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Data based configuration decisions in hospital construction projects
KTH, School of Architecture and the Built Environment (ABE), Civil and Architectural Engineering, Concrete Structures.ORCID iD: 0000-0002-2117-3168
2022 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The purpose of hospital buildings is to enable the diagnosis, treatment and caring of patients. Hospital configurations are therefore complex and deficient functionality at the final delivery of construction projects are a known issue. Configuration management is essential to ensure that all required functions are fulfilled. Digital building model data can provide the necessary information to support management of hospital configurations. Data based decisions are dependent on a baseline that contains all required functions. Thereafter, connections between data regarding functions, solutions and production methods should be established. This knowledge provides opportunities for automated data analyses giving real time accurate configuration information, enabling the prevention of deviations from the client’s intent and streamlining processes. The studies in this compilation thesis investigate this subject from different perspectives. Literature reviews, case studies and quantitative analyses of digital building data were the methods used. The results show that the systematic management of data and information can ensure hospital configurations that fulfil required functions at handover. These studies provide a conceptual model showing how configuration information applies to the construction project processes. The proposed detailed decision model shows how data from building models can support hospital configuration decisions in construction projects. Studies show that hospital construction projects management of configuration changes information is deficient. Manually managed logs contained insufficient information about the changes, while the building model data unused by the investigated projects was significantly more reliable. A risk analysis shows that data based configuration decisions in construction projects can prevent hospital building deficiencies, or facilitate recovery if they have already occurred. Digital technologies can improve the accuracy of configuration information, on which automated and industrial production equipment are dependent. However, construction project research seldom addresses the potential synergy and sustainability effects of different technologies. All case studies performed show that the current configuration information management in hospital projects is incomplete. Consequences found were cost increase, delays, reduced client value and corrective rework. The overall conclusion is that data based decisions can improve the control over hospital configurations, ensuring healthcare functions, construction project outcomes and sustainability. This thesis identifies a new research field by showing the potential of data based configuration decisions.

Abstract [sv]

Syftet med sjukhusbyggnader är att möjliggöra diagnostisering, behandling och vård av patienter. Komplexiteten i utformningen av sjukhus gör att bristande funktionalitet är ett känt problem vid slutleveransen i byggprojekt. Därför är styrningen av utformningen viktig för att säkerställa att alla erforderliga sjukvårdsfunktioner uppfylls. Digitala byggnadsmodeller kan tillhandahålla data som ger information som stödjer styrningen av sjukhusutformningar. Databaserade beslut kräver en tydligt definierad basutformning innehållande alla funktionskrav. Därefter behöver datasamband mellan funktioner, projekteringslösningar och produktionsmetoder fastställas. Denna kunskap ger möjlighet till automatiserade analyser som ger information om utformningen i realtid, vilket förebygger avvikelser från kundens intentioner och effektiviserar processer. Studierna i denna sammanläggnings-avhandling undersöker detta ämne med olika perspektiv. Litteratursammanställningar, fallstudier och kvantitativa analyser var metoderna som användes. Resultaten visar att systematisk hantering av data och information gällande sjukhusutformningar möjliggör säkerställande av att funktionskrav uppfylls. Studierna tillhandahåller en konceptuell modell som visar hur utformningsinformation kan användas i byggprojektprocesserna. En detaljerad beslutsmodell visar hur byggnadsdata kan förse sjukhusprojekt med utformningsbeslutsstöd. Undersökningar av hur information gällande utformnings-ändringar hanterades i sjukhusbyggprojekt visade på brister. Manuellt hanterade loggar innehöll bristfällig information gällande ändringar, medan de av projekten oanvända byggnadsmodelldata signifikant hade förbättrat tillförlitligheten. En riskanalys visar att databaserade beslut kan förebygga utformningsbrister i sjukhusprojekt och underlätta en återställning om de uppkommit. Automatiserande industriella produktionstekniker är beroende av tillgång till tillförlitlig av utformningsinformation. Resultaten visar att potentiella synergi- och hållbarhetseffekter av olika teknologier sällan adresseras inom byggprojektforskning. Alla fallstudier som gjorts visar att nuvarande hantering av utformningsinformation är ofullständig. De konsekvenserna som hittats är kostnadsökningar, förseningar, minskat kundvärde och korrigerande omarbetningar. Den övergripande slutsatsen är att databaserade beslut kan öka kontrollen över sjukhusutformningar, vilket säkerställer sjukvårdsfunktioner, byggprojektutfall och hållbarhet. Denna avhandling identifierar ett nytt forskningsområde genom att påvisa potentialen i databaserade utformningsbeslut.

