A Prospective Approach On Emergency Service Design in Hospitals // Hastane Acil Servis Tasarımda Öngörülü Yaklaşım

Looking at the scale of our country, the emergency service units, it is observed that the problems are not sufficiently taken into consideration and the unforeseen planning is made without considering the priorities of the personnel. It is an undeniable fact that this process causes disadvantages in terms of time, energy, economy, etc. and therefore decreases the work efficiency of health personnel. According to two studies conducted in the United States, unqualified emergency department designs represent a major obstacle to patient care of emergency personnel. On the other hand, in another study, it was stated that the correctly designed emergency department provides faster patient care and reduces the loss of labor of the personnel of the unit due to the deficiencies of the architectural structure. For this reason, it is important to question how health services are affected by the design of emergency rooms through the existing examples. In this context, the action areas and circulation areas of Trabzon “Fatih State Hospital” and “Kanuni Education and Research Hospital” emergency services units, which were selected as the study area, were examined in this context. For this purpose, data were gathered with “Interview with personnel” and “Space Syntax” techniques and the findings were compared with each other. As a result, it has been seen that the basic assumption of the study stating that handling spatial organization not according to the priorities of healthcare crew, that activity areas do not establish correct relations with each other, that the equipment placement does not sufficiently support the basic activity of the space negatively affect the service quality in both activity areas and also in circulation areas is supported. Ülkemiz ölçeğinde bakıldığında acil servis birimlerinde, kullanım sürecinde yaşanabilecek problemler yeterince dikkate alınmayarak ve personelin öncelikleri göz önünde bulundurulmayarak öngörüsüz planlamalar yapıldığı görülmektedir. Dolayısı ile bu birimler bazen süreç içerisinde bazen de hizmete açılmadan tadil edilmektedir. Bu durumun, sağlık personelinin hizmet kalitesini azalttığı, yadsınamaz bir gerçektir. Amerika’da yapılan iki araştırmaya göre niteliksiz acil servis tasarımlarının, acil servis personelinin hasta bakımı konusunda büyük bir engel oluşturduğu belirtilmiştir. Diğer taraftan bir başka çalışmada, doğru bir şekilde tasarlanmış olan acil servisin, daha hızlı hasta bakımı sağlamakla birlikte, birim personelinin