© Ben Benschneider

本·本施奈德

架构师提供的文本描述。儿科急诊科旨在提供一个吸引人的、安全的环境，以减轻年轻病人的潜在创伤体验。一系列的休憩空间，既活跃又安静，提供了减压的机会，并提供花园和周围社区的看法。

Text description provided by the architects. The Pediatric Emergency Department is designed to provide an engaging, safe environment that eases potentially traumatic experiences for young patients. A series of respite spaces, both active and quiet, provide opportunities to decompress and offer views of the gardens and surrounding community.

 © Ben Benschneider

本·本施奈德

随着医疗保健改革时代的发展，客户要求设计团队创造机会，以增加价值并优化他们的资本、人力和财政资源。因此，医疗规划的重点是提高效率、共享临床资源和将家庭纳入护理连续体。

As care delivery evolves in the era of healthcare reform, the client asked the design team to create opportunities to increase value and optimize their capital, human and financial resources. As a result, medical planning focused on increasing efficiency, sharing clinical resources and integrating families into the care continuum.

 Floor Plan

在现有的医院结构中，外部的设计为病人和家庭创造了一个容易辨认的目的地。突出的红灯笼是校园的一个标志。

Tucked among the existing hospital structures, the design of the exterior creates an easily recognizable destination for patients and families. The prominent Red Lantern is a hallmark on the campus.

在临床核心，一个中央护理团队区域共同定位医生，护士和中级提供者接近病人的护理领域，促进合作和减少旅行距离。团队区域适应灵活的工作人员水平，因为病人普查和视力不同。

Within the clinical core, a central care team zone co-locates physicians, nurses and mid-level providers in close proximity to patient care areas, facilitating collaboration and reducing travel distance. The team zone accommodates flexing staff levels as patient census and acuity varies.

 © Ben Benschneider

本·本施奈德

从项目启动开始，该团队就致力于实现一套以病人为中心、以社区为中心的运营成果，以及一个改进的净总基准。为实现这些结果而进行的协作推动了设计过程的进行，为整个过程中的每一项决策提供了信息，并确保了临床工作流程和病人福利驱动了新的儿科急诊模式。

From project initiation, the team worked to achieve a set of operational, patient-centered, and community-focused outcomes, as well as an improved net-to-gross benchmark. Collaboration to achieve these outcomes drove the design process, informed each decision along the way, and ensured that clinical workflow and patient well-being drove the new pediatric emergency model.

 Floor Plan

综合可持续性是另一个早期项目目标；简单的战略包括采光、土著景观美化和使用再生材料。更复杂的策略包括减少能源的措施，例如从废气中收集热量以补充锅炉的热回收系统，以及根据占用情况而增加或下降的专用VFD风扇。

Integrated sustainability was another early project objective; simple strategies included daylighting, indigenous landscaping and the use of recycled materials. More complex strategies includes energy reduction measures such as a heat recovery system that harvests heat from exhaust air to supplement boilers, and dedicated VFD fans that ramp up or down based on occupancy.

 © Ben Benschneider

本·本施奈德

最后，新机构整合了慈善Rypien基金会的愿景，以确保患者的观点始终得到倾听和尊重。Rypien基金会是该项目的主要煽动者之一，它在整个设计过程中始终参与其中。他们的积极和参与极大地提高了病人的体验，推动了材料、图形和艺术作品在各个层面的整合。通过基金会的捐款和募捐工作，对社会有一种感觉。

Finally, the new facility integrates the vision of the philanthropic Rypien Foundation to ensure that the patient’s perspective was always heard and respected. A major instigator for the project, the Rypien Foundation remained involved throughout the design process. Their activism and involvement greatly enhanced the patient experience, driving the integration of materials, graphics and artwork at every level. Through the foundation’s contributions and fundraising efforts, a sense of the community.

Architects Mahlum

Location 101 West 8th Avenue, Spokane, WA 99204, USA

Category Renovation

Architect in Charge Gerald (Butch) Reifert, FAIA

Project Manager Gary Signs, AIA

Project Designer Pierce McVey, AIA, LEED AP

Area 28000.0 ft2

Project Year 2013