Place, publisher, year, edition, pages
Stockholm: KTH Royal Institute of Technology, 2022. , p. 79
Series
TRITA-ABE-DLT ; 224
Keywords [en]
Information management, Configuration management, Decision support, Hospital buildings
National Category
Construction Management Construction Management
Research subject
Civil and Architectural Engineering, Concrete Structures
Identifiers
URN: urn:nbn:se:kth:diva-309925ISBN: 978-91-8040-177-7 (print)OAI: oai:DiVA.org:kth-309925DiVA, id: diva2:1647111
Public defence
2022-04-26, https://kth-se.zoom.us/j/68954393092, F3, Lindstedtsvägen 26, KTH Campus, Stockholm, 10:00 (English)
Opponent
Supervisors
Funder
Region Stockholm, LDR6262
Note

QC 20220328

Available from: 2022-03-28 Created: 2022-03-25 Last updated: 2025-02-14Bibliographically approved
List of papers
1. Exploring the applicability of configuration information in construction projects
Open this publication in new window or tab >>Exploring the applicability of configuration information in construction projects
2020 (English)In: Intelligent Buildings International, ISSN 1750-8975, E-ISSN 1756-6932, Vol. 13, no 2, p. 91-102Article in journal (Refereed) Published
Abstract [en]

The architecture, engineering and construction industry focus on the project rather than on the product management. However, the development of digital and automated techniques requires more product based processes. Configuration information is an essential part of product management to ensure high performance. This study aims to explore if systematic configuration information, used in product development, can be applied in construction projects. An international guideline and an extensive literature study identified five key areas of configuration information applicable to construction projects. This knowledge was synthesised into a conceptual model for managing configuration information. A survey investigated the application of configuration information in construction projects. In comparison with the model, the results from the literature review and the survey show that configuration information was insufficient and not managed systematically. However, the findings also indicate that systematic configuration information can be used to improve control over the product and solve several problems encountered by construction projects. This study fills a knowledge gap regarding the management of configuration information in the context of construction projects. The ongoing development of new technologies in the architecture, engineering and construction industry will make the subject of configuration information increasingly important.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2020
Keywords
configuration information; information management; construction project; building performance; healthcare facilities
National Category
Building Technologies
Research subject
Civil and Architectural Engineering, Concrete Structures
Identifiers
urn:nbn:se:kth:diva-278181 (URN)10.1080/17508975.2020.1785831 (DOI)000654269900002 ()2-s2.0-85087767853 (Scopus ID)
Funder
Region Stockholm, LDR6262
Note

QC 20210621

Available from: 2020-07-09 Created: 2020-07-09 Last updated: 2022-06-26Bibliographically approved
2. Framework for change control in healthcare construction projects compared to current practice
Open this publication in new window or tab >>Framework for change control in healthcare construction projects compared to current practice
2022 (English)In: International Journal of Construction Management, ISSN 1562-3599, Vol. 22, no 12, p. 2405-2412Article in journal (Refereed) Published
Abstract [en]

Traditionally, the evaluation of changes in construction projects focuses on implications for cost and time. Analysis of impact on the configuration and subsequent end-user functionality is less analysed. Healthcare constructions have complex configurations and the functionality is imperative for patient care. There are problems with the deliveries in healthcare construction projects not fulfilling end-user functionality. Control of configuration changes reduces the risk for deviations from intended functionality. This study establishes the information required to obtain control and the availability in healthcare construction projects. A framework based on a literature review describes the information that is required to control configuration changes. In a case study of thirteen healthcare reconstruction projects, the available informationabout changes was compared with the framework. Management of changes was deficient in all the cases. In the investigated project logs, the implications of the configuration changes were significantly underestimated. Object models data provided detailed information about the impact of changes on the configuration, but this possibility was not used. There was no available information about requests to change the configuration, consequence analyses or implementation decisions. This study fills a research gap by adding the configuration perspective to change management in construction projects.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2022
Keywords
change managemen, construction management, information management, building performance, healthcare facilities
National Category
Building Technologies
Research subject
Civil and Architectural Engineering, Concrete Structures
Identifiers
urn:nbn:se:kth:diva-279113 (URN)10.1080/15623599.2020.1795987 (DOI)000552535500001 ()2-s2.0-85088561816 (Scopus ID)
Funder
Region Stockholm, LDR6262
Note

QC 20221003

Available from: 2020-08-14 Created: 2020-08-14 Last updated: 2022-10-03Bibliographically approved
3. Quantitative Review of Construction 4.0 Technology Presence in Construction Project Research
Open this publication in new window or tab >>Quantitative Review of Construction 4.0 Technology Presence in Construction Project Research
2020 (English)In: Buildings, E-ISSN 2075-5309, Vol. 10, no 10, article id 173Article in journal (Refereed) Published
Abstract [en]

The development of technologies associated with the fourth industrial revolution is rapid. Construction 4.0 represents the architecture, engineering, construction and operations industries exploration of new technologies, equivalent to Industry 4.0 for the manufacturing industry. These concepts address multiple perspectives besides the technological, such as management and processes. The purpose of this study was to investigate to what extent research regarding construction projects addresses information and communication, automatisation or industrialisation technologies. A scoping review was the method used to perform a quantitative analysis of over two thousand journal papers published from 2015 onwards. The results show that new technologies are addressed separately, while synergy studies are uncommon. Longitudinal analyses show that there was no significant increase in journal papers concerning new technologies from 2015 to 2019. Information and communication was the search criterion with the least number of papers found. The environmental perspective of new technologies was present but the least common from 2019 to 2020. Hence, this review shows that there is an extensive research gap regarding Construction 4.0 technologies in the context of construction projects. Studies regarding synergy and environmental effects of new technologies should increase to start the progress towards a successful entry into the fourth industrial revolution.

