DIN 13080-2016 Division of hospitals into functional areas and functional sections《按职能范围和职能分类划分的医院》.pdf

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1、June 2016DEUTSCHE NORM English price group 21No part of this translation may be reproduced without prior permission ofDIN Deutsches Institut fr Normung e. V., Berlin. Beuth Verlag GmbH, 10772 Berlin, Germany,has the exclusive right of sale for German Standards (DIN-Normen).ICS 91.040.10!%9“2582257ww

2、w.din.deDIN 13080Division of hospitals into functional areas and functional sections,English translation of DIN 13080:2016-06Gliederung des Krankenhauses in Funktionsbereiche und Funktionsstellen,Englische bersetzung von DIN 13080:2016-06Division de lhpital en zones fonctionnelles et sections foncti

3、onnelles,Traduction anglaise de DIN 13080:2016-06SupersedesDIN 13080:2003-07,DIN 13080 Supplement 1:2003-07andDIN 13080 Supplement 2:2003-07www.beuth.deDocument comprises 56 pagesDDIN-Normenausschuss Bauwesen (NABau)DIN-Sprachendienst04.17DIN 13080:2016-06 2 A comma is used as the decimal marker. Co

4、ntents Page Foreword . 3 1 Scope 4 2 Normative references 4 3 Terms and definitions 4 4 Basic framework for hospital planning and building . 5 5 Structuring into functional areas and functional sections . 6 6 Colour coding of the usable areas and technical areas 8 7 Reference to DIN 277-1 . 8 8 Rule

5、s relating to application . 8 8.1 General 8 8.2 Assignment of rooms/areas . 9 8.3 Avoiding islands . 9 8.4 Interfaces/proportional allocation . 9 8.5 Overlapping areas . 9 8.6 Rooms and areas in schedules of accommodation 10 Annex A (informative) Notes on implementation. 11 A.1 General 11 A.2 Notes

6、on Tables A.1 to A.8 11 A.3 Abbreviations 12 Tables Table 1 Structuring of hospital into functional areas and functional sections 7 Table 2 Colour coding of the functional areas . 8 Table A.1 FUNCTIONAL AREA 1.00 DIAGNOSTICS AND THERAPY . 15 Table A.2 FUNCTIONAL AREA 2.00 NURSING CARE 26 Table A.3 F

7、UNCTIONAL AREA 3.00 GENERAL SERVICES 38 Table A.4 FUNCTIONAL AREA 4.00 HOSPITAL MANAGEMENT 40 Table A.5 FUNCTIONAL AREA 5.00 SUPPLY, CLEANING AND WASTE DISPOSAL 43 Table A.6 FUNCTIONAL AREA 6.00 RESEARCH, TEACHING AND EDUCATION . 47 Table A.7 FUNCTIONAL AREA 7.00 OTHER FACILITIES 49 Table A.8 FUNCTI

8、ONAL AREA 8.00 TECHNICAL BUILDING SYSTEMS 51 DIN 13080:2016-06 3 Foreword This standard has been prepared by Working Committee NA 005-01-09 AA Grundlagen fr die Planung von Krankenhusern of DIN-Normenausschuss Bauwesen (NABau) (DIN Standards Committee Building and Civil Engineering). Attention is dr

9、awn to the possibility that some of the elements of this document may be the subject of patent rights. DIN and/or DKE shall not be held responsible for identifying any or all such patent rights. Amendments The standard differs from DIN 13080:2003-07, DIN 13080 Supplement 1:2003-07 and DIN 13080 Supp

10、lement 2:2003-07 as follows: a) all clauses of the standard have been supplemented and set out in more detail; b) Clause 4 “Basic framework for hospital planning and building, Clause 7 “Reference to DIN 277-1 and Clause 8 “Rules for application have been added; c) the term “subsubsection has been ad

11、ded; d) the functional areas 1.00, 3.00, 4.00, 6.00 and 7.00 have been renamed; e) the keys and the names of several functional sections have been changed; f) the functional sections have been revised; g) the colour code of the functional area 7.00 has been changed from “dark violet to “grey; h) the

12、 functional section 8.00 Technical building systems has been added with the functional sections 8.01 to 8.08; i) DIN 13080 Supplement 1 and DIN 13080 Supplement 2 have been combined into the informative Annex A of DIN 13080; j) Clauses 1 to 4 of Supplements 1 and 2 have been supplemented and set out

13、 in more detail (now Clause 8); k) amendments have been made to the tables for functional areas (now Tables A.1 to A.8), e.g. the column “Planning guidance notes has been added. Previous editions DIN 13080: 1987-06, 1999-10, 2003-07 DIN 13080 Supp. 1: 1990-02, 1999-10, 2003-07 DIN 13080 Supp. 2: 199

