User-centered integrated redesign of the Electrophysiology Room at the Sant Joan de Déu Pediatric Hospital

Abstract

This project presents a comprehensive redesign proposal for the Electrophysiology Room at the Arrhythmia Unit of Sant Joan de Déu Children’s Hospital (HSJD). The objective is to resolve existing structural and functional inefficiencies through a needs-driven, paediatric-adapted design. The approach follows the Biodesign methodology, progressing from the identification of needs to the proposal of solutions. The first phase involved shadowing procedures, interviews with clinicians and nurses, detailed questionnaires and benchmarking visits to six Spanish hospitals. This led to the collection and classification of over 40 needs across four categories: infrastructure, equipment, patient experience, and staff comfort. Each need was prioritised (must-have, nice to have, or not needed) based on CSUR standards, clinical workflows, and national recommendations.These needs were translated into a set of finalessential and recommended technical requirements. For each, a tailored solution was proposed, integrating real-world observations and commercially available technologies. The proposal includes ceiling-mounted storage and power systems, improved lighting and temperature control, and better ergonomic conditions. All solutions were compiled into a full list of recommended equipment and illustrated in a conceptual layout plan.The project concludes that while technical design is key, subjectivity plays a major role in shaping what each team considers "ideal." Hence, the "perfect" EP room is not a universal standard but a dynamic solution that must respond to the unique needs of a clinical team at a specific point in time.