Operating Room Renovation Project Management: A Case Study of A Joint Commission International (JCI) Accredited Private Hospital
Keywords:
Construction Management, Building Renovation, Operating Room, Hospital, Joint Commission International (JCI)Abstract
Thananat Kitsirichawanan
Master of Science in Construction Project Management, Faculty of Architecture, Silpakorn University
Darunee Mongkolsawat
Faculty of Architecture, Silpakorn University
The objective of this research is to propose guidelines for improving operating room renovation project management to compliance with the Joint Commissioning International (JCI) standard. The research was conducted through interviewing 15 key informants (Project Development, Health Safety Environment and Infection Control Management, Operating Room, Engineering Services and Maintenance, Medical Equipment, Property Security, and Environmental Services) in a selected hospital. Based on the interviews, major problems in pre-, during, and post-construction phases were in these five categories: 1) Laws, regulations, and facility inspection requirements 2) Staff education 3) Safety and security 4) Organizing, and 5) Controlling. In order to reduce aforementioned problems, the following processes were recommended: develop and update the database of the hospital facilities especially as-built drawings regularly; develop explicit standards/procedures for hospital’s renovation projects; arrange a meeting with contractors to inform relevant standards and specific project requirements before bidding and contractor selection process; and arrange daily/weekly meetings during the whole construction process in order to set up plans and problem solutions and to develop effective communication between departments.
References
- Balm, M. N., Jureen, R., Teo, C., Yeoh, A. E., Lin, R., Dancer, S. J., & Fisher, D., (2012). “Hot and steamy: outbreak of Bacillus cereus in Singapore associated with con struction work and laundry practices”. in Journal of Hospital Infection, 81(4), 224-230.
- Boix-Palop, L., Nicolás, C., Xercavins, M., Riera, M., Prim, N., Freixas, N., Pérez, J., & Calbo, E., (2017). “Bacillus species pseudo-outbreak: construction works and collateral damage”. in Journal of Hospital Infection, 95(1), 118-122. Retrieved from http://www.sciencedirect.com/science/article/pii/S0195670116304492.doi:https://doi.org/10.1016/j.jhin.2016.10.013.
- Campbell, J. R., Hulten, K., & Baker, C. J., (2011). “Cluster of Bacillus species bacteremia cases in neonates during a hospital construction project”. in Infection Control & Hospital Epidemiology, 32(10), 1035-1038.
- Chachai, A., (2009). Naew Tang Karn Borihan Jud-karn Pue Lod Pon-kra-tob Ra-wang Karn Kor-sang Kae Pu-chai-soi Ar-karn Kang-keang: Koranee Suksa A-karn Tee Kor-sang Nai Rong-pa-ya-barn Rat. (In Thai) [Guidelines of Management to Reduce the Impacts during Construction Process: Case Healthcare Buildings]. (Master of Architecture), BKK: Chulalongkorn University,
- Chiradamkoeng, W., (2009). Karn Borihan Ngarn Kor-sang. (In Thai) [Construction Management]. BKK: Wankawee.
- Combariza, J., Toro, L., & Orozco, J., (2017). “Effectiveness of environmental control measures to decrease the risk of invasive aspergillosis in acute leukaemia patients during hospital building work”. in Journal of Hospital Infection, 96(4), 336-341.
- Fournel, I., Sautour, M., Lafon, I., Sixt, N., L’Ollivier, C., Dalle, F., Chavanet, P., Couillaud, G., Caillot, D., & Astruc, K., (2010). “Airborne Aspergillus contamination during hospital construction works: efficacy of protective measures”. in American journal of infection control, 38(3), 189-194.
- Joint Commission International (JCI), (2014). Joint Commission International Accreditation Standards for Hospitals Including Standards for Academic Medical Center Hospitals . (5th ed.). USA: JCI.
- Joint Commission International (JCI), (2019). JCI-Accredited Organizations. Retrieved 26 May, from JCI https://www.jointcommissioninternational.org/about-jci/jciaccredited-organizations/?c=Thailand&fbclid=IwAR2R7RdE4LUI06TAabnCdxR8CULrpsIn6T0V46DdfAl5NI4NKVveyb3GpDM
- Kaewsaengkajorn, S., (2013). Karn Borihan Karn Kor-sang Suan Tor Ka-yai Ar-karn Rong-pa-ya-barn Ekkachon. (In Thai) [Construction Management of Private Hospital Expansion]. (Master of Architecture), BKK: Chulalongkorn University,
- Kanamori, H., Rutala, W. A., Sickbert-Bennett, E. E., & Weber, D. J. (2015). “Review of fungal outbreaks and infection prevention in healthcare settings during construction and renovation”. in Clinical Infectious Diseases, 61(3), 433-444.