14、9-10, 2003-07 DIN 13080:2016-06 4 1 Scope This standard classifies and differentiates the usable areas and technical areas according to functions that are specific to hospitals. Calculation of such surface areas is set out in DIN 277-1. DIN 13080 is applicable to hospitals and medical school hospita

15、ls and university hospitals of any size. It is also applicable to similar healthcare institutions. This standard compiles, differentiates and classifies the major tasks and functions to be carried out by hospitals and medical school and university hospitals. This helps to establish a comprehensive s

16、tructural outline of functions, employing the terms and definitions conventionally used in hospitals. The standardization and definition of terms can also be used as a basis for other standards and provisions. This standard does not specify responsibilities, organizational forms, building structures

17、 or operational structures. As a result, terms such as department and ward can be left unchanged. It can be used, for instance, to document potential surface area availability and to perform a comparative analysis and assessment (e.g. a weak-point analysis), but it can also be used for demand, desig

18、n and operational planning by serving as a basis for communication between all players involved in each process. 2 Normative references The following documents, in whole or in part, are normatively referenced in this document and are indispensable for its application. For dated references, only the

19、edition cited applies. For undated references, the latest edition of the referenced document (including any amendments) applies. DIN 276-1, Building costs Part 1: Building construction DIN 277-1, Areas and volumes of buildings Part 1: Building construction ArbSchG, Gesetz ber die Durchfhrung von Man

20、ahmen des Arbeitsschutzes zur Verbesserung der Sicherheit und des Gesundheitsschutzes der Beschftigten bei der Arbeit (Act on the Implementation of Measures of Occupational Safety and Health to encourage Improvements in the Safety and Health Protection of Workers at Work) IfSG, Gesetz zur Verhtung u

21、nd Bekmpfung von Infektionskrankheiten beim Menschen (Infektionsschutzgesetz) (German Infection Protection Act) 3 Terms and definitions The area making up a hospital is divided hierarchically into sub-areas, the respective function of which is to fulfill tasks specific to hospitals. For the purposes

22、 of this document, the following terms and definitions apply at four organizational levels. 3.1 functional area an area that performs a hospital-specific task and is divided into functional sections EXAMPLE 1.00 Diagnostics and therapy 3.2 functional section an area that performs a set of interrelat

23、ed tasks with closely related work processes and is divided into subsections EXAMPLE 1.03 Medical staff DIN 13080:2016-06 5 3.3 subsection an area that performs specialty tasks within a set of interrelated tasks and is divided into subsubsections as necessary EXAMPLE 1.03.05 Surgery 3.4 subsubsectio

24、n further differentiation of a specialty task into subtasks EXAMPLE - Vascular surgery 4 Basic framework for hospital planning and building The basis for the planning of hospital building activities are the intended functions and organization of treatment processes and workflows, and also the requir

25、ements relating to hospital hygiene, infection prevention and occupational health and safety. In order to ensure an effective and efficient planning process, technical expertise, especially from the fields of medicine, nursing, business organization, hygiene, occupational health and safety, and medi

26、cal technology, needs to be incorporated in the planning group in addition to building design competency. The primary task of hygiene is to prevent the further spread of infective agents. The separation of infected patients, potentially infected and/or colonized patients is a proven means to achieve

27、 this. Surface area requirements shall be stated at the initial needs-related planning stage, irrespective of the operational concept. In the planning phases, a hospital hygienist shall be called to assess and define preventive action by performing a risk analysis involving both medical aspects and

28、aspects specific to the establishment itself. According to 23 Infektionsschutzgesetz (IfSG), the hospital management shall ensure that any measures to prevent nosocomial infection and the transmission of pathogens, especially those with resistance, are taken according to state-of-the-art medical sci

29、ence. In addition to the operational and organizational measures and aspects related to staff competence, this also includes architectural/functional aspects of hygiene. A legal framework has been defined by the federal government and the Lnder (state governments) to prevent, detect and control noso

30、comial infection and resistant pathogens in healthcare establishments. The action necessary for compliance with hygiene and infection prevention requirements is defined in the recommendations of the Kommission fr Krankenhaushygiene und Infektionsprvention (KRINKO) (Committee for Hospital Hygiene and

31、 Infection Prevention of the Robert Koch Institute) as well as in the guidelines of the professional medical societies. The objectives to improve health and safety protection of employees at work are defined in the Arbeitsschutzgesetz (ArbSchG) and have the same relevance as medical and nursing requ

32、irements. The Workplace Ordinance and the technical rules on occupational health and safety provide planning recommendations for the implementation of occupational health and safety measures. Special rules are to be complied with when handling dangerous substances or using dangerous working procedur

33、es. Laws, the associated ordinances and the provisions governing their implementation provide orientation for the generally recognized rules of technology and medical science. References to the rules that are relevant for planning surface areas can be found in the column “Planning guidance notes in

