DHA-brochure-Engels 20140130 LR PDF
DHA-brochure-Engels 20140130 LR PDF
DHA-brochure-Engels 20140130 LR PDF
www.dutchhealtharchitects.nl
3007 GC Rotterdam
The Netherlands
Wilhelminakade 310
3072 AR Rotterdam
D UTC H HE ALT H A R C H I T E C T S
eng 012014 - 1
D UTC H HE ALT H A R C H I T E C T S
TABL E O F CO NT E N T S
Sustainability 15
Projects 19
Erasmus Medical Center 21
Deventer Hospital 23
Ghent University Pediatric Hospital 24
Sint Antonius Hospital 27
Bernhoven Hospital 28
Radboud umc Medical Faculty 31
Jeroen Bosch Hospital 32
Dutch Cancer Institute 35
Jan Portaels Hospital 36
Hospital Reinier de Graaf Gasthuis 39
University Medical Center Utrecht 40
UZ Leuven University Hospital 43
Pharmacy A15 44
Honliv Hospital Cancer Center 47
Wanica Medical Center 48
Themes | Innovation 51
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Zaans Medical Centre, Zaandam, The Netherlands
D UTC H HE ALT H A R C H I T E C T S
DUTCH HE ALT H A R C H IT E C T S
C O MPANY PROFIL E
Dutch Health Architects, which originates from architectural firms founded in the 1930’s, is an independent
architectural firm operating worldwide. The consultancy services provided by Dutch Health Architects
root in an architectural background and focus on people’s interaction with their environment.
With a total staff strength near 210 working nationally and internationally Dutch Health Architects can
call on a strong resource base and offer quality services based on globally built experience.
Dutch Health Architects takes a multidisciplinary and integrated approach to any project covering
technical, logistical, legal, organizational, social, environmental and economic aspects to arrive at
Trough our personal service, we thus contribute effectively to a successful planning, design,
The mother firms are accredited to Quality Management System Standards ISO 9001 Environmental
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Zaans Medical Centre, Zaandam, The Netherlands
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VISIO N O N HO S P ITA L D ES IGN
Dutch healthcare is well known for its innovative approach and effectiveness. New concepts focusing
on patient logistics and efficiency of workflows and work-processes are combined with aspects of Lean
hospital design, Healing environment and the Plane tree Philosophy.
It is our challenge to define and fully understand the demands of our clients before the best possible
‘answer’ in designing a building is developed. It is not just implementing proven solutions, but generating
intelligent concepts that facilitate the client’s organization now and in the future.
We have a multidisciplinary and integrated approach to our projects, covering technical-, logistical-, legal-,
organizational-, social-, environmental- and economical aspects to arrive at sustainable and practical
solutions. And last but not least, we create an inspiring environment for people to feel comfortable.
In the vision of DHA, hospitals and adjacent facilities should be able to accommodate the rapid
developments in healthcare and be able to facilitate new treatments without compromises as well
as be able to provide patients, personnel and visitors a healthy and preventive atmosphere (healing
environment) for the benefit of shorter average treatment times and better working conditions.
The beauty of a good hospital lies in the inside: the design of the functional aspects and the healing
architecture asks for designing from the inside out.
Dutch hospital design has the tradition of creating the design in close corporation with the client, using
workshops, dialogues and expert meetings. These ‘open design processes’ guarantee that the expertise
of the end-users is always incorporated in the design. For DHA the advantage is that by the processes
we are able to gain a lot of practical knowledge that we consider to be very precious to serve our clients.
The experience in design hospitals in this tradition for more than 50 years, gives us the freedom to
generate new hospital concepts in which functionality and safety are combined with healing environment
and excellent architecture.
The tradition of the ‘open’ design-process gives us the opportunity to integrate the culture of the client’s
organization and the unique aspects of a regions cultural tradition in our projects in the most intelligent
way. Also new concepts for better healthcare can be implemented in the best harmony.
Our efforts results in unique hospital projects according to the latest international standards that can
serve the local society in the best possible way.
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Haga Hospital, The Hague, the Netherlands
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HEA L I NG E NV I RO N M EN T A N D EV ID E N C E
BAS E D DE S I G N
We are convinced that the design of the physical environment of healthcare facilities can play an important
role in increasing quality of life of residents by improving sleep, supporting orientation, reducing agitation,
increasing social interaction and providing control and choice. Different aspects of the environment,
such as unit size and layout, provision of private rooms, noise levels, and supportive design features,
will contribute to better outcomes among patients, students and staff. Creating a homelike environment
is also of primary importance in the sense that patients have the opportunity to participate in activities
that are familiar from their past lives (as opposed to rigid institutional routines) and spaces that are
similar in size and shape to those found in people’s homes.
