{"id":3306,"date":"2020-11-24T16:13:29","date_gmt":"2020-11-24T16:13:29","guid":{"rendered":"\/?p=3306"},"modified":"2023-09-12T21:29:49","modified_gmt":"2023-09-12T21:29:49","slug":"modular-healthcare-facilities-more-than-just-temporary-buildings","status":"publish","type":"post","link":"https:\/\/www.vanguardhealthcare.co.uk\/cs_cz\/modular-healthcare-facilities-more-than-just-temporary-buildings\/","title":{"rendered":"Modul\u00e1rn\u00ed zdravotnick\u00e1 za\u0159\u00edzen\u00ed: v\u00edce ne\u017e jen do\u010dasn\u00e9 budovy"},"content":{"rendered":"

I kdy\u017e modul\u00e1rn\u00ed za\u0159\u00edzen\u00ed \u010dasto poskytuj\u00ed odpov\u011b\u010f na do\u010dasn\u00fd probl\u00e9m, kter\u00fd vy\u017eaduje rychl\u00e9 vy\u0159e\u0161en\u00ed, neznamen\u00e1 to, \u017ee \u0159e\u0161en\u00ed mus\u00ed b\u00fdt kr\u00e1tkodob\u00e9.<\/p>\n

Modul\u00e1rn\u00ed budova m\u016f\u017ee b\u00fdt tak\u00e9 pou\u017eita k pilotov\u00e1n\u00ed nov\u00fdch chirurgick\u00fdch metod poskytov\u00e1n\u00ed p\u00e9\u010de, nov\u00fdch model\u016f poskytov\u00e1n\u00ed p\u00e9\u010de nebo nov\u00e9 technologie a vybaven\u00ed bez rizika pro st\u00e1vaj\u00edc\u00ed rutiny a m\u016f\u017ee tak\u00e9 umo\u017enit poskytovatel\u016fm zdravotn\u00ed p\u00e9\u010de poskytovat komunitn\u00ed diagnostiku a p\u00e9\u010di mimo akutn\u00ed nemocni\u010dn\u00ed prost\u0159ed\u00ed. . To z nich d\u011bl\u00e1 potenci\u00e1ln\u011b z\u00e1kladn\u00ed prvek pl\u00e1novan\u00fdch komunitn\u00edch diagnostick\u00fdch center.<\/p>\n

Pro\u010d pou\u017e\u00edvat modul\u00e1rn\u00ed za\u0159\u00edzen\u00ed?<\/strong><\/p>\n

\u010cast\u00fdm d\u016fvodem pro zprovozn\u011bn\u00ed do\u010dasn\u00e9ho \u0159e\u0161en\u00ed je nedostate\u010dn\u00e1 kapacita nebo prudk\u00fd n\u00e1r\u016fst popt\u00e1vky v d\u016fsledku sez\u00f3nn\u00edch tlak\u016f nebo jin\u00e9ho do\u010dasn\u00e9ho d\u016fvodu, kter\u00fd m\u016f\u017ee p\u0159edstavovat riziko ohro\u017een\u00ed standard\u016f p\u00e9\u010de a nespokojenosti pacient\u016f.<\/p>\n

Pot\u0159eba udr\u017eovat vysok\u00e9 standardy p\u00e9\u010de o pacienty, dodr\u017eov\u00e1n\u00ed p\u0159edpis\u016f a bezpe\u010dnost b\u011bhem projektu renovace nebo rekonfigurace slu\u017eeb nebo b\u011bhem nep\u0159edv\u00eddan\u00e9 ud\u00e1losti, jako je Covid-19, je dal\u0161\u00edm d\u016fvodem, pro\u010d m\u016f\u017ee b\u00fdt zapot\u0159eb\u00ed dal\u0161\u00ed zdravotnick\u00e1 infrastruktura.<\/p>\n

