
Water consumption in hospitals is a critical area of focus, given the large volumes of water used in most procedures. In Spain, for instance, several studies have been conducted to quantify the average water consumption in hospitals, with a view to determining possible savings and improving the design of new water consumption models. The average annual consumption of cold water for human consumption (CWHC) in Spanish hospitals was found to be 1.59 m3/m2, 195.85 m3/bed, or 53.69 m3/worker. In hospitals with green areas and/or laundry facilities, correction factors of 10% and 15% were applied. The results of these studies indicate a potential annual water saving of 5,600,000 m3, which would result in significant financial and energy savings, as well as a reduction in CO2 emissions.
| Characteristics | Values |
|---|---|
| Location | Extremadura, Spain |
| Number of hospitals | 13 |
| Time period | 2010-2014 |
| Average annual consumption of cold water for human consumption (CWHC) | 262.82 m3 per bed and 1.65 m3 per built surface area |
| Average annual consumption of domestic hot water (DHW) | 92.96 m3 per bed and 0.59 m3 per built surface area |
| Ratio between DHW and CWHC | 35.62% |
| Time of greatest demand | 12 p.m. to 6 p.m. |
| Relationship between built surface area and number of beds | Positive correlation |
| Correction factors | 10% for hospitals with green areas and 15% for hospitals with laundry facilities |
| Data sources | Spanish Ministry of Health, construction projects |
| Calculation method | Parametric type related to built surface area and/or number of beds |
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What You'll Learn

Calculating water consumption per bed
Water consumption in hospitals is a critical area of focus, given the excessive usage of water in most procedures. To calculate water consumption per bed in hospitals, several factors and variables must be considered. Firstly, the built surface area of the hospital is a key parameter. There is a direct correlation between the built surface area and the number of beds, with the ratio between the two increasing as the number of beds decreases. This is because common surface areas are distributed among fewer beds in smaller hospitals.
The number of hospital beds is, therefore, a crucial factor in calculating water consumption per bed. The relationship between the built surface area and the number of beds can be used to determine the average water consumption per bed. This is especially useful for comparing water consumption across hospitals of varying sizes.
Another factor to consider is the type of water consumption, namely, cold water for human consumption (CWHC) and domestic hot water (DHW). The average annual consumption of CWHC per bed has been calculated to be 262.82 m3, while the average annual consumption of DHW per bed is 92.96 m3. These figures can be used as benchmarks to calculate the water consumption per bed for a specific hospital by multiplying them by the number of beds in that hospital.
Additionally, other variables such as the year of construction, the number of employees, and the portfolio of services offered by the hospital can also be considered to gain a more comprehensive understanding of water consumption per bed. By collecting data on daily water consumption and analysing it mathematically, hospitals can determine their average annual water consumption per bed and work towards reducing water demand and improving water management.
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Calculating water consumption per built surface area
To calculate water consumption per built surface area in hospitals, several factors and variables must be considered. Firstly, it is important to understand the relationship between the built surface area and the number of beds in a hospital. As the number of beds decreases, the ratio of the built surface area to beds increases, as common surfaces are distributed among fewer beds in smaller hospitals.
In a study of hospitals in Extremadura, Spain, the average annual consumption of cold water for human consumption (CWHC) was found to be 1.65 m³ per built surface area, with a strong correlation between these variables. Similarly, the mean annual consumption of domestic hot water (DHW) was calculated as 0.59 m³ per built surface area. The ratio between DHW and CWHC was 35.62%.
To calculate the average annual cold water consumption per built surface area, the equation 1.568S + 2400 (m³) can be used, where S is the built surface area in m². For domestic hot water, the equation is slightly different: 0.53S + 1400 (m³). These equations provide a more accurate estimate of water consumption per built surface area than a fixed ratio.
Additionally, other factors such as the number of users, year of construction, and portfolio of services can also impact water consumption per built surface area. By considering all these variables and utilising mathematical correlation techniques, a comprehensive understanding of water consumption per built surface area in hospitals can be achieved.
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Calculating water consumption in laundry facilities
Laundry facilities in hospitals are one of the areas with the highest water consumption, accounting for about 15% of total water usage. To calculate water consumption in these facilities, several factors need to be considered. Firstly, the type of washing machine used plays a significant role. Older, non-HE top-load washers typically use about 40 gallons of water per load as they soak laundry throughout the entire wash cycle. In contrast, HE front and top-load washers use less water as they only fill the bottom of the washer, allowing clothes to move through the water. The size of the washer also matters, with large-capacity washing machines using more water per load due to their bigger drums.
