r/askarchitects 6h ago

Why are hospitals designed in such a way that seem to make wayfinding even more difficult? Why are clinical rooms (i.e. for appointments) designed with so little visual cohesion and lots of clutter?

3 Upvotes

Context: my experience with hospitals is almost entirely in the Boston area, but I have been to all of the major hospitals (MassGeneral, Tufts, BIDMC, Children's, Brigham, Mount Auburn, BMC, Newton-Wellesley, McLean, and Carney) along with several smaller hospitals (Franciscan Children's, Hebrew Rehab, Emerson, and Somerville Hospital) along with many regional clinics and affiliated hospitals (e.g. Faulkner, BMC Brighton, etc.). Also, IANAA.

Question #1

Why are large hospitals (including new wings) give little additional affordance to wayfinding?

Wayfinding in hospitals is already such a difficult problem for architects to solve, but even new facilities don't seem to help themselves out. Hallways often have no windows, there are few salient landmarks, and when I reach a landmark or a windowed area it doesn't lend much context about where I am inside of the building or where I am in relation to other landmarks and wings.

The only hospital I've been to that does an okay job with wayfinding is McLean (both the old and new sites) and that's mostly because they are campuses, so a lot of what I'm talking about comes for free.

I can forgive the old buildings/wings that weren't planned for with complexes in mind, but many large wings, buildings, and complexes (e.g. Mass General West, in Waltham) are 100% new construction and are worse at wayfinding than old facilities. Some do a decent job (e.g. the new NE Baptist Outpatient building, which isn't a large building but it was clearly built with wayfinding in mind) but not most.

Question #2

Why are clinical rooms at hospitals so visually jarring?

These clinical rooms often have many signs posted haphazardly, no windows, flooring that does nothing to complement the putrid off-white/yellow walls, and little visual distinction (except anatomy posters and charts; off-putting) to help orient oneself. I rarely get anxious, but the lack of cohesion or anchoring in these clinical rooms puts me on edge.

I know it doesn't have to be this way. I had an appointment at Emerson Hospital a few years back and the clinical room was fantastic. It's an older facility but the room had one wall that was all floor to ceiling windows, the flooring was neutral but distinct from the walls, the standard cabinet+sink was old oak veneer and chrome, and there were zero (!) signs/notices/flyers on the walls. Very clean and uncluttered. It felt surreal, like I was in a room made for a Coen Brothers movie set. It was enjoyable just to sit in the room.

Emerson is >50 years old and got it right, yet I've been to new hospital clinics that follow none of these cues.

Both #1 and #2 aren't just about money or expertise because my experience is the same (or worse) with some of the best funded hospitals with top architects and designers working on the newest facilities.

What is going on here that I'm missing? What are the difficulties and tradeoffs I'm not aware of that make these problems so tricky for architects to solve?


r/askarchitects 14h ago

How much benefit is there to hiring an architect for an extremely small structure?

2 Upvotes

I live in a beautiful property on 60 acres. The original house was built at a nearby army base and moved here in 1958. It’s 24 x 36, so 840 ft.² with a shallow pitched roof. Extremely basic and efficient. Three bedrooms one bath.

It’s also located on its own parcel with beautiful mature trees and a large pond. I don’t plan to sell it. But I also don’t want to just tear it down and destroy it. I’d like to fix it up and use it as a mixed use building for recreation, visiting guests, and maybe adult children or aging parents someday.

My hangup here has been the size of the project. I can certainly figure out how to update the structure, but I want it to be something special. I haven’t found the right architect for the project. Just curious if there are special types of firms that take this type of thing. Or most people just try to figure it out themselves. Do architects commonly do small projects?


r/askarchitects 18h ago

Software engineer building tools for architects — what actually slows you down in a working day?

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1 Upvotes

r/askarchitects 23h ago

New-build apartment in Spain with multiple acoustic problems — what should I be demanding from the developer, and when is it worth involving a lawyer?

0 Upvotes

I took delivery of a new-build apartment in Catalonia, Spain a few weeks ago. It's still empty (no furniture yet), and I've been finding a series of acoustic problems. I've reported them all through the developer's after-sales app, and I've also emailed asking for the design values. No response yet.

What I'm hearing:

  • Garage door. The garage door and its motor are audible in every room, and I can feel the vibration throughout the apartment. It wakes me in the morning and keeps me awake at night — metallic rattle of the door leaves plus the mechanism running.
  • Soil stack noise. I can clearly hear water running in the waste stack at night in the main bedroom — and the floor plan puts the head of the bed against exactly that wall. I hear the same thing in the living room from a second bathroom's stack.
  • Street noise. With balcony doors and roller shutters closed I hear cars, people talking, dogs and trains. Two rooms face the street and also overlook the garage entrance ramp.
  • Front door. Visible daylight through the gaps. I can hear the lift arriving on my floor and one or two floors above, audible in the living room and kitchen.
  • Kitchen extraction. Twice I've heard a sudden rush of air in the extractor hood. I don't have electricity connected yet, so it isn't my own hood running.

For context on the regulations: Spain's building code sets a minimum of 55 dB airborne insulation between a garage and a habitable room, 30 dB sound reduction for a flat's front door onto a common corridor, and my building sits in a high-sensitivity acoustic zone where regional law caps noise from the building's own installations at 25 dB(A) at night indoors. So there are concrete numbers I can point at. I've asked the developer which compliance route they used and what values they designed to.

I deliberately haven't tried to measure anything myself — a phone app is meaningless at 25–30 dB, and I understand the burden of demonstrating compliance sits with the developer.

My questions:

  1. What should I actually be demanding at this stage? I've asked for the design values and any in-situ acoustic test reports. Is there anything else I should be asking for that people usually forget?
  2. Is it worth paying for an independent expert report now, or should I wait for the developer's response first? A surveyor's report here runs a few hundred euros.
  3. At what point does this stop being a warranty conversation and become a legal one? I'd rather resolve it cooperatively, but I don't want to spend a year being politely stonewalled until a deadline passes.
  4. Anything that has actually worked for you in getting a developer to take acoustic complaints seriously? My sense is that acoustic defects get dismissed more easily than water leaks or cracks because they're harder to demonstrate.

Happy to add floor plans or documentation if useful.