| The intra-operative MRI system at the United Hospital Nasseff Neuroscience Center in St. Paul, Minn., will allow neurosurgeons to perform real-time MRI scans during operations to confirm that all cancerous tissue is removed during procedures. |
11. Operating Room-Integrated MRI will Help Neurosurgeons Get it Right the First Time
A major limitation of traditional brain cancer surgery is the lack of scanning capability in the operating room. Neurosurgeons do their best to visually identify and remove the cancerous tissue, but only an MRI scan will confirm if the operation was a complete success or not. Consequently, patients must be stitched up and wheeled into the MRI room for further scans. If cancer is still present, further surgery is often required.
To avoid putting its patients through this painful cycle of surgeries and scans, the United Hospital Nasseff Neuroscience Center in St. Paul, Minn., is collaborating with HDR Architecture on an intra-operative MRI system. This "MRI on a track" will be able to move between two operating rooms and spin in any direction, allowing neurosurgeons to perform real-time MRI scans during operations.
"The neurosurgeon can use the intra-operative MRI to confirm that the entire tumor was removed before closing, thus reducing the need for additional operations," says Douglas S. Wignall, AIA, RAIC, international healthcare director with HDR Architecture, Omaha, Neb. In addition, Wignall says the mobility of the system allows the neurosurgeon to update images quickly and efficiently so that surgical adjustments and decisions can be made with pinpoint accuracy.
"This is one example of how architecture can help save lives," says Wignall.
| The new SYNC modular nursing station line from Nurture by Steelcase is designed to accommodate both centralized and decentralized spaces. |
12. Nursing Stations Go Modular
Modular nursing stations are designed to accommodate virtually any healthcare environment, whether for centralized or decentralized spaces, standard or high-tech facilities, or new or retrofit projects. HDR Architecture collaborated with Nurture by Steelcase on the SYNC line, which was inspired by the way people fit in cockpits and automobiles. It accommodates multiple users, heights, and movements.
The centralized solution is offered in three fixed heights—28½, 36, and 42 inches—to provide seated, service counter, and standing solutions. Widths are available in one-foot increments from five to nine feet, and integrated monitor arms have 160-degree adjustability for sharing information between caregivers. The product sits elevated off the floor, creating a light, minimalistic look.
The decentralized products provide height-adjustable (23 to 48 inches), fixed, or combination surfaces in eight shapes. Two-person configurations allow each work surfa
ce to be adjusted individually.
| A. Secondary MOB. B. MOB. C. Hospital. D. Nursing units. E. Signature entry rotunda. F. Future construction, including hospital expansion, additional MOB, clinic, and parking. G. Future helipad. |
13. Template Helps Hospitals Open Quickly and Efficiently
Faced with the unprecedented task of having to replace half its California hospital beds by 2015, Oakland, Calif.-based Kaiser Permanente, the nation's largest nonprofit HMO, enlisted SmithGroup and Chong Partners Architecture (now Stantec Architecture) to collaborate on the design of a new hospital template—a state-of-the-art, prototypical hospital that could be built on many different sites with only minimal changes to the basic concept for quick and efficient construction.
Luckily, the team wasn't starting from scratch. Over the years Kaiser had developed best-practices templates for emergency departments, patient rooms, and other individual clinical spaces and those pieces were combined into a single configuration for an entire hospital. The resulting template consists of common planning concepts, floor plans, equipment and furnishings, and structural and building systems. Exterior skins and colors vary from site to site. So far Kaiser has built five hospitals using the template, which shaved 15 to 18 months off its typical new hospital timeline.
Related Stories
| Dec 28, 2014
10 key design interventions for a healthier, happier, and more productive workplace
Numerous studies and mountains of evidence confirm what common sense has long suggested: healthy, happier workers are more productive, more likely to collaborate with colleagues, and more likely to innovate in ways that benefit the bottom line, writes Gensler's Kirsten Ritchie.
| Dec 28, 2014
7 fresh retail design strategies
Generic ‘boxes’ and indifferent service won’t cut it with today’s savvy shoppers. Retailers are seeking a technology-rich-but-handmade vibe, plus greater speed to market and adaptability.
| Dec 28, 2014
Workplace design trends: Make way for the Millennials
Driven by changing work styles, mobile technology, and the growing presence of Millennials, today’s workplaces are changing, mostly for the better. We examine the top office design trends.
| Dec 28, 2014
AIA: Commercial glass façade and door systems
When it comes to selecting fenestration systems—particularly glass facades and door systems—a number of factors come into play, requiring a thorough evaluation of a project’s individual requirements.
| Dec 28, 2014
10 essential habits of successful architects
Want to take the next step as a design processional? John Gresko, Senior Project Architect with HDR, explores the traits that many great architects possess.
| Dec 28, 2014
10 unglamorous things architects do
An acquaintance recently asked me about the kinds of things I did on a day-to-day basis at work, anticipating a response loaded with enviable activities. She was wrong, writes HDR's John Gresko.
| Dec 28, 2014
New trends in ceiling designs and materials [AIA course]
A broad array of new and improved ceiling products offers designers everything from superior acoustics and closed-loop, recycled content to eased integration with lighting systems, HVAC diffusers, fire sprinkler heads, and other overhead problems. This course describes how Building Teams are exploring ways to go beyond the treatment of ceilings as white, monolithic planes.
| Dec 27, 2014
7 ways to enhance workplace mobility
The open work environment has allowed owners to house more employees in smaller spaces, minimizing the required real estate and capital costs. But, what about all of their wireless devices?
| Dec 27, 2014
'Core-first' construction technique cuts costs, saves time on NYC high-rise project
When Plaza Construction first introduced the concept of "core first" in managing the construction of a major office building, the procedure of pouring concrete prior to erecting a steel frame had never been done in New York City.
| Dec 23, 2014
5 tech trends transforming BIM/VDC
From energy modeling on the fly to prefabrication of building systems, these advancements are potential game changers for AEC firms that are serious about building information modeling.
