ABSTRACT
Lean design efforts include the construction of full-scale mockups built from cardboard, wood, or other temporary materials. Mockups are often constructed in rented warehouse space, empty shell space, or parking garages. Design and construction is often a batch process, with major stages of work being "thrown over the wall" without many opportunities to iteratively improve a design throughout the process. In the design and construction of the Seattle Children's Hospital Bellevue facility, mockups meant that "participants often made their spaces smaller, changed traditional adjacencies, or completely changed their design thinking after seeing and using" their paper design brought to life. The Post-Anesthesia Care Unit (PACU) space is designed to be multi-function, meaning patients can be prepped or recovered in the same space. Patients will now be in a private room pre- and postsurgery, except for the most critical patients who will still be recovered in an open bay PACU.
