Comparative Evaluation of Hospital Inpatient Room Design against Regulations and Integrated Project Delivery (IPD) Principles

Authors

DOI:

https://doi.org/10.26593/risa.v9i3.42-52

Keywords:

collaborative, hospital, inpatient, spatial safety

Abstract

This study conducts a comparative evaluation of the inpatient room design in JIH Hospital Purwokerto and the Universitas Islam Indonesia Hospital (RSA UII) Yogyakarta in relation to the technical standards stipulated in the Decree of the Minister of Health Number HK.01.07/MENKES/1122/2022 on Technical Standards for Hospital Inpatient Rooms and the principles of Integrated Project Delivery (IPD). The study focuses on three central issues: the inadequacy of inpatient room dimensions, potential risks to patient safety and the limited interdisciplinary coordination during the design process. A comparative qualitative method was employed, combining direct observation, architectural document analysis, and regulatory review. The findings indicate that the inpatient rooms at JIH Hospital Purwokerto do not meet the minimum spatial requirements and exhibit suboptimal evacuation patterns, which may affect patient safety. In contrast, RSA UII demonstrates greater conformity to dimensional standards and better functional integration. The study also identifies that the absence of Building Information Modeling (BIM) in the design process contributes to reduced coordination among design professionals. Based on these findings, the study recommends design improvements that include meeting minimum spatial standards, separating clean and dirty zones, optimizing cross ventilation, and strengthening collaborative planning grounded in IPD principles and supported by BIM technology.

References

Azhar, S., Khalfan, M., & Maqsood, T. (2012). Building Information Modeling (BIM): Now and Beyond. Australasian Journal of Construction Economics and Building, 12(4), 15–28. https://doi.org/10.5130/ajceb.v12i4.3032

Brambilla, A., Rebecchi, A., & Capolongo, S. (2019). Evidence-based Hospital Design: A Literature Review of the Recent Publications about the EBD Impact of Built Environment on Hospital Occupants’ and Organizational Outcomes. Annali di Igiene: Medicina Preventiva e di Comunità, 31(2), 165–180. https://doi.org/10.7416/ai.2019.2269

Cho, M., Moon, H., & Kim, H. (2023). Evaluating Therapeutic Healthcare Environmental Criteria from Users’ Healing Experiences in Hospitals. International Journal of Environmental Research and Public Health, 20(2), 1540. https://doi.org/10.3390/ijerph20021540

Engebø, A., Lædre, O., Young, B., Larssen, P. F., & Lohne, J. (2020). Collaborative Project Delivery Methods: A Scoping Review. Journal of Civil Engineering and Management, 26(3), 278–303. https://doi.org/10.3846/jcem.2020.12186

Ghanbari, M. R. F., Jahangiri, M., & Sohrabizadeh, S. (2025). Software Simulation of Emergency Evacuation and Providing Corrective Measures in Hospital Buildings. Journal of Emergency Management, 23(1), 65–78. https://doi.org/10.5055/jem.0838

Godager, B., Mohn, K., Merschbrock, C., & Huang, L. (2024). Exploring the Enterprise BIM Concept in Practice: The Case of Asset Management in a Norwegian Hospital. Journal of Information Technology in Construction, 29, 549–572. https://doi.org/10.36680/j.itcon.2024.025

Hassaballa, R. E., Eida, E. A., & Shebl, M. A. (2024). A Systematic Literature Review on the Synergistic Application of BIM and Lean for Sustainable Hospital Development. International Journal of Architectural Engineering and Urban Research, 7(2), 111–143. https://doi.org/10.21608/ijaeur.2025.383210.1093

Karasu, T., Aaltonen, K., & Haapasalo, H. (2023). The Interplay of IPD and BIM: A Systematic Literature Review. Construction Innovation, 23(3), 640–664. https://doi.org/10.1108/CI-07-2021-0134

Kementerian Kesehatan Republik Indonesia. (2022). Keputusan Menteri Kesehatan No. HK.01.07/MENKES/1122/2022 tentang Standar Ruang Rawat Inap Rumah Sakit. Kementerian Kesehatan Republik Indonesia

Marison, A. F., Tela, I. N., & Wongso, J. (2025). Pengaruh Desain Ruang Rawat Inap terhadap Pengalaman Penyembuhan Pasien: Studi Pendekatan Evidence-Based Design di Rumah Sakit Santa Maria Pekanbaru. Sigma Teknika, 8(1), 180–191. https://doi.org/10.33373/sigmateknika.v8i1.7702

Mushadik, & Rahayu, R. L. (2023). The Application of Healing Architecture Concept in Type B Regional Hospital, Karanganyar Regency, Central Java. Lakar: Journal of Architecture, 4(2), 51–60. http://dx.doi.org/10.30998/lja.v6i2.19712

Rafeeq, D. A., & Mustafa, F. A. (2021). Evidence-based Design: The Role of Inpatient Typology in Creating Healing Environment, Hospitals in Erbil City as a Case Study. Ain Shams Engineering Journal, 12(1), 1073–1087. https://doi.org/10.1016/j.asej.2020.06.014

Ren, C., Wang, J., Feng, Z., Kim, M. K., Haghighat, F., & Cao, S.-J. (2023). Refined Design of Ventilation Systems to Mitigate Infection Risk in Hospital Wards: Perspective from Ventilation Openings Setting. Environmental Pollution, 333, 122025. https://doi.org/10.1016/j.envpol.2023.122025

Sacks, R., Eastman, C., Lee, G., & Teicholz, P. (2018). BIM Handbook: A Guide to Building Information Modeling for Owners, Designers, Engineers, Contractors, and Facility Managers (3rd ed.). Wiley.

Sampaio, A. Z., Lucas, F. A., & Santos, J. P. (2023). The BIM Manager role in the Integration and Coordination of Multidisciplinary Building Projects. Buildings, 13(8), 2101. https://doi.org/10.3390/buildings13082101

Stiller, A., Salm, F., Bischoff, P., & Gastmeier, P. (2016). Relationship between Hospital Ward Design and Healthcare-Associated Infection Rates: A Systematic Review and Meta-analysis. Antimicrobial Resistance & Infection Control, 5, Article 51. https://doi.org/10.1186/s13756-016-0152-1

Ulrich, R. S., Zimring, C., Zhu, X., DuBose, J., Seo, H.-B., Choi, Y.-S., Quan, X., & Joseph, A. (2008). A Review of the Research Literature on Evidence-Based Healthcare Design. HERD: Health Environments Research & Design Journal, 1(3), 61–125. https://doi.org/10.1177/193758670800100306

World Health Organization. (2020). Hospital preparedness for emergencies and disasters. WHO Press.

Zhan, Z., Xu, W., Xu, L., Qi, X., Song, W., Wang, C., & Huang, Z. (2022). BIM-based Green Hospital Building Performance Pre-Evaluation: A Case Study. Sustainability, 14(4), 2066. https://doi.org/10.3390/su14042066

Zhou, Y., Zhang, X., Guo, F., & Zhang, Y. (2022). Study on value-based design of healthcare facilities: Based on review of the literature in the USA and Japan. Frontiers in Public Health, 10, 883241. https://doi.org/10.3389/fpubh.2022.883241

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Published

2025-12-19