Strategies to evaluate the quality of hospital design with clinical data

Mead, Mitchell; Ibrahim, Andrew M.

doi:10.1002/jhm.12987

Cited by 4 publications

(5 citation statements)

References 13 publications

(20 reference statements)

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“…Although the stability of our CPR event rate indicates the successful translation of this knowledge to practice, our future endeavors will prioritize the improved documentation of staff implementation of mitigation plans. Measuring the quality of hospital design in new clinical spaces poses significant challenges due to siloed data, siloed expertise, no incentives for postoccupancy evaluation, a lack of consensus on what to measure, and competing stakeholder priorities 27 . Therefore, despite our study's limitations, we think there is a benefit to sharing our findings to ultimately drive improvements in the design of future clinical spaces.…”

Section: Discussionmentioning

confidence: 93%

“…Measuring the quality of hospital design in new clinical spaces poses significant challenges due to siloed data, siloed expertise, no incentives for postoccupancy evaluation, a lack of consensus on what to measure, and competing stakeholder priorities. 27 Therefore, despite our study's limitations, we think there is a benefit to sharing our findings to ultimately drive improvements in the design of future clinical spaces.…”

Section: Discussionmentioning

confidence: 95%

“…Evaluating the impact of hospital design on patient care necessitates examining both a design and clinical outcomes perspective. 27 Before the move, a concern was identified regarding physical barriers to direct line of sight to patients, which has been linked to ICU patient safety issues. 28 Previous studies have demonstrated increased mortality rates in rooms with limited or low visibility.…”

Section: Discussionmentioning

confidence: 99%

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Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive care unit

Gifford,

Butcher,

Chima

et al. 2023

Journal of Hospital Medicine

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BackgroundOptimal design of healthcare spaces can enhance patient care. We applied design thinking and human factors principles to optimize communication and signage on high risk patients to improve situation awareness in a new clinical space for the pediatric ICU.ObjectiveTo assess the impact of these tools in mitigating situation awareness concerns within the new clinical space. We hypothesized that implementing these design‐informed tools would either maintain or improve situation awareness.Design, Settings, and ParticipantsA 15‐week design thinking process was employed, involving research, ideation, and refinement to develop and implement new situation awareness tools. The process included engagement with interprofessional clinical teams, scenario planning, workflow mapping, iterative feedback collection, and collaboration with an industry partner for signage development and implementation.InterventionImproved and updated communication devices and bedside mitigation plans.Main Outcome and MeasuresProcess metrics included individual and shared situation awareness of PICU care teams and our patient outcome metric was the rate of cardiopulmonary resuscitation (CPR) events pre‐ and post‐transition.ResultsWhen evaluating all patients, shared situation awareness for accurate high‐risk status improved from 81% pre‐transition to 92% post‐transition (p = .006). When assessing individual care team roles, accuracy of patient high‐risk status improved from 88% to 95% (p = .05) for RNs, 85% to 96% (p = .003) for residents, and 88% to 95% (p = .03) for RTs. There was no change in the rate of CPR events following the transition.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive care unit

Gifford,

Butcher,

Chima

et al. 2023

Journal of Hospital Medicine

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“…According to Table 1, the project was a new off-site construction with 2,000 medical beds. The total construction area was 338,994㎡, mainly including 223,797㎡ of outpatient and emergency medical and technical ward complex, 7,354㎡ of healthcare center, 9,189㎡ of infection center [4]. The underground was mainly set up for logistics, operation equipment and garage [5].…”

Section: Master Plan Of 1 St Affiliated Hospitalmentioning

confidence: 99%

Building an Intelligent and Eco-Friendly General Hospital—A Study of a Hospital Construction Practice in Wenzhou

2023

acccm

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The First Affiliated Hospital of Wenzhou Medical University was planned and constructed with the aim of "providing the best treatment environment for patients and creating efficient medical management for medical and nursing staff". With a large main building as the feature, the hospital has a bright and modern architectural style with abundant greenery and adopts a humanized and intelligent medical model, providing patients with an intelligent, efficient and comfortable medical experience. Although the hospital is a success, there are still many shortcomings .In general, the new hospital is intelligent and eco-friendly and it can serve as a reference for other large general hospitals.

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“…In this issue, we present a series of perspectives on the theme of design and its growing implications to healthcare. [3][4][5][6] The goal of this series is to provide hospitalists with an introductory framework to some of the processes, tools, and guiding principles of human-centered design as well as share concrete examples of design's impact in healthcare, such as the design of hospital environments for patient safety, 5 humancentered healthcare interactions, 3,6 and development of more empathetic and creative clinicians 4 to support efforts in healthcare innovation.…”

mentioning

confidence: 99%