Nen\u00ed to v\u0161ak v\u0161echno o schopnosti reagovat na nal\u00e9havou pot\u0159ebu nebo krizi; do\u010dasn\u00e1 zdravotnick\u00e1 za\u0159\u00edzen\u00ed jsou rovn\u011b\u017e nezbytnou sou\u010d\u00e1st\u00ed strategick\u00fdch pl\u00e1n\u016f. A\u010dkoli samotn\u00e1 povaha mimo\u0159\u00e1dn\u00fdch ud\u00e1lost\u00ed znamen\u00e1, \u017ee jsou nep\u0159edv\u00eddateln\u00e9, pl\u00e1nov\u00e1n\u00ed pro r\u016fzn\u00e9 sc\u00e9n\u00e1\u0159e pomoc\u00ed flexibiln\u00edch a adaptabiln\u00edch \u0159e\u0161en\u00ed je z\u00e1sadn\u00ed.<\/p>\n

P\u0159id\u00e1n\u00ed kapacity<\/strong><\/p>\n

Kdykoli se \u010dekac\u00ed doby prodlou\u017e\u00ed kv\u016fli do\u010dasn\u00e9mu poklesu aktivity z jak\u00e9hokoli d\u016fvodu \u2013 jako je ned\u00e1vn\u00e9 pozastaven\u00ed v\u0161ech neurgentn\u00edch operac\u00ed v mnoha zem\u00edch po vypuknut\u00ed Covid-19 \u2013 modul\u00e1rn\u00ed za\u0159\u00edzen\u00ed m\u016f\u017ee p\u0159idat tolik pot\u0159ebnou extra kapacitu.<\/p>\n

I kdy\u017e se slu\u017eba obnov\u00ed na norm\u00e1ln\u00ed \u00farove\u0148, m\u016f\u017ee b\u00fdt obt\u00ed\u017en\u00e9 dostat se na vrchol po\u0159adn\u00edk\u016f. Abych pou\u017eil p\u0159\u00edklad ze sou\u010dasn\u00e9 pandemie; pot\u0159eba zachovat v\u00fdznamnou kapacitu v australsk\u00fdch nemocnic\u00edch pro potenci\u00e1ln\u00ed p\u0159\u00edliv pacient\u016f s Covid-19 znamenala, \u017ee poskytovatel\u00e9 v n\u011bkter\u00fdch st\u00e1tech dostali p\u0159\u00edkaz omezit elektivn\u00ed operaci na 50% nebo 75% p\u0159edchoz\u00ed kapacity s\u00e1lu. Do\u010dasn\u00e9 modul\u00e1rn\u00ed zdravotnick\u00e9 za\u0159\u00edzen\u00ed by mohlo p\u0159idat dostate\u010dnou kapacitu, aby se to vr\u00e1tilo na 100% nebo dokonce nad tuto \u00farove\u0148.<\/p>\n

Do\u010dasn\u00e9 a semipermanentn\u00ed samostatn\u00e9 opera\u010dn\u00ed s\u00e1ly<\/a> lze velmi rychle nastavit a p\u0159ipojit k hlavn\u00ed nemocnici. Modul\u00e1rn\u00ed s\u00e1ly, vybaven\u00e9 klimatiza\u010dn\u00edmi syst\u00e9my, kter\u00e9 umo\u017e\u0148uj\u00ed variabiln\u00ed zvlh\u010dov\u00e1n\u00ed, zahrnuj\u00ed tak\u00e9 IPS, UPS, integrovan\u00fd vodn\u00ed syst\u00e9m a banku medicin\u00e1ln\u00edch plyn\u016f, vakuov\u00e9 a \u010distic\u00ed syst\u00e9my a syst\u00e9m kontroly prost\u0159ed\u00ed zaji\u0161\u0165uj\u00edc\u00ed v\u017edy optim\u00e1ln\u00ed teplotu, vlhkost a hygienu.<\/p>\n