34、Tables A.1 to A.8. DIN 13080:2016-06 6 5 Structuring into functional areas and functional sections The structure in Table 1 assigns functional sections to the functional areas with the keys 1.00 to 8.00. Functional areas 1.00 to 7.00 cover usable areas; functional area 8.00 covers technical areas. T

35、he functions associated with medical services are mainly represented by the primary processes of functional areas 1.00 Diagnostics and therapy and 2.00 Nursing care. These, in combination with performance figures, shall be used as a basis for the planning of surface area requirements. The same appli

36、es to secondary and tertiary functional areas (3.00 to 5.00). In medical school hospitals and university hospitals, the functions associated with medical services in the functional area 6.00 Research, teaching and education are among the primary processes. The designations and structure of the funct

37、ional areas, functional sections, subsections and subsubsections allow for adjustments in the light of future developments. DIN 13080:2016-06 7 Table 1 Division of a hospital into functional areas and functional sections Key Namea Key Namea1.00 Diagnostics and therapy 5.00 Supply, cleaning and waste

38、 disposal 1.01 Admission and emergency service 5.01 Logistics 1.02 Clinical outpatient departments 5.02 Drug delivery system 1.03 Medical staff 5.03 Sterile supply 1.04 Functional diagnostics 5.04 Equipment supply 1.05 Endoscopy 5.05 Bed preparation 1.06 Laboratory medicine 5.06 Food service 1.07 Di

39、agnostic imaging and inter- 5.07 Laundry service ventional radiological procedures 5.08 Maintenance and repair 1.08 Nuclear medicine 5.09 Recyclable waste separation and waste disposal 1.09 Operation 5.10 Cleaning services 1.10 Delivery 5.11 Transport services 1.11 Radiotherapy 1.12 Supportive treat

40、ments 6.00 Research, teaching and education 1.13 Autopsy/pathology 6.01 Research 6.02 Teaching 2.00 Nursing care 6.03 Education and school 2.01 General nursing care 2.02 Maternity and neonatal care 7.00 Other facilities 2.03 Intensive medicine 7.01 Rescue service 2.04 Dialysis 7.02 Residential accom

41、modation staff 2.05 Infant, paediatric and adolescent nursing 7.03 Employee nursery care 7.04 Patient hotel 2.06 Isolation care 7.05 Hospice 2.07 Mental health care 7.06 Integrated outpatient departments 2.08 Nuclear medicine care 7.07 Special areas in and on buildings 2.09 Admission care 2.10 Geria

42、tric care 8.00 Technical building systemsb 2.11 Day clinic 8.01 Waste water, water and gas installations 2.12 Palliative medicine 8.02 Heating supply facilities 2.13 Rehabilitation 8.03 Air conditioning systems 2.14 Comfort ward 8.04 Power systems 8.05 Telecommunication and information 3.00 General

43、services technology systems 3.01 Service facilities 8.06 Conveyor systems 3.02 Chaplaincy and social services 8.07 Installations for specific purposes 3.03 Staff food service 8.08 Building automation 3.04 Staff changing rooms 3.05 On-call service 4.00 Hospital management 4.01 General management/hosp

44、ital administration 4.02 Hygiene 4.03 Staff 4.04 Finance, materials management, construction and technology 4.05 Information technology aFunctional areas are printed in bold. Functional sections are in light print. bTechnical areas DIN 13080:2016-06 8 6 Colour coding of usable areas and technical ar

45、eas The usable areas of functional areas 1.00 to 7.00 and technical area 8.00 shall be marked with colours in the floor plan. The means of providing and securing access and circulation (circulation areas) stated for completeness are not marked in colour. The areas marked in plans according to Table

46、2 provide orientation on the size and position of the functional areas. Table 2 Colour coding of functional areas Key Functional area Colour code 1.00 Diagnostics and therapy red 2.00 Nursing care yellow 3.00 General services orange 4.00 Hospital management green 5.00 Supply, cleaning and waste disp

47、osal brown 6.00 Research, teaching and education violet 7.00 Other facilities grey 8.00 Technical building systems blue Access and circulation none 7 Reference to DIN 277-1 DIN 13080 divides the surface areas according to their functions, irrespective of cost allocation criteria. The necessary struc

48、ture and the level of detail of this standard is not given in DIN 277-1. Nevertheless, it is possible to assign the areas covered in DIN 13080 to a category of use according to DIN 277-1 or any of its subcategories. The categories of use defined in DIN 277-1 divide the areas for further treatment ac

49、cording to DIN 276-1 in order to enable these to be compared in terms of their construction and usage costs. 8 Rules relating to application 8.1 General Hospital planning provides a structure to be used as a basis for ensuring safe and efficient treatment processes and workflows. Hospital-specific treatment processes (from admission to discharge) with a hierarchical structure and related workflows are used to define the requirements for the design and functional relationships of usable areas at the structural leve