Hospital Evacuation Modelling: Enhancing Patient Safety Through Simulation

Hospital Evacuation Modelling: Enhancing Patient Safety Through Simulation

Hospitals present some of the most complex and sensitive environments when it comes to emergency evacuation planning. Unlike commercial or transport buildings, hospitals accommodate vulnerable patients with limited mobility, staff under pressure, and critical care areas with life-sustaining equipment. In such settings, traditional evacuation assumptions do not apply. That’s why evacuation modelling using Pathfinder has become a crucial tool in designing safe, effective, and compliant emergency response plans for healthcare facilities.

At LAVA Consultants, we provide expert evacuation simulations tailored to the unique operational and architectural features of hospitals. Our models help designers, facility managers, and safety consultants identify evacuation risks, evaluate egress performance, and develop response strategies that prioritise both life safety and continuity of care.

Why Hospital Evacuation Modelling is Different

Evacuating a hospital is not just about moving people to an exit. It involves the safe relocation of:

  • Bedridden patients
  • Patients with limited mobility
  • Medical staff assisting with evacuation
  • Visitors unfamiliar with the building layout

These factors introduce additional layers of complexity such as delayed movement, dependence on staff assistance, and the need for phased or horizontal evacuation before vertical egress can be achieved. Simulation-based planning is essential to accurately reflect these constraints and ensure the hospital’s fire and life safety strategy is both feasible and compliant.

Using Pathfinder for Hospital Evacuation Simulation

To model evacuation in healthcare settings, we use Pathfinder, an agent-based simulation tool that allows for customisation of occupant behaviour, mobility profiles, and route selection. In a typical hospital evacuation model, we define various occupant types:

  • Ambulatory patients and visitors with standard walking speeds
  • Patients requiring wheelchair or stretcher evacuation
  • Staff members assisting one or more patients

Pathfinder supports both vertical evacuation (e.g., using staircases, ramps, or lifts where permitted) and horizontal evacuation, a preferred strategy in hospitals where patients are moved to adjacent smoke compartments or fire zones.

Pre-Movement Time and Staff Response Delays

In hospital evacuations, pre-movement time is often longer than in other occupancies. This includes:

  • Time for alarm detection and verification
  • Staff mobilisation and coordination
  • Patient preparation for movement (disconnecting equipment, securing beds)

Mobility Profiles and Walking Speeds

Evacuation speeds in hospitals vary greatly depending on occupant condition:

  • General population: ~1.0 m/s
  • Patients using wheelchairs: ~0.8 m/s (with assistance)
  • Bed evacuation: ~0.3–0.5 m/s (with multiple staff)
  • Non-ambulatory patients: Assigned fixed location or delayed movement

Pathfinder enables detailed control over these profiles, ensuring the simulation reflects true evacuation capacity and staffing requirements.

Exit Strategy and Route Modelling

Hospital evacuations are typically staged, with horizontal movement into protected compartments before vertical evacuation to final exits. Our models assess the use of:

  • Staircases
  • Exit doors and protected corridors
  • Designated refuge areas for staged evacuation

Simulations also evaluate congestion points, exit width sufficiency, and flow rates to ensure patients and staff can move efficiently within the expected evacuation timeframes.

Key Outputs and Compliance

Our hospital evacuation simulations provide critical performance metrics, including:

  • Evacuation time per zone
  • Total building clearance time
  • Staff-to-patient ratio impact
  • Identification of bottlenecks and overflow areas

These outputs support fire strategy development, emergency planning, and authority approvals.

Why LAVA Consultants for Hospital Evacuation Modelling?