B\u011bhem pandemie se tak\u00e9 z\u0159izuj\u00ed zcela samostatn\u00e1, takzvan\u00e1 \u201estuden\u00e1\u201c m\u00edsta pro chirurgii pomoc\u00ed modul\u00e1rn\u00ed infrastruktury. Kombinac\u00ed opera\u010dn\u00edho s\u00e1lu a nemocni\u010dn\u00edho odd\u011blen\u00ed lze vytvo\u0159it n\u00e1v\u0161t\u011bvn\u00ed nemocnici, kter\u00e1 poskytuje kompletn\u00ed klinick\u00e9 prost\u0159ed\u00ed v\u010detn\u011b anesteziologick\u00e9 m\u00edstnosti, \u010dist\u00edc\u00edch a regenera\u010dn\u00edch prostor, \u010dist\u00fdch a \u0161pinav\u00fdch u\u017eitkov\u00fdch prostor, recepce\/stanice sester, \u010dek\u00e1rny, odd\u011blen\u00ed a WC. .<\/p>\n

Uklidn\u011bn\u00ed pacient\u016f<\/strong><\/p>\n

Modul\u00e1rn\u00ed odd\u011blen\u00ed se b\u011bhem pandemie vyu\u017e\u00edvaj\u00ed nejen k z\u00e1sobov\u00e1n\u00ed dal\u0161\u00edch nemocni\u010dn\u00edch l\u016f\u017eek, ale tak\u00e9 k dodate\u010dn\u00e9mu zaji\u0161t\u011bn\u00ed pacient\u016f. Tak tomu bylo ve V\u0161eobecn\u00e9 nemocnici Kettering ve Spojen\u00e9m kr\u00e1lovstv\u00ed, kter\u00e1 zadala a modul\u00e1rn\u00ed odd\u011blen\u00ed<\/a> na za\u010d\u00e1tku pandemie poskytnout z\u00f3nu bez Covid.<\/p>\n

Modul\u00e1rn\u00ed odd\u011blen\u00ed s 18 l\u016f\u017eky poskytuje nemocnici do\u010dasnou dodate\u010dnou l\u016f\u017ekovou kapacitu pro pacienty bez onemocn\u011bn\u00ed Covid a z\u00e1rove\u0148 nab\u00edz\u00ed jistotu pro rizikov\u00e9 pacienty, kte\u0159\u00ed se mohli b\u011bhem pandemie ob\u00e1vat n\u00e1v\u0161t\u011bvy nemocnice. Za\u0159\u00edzen\u00ed z\u016fstane na m\u00edst\u011b po po\u010d\u00e1te\u010dn\u00ed obdob\u00ed 6 m\u011bs\u00edc\u016f, co\u017e znamen\u00e1, \u017ee kapacita Covid-19 m\u016f\u017ee b\u00fdt v nemocnici zachov\u00e1na v p\u0159\u00edpad\u011b druh\u00e9 vlny.<\/p>\n

Moduly byly postaveny mimo staveni\u0161t\u011b Mlad\u00fd l\u00e9ka\u0159<\/a>, specializovan\u00e1 modul\u00e1rn\u00ed dce\u0159in\u00e1 spole\u010dnost Vanguard, a samostatn\u00e9 odd\u011blen\u00ed odd\u011blen\u00ed bylo dokon\u010deno b\u011bhem pouh\u00fdch p\u011bti t\u00fddn\u016f, a to navzdory omezen\u00edm ulo\u017een\u00fdm protokolem o uzam\u010den\u00ed, kter\u00fd v t\u00e9 dob\u011b platil.<\/p>\n

