Designdialoger. Design gennem samarbejde = Design for forandring. Fremtidens sygehuse skal udformes sammen med de ansatte.

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1 Designdialoger. Design gennem samarbejde = Design for forandring. Fremtidens sygehuse skal udformes sammen med de ansatte. Peter Fröst, adjungerad professor i vårdbyggnad, Chalmers Tekniska Högskola, Göteborg

2 Forum för vårdbyggnadsforskning Stödjer och informerar om utvecklingsarbete, forskning och utbildning inom vårdbyggnadsområdet. Erbjuder en mötesplats för verksamhetsansvariga, planerare, praktiker och forskare. Finansierar en adjungerad professur i vårdbyggnad vid Chalmers Tekniska Högskola. Medlemmar är landsting (samtliga), kommuner, arkitektkontor, företag och enskilda personer som är verksamma inom området.

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4 First - a short glimpse from a project that will show you what this is all about The project presented here are all based on research made on Chalmers. They are carried through as consultancy assignments by Peter Fröst in SWECO Architects AB

5 CIVA - Intensive Care Unit, Akademiska sjukhuset, Uppsala Design dialogue with the care team at CIVA. Participants from Real Estate (Landstingsservice) and the Hospital (Lokaloch utrustningsavdelningen, Vårdhygien + MTA) were also active participants. Three workshops + consensus meeting Client: Landstingsservice i Uppsala län

6 Five weeks from start (no program) to agreed layout

7 Video documentation from walk through with short interviews. Video

8 Video Reflections on the video Setting goals Video The participants builds a functional scheme over the localities.

9 Functional scheme CIVA Kommentarer från arkitekterna

10 Video The participants plays the design game in smaller groups. A conceptual layout is built on an empty plan. Video Presentation in front of all participants.

11 Example Group 2, conceptual layout Comments from the architects

12 Programskiss alt 1 Program sketches 2 Alt Programskiss alt 2

13 3D walk through alt 2 Video

14 Video Video Program sketches are evaluated in groups. Interactive 3D model as support. Presentation, comments and modifying ideas.

15 Synthesis layout

16 In the meantime, before the detailed programming started, the personnel made a photo documentation that commented and deepened the prerequisites.

17 System drawing

18 Continued time table: Detailed programming Autumn 2005 Detailed design - Spring 2006 Construction Occupancy - April 2008

19 Construction Occupancy - April 2008

20 Background and some theory.

21 Design Dialogues in Early Phases of Building Projects -Methods and tools for collaborative workplace design. -Describes the development of a collaborative design based method in the early phases of building projects - design dialogues. From Research to Practice

22 From Democracy to Quality

23 General standards for Health Care buildings are often questioned today.

24 This is due to the present rapid changes in society and business standards are often outdated already when they are formulated. In the Health Care systems the fast progress in medicine and new therapies, new care processes and new patient/consumer demands are the driving forces for change.

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26 New building commission has to be tailored according to its specific context. Has to incorporate cutting edge knowledge and evidence based design. Focus turns from standard solutions to process design. Care professionals are the most important carriers of updated knowledge. This means that they needs to be actively involved in the design process.

27 Design method Design commissions are distinguished by that you seek a valid solution in a complex situation where many parameters and interests are weighted together Wicked problems. You get hold of the problem by developing solutions (before all prerequisites are identified). Solutions are tested against the problem and are analysed/tested/evaluated and then condensed in an successive process.

28 Design dialogues Programming through design programming is a design process. The purpose of the design dialogues is to support the formulation of goals and identification of needs as well as to generate ideas as input to the architectural design process. Collaborative design involving multi-professional teams. It is a workshop-driven method, which includes the active collaboration between client, customers, users and the architect.

29 Design dialogues process management Design dialogues carry out preliminary design in a iterative process with a repertoire of activities. In each activity you chose different tools and procedures from the tool box. 1. Design the Process 2. Map existing conditions. Formulate Goals 3. Inspire! Build Visions 4. Identify Functions and Relations 5. Collaborative Design - Develop Solutions Together 6. Architectural Design 7. Evaluate Alternatives 8. Establish Consensus Make Decisions

30 1. Design the Process Every project has its own unique presets make a tailored selection from the tool kit. Make roles and decision lines clear. Sort out the Organization scheme. Establish workgroups, program group and steering group.

31 2. Map existing conditions - Formulate Goals Support awareness. Map silent knowledge Video/photo-documentation of the existing workplace

32 3. Inspire. Build Visions Good examples, new technology, organisation, ways of working...

33 4. Identify functions and relations Group work with digital images Tetra Pak Business Support, ReFlex

34 5. Collaborative Design develop solutions together Implement rules of the game. Build conceptual layouts. Which functions and qualities should we integrate? How should they relate. Logistics, connections?

35 6. Architectural Design Develop/interpret/re-work conceptual layouts into architectural sketches. Visualize. Video

36 7. Evaluate Alternatives Comments, discussions. More homework to the architect.

