Analysis of Passive Defense Considerations and Requirements in Hospital Design: A Case Study of Shahid Rajaee Heart Hospital, Tehran

Document Type : Original Article

Authors

1 Center for Architecture and Urban Planning, Faculty and Research Institute of Passive Defense, Imam Hossein University, Tehran, Iran

2 Center for Architecture and Urban Planning Faculty and Research Institute of Passive Defense. Imam Hossein University, Tehran, Iran

3 Center for Science and Technology of Architecture and Urban Planning, Faculty and Research Institute of Passive Defense, Imam Hossein University , Tehran, Iran

Abstract

This article examines the considerations and requirements of passive defense in the design and management of hospitals, with an emphasis on Shahid Rajaee Heart Hospital in Tehran. The main objective of the study is to identify the principles and strategies of passive defense to reduce the vulnerability of hospitals against natural and human-induced threats. The research method is descriptive-analytical, employing tools such as library studies, field observations, data analysis, and comparative evaluation. The findings indicate that adhering to principles such as proper site selection, structural reinforcement, separation of entrances, development of secure infrastructures, and the design of flexible spaces plays a key role in enhancing hospital resilience. The case study of Shahid Rajaee Heart Hospital revealed that this medical center requires improvement in several areas. The results show vulnerabilities in access and entry points (limited access, lack of a separate emergency entrance, traffic issues), the site (insufficient parking capacity, non-standard helipad, weak fencing, and inadequate safety perimeters), as well as in the building structure and adjacent areas. Based on these findings, a set of requirements and considerations—including improving accessibility, securing the premises and facilities, strengthening the building, and managing adjacent areas—has been proposed to enhance the hospital’s resilience and sustainability against potential threats. These recommendations can serve as a model for other healthcare centers.

