TY  - CONF
TI  - Using the “Five Whys” as a Decision-Making Framework for Evidence-Based Design
AU  - Rybkowski, Zofia K.
AU  - Ballard, Glenn
AD  - PhD Candidate, Program in Engineering and Project Management, Department of Civil and Environmental Engineering, 215-A McLaughlin Hall, University of California, Berkeley, CA 94720-1712, Phone +1 510/684-5729 cezkr@berkeley.edu
AD  - Research Director, Project Production Systems Laboratory, http://p2sl.berkeley.edu/ Associate Adjunct Professor, Department of Civil and Environmental Engineering, 215-A McLaughlin Hall, University of California, Berkeley, CA 94720-1712, Phone +1 510/643-8678, FAX 510/643-8919 ballard@ ce. berkeley. edu
ED  - Tzortzopoulos, Patricia
ED  - Kagioglou, Mike
PY  - 2008
DA  - 2008/07/16
T2  - 16th Annual Conference of the International Group for Lean Construction
C3  - 16th Annual Conference of the International Group for Lean Construction
CY  - Manchester, UK
SP  - 391
EP  - 402
AB  - Evidence-Based Design (EBD), the judicious and conscientious use of current best evidence to make design decisions for unique projects, is being applied to the design of healthcare facilities with increasing frequency. Because of both the need to replace and expand aging buildings and a retiring baby boom generation, construction of healthcare facilities is currently on the rise in the US. Advocates of EBD argue that its rigorous application will reduce incidence of medical error and improve rates of patient recovery. However, while some promises made by EBD can be scientifically substantiated, design of facilities may not be the only appropriate solution to the problems EBD advocates cite; healthcare facility designers are pressing for EBD adoption, even when a less costly, non-capital program response might be equally effective. This paper suggests that while the error-proofing logic of EBD makes sense, a structured framework for the "Five Whys" should be rigorously implemented by design decision-makers, to ensure that multiple options are considered before final solutions are adopted.
KW  - evidence-based design
KW  - lean construction
KW  - five whys
L1  - https://www.iglc.net/papers/details/605/pdf
UR  - https://www.iglc.net/papers/details/605
DB  - IGLC.net
LA  - English
N1  - Export date: 04 October 2026
ER  -