Complex healthcare facility management and lean construction.

HERD Vol. 3, No. 2 WINTER 2010 • HEALTH ENVIRONMENTS RESEARCH & DESIGN JOURNAL 3 “Health care projects are very complex, and extensive planning is required to deliver them. Hundreds of participants, thousands of products and systems, and tens of thousands of decisions must be orchestrated on the path to nal completion” (Burgun, Sprague, Stein, & Atkins, 2008, p.119). Healthcare construction may create conditions that are dangerous to a hospital’s patients, sta , and visitors; therefore, it is essential to include in the process provisions for infection control; risk assessment; life safety; protection of occupants during construction (including planned or unplanned outages, movement of debris, tra c ow, cleanup, and so forth); plans for disruption of services; measures to be taken to train hospital sta , employees, visitors, and construction perComplex Healthcare Facility Management and Lean Construction