Poskytov\u00e1n\u00ed nov\u00fdch model\u016f p\u00e9\u010de<\/strong><\/p>\n

K poskytov\u00e1n\u00ed pln\u011b integrovan\u00e9 komunitn\u00ed zdravotn\u00ed p\u00e9\u010de je nutn\u00e1 flexibilita. Modul\u00e1rn\u00ed ambulance m\u016f\u017ee nab\u00eddnout mo\u017enost pe\u010dovat a zpracov\u00e1vat ambulantn\u00ed pacienty v srdci jejich vlastn\u00edch komunit, a to bu\u010f pr\u016fb\u011b\u017en\u011b, nebo v r\u00e1mci specifick\u00e9ho programu.<\/p>\n

Pokud jde o poskytov\u00e1n\u00ed zdravotn\u00edch slu\u017eeb, jedn\u00edm z koncept\u016f, kter\u00fd je \u0161iroce implementov\u00e1n v oblastech, kde jsou \u00farazov\u00e1 a pohotovostn\u00ed odd\u011blen\u00ed pod zvl\u00e1\u0161tn\u00edm tlakem, je odd\u011blen\u00ed urgentn\u00edch p\u0159\u00edpad\u016f od pacient\u016f s m\u00e9n\u011b z\u00e1va\u017en\u00fdmi zran\u011bn\u00edmi nebo onemocn\u011bn\u00edmi, a to bu\u010f do\u010dasn\u011b, nebo trvaleji. ke zlep\u0161en\u00ed toku pacient\u016f.<\/p>\n

Aby bylo mo\u017en\u00e9 slu\u017ebu efektivn\u011b p\u0159ekonfigurovat, je \u010dasto nutn\u00e9 upravit budovy a za\u0159\u00edzen\u00ed. Z\u0159\u00edzen\u00ed do\u010dasn\u00e9ho modul\u00e1rn\u00edho za\u0159\u00edzen\u00ed m\u016f\u017ee nemocnic\u00edm umo\u017enit otestovat sc\u00e9n\u00e1\u0159e p\u0159edt\u00edm, ne\u017e investuj\u00ed zna\u010dn\u00e9 mno\u017estv\u00ed pen\u011bz do nov\u00e9 nebo p\u0159ed\u011blan\u00e9 trval\u00e9 budovy.<\/p>\n

Umo\u017e\u0148uje rychlou reakci<\/strong><\/p>\n

Do\u010dasn\u00e1 zdravotnick\u00e1 za\u0159\u00edzen\u00ed mohou tak\u00e9 umo\u017enit nemocnic\u00edm rychleji reagovat na krizi nebo mimo\u0159\u00e1dn\u00e9 ud\u00e1losti. Jedn\u00edm z nejnov\u011bj\u0161\u00edch p\u0159\u00edklad\u016f jsou prioritn\u00ed vyhodnocovac\u00ed prostory nebo izola\u010dn\u00ed moduly, vytvo\u0159en\u00e9 se z\u00e1m\u011brem zabr\u00e1nit tomu, aby se pacienti s podez\u0159en\u00edm na Covid-19, kte\u0159\u00ed doraz\u00ed do nemocnice, m\u00edsili se zraniteln\u00fdmi pacienty. V mnoha p\u0159\u00edpadech nemocnice tak\u00e9 nal\u00e9hav\u011b pot\u0159ebovaly dal\u0161\u00ed prostor pro ubytov\u00e1n\u00ed person\u00e1lu a \u0161atny.<\/p>\n

Modul\u00e1rn\u00ed jednotky, jako jsou tyto, mohou z\u016fstat zapnut\u00e9 po neomezenou dobu a mohou b\u00fdt p\u0159esunuty, p\u0159em\u011bn\u011bny nebo vr\u00e1ceny, kdy\u017e ji\u017e nejsou pot\u0159eba. Ale modul\u00e1rn\u00ed za\u0159\u00edzen\u00ed jsou \u010dasto navr\u017eena tak, aby byla na m\u00edst\u011b mnohem d\u00e9le.<\/p>\n

Zaji\u0161t\u011bn\u00ed nep\u0159etr\u017eit\u00e9 p\u00e9\u010de<\/strong><\/p>\n