- Kitpot, S., (2002). Karn Borihan Lae Jud-karn Ngarn Kor-sang. (In Thai) [Construction Management and Administration]. BKK: Tanatat Karnpim.
- Klai-u-dom, T., (2013). Karn Prab-prung Plean-plang Sa-pab Lae Karn Chai-ngarn Pai-nai Ar-karn Rong Pa-ya-barn Ra-wang Perd Karn Chai-ngarn Ekkachon. (In Thai) [Hospital Renovation During Occupancy Stage: A Case Study of Private Hospitals]. (Master of Architecture), BKK: Chulalongkorn University.
- Loschi, M., Thill, C., Gray, C., David, M., Bagatha, M.-F., Chamseddine, A., Contentin, N., Jardin, F., Lanic, H., & Lemasle, E., (2015). “Invasive aspergillosis in neutropenic patients during hospital renovation: effectiveness of mechanical preventive measures in a prospective cohort of 438 patients”. in Mycopathologia, 179(5-6), 337-345.
- Mantz, R., & Britton, J. R., (2007). “Hospital construction and postpartum anxiety”. in General hospital psychiatry, 29(6), 562-566.
- McCulloch, K., (2017). “Collaborating to Reduce Infection Risk Associated with Hospital Construction and Maintenance”. in American journal of infection control, 45(6), S77.
- National Statistical Office. (2018). Karn Pra-muan Kor-moon Puen-tee Karn Kor-sang 2560 BE. (In Thai) The 2017 Construction Area. Retrieved from Bangkok: http://www.nso.go.th/sites/2014/DocLib13/ด้านเศรษฐกิจ/สาขาอุตสาหกรรม/ประมวลพื้นที่การก่อสร้าง/ประมวลพื้นที่การก่อสร้าง_2560/FullReport.pdf
- National Statistical Office. (2018). Karn Sam-ruad Rong Pa-ya-barn Lae Sa-than Pa-ya-barn Ekkachon 2560 BE. (In Thai) The 2017 Private Hospital Survey. Retrieved from Bangkok: http://www.nso.go.th/sites/2014/DocLib13/ด้านสังคม/สาขาสุขภาพ/โรงพยาบาลและสถานพยาบาลเอกชน/2560/FullReport.pdf
- Pokala, H. R., Leonard, D., Cox, J., Metcalf, P., McClay, J., Siegel, J., & Winick, N., (2014). “Association of hospital construction with the development of healthcare associated environmental mold infections (HAEMI) in pediatric patients with leukemia”. in Pediatric blood & cancer, 61(2), 276-280.
- Sautour, M., Sixt, N., Dalle, F., L’Ollivier, C., Calinon, C., Fourquenet, V., Thibaut, C., Jury, H., Lafon, I., & Aho, S., (2007). “Prospective survey of indoor fungal contamination in hospital during a period of building construction”. in Journal of Hospital Infection, 67(4), 367-373.
- Srijintahangkul, C., (2008). Karn Jud-karn Mon-la-pa-wa Chak Karn Dam-noen Ngarn Kor-sang Nai Rong-pa-ya-barn Maharaj Nakorn Chiang Mai Changwad Chiang Mai. (In Thai) [Constructional Pollution Management at Maharaj Nakorn Chiang Mai Hospital, Chiang Mai Province]. (Master of Arts), Chiang Mai: Chiang Mai University.
- Tadadej, C., (2013). Karn Rub-rong Mat-ta-than Sa-kol Rong-pa-ya-barn Nai Pra-tet Thai: Sa-tha-na-karn Lae Naw-nom. (In Thai) [International Hospital Accreditation in Thailand: Situation and Trend]. in Journal of Public Health, 43(3), 313-321.
- Wangniwetkul. Kawee. (2004). Karn Boriharn Ngarn Witsawakam Kor-Sang. (In Thai) [Construction Engineering Management]. BKK: SE-Education.