The size of the laundry load is another critical factor in determining water consumption. Larger loads require more water to saturate the clothes adequately, whereas smaller loads use less water. Certain bulky items, such as bedding, towels, and coats, may require additional water due to their higher absorbency compared to standard clothing. The wash cycle selected also influences water usage, as different cycles are designed for specific fabric types and utilize varying water levels accordingly.
To calculate the overall water consumption in laundry facilities, the number of washing machines, their respective capacities, and the average number of loads per day need to be considered. By multiplying the water usage per load by the number of loads, the total water consumption for each machine can be determined. Summing up the water usage for all the machines in the laundry facility will give the overall water consumption.
Additionally, it is important to consider the water used for other purposes in the laundry area, such as rinsing, pre-soaking, or any auxiliary cleaning processes. These activities may contribute significantly to water consumption, depending on the specific practices and protocols followed in the facility. Therefore, a comprehensive understanding of the laundry processes and the associated water usage patterns is essential for accurately calculating water consumption in hospital laundry facilities.
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Calculating water consumption in hospitals with green areas
Hospitals are often large consumers of water, and with the importance of water conservation, it is essential to calculate water consumption in hospitals with green areas accurately. There are several methods and strategies to determine and reduce water consumption in hospitals with green areas.
Firstly, it is important to note that a fixed ratio is not suitable for determining average annual water consumption. Instead, a parametric approach related to the built surface area and the number of beds in the hospital should be used. The average annual consumption of cold water for human consumption (CWHC) and domestic hot water (DHW) can be calculated per bed and per built surface area. For example, in a study of hospitals in Extremadura, Spain, the average annual consumption of CWHC was 262.82 m³ per bed and 1.65 m³ per built surface area.
Additionally, hospitals with gardening or green areas may apply a reduction factor to homogenize data. For hospitals with gardening areas, a 10% reduction factor can be applied, while a 15% reduction factor is used for those with laundry facilities. The number of beds can be obtained from data published by the relevant ministry of health, and the built surface area can be determined by consulting construction projects.
To further reduce water consumption in hospitals with green areas, strategies such as rainwater harvesting can be employed. Rainwater can be captured from roofs and parking lots for irrigating green areas, reducing the need for freshwater consumption. However, the storage of rainwater is not recommended due to the risk of bacterial proliferation. Alternatively, water can be collected from artesian wells or the subsoil for irrigation.
Furthermore, accurate water tracking is essential for hospitals to understand their water usage and identify areas for improvement. Initiatives such as Practice Greenhealth provide resources and tools to help hospitals calculate their water consumption and develop conservation plans. These include common water reduction practices, such as exploring reclaimed water, rainwater collection, and xeriscape landscaping.
By employing these methods and strategies, hospitals with green areas can effectively calculate and reduce their water consumption, contributing to sustainability and cost-saving goals.
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Calculating water consumption in therapeutic pools
Therapeutic pools account for 9% of water consumption in hospitals. While there are no sources that directly address how to calculate water consumption in therapeutic pools, there are sources that explain how to calculate the volume of water in a pool. This can be used as a starting point for understanding water consumption in therapeutic pools.
To calculate the volume of water in a pool, you need to know the pool's surface area and average depth. For a rectangular pool, you can multiply the length and width to get the surface area. Then, add the depth to get a basic volume calculation. To convert this volume into gallons, multiply by 7.5, as one cubic foot of water contains 7.5 gallons.
If your pool has an irregular shape, you will need to perform additional calculations. You can refer to online guides and videos for help with these calculations. It is important to note that you should always measure the depth of the water, not the height of the pool wall or the depth of the pool from the top.
Once you have calculated the volume of water in your therapeutic pool, you can use this information to monitor water consumption over time. This can help with water management and identifying any leaks or abnormal water loss. Additionally, understanding the volume of water in the pool is crucial for adding the correct amount of chemicals and for installing equipment such as pool pumps, filters, or heaters.
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Frequently asked questions
To calculate water consumption in hospitals, a fixed ratio is not the appropriate tool. A parametric type indicator correlated with the built surface area and/or number of beds should be used instead.
The areas of highest water consumption in hospitals are patient rooms (20%), laundry areas (15%), and domestic hot water (15%).
The average annual consumption of cold water for human consumption (CWHC) in hospitals in Extremadura, Spain, was found to be 262.82 m3 per bed and 1.65 m3 per built surface area.


























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