M\u00e9n\u011b dramatick\u00fdm, ale \u010dast\u011bj\u0161\u00edm d\u016fvodem pro pou\u017eit\u00ed modul\u00e1rn\u00edho syst\u00e9mu je pot\u0159eba minimalizovat naru\u0161en\u00ed zdravotnick\u00fdch slu\u017eeb b\u011bhem rekonfigurace odd\u011blen\u00ed nebo programu rekonstrukc\u00ed. Tam, kde prob\u00edh\u00e1 velk\u00fd projekt, m\u016f\u017ee dokonce vzniknout pot\u0159eba semipermanentn\u00ed budovy na m\u00edru.<\/p>\n

To byl p\u0159\u00edpad pro Fakultn\u00ed nemocnice Sk\u00e5ne<\/a> (SUS) v Malm\u00f6, kde v sou\u010dasnosti prob\u00edh\u00e1 velk\u00fd stavebn\u00ed program, jeho\u017e dokon\u010den\u00ed se odhaduje na sedm a\u017e deset let. Nemocnice je t\u0159et\u00ed nejv\u011bt\u0161\u00ed ve \u0160v\u00e9dsku a p\u0159edstavuje jedno ze dvou n\u00e1rodn\u00edch center kardio-hrudn\u00ed chirurgie.<\/p>\n

B\u011bhem stavby vyvstala nal\u00e9hav\u00e1 pot\u0159eba zv\u00fd\u0161it kapacitu pro prov\u00e1d\u011bn\u00ed vysoce rizikov\u00fdch ortopedick\u00fdch v\u00fdkon\u016f a veden\u00ed nemocnice cht\u011blo do\u010dasn\u00e9 \u0159e\u0161en\u00ed, kter\u00e9 by bylo rychle implementovateln\u00e9 a z\u00e1rove\u0148 dostate\u010dn\u011b robustn\u00ed, aby zaplnilo mezeru do dokon\u010den\u00ed nov\u00e9 budovy.<\/p>\n

Young Medical poskytl nemocnici komplex opera\u010dn\u00edho s\u00e1lu o rozloze 324 m2 podle p\u0159\u00edsn\u00fdch po\u017eadavk\u016f, v\u010detn\u011b syst\u00e9mu ultra\u010dist\u00e9ho vzduchu, nejnov\u011bj\u0161\u00edch chirurgick\u00fdch sv\u011btel a syst\u00e9mu spr\u00e1vy budov na m\u00edru. Provizorn\u00ed za\u0159\u00edzen\u00ed m\u011blo b\u00fdt integrov\u00e1no se st\u00e1vaj\u00edc\u00edm odd\u011blen\u00edm opera\u010dn\u00edho s\u00e1lu ve t\u0159et\u00edm pat\u0159e nemocnice, aby bylo zaji\u0161t\u011bno bezprobl\u00e9mov\u00e9 roz\u0161\u00ed\u0159en\u00ed, n\u011bco, co zahrnovalo precizn\u011b zpracovanou ocelovou konstrukci, kter\u00e1 byla upevn\u011bna p\u0159esn\u011b ve stejn\u00e9 v\u00fd\u0161ce jako st\u00e1vaj\u00edc\u00ed za\u0159\u00edzen\u00ed.<\/p>\n

Cel\u00fd projekt byl dokon\u010den za pouh\u00fdch 10 m\u011bs\u00edc\u016f od za\u010d\u00e1tku do konce a p\u0159i uveden\u00ed do provozu jako do\u010dasn\u00e9 za\u0159\u00edzen\u00ed je komplex navr\u017een tak, aby nemocnici slou\u017eil po dobu a\u017e deseti let.<\/p>\n

