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A Kassem, M, Khoiry, M A and Hamzah, N (2020) Assessment of the effect of external risk factors on the success of an oil and gas construction project. Engineering, Construction and Architectural Management, 27(09), 2767–93.

Adabre, M A and Chan, A P (2020) Towards a sustainability assessment model for affordable housing projects: the perspective of professionals in Ghana. Engineering, Construction and Architectural Management, 27(09), 2523–51.

Ahmadu, H A, Ibrahim, A D, Ibrahim, Y M and Adogbo, K J (2020) Incorporating aleatory and epistemic uncertainties in the modelling of construction duration. Engineering, Construction and Architectural Management, 27(09), 2199–219.

Akanmu, A, Olayiwola, J and Olatunji, O A (2020) Musculoskeletal disorders within the carpentry trade: analysis of timber flooring subtasks. Engineering, Construction and Architectural Management, 27(09), 2577–90.

Aldhaheri, M, Bakchan, A and Sandhu, M A (2018) A structural equation model for enhancing effectiveness of engineering, procurement and construction (EPC) major projects. Engineering, Construction and Architectural Management, 25(09), 1226–52.

Ali, A K (2019) A case study in developing an interdisciplinary learning experiment between architecture, building construction, and construction engineering and management education. Engineering, Construction and Architectural Management, 26(09), 2040–59.

Almatroushi, H, Hariga, M, As'ad, R and Al-Bar, A (2020) The multi resource leveling and materials procurement problem: an integrated approach. Engineering, Construction and Architectural Management, 27(09), 2135–61.

Amos, D, Au-Yong, C P and Musa, Z N (2020) Developing key performance indicators for hospital facilities management services: a developing country perspective. Engineering, Construction and Architectural Management, 27(09), 2715–35.

Chan, A P, Yang, Y and Gao, R (2018) Factors affecting the market development of steel construction. Engineering, Construction and Architectural Management, 25(09), 1146–69.

Chan, D W, Olawumi, T O and Ho, A M (2019) Critical success factors for building information modelling (BIM) implementation in Hong Kong. Engineering, Construction and Architectural Management, 26(09), 1838–54.

Chen, Y, Yin, Y, Browne, G J and Li, D (2019) Adoption of building information modeling in Chinese construction industry. Engineering, Construction and Architectural Management, 26(09), 1878–98.

Chiu, W Y B and Lai, J H (2020) Building information modelling for building services engineering: benefits, barriers and conducive measures. Engineering, Construction and Architectural Management, 27(09), 2221–52.

Edwards, D J, Rillie, I, Chileshe, N, Lai, J, Hosseini, M R and Thwala, W D (2020) A field survey of hand–arm vibration exposure in the UK utilities sector. Engineering, Construction and Architectural Management, 27(09), 2179–98.

Farajmandi, M, Ali, M, Hermann, R and AbouRizk, S (2020) A decision support tool for planning module installation in industrial construction. Engineering, Construction and Architectural Management, 27(09), 2615–41.

Gao, J, Ren, H and Cai, W (2019) Risk assessment of construction projects in China under traditional and industrial production modes. Engineering, Construction and Architectural Management, 26(09), 2147–68.

Hsu, P, Aurisicchio, M, Angeloudis, P and Whyte, J (2020) Understanding and visualizing schedule deviations in construction projects using fault tree analysis. Engineering, Construction and Architectural Management, 27(09), 2501–22.

Iskandar, K A, Hanna, A S and Lotfallah, W (2019) Modeling the performance of healthcare construction projects. Engineering, Construction and Architectural Management, 26(09), 2023–39.

Jin, R, Zou, P X, Li, B, Piroozfar, P and Painting, N (2019) Comparisons of students’ perceptions on BIM practice among Australia, China and UK. Engineering, Construction and Architectural Management, 26(09), 1899–923.

Karamoozian, A and Wu, D (2020) A hybrid risk prioritization approach in construction projects using failure mode and effective analysis. Engineering, Construction and Architectural Management, 27(09), 2661–86.

Laryea, S (2019) Procurement strategy and outcomes of a new universities project in South Africa. Engineering, Construction and Architectural Management, 26(09), 2060–83.

