficient. The idea of ​​module hierarchy is adopted to divide the operating area into three layers of modules and splice them layer by layer. The grassroots modules are spliced ​​together in the building with the central traffic core as the center to form a building module that occupies the entire building plane, and then connected with other parts of the same floor across buildings with the help of standardized interfaces to form a partition module. The combination of the above points realizes modular design and better performance of the operating area.

Description

Technical Field

[0001] The present invention relates to the technical field of hospitals, clinics or similar buildings, and in particular to a multi-core module hierarchical design method for large-scale intensive surgical area groups. 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 that focuses on orthopedic patients and performs a huge number of surgeries, it is necessary to build an ultra-large-scale centralized operating area with 120 operating rooms, which is several times that of conventional hospitals (for example, Union Hospital has 47 operating rooms). If the design and construction are carried out in the traditional way, the workload will be too huge.

[0005] The modular design of the operating area is also difficult. The complex connection relationship of the operating room means that if the operating area is modularized by integrating only the operating room, it cannot meet the connection requirements of the operating room. If all departments related to surgery are forcibly integrated into the operating area and these departments and the operating room are made into modules, other problems will arise. The most serious problems are the following two:

[0006] 1. 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 only one module is set up on one floor, the meaning of modular design will no longer exist.

[0007] 2. 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] Due to the above problems, the operating area of ​​the hospital in the prior art cannot be modularly designed.

[0009] 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

[0010] The present invention provides a multi-core module hierarchical design method for large-scale intensive surgical area grouping.

[0011] The technical problem to be solved is: the operating room relies on numerous complex interfaces, elevators and corridors to obtain materials, information and personnel support. The complex connection relationship leads to a large workload in the design of the operating area and it is difficult to achieve modular design.

[0012] In order to solve the above technical problems, the present invention adopts the following technical solution: a multi-core module hierarchical design method for large-scale intensive surgical area grouping, comprising the following steps:

[0013] Step 1: Design a basic module, which 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, an anesthesia room, a recovery room, and a clean auxiliary room;

[0014] The base module is equipped with an independent clean air conditioning system, control system, and electrical system;

[0015] 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 the two rows of operating rooms is a clean corridor, and the ring-shaped clean corridor is recorded as an interface corridor;

[0016] Step 2: Assemble and fill the base modules in the same floor of each building assigned to the operating area, forming a building module in each building, and each end of the clean corridor is located at the edge of the building module and leads to the dirty ladder; the interface corridor is provided with a buffer room near the clean ladder;

[0017] Step 3: According to different surgical cycles, the surgical area is divided into multiple different partition modules. Each partition module contains multiple adjacent building modules. Connecting channels are designed to connect the building modules in the same partition module.

[0018] Furthermore, in the building module, each base module is arranged around a central traffic core, and the central traffic core is provided with a plurality of clean ladders, and each clean ladder is respectively connected to the interface corridor of each base module through the same buffer room.

[0019] 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.

[0020] 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.

[0021] Furthermore, in step three, the specifications of the passageways connecting the modules of each building to the outside world are consistent and recorded as standardized interfaces.

[0022] Furthermore, 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.

[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 multi-core module hierarchical design method for large-scale intensive surgical area grouping of the present invention has the following beneficial effects:

[0025] In the present invention, the grassroots module is designed by adopting the idea of ​​grouping multiple cores (each grassroots module can operate independently as a core), and the auxiliary departments that need to exchange materials and personnel with the operating room in a short time are screened and integrated into the grassroots module, ensuring that the grassroots module can complete the operation in a short time without relying on other parts with a smaller area; at the same time, the configuration of the grassroots module is an anti-center 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, thereby overcoming the problem of excess or shortage of auxiliary departments;

[0026] Adopting the idea of ​​modular hierarchy, the operating area is divided into three modules, namely, partition module, building module and grassroots module. The grassroots modules are assembled together with the central traffic core in the building to form a building module, occupying the entire building plane. Then, with the help of standardized interfaces, it is connected with other parts of the same floor across buildings to form a partition module. There is no need to build large-scale stand-alone buildings (large-scale stand-alone buildings are not conducive to earthquake resistance), and areas with similar surgical cycles can be concentrated together to form a partition module.

[0027] The combination of the above points not only realizes modular design, but also makes the surgical area designed in this way have better performance than the existing technology:

[0028] 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);

[0029] Supplies and personnel that are not needed immediately during surgery can be obtained centrally and efficiently (due to the modular layout of the building);

[0030] 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

[0031] Figure 1 is a flow chart of the present invention;

[0032] Figure 2 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;

[0033] In the figure, 1-base module, 2-central traffic core, 3-standardized interface, 4-atrium. DETAILED DESCRIPTION

[0034] Take the Xi'an Red Cross Hospital High-speed Railway New City Campus Project as an example. Figure 1-2 As shown, a multi-core module hierarchical design method for large-scale intensive surgical area grouping includes the following steps:

[0035] Step 1: Design the basic module 1. The basic module 1 includes the operating room and a full set of surgical auxiliary rooms directly related to the operation. The surgical auxiliary rooms include the nurse station, bed changing area, anesthesia room, recovery room and clean auxiliary rooms (sterile rooms used to handle various chores); auxiliary departments are usually located at the end of a row of operating rooms, and larger auxiliary departments occupy the space of one or two operating rooms.