The quality of break-out and landscaped spaces within the hospital are essential contributors to a
positive experience of the hospital and educational environment for all users. The disposition, scale,
orientation and design objectives of each of these spaces will be carefully considered within the context
of the whole building in order to achieve an optimal integrated approach which complements the interior
design and wayfinding strategy.
We strive to innovate new health care concepts focusing on patient satisfaction and safety, the efficiency
of the workflows and processes, optimizing the quality of care. Our method is Evidence Based Design,
where we keep ourselves up to date with best practices and research to make informed design decisions
to create an optimal Healing Environment.
One of the important factors in creating a healing environment is access to natural daylight. In the
current design, many inside situated rooms are included. In the design review we will optimize the
orientation and locations of these spaces.
In recent years it has become increasingly evident that the environment has a great effect on human
wellbeing. In relation to health care and hospital design it has a vital effect on the health care outcomes
of patients, the involvement of relatives, and the health and efficiency of the staff.
Creating an Evidence Based Design means that every design decision is based on evidence, from
science and research, stating how environmental factors can have an important impact on the healing
process and health care outcomes of people. We take into account not only the patients in the hospital
but also their families, as well as the hospital staff.
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Daylight
Daylight plays an important role in the overall experience of a physical environment. Exposure to light
has proven to reduce pain, improve depression, improve the biorhythm of the body and thereby the sleep
rhythm. Patients assigned to sunnier and brighter rooms turn out to have shorter hospitalization time
and quicker recovery. Furthermore, patients in brighter rooms have proven to experience less stress and
worry. More practically light has proven to have a large impact on medication and journalization errors
as well as injuries amongst patients and staff. Well lit spaces ensure fewer errors and fewer accidents.
Easy Orientation
Designing health care facilities that are easy to overview, can improve the patients’ experience
remarkably, as the experience of not being able to find ones way only underlines the stress and worry
one may already feel from being in an unfamiliar health care environment. In hospitals, a structure that is
easy to overview and navigate has proven to save time and money, in terms of time spend by the staff to
show bewildered visitors around. Creating a well-organized plan, where related functions are gathered,
reduces the internal distances, which saves time and has proven to reduce staff attrition and stress.
Indoor Climate
Unfortunate indoor conditions, such as uncomfortably high or low temperatures or bad air quality have
been proven to have a negative effect on work performances, mood as well as physical wellbeing.
People who are hospitalized are excessively sensitive to the environmental conditions, and for this
reason it is an extra important factor when designing health care environments.
Private Space
The possibility to be private has proven to be important in order to build up a confident relationship
between patient, relatives and staff. Clear communication has a crucial impact on the course of the
disease and the treatment. The opportunity to stay in single bedrooms has proven to ensure a better
feeling of privacy for the patient. There are less noise disturbances from other patients, ensuring a
better feeling of confidentiality and improving the communication between staff, patients and relatives.
Among the staff single bedrooms are furthermore considered more appropriate for examinations and
consultations. Single bedrooms moreover prove to give a lower ratio of hospital-acquired infections as a
result of less contact between patients and easier and more thorough cleaning procedures.
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NKOC Competition, Amsterdam, the Netherlands
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Jan Portaels Hospital, Vilvoorde, Belgium
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Space for Family and Relatives
The patient’s relationship and social interaction with close relatives have proven to play an important
role in the survival from a serious disease as well as the recovery and healing. The explanation may be
the influence close relatives can have on the behavior of a patient, in terms of maybe eating healthier,
exercise more, following doctor’s advice and completing the treatment. Having appropriate space for the
family is an important design factor, as it has proven to support the recovery of patients, shorten length
of stay and improve their experience of stress, anxiety and fear.
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Competition Healthcampus, Knokke, Belgium
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SU STAI NABI L I T Y
We are proud to state that environmental issues, energy consumption and life cycle cost are basic
subjects which go hand in hand when designing. We operate and design according to the principles
of People, Planet (environment), Prosperity (profit), interconnected, and in harmony with one another.
We aim to make buildings which take into account the local context (climate, ecosystems, historical and
cultural) and are able to adapt flexibly (as regards technical and program) to changing circumstances
(i.e. future growth). The new hospital campus should add maximum added value in terms of quality,
economics and environmental impact for both users and the environment.
According to us, sustainability also promotes exploitation driven design. A sustainable building results
in direct profit in the exploitation and in indirect profit in terms of future value. A sustainable hospital, for
example, will not only have a more sustainable energy concept but also a so-called healing environment
in which patients heal faster. The air quality, the use of light, color and views are all key factors in this.