37 8. Establish Consensus Make Decisions! Synthesis layout

38 Astrid Lindgrens barnsjukhus/karolinska Stockholm Locum AB Kontor Hallandsås Banverket/SKANSKA Kv Bylgia Malmö, SWECO Centralsjukhuset i Kristianstad Regionfastigheter Skåne Centralintensiven CIVA Uppsala Landstingsservice i Uppsala län Base Materials, Lund Tetra Pak AB Öron- näs och halskliniken, Universitetssjukhuset i Lund - Regionfastigheter Skåne Business Support AB, Lund Tetra Pak AB Akutmottagning Mölndals sjukhus Västfastigheter Carton Bottle, Lund Tetra Pak AB SÖS Akutmottagning Locum AB SÖS Ny operationsavdelning Locum AB Karolinska Huddinge Framtidens Interventions- och operationsenhet Locum AB Akutmottagning Södertälje sjukhus Locum AB Utbyggnadsplan Svalöv Site Svalöf Weibull AB Akutmottagning Centrallasarettet i Västerås Västmanlands läns landsting Neonatalavdelningen på Karolinska Huddinge Locum AB IKEA IT Helsingborg nya kontorsarbetsplatser IKEA AB Max VI ny cyklotronanläggning i Lund Lunds Universitet

39 FRIO the Intervention and Operational unit of the Future on KS Huddinge

40 INNOVATIONSPLATS SÖDERTÖRN PATIENT- HOTELL KAROLINSKA HUDDINGE KAROLINSKA HUDDINGE NOVUM BIOCITY NOVUM BIOCITY HÄLSOPARK HÄLSOPARK OP OP OP FORSKNING/ UTBILDNINGSPARK FORSKNING/ UTBILDNINGSPARK FORSKNING/ UTBILDNINGSPARK KOMMUNIKATION KOMMUNIKATION GRÖNOMRÅDE GRÖNOMRÅDE

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42 The building process according to Locum AB Identification Preliminary Programming Detailed Design Occupancy Post Occupancy of needs design + Design + Construction Evaluation

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44 Mapping existing process

45 Mapping of today's process

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47 Workshop 1 Video individual reflection. Inspiration what happens in Sweden and abroad. Design Games design the operation unit of the future

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51 OPUS 12, Linköping

52 Hybridsalar

53 Auditoriet, der en kan følge operasjoner overført til skjermer Operasjonsrom for laparoskopisk behandling, sett fra auditorium Prosjektet "Fremtidens operasjonsrom" er et samarbeidsprosjekt mellom St. Olavs Hospital HF og Norges teknisk naturvitenskapelige universitet i Trondheim (NTNU).

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62 Workshop 2 Presentation block layout sketches Evaluation - team work

63 Lokallista Bygger på: Workshopresultatet Locums preliminära lokallista Inspel processgruppen Våra erfarenheter

64 Blocklayoutskiss alt 1

65 Blocklayoutskiss alt 2

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75 Scenario Workshop 3 Presentation synthesis layout Test of synthesis layout with scenario for preferred future work process. Final remarks.

76 Reviderad lokallista

77 Synteslayout

78 Som verktyg för utvärdering av blocklayouten hade processgruppen utformat ett scenario av en OP i ett börläge. Genomfördes av gruppen gemensamt kring en stor spelplan.

79 utvärdering av blocklayouten med scenario

80 Video Collaborative design of a new work process for the Operation Department at KS Huddinge

81 Final version In the design dialogue Incorporating remarks from scenario workshop. Project leader and process group affirmation

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84 The Block layout translated to a building layout Refurbishment of existing premises

85 The Block layout translated to a building layout Addition on top of existing building

86 The Block layout translated to a building layout Adding a new building

87 Sections

88 Digital rendering addition

89 Södersjukhuset Stockholm

90 Illustration ur fastighetsutvecklingsplanen

91 Förstudie Södersjukhuset Akutmottagning Peter Fröst, arkitekt Margareta Råde, inredningsarkitekt Johanna Eriksson, arkitekt

92 Workshop 1 - identifiera behov, formulera ledord

93 Workshop 2 bygg visioner, formulera sambandsbehov

94 Workshop 2 - inspiration

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99 Workshop 3 utveckla lösningsförslag

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102 Blocklayout alternativ 1

103 Blocklayout alternativ 2

104 Workshop 4 - värdera alternativ

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107 Blocklayout syntesförslag

108 Avstämning värdera blocklayout med hjälp av scenariobyggande

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115 Operation

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118 Final remarks It is often more time efficient to work in a more designerly way than traditional methods in the early phases of building projects. It is stable agreed solutions don t change much when entering new more detailed phases. This means low risk in projects.

119 It is a way to share the designers/architect methods and tools with the customer and unskilled users. You let the customers and users show you what the want instead of trying to tell you and write it down. And in their effort to do so, they have to jointly agree upon what to show you. It is a fun and engaging way to work.

120 Karolinska Universitetssjukhuset Huddinge. Neonatalintensiv Ombyggnad 2000 m 2. Workshop med föräldrar.

121 Sahlgrenska Universitetssjukhuset Östra, Neonatalavdelning, Göteborg Elevprojekt Arkitektskolan Chalmers A2 workshop med verksamhet och studenter.

122 Tack!