[0036] The screening criteria for surgical auxiliary rooms here is that there may be direct and rapid exchange of personnel and materials with the operating room. This project requires the design of a large-scale surgical area with 120 operating rooms and various auxiliary departments to match them. The purpose of classification here is to ensure that all kinds of emergency personnel and materials required for the surgical process can be supplied nearby, while those that are not urgent are supplied in a centralized manner, while the previous design does not classify and all are supplied nearby.

[0037] Base module 1 has an independent clean air conditioning system, control system, and electrical system;

[0038] 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.

[0039] The operating rooms are arranged in rows in an anti-center island type, with 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 is a clean corridor, and the ring-shaped clean corridor is recorded as an interface corridor;

[0040] 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 in the present embodiment) is a clean corridor, and the inner corridor is a clean corridor. A 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 an 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 surgical 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.

[0041] 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). 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 transportation core 2 can lead to all grassroots modules 1. On the other hand, the buffer room can be set up in a very free position (because the interface corridor is annular), no matter where the standardized interface 3 is set, the buffer room can be directly set up at the position of the standardized interface 3.

[0042] Step 2: Assemble and fill the base module 1 in the same floor of each building assigned to the operating area, forming a building module in each building, and the end of each clean corridor is located at the edge of the building module and leads to the dirty ladder; the interface corridor is provided with a buffer room near the clean ladder;

[0043] Here, 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 (vertical movement is very slow).

[0044] Step 3: According to different surgical cycles, the surgical area is divided into multiple different partition modules. Each partition module contains multiple adjacent building modules. Connecting channels are designed to connect the building modules in the same partition module.

[0045] The requirements for materials, personnel, and departments of surgeries of different cycles vary greatly, and should not be set together. However, there is no special distinction in the prior art, so it is distinguished here to facilitate design and use. When partitioning, it can generally be divided into three partition modules: day surgery (patients are hospitalized on the same day, operated on the same day, and discharged on the same day) is a partition module, those requiring multiple surgeries are a partition module, and the rest are a partition module.

[0046] The idea of ​​module hierarchy is adopted here. The splicing rules of building modules ensure that all basic modules 1 can function while increasing the number of basic modules 1 in different buildings. The partition module is a three-level module formed by connecting building modules with similar surgical cycles with other parts of the same floor across buildings through standardized interfaces 3. The splicing rules of partition modules ensure that the number of basic modules 1 can be increased while meeting the differentiated needs of different operating rooms.

[0047] In the building module, each base module 1 is arranged around a central traffic core 2, and the central traffic core 2 is provided with a plurality of clean elevators, and each clean elevator is connected to an interface corridor of each base module 1 through the same buffer room.

[0048] Here the central traffic core 2 is generally also equipped with Figure 2 The wide clean corridor shown in the middle is used as the main road.

[0049] Each building module includes four base modules 1 arranged in a matrix shape, and two atriums 4 arranged between adjacent base modules 1. The atriums 4 are arranged between adjacent building modules.

[0050] 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.

[0051] 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.

[0052] 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.

[0053] In step three, the specifications of the channel ports connecting each building module to the outside world are consistent and recorded as standardized interface 3.

[0054] If the specifications of the channel openings are inconsistent, the design of the splicing between the building modules 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.

[0055] The central nurse station in the operating area is equipped with a monitoring and dispatching center, and the nurse stations of each grassroots module 1 are electrically connected to the monitoring and dispatching center.

[0056] 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. In general, it is preferred to allocate personnel and materials between adjacent grassroots modules 1 in the same building module.

[0057] In each base module 1, the maximum straight length of the clean corridor shall not exceed 35 meters.

[0058] 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.

[0059] 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 multi-core module hierarchical design method for large-scale intensive surgery area grouping, characterized by: The following steps are involved: Step 1: Designing a basic module (1), wherein the basic module (1) 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 (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 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 is a clean corridor, and the ring-shaped clean corridor is recorded as an interface corridor; Step 2: The base module (1) is assembled and filled in the same floor of each building assigned to the operating area, so that a building module is formed in each building, and the end of each clean corridor is located at the edge of the building module and leads to the dirty ladder; the interface corridor is provided with a buffer room near the clean ladder; Step 3: According to different surgical cycles, the surgical area is divided into multiple different partition modules. Each partition module contains multiple adjacent building modules. A connecting channel is designed to connect the building modules in the same partition module. In the building module, each base module (1) is arranged around a central traffic core (2), and the central traffic core (2) is provided with a plurality of clean ladders, each clean ladder being connected to an interface corridor of each base module (1) through the same buffer room; Each building module 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. According to claim 1, a multi-core module hierarchical design method for large-scale intensive surgical area grouping is characterized by: 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.

3. The multi-core module hierarchical design method for large-scale intensive surgical area grouping according to claim 1 is characterized by: In step 3, the specifications of the access openings connecting each building module to the outside world are consistent and recorded as standardized interfaces (3).

4. The multi-core module hierarchical design method for large-scale intensive surgical area grouping according to claim 1 is characterized by: 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.

5. The multi-core module hierarchical design method for large-scale intensive surgical area grouping according to claim 1 is characterized by: In each base module (1), the maximum straight length of the clean corridor shall not exceed 35 meters.

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