As a result there’s is not only a win for the energy bill, but also for the medical processes. Because of
our integral approach we are able to use our resources efficiently and effective and achieve a maximum
result.
Below we propose some sustainable examples that could be taken into consideration with regard to
environmental sustainability in next stages of the design of the hospital campus.
Energy
The area in which the new hospital campus will be realized is characterized by hot and dry summers
and mild, rainy winters. Our approach would be to appreciate these natural resources and benefit from
them in creating a healthy and enticing environment. In order to realize a healthy and comfortable
hospital campus, passive and active strategies could be applied. The shape, orientation and cladding of
the buildings influence the indoor climate and energy usage. High solar radiation can lead to unwanted
overheating of buildings, however when shades and louvers are applied, sunlight will enter the building,
while the heat is kept out. In that way the benefits of the natural resource are used to its fullest. The
same strategy could be applied in landscaping. Planting endemic trees will allow sunlight to heat the
environment up in winter, but provide comfortable shading in summer. By applying thermal mass in the
buildings, the core temperature remains constant throughout the year.
Water
As water is often scarce in these regions, our proposal would be to introduce a campus-wide water
management system of diminishing need, harvesting, re-use of water and filtering of water in landscaped
ponds. New water cycles will limit the water footprint of the hospital campus. The need for water can be
lowered, by planting of indigenous vegetation, in order to lower the need for irrigation and water efficient
fixtures and fittings. For applications with low requirements alternative water solutions are suitable,
thereby diminishing the need for potable water.
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Ecology
To enhance the current ecological value of the land where the hospital campus will developed, we
propose to introduce endemic trees and natural plants which promote the increase of biodiversity. All
currently environmentally sensitive land features will be protected and incorporated within the master
plan. Environmental management plans and monitoring thereof will be part of all construction procedures
and activities.
Certification
In order to ensure, control and measure the objectives regarding sustainability, multiple methods are
available. The best known examples are LEED and BREEAM. We use all these various certification
methods for measuring, but also as a design tool to translate your ambitions into actual sustainability
measures. We perform, for example, a quickscan at the beginning of the project to find out how the
design is rated compared to the aspirations and what the possibilities are for improvement in respect
of location, investment and operation. In addition, the review can serve as a basis for sustainability
certification, to obtain financial support from the government.
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Deventer Hospital, Deventer, the Netherlands (example of a sustainable design)
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P R OJ E C TS
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ER AS M US M E DI C A L C EN T ER
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DEVE NT E R H O S PITA L
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GHE NT UNI V E RS IT Y P ED IAT R IC H OSP ITAL
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SIN T ANTO NI US H OSP ITAL
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BER NHO V E N H O S PITA L
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RADBO UD UM C ME D IC A L FA C U LT Y
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JER O E N BO S CH H OSP ITAL
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DUTCH CANCE R IN S T IT U T E
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JAN P O RTAE L S H OS PITA L
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HOS P I TA L RE I NI E R D E GR A A F GA S T H U IS
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UNIV E RS I T Y M E D IC A L C E N T E R U T R EC H T
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UZ L E UV E N UNI V E R S IT Y H OS PITA L
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PH ARM ACY A15
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HONL I V HO S P I TA L C AN C E R C EN T ER
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WA NI CA M E DI CA L C E N T E R
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T H EME S | IN N OVAT ION
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The Dutch Cancer Institute / Antoni van Leeuwenhoek Hospital
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T H EME S | IN N OVAT ION
3e
2e
1e
BG
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T HE M E S | H E AL IN G EN VIR ON ME N T
NKOC Competition
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Colour & Comfort | NKOC Competition
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T HE M E S | H EA L IN G E N V IR ON M EN T
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Nature | Rijnveste Psychiatric Care
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T HE M E S | H EA L IN G E N V IR ON M EN T
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Utrecht Sint Antonius General Hospital | construction scheme
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T H EME S | F L E XIB IL I TY
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Joint Care Centre
Deventer Hospital
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T H EME S | F L E XIB IL I TY
Small Hospital
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T H E M ES | S U S TAIN AB IL I TY
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sections
elevations
3D visualisations,
renders and movies
allei (ZGV) heeft de opdrachtgever zich als
n de bouw en het maximaal benutten van engineering check lists
den twee belangrijke middelen ingezet; het
rdt uitgewerkt via Revit - en een bouwteam.
details
Ontwerpfase
s • 3d-ontwerpen
• Hoeveelhedenstaten BIM constructie
t
• Kostenramingen
.
