| Summary: | 碩士 === 逢甲大學 === 建築學系 === 101 === Hospital patients generally have more limited mobility than the average citizen, and thus move more slowly when evacuating a building in an emergency. The problem is particularly serious in the case of patients in the surgery department, who will often have been anaesthetized, and will thus be incapable of evacuating without assistance. Due to concerns regarding the safety of surgery department patients, when hospitals hold emergency evacuation drills they usually exclude the surgery department from participation in the drill. This creates a situation where it is not possible to appraise the effectiveness of the emergency evacuation plan for the surgery department. The main aim of the present study is to develop a method for verifying the efficacy of surgery department emergency evacuation plans.
The present study seeks to explore the appropriateness of hospitals’ emergency response planning, with the goal of ensuring that, when a hospital implements its emergency evacuation plan, it is possible to complete the safe evacuation of all patients from the surgery department within the specified time period. The “Fire Prevention and Emergency Evacuation Safety Verification Method” is used to examine the impact of surgery department spatial design and other factors that could affect safety in the case of emergency evacuation. Integrated analysis is undertaken with respect to the spatial layout of the surgery department, the smoke barrier layout, the evacuation routes, and the emergency response plan, and practical, realistic strategies are proposed for surgery department evacuation.
The present study incorporates a case study of three regional teaching hospitals in Central Taiwan. A review of the literature is used to develop a basic foundation for the research in terms of the relevant hospital building codes, hospital building plans, and hospital emergency response plans. This basic data was then used in the implementation of on-site field surveys to examine the spatial layout of surgery departments and the circulation routes within the department, and the “Fire Prevention and Emergency Evacuation Safety Verification Method” was used to evaluate the emergency response plans that had been formulated by the hospitals in question, so as to be able to develop more concrete conclusions that can serve as a reference for the revision and adjustment of hospital emergency response plans.
On the basis of the data collected, the analysis performed, and the results of verification using the “Fire Prevention and Emergency Evacuation Safety Verification Method,” it is apparent that, as things stand at present, if a fire were to break out at any of the three hospitals studied, they would not be able to evacuate patients and staff from their respective surgery departments within a safe period of time. It is suggested that the following improvements should be made to the hospital buildings:
1. At least two rooms within the surgery department should have direct access to fire escapes.
2. The ends of the corridors within the surgery department should have direct access to fire escapes.
3. The distance that patients and staff need to walk to evacuate from the surgery department should be less than 20 meters.
4. The floor on which the surgery department is located should be equipped with an emergency evacuation balcony.
Keywords：Surgery department; emergency evacuation; Fire Prevention and Emergency Evacuation Safety Verification Method
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