V\u00edce ne\u017e jen do\u010dasn\u00e1 stavba<\/strong><\/p>\n

Pou\u017eit\u00ed modul\u00e1rn\u00edch stavebn\u00edch technik a objemov\u00fdch budov ve zdravotnictv\u00ed nen\u00ed novinkou; extern\u00ed v\u00fdrobci dod\u00e1vaj\u00ed zdravotnick\u00e9 budovy ji\u017e mnoho let. Nicm\u00e9n\u011b, modul\u00e1rn\u00ed je \u010dasto vid\u011bn jako jen ' krabice ' nebo ' shell '; kr\u00e1tkodob\u00e9 \u0159e\u0161en\u00ed, kter\u00e9 je nezbytn\u00e9, ale z\u00e1kladn\u00ed a kter\u00e9 m\u016f\u017ee vypadat nevzhledn\u011b.<\/p>\n

B\u011bhem posledn\u00edho desetilet\u00ed se modul\u00e1rn\u00ed koncepce posunula a lze dos\u00e1hnout \u0159ady r\u016fzn\u00fdch \u0159e\u0161en\u00ed; od z\u00e1kladn\u00edho kontejnerov\u00e9ho konceptu a\u017e po zak\u00e1zkov\u00e1 sofistikovan\u00e1 za\u0159\u00edzen\u00ed s pln\u011b vybaven\u00fdmi opera\u010dn\u00edmi s\u00e1ly, kter\u00e9 lze v p\u0159\u00edpad\u011b pot\u0159eby integrovat do vlastn\u00ed infrastruktury st\u00e1vaj\u00edc\u00ed nemocnice.<\/p>\n

Modul\u00e1rn\u00ed \u0159e\u0161en\u00ed nemus\u00ed b\u00fdt do\u010dasn\u00e1; je mo\u017en\u00e9 nechat postavit trvalou p\u0159\u00edstavbu ke st\u00e1vaj\u00edc\u00ed nemocnici zcela pomoc\u00ed modul\u00e1rn\u00ed koncepce a navr\u017eenou tak, aby hladce zapadla se zbytkem budovy.<\/p>\n

Mobilizace flexibiln\u00ed infrastruktury m\u016f\u017ee podpo\u0159it nemocnice v; udr\u017eov\u00e1n\u00ed kontroly nad cestou pacienta, p\u0159edch\u00e1zen\u00ed provozn\u00edm prostoj\u016fm, zkr\u00e1cen\u00ed \u010dasov\u00fdch pl\u00e1n\u016f v\u00fdstavby a rekonstrukce a usnadn\u011bn\u00ed nep\u0159etr\u017eit\u00e9 p\u00e9\u010de o pacienty. Modul\u00e1rn\u00ed \u0159e\u0161en\u00ed je tak\u00e9 obvykle mnohem rychlej\u0161\u00ed na implementaci, m\u016f\u017ee p\u0159in\u00e9st \u00fasporu n\u00e1klad\u016f a poskytuje udr\u017eiteln\u011bj\u0161\u00ed mo\u017enost ve srovn\u00e1n\u00ed s tradi\u010dn\u011b postavenou zdravotnickou budovou.<\/p>","protected":false},"excerpt":{"rendered":"

I kdy\u017e modul\u00e1rn\u00ed za\u0159\u00edzen\u00ed \u010dasto poskytuj\u00ed odpov\u011b\u010f na do\u010dasn\u00fd probl\u00e9m, kter\u00fd vy\u017eaduje rychl\u00e9 vy\u0159e\u0161en\u00ed, neznamen\u00e1 to, \u017ee \u0159e\u0161en\u00ed mus\u00ed b\u00fdt kr\u00e1tkodob\u00e9.<\/p>","protected":false},"author":1,"featured_media":1370,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2,115],"tags":[4,122,138],"class_list":["post-3306","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-products-and-services","tag-modular","tag-operating-theatre","tag-ward"],"acf":[],"yoast_head":"\nModular healthcare facilities: more than just temporary buildings - Vanguard Healthcare Solutions<\/title>\n<meta name=\"description\" content=\"Modular healthcare facilities often provide a quick resolution temporary issue. 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