Keywords


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  • Allahviradi, "Land Use Planning and Urban Management Based on Passive Defense Principles and Its Role in Urban Geopolitics",Urban Design and Research Studies, vol. 3, no. 1, pp. 52–63, Spring 2020 (In Persian).
  • Kamali, S. Ghiassi, H. Hosseini Amini, and S. Eftekhari, "Pathology of Urban Hospital Threats from a Passive Defense Perspective: Case Study of Qom City" ,Urban Ecology Research Quarterly, vol. 9, no. 1, pp. 17, Spring-Summer 2018 (In Persian).
  • H. Hosseini, A. Sadighi, and H. Hosseini Amini, "Pathology of Mashhad Hospitals with Emphasis on Passive Defense: Case Study of Razavi and Imam Reza Hospitals" , Journal of the Iranian Association of Geographers, vol. 12, no. 42, Autumn 2014 (In Persian).
  • Esmaeilizadeh, A. Asgharian Jedi, and M. Tari, "Providing Passive Defense Solutions in the Architecture of Medical Centers (Case Study: Shahid Beheshti Educational and Medical Center, Qom)", Passive Defense Scientific Journal, vol. 12, no. 2, Summer 2021 (In Persian).
  • Asgari, M. Mirzaii, and S. Savadkuhi Far, "Evaluation of Field Hospitals from a Passive Defense Perspective" ,Passive Defense Scientific-Extension Quarterly, vol. 3, no. 4, Winter 2012 (In Persian).
  • M. Abdollahi Zadeh, A. Bali, and E. Soltani, "Security Strategies for Existing Hospitals in Metropolises During Crises with a Passive Defense Approach" ,Passive Defense Scientific Journal, vol. 12, no. 2, Summer 2021 (In Persian).
  • Abbaspour Malekan, and B. Ahmadkhani Maleki, "Analysis and Evaluation of Hospitals with a Passive Defense Approach" ,7th International Congress on Civil Engineering, Architecture, and Urban Development, 2021 (In Persian).
  • Eslami, Development of Passive Defense Considerations in the Architectural Design of Urban Hospitals (Case Study: Design of a Regional Hospital in District 22 of Tehran), M.Sc. Thesis, Imam Hossein Comprehensive University, Faculty of Passive Defense, 2013 (In Persian).
  • Rezayi, A. Bali, and M. A. Hosseini, “Identification and prioritization of dimensions, factors and criteria affecting the construction of field hospitals with a passive defense approach,” Paddāfand Electron. Cyber, vol. 13, no. 1, pp. 55–72, 2022 (In Persian).
  • Ministry of Health and Medical Education, "Standards for Planning and Design of Safe Hospitals, Volume 10: General Requirements,” Department of Physical Resources Development and Urban Affairs, Tehran, Iran, 2013. (In Persian)
  • Passive Defense Organization, "Instruction on the Requirements and Considerations for Passive Defense of Hospitals," Department of Health, Center for Technical and Engineering Regulations, Tehran, Iran, 2019. (In Persian)
  • Plan and Budget Organization, "Guidelines for Design of Safe and Resilient Hospitals Against Multiple Hazards (IR-Code 880)," Deputy of Production, Technical & Infrastructure, Tehran, Iran, 2024. (In Persian)
  • R. Khankeh and G. R. Masoumi, "National Guide to Hospital Risk Management Based on Accreditation Indicators," Ministry of Health and Medical Education, Tehran, Iran, 2017. (In Persian)
  • Federal Emergency Management Agency (FEMA), "Risk Assessment: A How-To Guide to Mitigate Potential Terrorist Attacks Against Buildings," FEMA 452, U.S. Department of Homeland Security, Washington, D.C., 2005.
  • Aghababaii, S. M. Hosseini, and A. Maher, "Assessment of Tehran University of Medical Sciences' Hospitals' Preparedness for Implementing Passive Defense Strategies from the Perspective of Managers," ,Passive Defense Journal, no. 41, pp. 37-50, Spring 2020. (In Persian)
  • Dehghanian, R. Ostovar, and A. Bamdad, "Providing a Comprehensive Hospital Design Model with Passive Defense Approach," *J. Resilient City*, vol. 3, no. 10, pp. 2-5, Summer 2020. (In Persian)
  • Narimani, S. Ghadrpouran, and M. Ganji, "Pathology of Health and Treatment Centers in Terms of Passive Defense: A Review Study," *J. Combat Medicine*, vol. 6, no. 2, pp. 86-92, 2023. (In Persian)
  • Safe Hospital Planning and Design Standards, Volume 10: General Standards and Requirements, 2013 (In Persian).
  • Bakhtyari and A. Mohammadi, "Analyzing the Role of Command and Control Systems in Crisis Management from a Passive Defense Perspective" ,Passive Defense Journal, no. 57, pp. 119–132, Spring 2024 (In Persian).
  • Khakzand and H. Jafari Khaladi, "Landscape as Architecture; A New Approach Towards The Salvation of Architecture by Landscape with the Passive Defense Approach," ,Passive Defense Journal ,no. 54, pp. 99-109, Summer 2023. (In Persian)
  • Savadkuhi Far and H. Atashpanjeh, Principles of Hospital Architectural Design with Emphasis on Passive Defense, Tehran, Boustan Hamid Press, 2016 (In Persian).
  • Roshandel Shabbooi, Passive Defense Thesis, Tehran, Khatam Al-Anbia Headquarters, pp. 6–25, 2016 (In Persian).
  • Jalali Farahani, Passive Defense and Modern Threats, Tehran, Boustan Hamid Press, 2011 (In Persian).
  • Eskandari, Passive Defense Essentials, Tehran, Boustan Hamid Press, 2013 (In Persian).
  • Passive Defense Organization, [Online]. Available: https://paydarymelli.ir/, 2013 (In Persian).
  • Esmaeili Shahrokh and A. A. Taghvaee, "Vulnerability Assessment of Cities with a Passive Defense Approach Using the Delphi Method: Case Study of Birjand City" ,Urban and Rural Management, vol. 9, no. 28, pp. 93–110, 2011 (In Persian).
  • Jalali Farahani, Introduction to Threat Assessment Methods and Models in Passive Defense, 1st ed., Tehran, Imam Hossein Comprehensive University Press, 2012 (In Persian).
  • Google Earth, [Online]. Available: https://earth.google.com/
Volume 16, Issue 3 - Serial Number 63
Serial number 63. Autumn 2025
October 2025
Pages 95-109
  • Receive Date: 13 May 2025
  • Revise Date: 08 June 2025
  • Accept Date: 20 September 2025
  • Publish Date: 22 October 2025