Designing Health Care Facilities to Maximize Productivity and Patient Outcomes

Abstract

The built environment of health care systems plays a crucial role in factors such as patient safety, staff satisfaction, patient experience, and optimal health. As hospital centers are being renovated or expanded over the past decade or so, the clinical built environment of many of them have not been redesigned to align with today’s evolving clinical roles. Just as medicine has increasingly moved toward “evidence-based medicine,” where clinical choices are informed by research, healthcare design is increasingly guided by rigorous research linking the physical environment of hospitals to patients and staff outcomes and is moving toward “evidence-based design”. The goal of human simulations in the context of architectural builds is to present the workflow (both normal and emergent) in the design of the complex cooperative work environment. The results obtained can be used to change the design process by improving the built environment to support end users to provide optimal health, exceptional experience, and organizational vitality. These proceedings describe the process and provide an example of the evaluation of a future single patient neonatal intensive care unit room.

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References

American Academy of Pediatrics. (1997). Noise: A hazard for the fetus and newborn. Pediatrics, 100(4), 724-727.

American Nurses Association. (2001). Handle with Care Campaign. Retrieved February 21, 2008, from http://nursingworld.org/tan/sepoct02/magnet.htm

Barach

Dickerman

(2006) Hospital design promoting patient safety. American Society for Healthcare Engineering International Conference. San Diego, CA.

Carayon

(Ed). (2007). Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. London: Lawrence Erlbaum Associates.

Czerwinski

Smith

Regan

Meyers

Robertson

Starkweather

(2003). Toward characterizing the productivity benefits of very large displays. Proceedings of Interact, 9-16.

Fadler

Southard

(1985). Exciting opportunity to enhance patient care delivery. Focus Crit Care 1985; 12:11-18.

Hendrich

A.L.

(2005). Transforming Current Hospital Design: Engineering Concepts Applied to the Patient Care Team and Hospital Design. In Proctor

Reid

Compton

Dale

Jerome

Grossman, and Gary Fanjiang, Building a Better Delivery System: A New Engineering/Health Care Partnership. Authors: Committee on Engineering and the Health Care System, Institute of Medicine and National Academy of Engineering. (153-156). Washington, D.C.: The National Academy Press.

Hendrich

A.L.

Fay

Sorrells

(2004) Effects of acuity adaptable rooms on flow of patients and delivery of care. American Journal of Critical Care, 13(1), 35-45.

Huang

E.M.

Mynatt

E.D.

Russel

D.M.

Sue

A.E.

(2006). Secrets to success and fatal flaws: The design of large-display groupware. IEEE Computer Graphics and Applications. 2006;26(1):37–45.

10.

Institute of Medicine, Committee on Quality of Health Care in America. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, D.C.: National Academies Press.

11.

Institute of Medicine, Committee on the Work Environment for Nurses and Patient Safety, Board on Health Care Services. (2004). Keeping patients safe: Transforming the work environment of nurses, ed. Page

Washington, D.C.: National Academies Press.

12.

Washington, D.C.: National Academies Press.

13.

Ïpek

McKee

S.A.

Caruana

de Supinski

B.R.

Schulz

(2006). Efficiently exploring architectural design spaces via predictive modeling. In Proceedings of the 12th international conference on Architectural support for programming languages and operating systems (ASPLOS XII). ACM, New York, NY, USA.

14.

Jeffries

P.R.

Rizzolo

M.A.

(2006). Designing and implementing models for the innovative use of simulation to teach care of ill adults and children: a national, multi-site, multimethod study. National League for Nursing.

15.

Luff

Heath

Jirotka

(2000). Surveying the scene: Technologies for everyday awareness and monitoring in control rooms. Interacting with Computers. 2000;13(2):193–228.

16.

Reiling

(2007). Safe By Design: Designing safety in health care facilities, processes, and culture. Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations.

17.

Rini

(2015) Christiana Care expansion details revealed. The News Journal. 2015.

18.

Rubin

H.R.

Owens

A.J.

Golden

(1998). An Investigation to Determine Whether the Built Environment Affects Patients’ Medical Outcomes. Martinez, CA: The Center for Health Design, Inc.

19.

Tumulty

Jernigan

I.E.

Kohut

G.F.

(1994). The impact of perceived work environment on job satisfaction of hospital staff nurses. Applied Nursing Research 7(2): 84-90.

20.

Ulrich

Zimring

Quan

Joseph

(2006). The environment’s impact on Stress. In Marberry

(Eds.), Improving healthcare with better building design (37-61). Chicago: Health Administration Press.

21.

Ulrich

Quan

Zimring

Joseph

Choudhary

(2004). The role of the physical environment in the hospital of the 21st century: A once-in-a-lifetime opportunity. College of Architecture, Georgia Institute of Technology.