New Surgical Centre of the University Hospital Hradec Králové – Czech Republic

Surgery is a well-established discipline in the University Hospital of Hradec Králové. The Bedrna Pavilion set a new design standard when it was opened in 1985. However, medicine, procedures, technology and the architectural concept of a modern hospital have changed a great deal in the past 30 years. Design of the new Surgery Complex is to represent all the advancements of the past decades to create a new, enhanced, flexible and ultimately healing environment that will serve for decades to come.
The new addition represents the ongoing centralization efforts of the hospital. Key to the success of this construction and to further developments is creating a framework, where new buildings and functions can be added later. Future expansion is inevitable and the currently built structure has to be ‘future proof’ allowing for ample flexibility and connections in all directions.

Todays interconnected medicine needs an interconnected infrastructure ensuring the possibility of long-term development.



architecture – Pal Rutkai

exterior visualisation – Andras Csiszer

medical planning – Csaba Gorzo


The new addition shows the paradigm shift of the past three decades. The Bedrna Pavilion represented efficient operations of a modern hospital but light, greenery and human design were not part of the concept. The new addition is bringing in these new components while keeping the efficient framework of the existing facility.

The new building is organized along the same principles as the old. Patient units are located along the eastern side of the plot, creating easy connection with the existing wards. Diagnostic and treatment areas are placed on the western side, similar to the old building.
Significant difference is the connection between the components. Instead of joining them close together, the new scheme is opened up, creating a light-filled space. This allows not only for enriched interiors, but helps to create a distribution core where different flows can be combined in a clear way. The setup also enables the connection of future hospital functions without difficulties.

340 bed rehabilitation hospital in Hévíz, Hungary

Hévíz is one of the cornerstones of Hungarian spa culture. It’s rehabilitation hospital is located right next to the famous thermal lake that is aspiring to become a World Heritage site.
The current state of the hospital and the spa buildings cannot live up to the spa’s history and the healing qualities of the lake. A comprehensive redevelopment of the whole area could not only renew the outdated buildings but could give new identity to the site as well.

The proposed concept does not focus on rebuilding but on refurbishing the current infrastructure and rearranging it to a new entity. The all-new 340 bed rehabilitation hospital is an exception that not only fits into and respects its surroundings but creates a new highlight. The new building consists of 3 hotel wings and an adjacent service wing. Access to the new hospital is through the west, service wing that leads to the multi-level, east-west, main concourse. This area brings in life to the spaces and provides easy access to the functions that enhance the hospital stay, such as a chapel, exhibition space, cinema, hairdresser or sports rental. Community spaces are located in each tower north of the main corridor, opposite of the patient units. These spaces are shared by all of the units and allow for maximum flexibility and efficient use of space.



architecture – Pal Rutkai

architecture, exterior visualisation – Andras Csiszer

medical planning – Janos Kerese

Personal Headwall – design for a better healthcare experience

Connect people
family members with the patient, through providing a family zone and caregivers with the patient, by allowing more bedside activities that lead to more time spent with direct care

Empower patients and family with
more privacy or the option to socialize and crucial sense of control over the environment

Humanize the healthcare experience to
reduce stress, eliminate institutional atmosphere and promote positive emotions

Improve efficiency with
better staff and material flow and by reducing preventable, hospital-acquired injuries and infections

Single-bed patient rooms can address many of the challenges healthcare is facing. However, many countries in the world can not afford expensive and hard to staff single-bed patient rooms. Therefore room layout options are limited.
Innovation has to happen within the framework of the efficient layout of multi-bed rooms otherwise it has no real chance to be implemented.



architecture & design – Pal Rutkai

Special MRI suit for Neurosurgery

Functional concept for a specialty clinic, with a movable MRI gantry. The special MRI will be used both during surgical procedures, when the examination room will be in the ‘sterile zone’, as well as for inpatient /outpatient clients of the Clinic within a different time slot, through a separate outpatient entrance.

Access to intraoperative MRI imaging provides real-time images during brain surgery. Neurosurgeons rely on this technology to create accurate pictures of the brain that guide them in removing brain tumors and other abnormalities during operations.



architecture – Pal Rutkai


Healthcare REmodeling

This exercise will help with optimizing the size and configuration of hospital spaces and evaluate the proposed design. By bringing together the same team that runs an actual bed unit enables the group to create the best scenario for the safety and comfort of patients and the care team. The ultimate goal is to provide quality care to patients and a comfortable environment for their families by making operations run smoothly and safely for physicians and nurses too.

We are hoping to set a new example in project delivery / preparation where more voices are heard and better outcomes are reached.

We plan to build room mock-ups for patient rooms, exam rooms and operating rooms – the most common spaces in hospitals. Different user groups can walk through these spaces and share their comments. The experiment is followed by focus group meetings facilitated by a sociologist. At the end of the program a final report is issued that summarizes the findings.




Pal Rutkai, MSc Arch, MPS-H
Bence Sagvari, PhD
Imre Varju, MD, PhD