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
| Jul 15, 2013
Top Architecture/Engineering Firms [2013 Giants 300 Report]
Stantec, HOK, HDR top Building Design+Construction's 2013 ranking of the largest architecture/engineering firms in the United States.
| Jul 15, 2013
Top Architecture Firms [2013 Giants 300 Report]
Gensler, Perkins+Will, NBBJ top Building Design+Construction's 2013 ranking of the largest architecture firms in the United States.
| Jul 15, 2013
Zaha Hadid unveils plan for boutique condo development in New York
Related Companies taps the London-based architect for the 11-story 520 West 28th Street residential development adjacent to the High Line in Chelsea.
| Jul 12, 2013
12 award-winning healthcare projects [slideshow]
AIA's Academy of Architecture for Health announced the recipients of the 2013 AIA National Healthcare Design Awards.
| Jul 11, 2013
Bill to borrow more for college spending in Michigan criticized due to ‘higher-ed bubble’
An amendment to a Michigan appropriations budget authorizes an increase in state debt to pay for state university construction projects. But some experts see a “higher education bubble” on the horizon, and said more taxpayer debt for more buildings is a bad idea.
| Jul 11, 2013
Skanska exits U.S. Chamber of Commerce over LEED controversy
Skanska USA resigned from the U.S. Chamber of Commerce over the Chamber’s decision to support the American High-Performance Buildings Coalition.
| Jul 11, 2013
DOE releases stricter energy efficiency standards for new federal buildings taking effect in 2014
The Energy Department released stricter energy efficiency standards this month for new federal buildings.
| Jul 11, 2013
Pennsylvania legislators work on bill to update demolition codes following fatal building collapse
Pennsylvania lawmakers are working on a bill to update demolition codes, in the wake of a fatal building collapse in Philadelphia in June.
| Jul 11, 2013
Lawsuit challenges modular apartment project in New York City
A plan to build pre-fab apartment buildings at Atlantic Yards in Brooklyn, N.Y., has been challenged by a lawsuit filed by the Plumbing Foundation in Manhattan Supreme Court.