• Berekening duurzaamheid
(Greencalc, BREEAM)
• Daglichtsimulatie
er • Berekeningen akoestiek,
verlichting, CFD
• Simulatie energieverbruik
r • Clash-controle (tussen verschillende
n disciplines) CHIO tribune - Grandstand, Rotterdamsche Manège, Rotterdam Dialysec
Ziekenhu
• Reductie faalkosten Card
Bouwfase
BIM constructie BIM bouwkunde
• Hoeveelhedenstaten Spa
afge
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Building Information Model de C
• Simulatie bouwvolgorde Gra
• Coördinatie geb
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Exploitatiefase en d
T H EME S | IN T E GR A L D ES IG N
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Mall Campus
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T H E M ES | C ON C E PTS
Park Hotel
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Airport Village
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T H E M ES | C ON C E PTS
Generic Market
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T HE M E S | IN T ER IOR C ON C E PTS
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T HE M E S | IN T E R IOR C ON C E PTS
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T HE M E S | IN T E R IOR C ON C E PTS
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D UTC H HE ALT H A RCH IT E C T S
Ikazia Ziekenhuis, Rotterdam, the Netherlands NKI/AVL Hospital, Amsterdam, the Netherlands
Erasmus Medical Centre, Rotterdam, the Netherlands K.U.Z. Leuven (Gasthuisberg), Belgium
Maria Middelares General Hospital, Ghent, Belgium Deventer Hospital, the Netherlands
VU Hospital Research & Diagnostics, Amsterdam, the Netherlands Hospital Bernhoven, Uden, the Netherlands
Albert Schweitzer Hospital, Dordrecht, the Netherlands Hospital Bethesda, Hoogeveen, the Netherlands
Tony Moleapaza Rojas Children’s Hospital, Arequipa , Peru Atrium Medical Center, Heerlen, the Netherlands
Dr Verbeeten Institute Radiotherapy, Den Bosch, the Netherlands St Antonius Hospital, Nieuwegein, the Netherlands
Medimall MCRZ, Rotterdam, the Netherlands St Antonius Hospital, Utrecht, the Netherlands
UMC St Radboud Hospital, Nijmegen, the Netherlands Foundation ZorgSaam Zeeuws-Vlaanderen, De Honte, the Netherlands
Jeroen Bosch Hospital, Den Bosch, the Netherlands Sint Fransiscus Gasthuis, Rotterdam, the Netherlands
Reinier de Graaf Hospital, Delft, the Netherlands IJsselland Hospital, Capelle a/d IJssel, the Netherlands
Vlietland Hospital, Schiedam, the Netherlands Harbour Hospital en Institute for Tropical diseases, Rotterdam, the Netherlands
Groene Hart Hospital, Gouda, the Netherlands Diakonessenhome, Utrecht, the Netherlands
Ronald McDonald House, Rotterdam, the Netherlands Maxima Medical Center, Veldhoven, the Netherlands
Rijnland Hospital, Leiderdorp, the Netherlands Hospital Maas en Kempen, Maaseik, Belgium
Kennemer Gasthuis Hospital, Haarlem, the Netherlands Westfries Gasthuis, Hoorn, the Netherlands
LUMC Education Building, Leiden, the Netherlands Hospital Rivierenland, Tiel, the Netherlands
Sanquin Blood Bank, Nijmegen, the Netherlands Canisius-Wilhelmina Hospital, Nijmegen, the Netherlands
Onze Lieve Vrouwe Hospital , Amsterdam, the Netherlands Hospital Nobo, Curacao
Juliana Children’s Hospital, The Hague, the Netherlands Altrecht Mental Healthcare Barentsz, the Netherlands
Wilhelmina Children’s Hospital, Amsterdam, the Netherlands Hospital Koningin Beatrix GGNet Brengwal, the Netherlands
UMC Utrecht Hospital / AZU Hospital, Utrecht, the Netherlands Forensic Psychiatric Center, Ghent Belgium
St Maarten Medical Centre, Philipsburg, St Maarten FPI de Rooyse Wissel, Oostrum, the Netherlands
Dr. Horatio E. Oduber Hospital, Oranjestad, Aruba Foundation Rivierduinen, the Netherlands
Jakarta Children’s Hospital, Jakarta, Indonesia De Grote Rivieren, Volgerlanden, the Netherlands
Ghent University Medical Research Building, Gent, Belgium Bavo Europoort de Fjord, the Netherlands
Tanger Children’s Hospital, Tanger, Maroccco High Care, Oegstgeest, the Netherlands
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Kennemer Gasthuis North, Haarlem, The Netherlands
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D U TC H H E A LTH A R C H ITE C TS
www.dutchhealtharchitects.nl
3007 GC Rotterdam
The Netherlands
Wilhelminakade 310
3072 AR Rotterdam