Lavikka, R H, Kyrö, R, Peltokorpi, A and Särkilahti, A (2019) Revealing change dynamics in hospital construction projects. Engineering, Construction and Architectural Management, 26(09), 1946–61.

  • Type: Journal Article
  • Keywords: Construction; Case study; Project management;
  • ISBN/ISSN: 0969-9988
  • URL: https://doi.org/10.1108/ECAM-03-2018-0119
  • Abstract:
    Hospital construction projects often suffer from relatively late changes in the project lifecycle, which disrupt the project execution and impact project productivity. The purpose of this paper is to explore the root causes of changes in hospital construction projects. The paper aims to propose ways to prepare for the changes. Design/methodology/approach The study focuses on changes during the construction of new hospital facilities. An explorative, case study research design is utilised. Five case projects from Finland, Sweden and the USA were selected for in-depth analysis. The primary data comprise semi-structured interviews, supported by secondary evidence such as change order documents. Findings The findings reveal eight categories for change sources: contracts, and equipment and systems are reflective of the fast-paced healthcare technology and changing user requirements, while external environment comprises changes caused by both regulatory and physical environment. Changes in operations are reflected in the continuous development of treatment methods and processes. The user, owner, designer and contractor initiated changes represent the stakeholder influence. The paper makes a connection between these change sources and project complexity dimension. A framework for change dynamics is introduced, and product and process flexibility is suggested as a suitable method to prepare for and manage changes. Originality/value The paper is the first to link construction changes to project complexity factors. The paper argues that changes, when managed appropriately, are not only necessary but also beneficial to large construction projects in a quickly changing environment. The findings guide project stakeholders in implementing project flexibility, in the product and process dimensions, which is a balancing force to project complexity.

Lee, C (2019) Financing method for real estate and infrastructure development using Markowitz’s portfolio selection model and the Monte Carlo simulation. Engineering, Construction and Architectural Management, 26(09), 2008–22.

Liu, H, Song, J and Wang, G (2020) Development of a tool for measuring building information modeling (BIM) user satisfaction – method selection, scale development and case study. Engineering, Construction and Architectural Management, 27(09), 2409–27.

Liu, J, Cui, Z, Feng, Y, Perera, S and Han, J (2020) Impact of culture differences on performance of international construction joint ventures: the moderating role of conflict management. Engineering, Construction and Architectural Management, 27(09), 2353–77.

Luo, L, Zhang, L and He, Q (2020) Linking project complexity to project success: a hybrid SEM–FCM method. Engineering, Construction and Architectural Management, 27(09), 2591–614.

Ma, L and Fu, H (2020) Exploring the influence of project complexity on the mega construction project success: a qualitative comparative analysis (QCA) method. Engineering, Construction and Architectural Management, 27(09), 2429–49.

Manu, P, Mahamadu, A, Booth, C, Olomolaiye, P O, Coker, A, Ibrahim, A and Lamond, J (2019) Infrastructure procurement capacity gaps in Nigeria public sector institutions. Engineering, Construction and Architectural Management, 26(09), 1962–85.

Maqsoom, A, Hamad, M, Ashraf, H, Thaheem, M J and Umer, M (2020) Managerial control mechanisms and their influence on project performance: an investigation of the moderating role of complexity risk. Engineering, Construction and Architectural Management, 27(09), 2451–75.

Marefat, A, Toosi, H and Mahmoudi Hasankhanlo, R (2019) A BIM approach for construction safety: applications, barriers and solutions. Engineering, Construction and Architectural Management, 26(09), 1855–77.

Meng, X and Brown, A (2018) Innovation in construction firms of different sizes: drivers and strategies. Engineering, Construction and Architectural Management, 25(09), 1210–25.

Moon, S, Ham, N, Kim, S, Hou, L, Kim, J and Kim, J (2020) Fourth industrialization-oriented offsite construction: case study of an application to an irregular commercial building. Engineering, Construction and Architectural Management, 27(09), 2271–86.

Nadafi, S, Moosavirad, S H and Ariafar, S (2019) Predicting the project time and costs using EVM based on gray numbers. Engineering, Construction and Architectural Management, 26(09), 2107–19.