Place, publisher, year, edition, pages
MDPI AG, 2020
Keywords
construction 4, 0, information and communication technology, automated construction, industrial construction, project management
National Category
Production Engineering, Human Work Science and Ergonomics
Identifiers
urn:nbn:se:kth:diva-286234 (URN)10.3390/buildings10100173 (DOI)000584022000001 ()2-s2.0-85095126724 (Scopus ID)
Funder
Region Stockholm, LDR6262
Note

QC 20201124

Available from: 2020-11-24 Created: 2020-11-24 Last updated: 2024-01-17Bibliographically approved
4. Potential of automated configuration control to reduce hospital building deficiencies
Open this publication in new window or tab >>Potential of automated configuration control to reduce hospital building deficiencies
2022 (English)In: Procedia Computer Science, Elsevier BV , 2022, Vol. 196, p. 61-68Conference paper, Published paper (Refereed)
Abstract [en]

The configuration of healthcare buildings is complex, especially emergency hospitals that require many functions. In this study, the aim was to explore if automated configuration control can reduce occurrences of hospital deficiencies in construction projects. A bow-tie risk analysis identified the causes and consequences of configuration deficiencies. Measures to prevent and recover from deficiencies were established from configuration management research. Three newly built emergency hospitals were studied to investigate to what extent causes, consequences, preventive and recovery measures were present. The most common causes of deficiencies were deviations from intended configurations, in the literature and the cases. The consequences were cost increase, time delays, insufficient deliveries and corrective rework. None of the examined cases had implemented preventive or recovery measures associated with configuration control. Altogether, these results indicate that automation of configuration control may effectively reduce hospital building deficiencies and subsequent effects.

Place, publisher, year, edition, pages
Elsevier BV, 2022
Series
Procedia Computer Science, ISSN 1877-0509 ; 196
Keywords
Information management, Configuration management, Automation, Digital transformation, Healthcare buildings
National Category
Building Technologies Construction Management
Research subject
Information and Communication Technology; Civil and Architectural Engineering
Identifiers
urn:nbn:se:kth:diva-307069 (URN)10.1016/j.procs.2021.11.073 (DOI)2-s2.0-85122875277 (Scopus ID)
Conference
2021 International Conference on ENTERprise Information Systems, CENTERIS 2021 / ProjMAN 2021 - International Conference on Project MANagement / HCist 2021 and International Conference on Health and Social Care Information Systems and Technologies 2021 Braga 13 October 2021 through 15 October 2021
Note

QC 20220204

Available from: 2022-01-11 Created: 2022-01-11 Last updated: 2022-06-25Bibliographically approved
5. A decision support model for hospital configurations in construction projects
Open this publication in new window or tab >>A decision support model for hospital configurations in construction projects
(English)Manuscript (preprint) (Other academic)
Abstract [en]

Hospitals are complex buildings and their functionality is essential for patient healthcare. Definition, verification and implementation of accurate configuration information during construction projects are therefore essential. The purpose of this study was to develop a decision support model by establishing a value chain of configuration information with an end-to-end perspective. The approach of this study was explorative, investigating how building data can support construction projects in making hospital configuration decisions. A literature review provided a knowledge base about the configuration decision process, which determined the entities and composite attributes for the proposed database model. The possibility to extract data from building models to a database was studied by establishing relevant exchange schemas. A case study compared the IFC schemas from three construction projects of Magnetic Resonance Imaging rooms to the database model. The results show that using building model data for decision support is feasible. In the cases studied, there were operational gaps compared to the model regarding data availability about object relationships, processes and resources. This shows a need for change in current data collection and management. The contribution of this study is filling a research gap regarding end-to-end information management to support hospital configuration decisions in construction projects.

Keywords
Decision model, Data driven processes, Configuration information, Building model data, Digitalisation, Hospital building
National Category
Other Civil Engineering Construction Management
Research subject
Civil and Architectural Engineering, Concrete Structures; Civil and Architectural Engineering; Computer Science
Identifiers
urn:nbn:se:kth:diva-309924 (URN)
Funder
Region Stockholm, LDR6262
Note

QC 20220325

Available from: 2022-03-15 Created: 2022-03-15 Last updated: 2022-06-25Bibliographically approved

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