Challenges of the next generation hospitals: Rethinking the Emergency Department


Published: 27 September 2022
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Authors

  • Ivo Casagranda Academy of Emergency Medicine and Care (AcEMC), Pavia, Italy.
  • Marco Gola Design and Health Lab, Department of Architecture, Built environment and Construction engineering (ABC), Politecnico di Milano, Italy.
  • Andrea Bellone Academy of Emergency Medicine and Care (AcEMC), Pavia, Italy.
  • Daniele Coen Academy of Emergency Medicine and Care (AcEMC), Pavia, Italy.
  • Andrea Brambilla Design and Health Lab, Department of Architecture, Built environment and Construction engineering (ABC), Politecnico di Milano, Italy.
  • Grazia Guiddo Academy of Emergency Medicine and Care (AcEMC), Pavia, Italy.
  • Ciro Paolillo Academy of Emergency Medicine and Care (AcEMC), Pavia, Italy.
  • Roberto Lerza Academy of Emergency Medicine and Care (AcEMC), Pavia, Italy.
  • Stefano Capolongo Design and Health Lab, Department of Architecture, Built environment and Construction engineering (ABC), Politecnico di Milano, Italy.
  • Stefano Boeri Triennale Milano, Italy.

The COVID 19 outbreak dramatically highlighted the inadequacy of the Emergency Department (ED) settings in dealing with events that can acutely affect a wide range of population. The immediate urgency to create strictly distinct pathways became also a strategic aspect for reducing possible sources of contagion inside the hospital.1 This need has often clashed with inadequate structural conditions of the hospital: in fact, the rigidity of many EDs is due to the hospital typology and its localization (affected by functional program);2,3 and it prevents them from being quickly adapted to new needs in the case of maxi-emergencies.4 In several recent international projects, the presence of a multifunctional space and/or a buffer area guarantees different scenarios in relation to the healthcare/emergency needs.[...]


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Casagranda, I., Gola, M., Bellone, A., Coen, D., Brambilla, A., Guiddo, G., Paolillo, C., Lerza, R., Capolongo, S. ., & Boeri, S. (2022). Challenges of the next generation hospitals: Rethinking the Emergency Department . Emergency Care Journal, 18(3). https://doi.org/10.4081/ecj.2022.10840

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