Center of Urgent Medicine / DOMY

© Ester Havlová

Architects: DOMY
Location: ,
Client: Regional Hospital in Kladno
Design Team: Michal Juha, Jan Topinka in co-operation with Roman Jarosil, Blanka Handrychová, Danica Havlíková, František Huber, Silvie Juríková, Jan Trávníček, Martin Postupa, Sanja Keser
Cost: EUR 60,000,000
Total volume: 83,500 m3
Built up area: 3,440 sqm
Total floor area: 16,400 sqm
Photographs: Ester Havlová

© Ester Havlová

Architectural and urban solution:

The hospital in Kladno, about 40 km west of Prague, is a regional hospital with 650 beds providing basic care to about 100 thousand inhabitants and specialised care to about 330 thousand inhabitants. The hospital was founded in 1903. The greatest progress came in the period 1948-4í, when a mono-block, quite modern for the period, was built. No major investments in the hospital were implemented until 2008.

The hospital premises therefore included the original old pavilion, on large mono-block and a set of granges.

© Ester Havlová

The solution was based on the following basic ideas:

• Concentrate all demanding therapeutic and examination components forming the spine of the acute care hospital, to new adequate spaces and thus create a pavilion of acute medical care

• Integrate the new pavilion to the existing mono-block and prevent passing through the individual departments on the one hand and on the other hand build a system of communications for all departments of the hospital to be readily accessible without mutual crossing

• Change the current inadequate transport connection to the city road system and differentiate traffic on the premises, build new sufficiently dimensioned entrances to the hospital with a priority to acute, emergency and immobile patients

• Extend the parking space on the hospital premises to the maximum possible extent including the closest surroundings of the hospital

• Repair and reconstruct the existing mono-block for the wards to correspond to the current standards

• Define a concept of the granges and office parts of the hospital

• Create conditions for further potential development of the hospital

© Ester Havlová

Progress of reconstruction:

1. A new centre of acute medical care has been built including:

• Central operating theatres – six operating theatres on one floor without strict division to the septic and aseptic section and 18 bed central room for sleeping after general anaesthesia

• Intensive care units – two ICUs with 14 beds each and one with 12 beds with the possibility of division to two groups

• An anaesthesiology-resuscitation department – 8 beds

• A single-day hospitalisation unit – 21 beds

• Imaging method department – x-ray, CT, MRI

• Internal invasive examination rooms

• A planned admissions centre, acute admissions centre and emergency admission centre connected to the central hall and the hospital access

• A central blood sampling area

• A delivery yard, and a waste collection yard

• Central sterilisation rooms

© Ester Havlová

2. The new building was located on a vacant land plot along the main backbone traffic route. There were several substantial reasons for this location:

• Building of a new main entrance to the hospital, sufficiently dimensioned and with a good connection to the city and suburban transport and taxi service

• Building of a new entrance for acute and emergency patients with a clear connection to the main city roads

• The new building is connected to the existing mono-block via the fronts of the short wings already made passable or to be made passable in future whose existing functions were transferred to the new building. New vertical communication routes were built in the connection points.

• The new building forms a noise barrier of the hospital

• The largest compact green areas in the hospital were preserved.

The relocation of the main entrance to the hospital, originally situated in a narrow local street of the villa quarter, meant overall change of organisation of the whole hospital operation and the need to overcome the established stereotypes in the staff and patient thinking.

© Ester Havlová

1. A new connecting corridor was built for making the hospital perfectly passable, mutual connections of all hospital departments and prevention of passing through the individual departments.

2. The following stages will include several steps of reconstruction of the whole existing mono-block and reorganisation of the structure of the existing departments. The mono-block will mainly include the wards and ground floor outpatient surgeries thanks to its construction layout. The standards of patient accommodation will be increased, the rooms will include maximum 4 and 2 beds. All rooms will be provided with their own sanitary facilities. All rooms will be oriented to the southern side to the central park of the hospital.

Elevation 01

3. At present reconstructions of the original pavilion and of the granges are under preparation.

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* Location to be used only as a reference. It could indicate city/country but not exact address.
Cite: "Center of Urgent Medicine / DOMY" 29 Dec 2011. ArchDaily. Accessed 22 Aug 2014. <http://www.archdaily.com/?p=191412>

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