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
| Sep 7, 2014
Ranked: Top state government sector AEC firms [2014 Giants 300 Report]
PCL Construction, Stantec, and AECOM head BD+C's rankings of the nation's largest state government design and construction firms, as reported in the 2014 Giants 300 Report.
| Sep 7, 2014
Hybrid healthcare: Revamping inefficient inpatient units to revenue-producing outpatient care
It's happening at community hospitals all over America: leadership teams are looking for ways to maintain margins by managing underutilized and non-revenue producing space. GS&P's David Magner explores nontraditional healthcare models.
| Sep 7, 2014
USGBC + American Chemistry Council: Unlikely partners in green building
In this new partnership, LEED will benefit from the materials expertise of ACC and its member companies. We believe this has the potential to be transformational, writes Skanska USA's President and CEO Michael McNally.
| Sep 7, 2014
Behind the scenes of integrated project delivery — successful tools and applications
The underlying variables and tools used to manage collaboration between teams is ultimately the driving for success with IPD, writes CBRE Healthcare's Megan Donham.
| Sep 7, 2014
Ranked: Top military sector AEC firms [2014 Giants 300 Report]
Balfour Beatty, Fluor, and HDR top BD+C's rankings of the nation's largest military sector design and construction firms, as reported in the 2014 Giants 300 Report.
| Sep 5, 2014
First Look: Zaha Hadid's Grace on Coronation towers in Australia
Zaha Hadid's latest project in Australia is a complex of three, tapered residential high-rises that have expansive grounds to provide the surrounding community unobstructed views and access to the town's waterfront.
| Sep 4, 2014
Ranked: Top courthouse sector AEC firms [2014 Giants 300 Report]
Fentress Architects, Tutor Perini, and AECOM top BD+C's rankings of design and construction firms with the most revenue from courthouse facilities, as reported in the 2014 Giants 300 Report.
| Sep 4, 2014
Hospital CEOs, architects sound off on state of healthcare design
Healthcare construction will continue to feel the effects of radical changes in the delivery of care, according to healthcare leaders attending the annual Summer Leadership Summit of the American College of Healthcare Architects and the AIA Academy of Architecture for Health.
| Sep 4, 2014
Best of education design: 11 projects win AIA CAE architecture awards [slideshow]
The CAE Design Excellence Award honors educational facilities that the jury believes should serve as an example of a superb place in which to learn. Projects range from a design school in Maryland to an elementary school in Washington.
Sponsored | | Sep 4, 2014
Learning by design: Steel curtain wall system blends two school campuses
In this the new facility, middle school and high school classroom wings flank either side of the auditorium and media center. A sleek, glass-and-steel curtain wall joins them together, creating an efficient, shared space. SPONSORED CONTENT