Congruence Mapping of the Activity Flows Allocated in Built Environments: A Pilot Application of Under-Development Software in an Emergency-Care Service

ABSTRACT

Featured ApplicationThis paper presents the application of a software program that is currently under development that provides feedback for the mapping activities that are carried out in built environments and analyses the congruence in the relationship between the flow of activities and their environments. Exemplary results were obtained in the case study of a healthcare emergency facility, although it is possible to apply this software in other types of complex environments. The obtained data allow facility managers to prioritize and reallocate activities when a change is required. It also shows unmapped relationships. It is important to investigate these data because they can indicate failures in the mapping process and can provide an opportunity to obtain a more complete understanding of the allocation and flow of activities. These data can also help us to identify points of conflict or opportunities for adjustment in the allocation of activities in order to improve the flow of activities.Due to the large number of activities that must be carried out by emergency-care services (ESs), the tasks of facility managers and architects are challenging and complex. Several strategies, guides, and diagnoses have already been developed in order to improve ESs. Part of the solution to this problem depends on obtaining a normative and universal understanding of the problem, and another part depends on conducting a specific and relational analysis between the environment and the flow of activities that are allocated within it. This paper presents the results of a study that was conducted using a software program that is currently under development for mapping the congruence relationship between activities and environments. Here, we present a discussion of the first results that were obtained with the instrument, which was applied to a single case. For this purpose, the fundamentals of the instrument, as well as the environment and the flows of an ES at a university hospital, are described. The forms of analysis, benefits, and limitations of the instrument were investigated, with a view towards its use in supporting the management and the design of large and complex environments, such as emergency departments. In this program, the relationships that are hidden from the managers, the designers, and the researchers due to the aforementioned complexity are revealed through the use of matrices. This mapping can supplement the decision making of the managers and the designers. The application showed advantages in modeling with fewer inputs, mainly in pre-design evaluations.