Nasirzadeh, F, Kabir, H D, Akbari, M, Khosravi, A, Nahavandi, S and Carmichael, D G (2020) ANN-based prediction intervals to forecast labour productivity. Engineering, Construction and Architectural Management, 27(09), 2335–51.

Oswald, D, Zhang, R P, Lingard, H, Pirzadeh, P and Le, T (2018) The use and abuse of safety indicators in construction. Engineering, Construction and Architectural Management, 25(09), 1188–209.

Pantzartzis, E, Price, A and Edum Fotwe, F (2019) Roadmap layers and processes: resilient and sustainable care facilities. Engineering, Construction and Architectural Management, 26(09), 1986–2007.

Panwar, A, Tripathi, K K and Jha, K N (2019) A qualitative framework for selection of optimization algorithm for multi-objective trade-off problem in construction projects. Engineering, Construction and Architectural Management, 26(09), 1924–45.

Perez, A M and Ghosh, S (2018) Barriers faced by new-adopter of Last Planner System®: a case study. Engineering, Construction and Architectural Management, 25(09), 1110–26.

Roberts, C, Edwards, D J, Hosseini, M R, Mateo-Garcia, M and Owusu-Manu, D (2019) Post-occupancy evaluation: a review of literature. Engineering, Construction and Architectural Management, 26(09), 2084–106.

Sezegen, A and Edis, E (2020) Product innovation types: a discussion considering building facade products. Engineering, Construction and Architectural Management, 27(09), 2379–408.

Sinoh, S S, Othman, F and Ibrahim, Z (2020) Critical success factors for BIM implementation: a Malaysian case study. Engineering, Construction and Architectural Management, 27(09), 2737–65.

Tran, D H (2020) Optimizing time–cost in generalized construction projects using multiple-objective social group optimization and multi-criteria decision-making methods. Engineering, Construction and Architectural Management, 27(09), 2287–313.

Tran, D Q, Harper, C M, Smadi, A M and Mohamed, M (2020) Staffing needs and utilization for alternative contracting methods in highway design and construction. Engineering, Construction and Architectural Management, 27(09), 2163–78.

Viswanathan, S K and Jha, K N (2020) Risk mitigation modelling of international construction projects executed by Indian firms: a structural equation modelling approach. Engineering, Construction and Architectural Management, 27(09), 2687–713.

Wang, L, Zhang, P, Zhang, P, Li, R, Zhang, Y and Wu, Y (2018) A systematic approach for public-private partnership projects CSFs evaluation. Engineering, Construction and Architectural Management, 25(09), 1127–45.

Wang, P, Wu, P, Wang, X, Chen, X and Zhou, T (2020) Developing optimal scaffolding erection through the integration of lean and work posture analysis. Engineering, Construction and Architectural Management, 27(09), 2109–33.

Wu, C, Chen, C, Jiang, R, Wu, P, Xu, B and Wang, J (2019) Understanding laborers’ behavioral diversities in multinational construction projects using integrated simulation approach. Engineering, Construction and Architectural Management, 26(09), 2120–46.

Wu, J, Liu, H J, Sing, M C, Humphrey, R and Zhao, J (2020) Public–private partnerships: implications from policy changes for practice in managing risks. Engineering, Construction and Architectural Management, 27(09), 2253–69.

Wuni, I Y and Shen, G Q (2020) Critical success factors for management of the early stages of prefabricated prefinished volumetric construction project life cycle. Engineering, Construction and Architectural Management, 27(09), 2315–33.

Zhang, H and Yu, L (2020) Dynamic transportation planning for prefabricated component supply chain. Engineering, Construction and Architectural Management, 27(09), 2553–76.

Zhang, H, Yu, L and Zhang, W (2020) Dynamic performance incentive model with supervision mechanism for PPP projects. Engineering, Construction and Architectural Management, 27(09), 2643–59.

Zhang, S B, Chen, J and Fu, Y (2020) Contract complexity and trust in construction project subcontracting. Engineering, Construction and Architectural Management, 27(09), 2477–500.

Zhao, X, Wu, P and Wang, X (2018) Risk paths in BIM adoption: empirical study of China. Engineering, Construction and Architectural Management, 25(09), 1170–87.