The Bartlett School of Sustainable Construction


Irinie Roufaeel

Emergency Department evaluation and optimization using space syntax and hybrid simulation techniques

Research supervisors: Dr Grant Mills and Prof Alan Penn
Start date: March 2020

The emergency department is one of the most critical units, as it is considered the front door of a hospital; providing the first and most lasting impression of the quality of service care. The ED should provide health care services that abide by specific standards that specify the time spent by patients in the system. Governments have tried to overcome this problem by setting rules for the maximum length of stay for patients, but this would lead to increasing work load for staff; which would consequently decrease the general performance of the ED due to escalating medical errors. Besides the growth of number of patients is far quicker than that of health care facilities. Therefore, providing optimum health care services in terms of operational efficiency in terms of patient satisfaction and staff satisfaction with minimal costs is essential. Since this is a complex objective to achieve, space syntax and hybrid simulation models are required. The ED architectural configuration and layout affects the quality of service tremendously from several aspects. Firstly, it has a great impact on the patient service quality. Secondly, it affects the staff’s quality of life by providing them with their functional needs. And last but not least it plays an important role in controlling the rate of profitability of the ED. Therefore, an optimum ED layout design lead to optimum satisfaction for ED patients, staff members and managers & stakeholders.


Wanis I, Sherif A, Nassar K. Emergency Department Design Evaluation and Optimization Using Discrete Event Simulation Modelling. Paper presented at: 2019 ARCHCAIRO8 Conference; April 8-10, 2019; Cairo, Egypt