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Kendra Johnson, Lukasz Mazur, Janet Chadwick, Pegah Pooya, Alison Amos, John McCreery
PURPOSE: To explore how Lean can add value during the schematic phase of design through providing additional resources and support to project leadership and the architectural design team. BACKGROUND: This case study-based research took place at one large academic hospital during design efforts of surgical tower to house 19 operating rooms (ORs) and support spaces including pre- and post-op, central processing and distribution, and materials management. Surgical services project leadership asked for Lean practitioners' support during the design process...
October 24, 2016: HERD
A A L Traversari, C Bottenheft, R Louman, S P M van Heumen, J Böggemann
BACKGROUND: Operating lamps are often seen as the most disruptive factors within the protective area in the operating theater (OT). The effect of the operation lamps (with different shapes) should be demonstrated in an OT by trial, since research on the effects of the lamps is still limited. OBJECTIVES: The main aim of this study was to determine the effects of a skirt, different lamps, and the position of the lamp on the protected area. METHODS: The concentration of airborne particles was measured under different circumstances, in order to determine the size and quality of the protected area...
October 24, 2016: HERD
Judy E Davidson
OBJECTIVE: This methodology column provides project leaders with helpful tools to organize the evidence analysis for healthcare design projects. BACKGROUND: Searching the evidence to support a design change is encouraged both to guide the development of a project and to determine whether the project is performance improvement, evidence-based design change, or novel research. METHODS: A project charter, evidence summary grid, stem and leaf plot, and decision algorithm are presented as tools to guide evidence analysis at the start of a healthcare design project...
October 17, 2016: HERD
Terri Peters, Stephen Verderber
BACKGROUND: Increasingly, architectural and allied designers, engineers, and healthcare facility administrators are being challenged to demonstrate success in adroitly identifying and contextualizing ever-shifting and expanding spheres of knowledge with respect to the role of energy conservation and carbon neutrality in healthcare treatment environments and their immediate exterior environs. AIM: This calls for making sense of an unprecedented volume of information on building energy usage and interdigitizing complex and at times contradictory goals with the daily requirements of building occupants...
October 17, 2016: HERD
Shan Jiang, Stephen Verderber
OBJECTIVE: This present literature review explores current issues and research inconsistencies regarding the design of hospital circulation zones and the associated health-related outcomes. BACKGROUND: Large general hospitals are immense, highly sophisticated institutions. Empirical studies have indicated excessively institutional environments in large medical centers are a cause of negative effects to occupants, including stress, anxiety, wayfinding difficulties and spatial disorientation, lack of cognitional control, and stress associated with inadequate access to nature...
October 14, 2016: HERD
Lindsey Fay, Allison Carll-White, James Harrell
PURPOSE: This article illustrates a collaborative, full cycle diagnostic postoccupancy evaluation (POE) conducted in an emergency department (ED) to demonstrate methods of planning a POE, conducting research to capture meaningful data, and applying outcomes through the use of a design charrette. BACKGROUND: POEs often end with the reporting of findings rather than suggesting how this knowledge feeds forward. A design charrette presents an opportunity to engage with POE evidence and integrate research into practice...
October 12, 2016: HERD
Yi Lu, Hui Cai, Sheila J Bosch
AIM: This study examined how the spatial characteristics of patient beds, which are influenced by patient room design and nursing unit configuration, affect patients' perceptions about privacy. BACKGROUND: In the hospital setting, most patients expect a certain degree of privacy but also understand that their caregivers need appropriate access to them in order to provide high-quality care. Even veteran healthcare designers may struggle to create just the right balance between privacy and accessibility...
October 12, 2016: HERD
Upali Nanda, Zofia Rybkowski, Sipra Pati, Adeleh Nejati
OBJECTIVE: To investigate what key stakeholders consider to be the advantages and the opportunities for improvement in using lean thinking and tools in the integrated project delivery (IPD) process. METHOD: A detailed literature review was followed by case study of a Lean-IPD project. Interviews with members of the project leadership team, focus groups with the integrated team as well as the design team, and an online survey of all stakeholders were conducted. ANALYSIS: Statistical analysis and thematic content analysis were used to analyze the data, followed by a plus-delta analysis...
October 5, 2016: HERD
Rehab Aburas, Debajyoti Pati, Robert Casanova, Nicole Gilinsky Adams
The physical environment is one of the factors that affect women's experience of labor. The basics of the childbirth process have not changed since the beginning of human existence; however, the environment in which women today give birth has changed significantly. Incorporating design elements and strategies that calm and reduce negative emotions may create positive experiences for women in labor. The purpose of this study was to examine the impact of one such strategy, namely, the presentation of images of nature, on the labor and delivery experience...
September 30, 2016: HERD
Karlie Ramm, Trudi Mannix, Yvonne Parry, Mary P Caroline Gaffney
OBJECTIVE: The objective of this study was to compare the noise levels recorded in two different neonatal intensive care unit (NICU) settings: a pod and an open plan NICU located in the same hospital. BACKGROUND: The NICU is a busy environment with ambient noise levels that often exceed established recommendations. This noise deleteriously affects the physiological stability and developmental outcomes of sick and preterm infants. Pods have reduced numbers of cots (in this case, 6) compared to open plan NICUs (in this case, 11), yet the noise levels in pods have not been reported...
September 28, 2016: HERD
Philip Astley
No abstract text is available yet for this article.
October 2016: HERD
Diana C Anderson
No abstract text is available yet for this article.
October 2016: HERD
Shaun R McCann
No abstract text is available yet for this article.
October 2016: HERD
D Kirk Hamilton
No abstract text is available yet for this article.
October 2016: HERD
Jaynelle F Stichler
No abstract text is available yet for this article.
October 2016: HERD
(no author information available yet)
No abstract text is available yet for this article.
October 2016: HERD
Gabriella Malagon-Maldonado
BACKGROUND: Retrospective preevaluation-postevaluation (RPPEs) in health design is a methodology allowing designers and healthcare providers to evaluate the effectiveness of the enhancements to the care environment. PURPOSE: This article presents an overview of the nature of RPPE and addresses its usefulness in health design. METHODS: A description of the RPPE method with examples are provided to illustrate how these methods can be used to evaluate healthcare projects during and after the design and the implications to consider on patient, provider, and organizational outcomes...
October 2016: HERD
Lorissa MacAllister, Craig Zimring, Erica Ryherd
Patient's perception of care-referred to as patient satisfaction-is of great interest in the healthcare industry, as it becomes more directly tied to the revenue of the health system providers. The perception of care has now become important in addition to the actual health outcome of the patient. The known influencers for the patient perception of care are the patient's own characteristics as well as the quality of service received. In patient surveys, the physical environment is noted as important for being clean and quiet but is not considered a critical part of patient satisfaction or other health outcomes...
October 2016: HERD
Debajyoti Pati, Kristi Gaines, Shabboo Valipoor
OBJECTIVES: An exploratory examination of rural hospital staff experiences to determine whether the physical state of rural healthcare facilities influence the healthcare experience and perception of care quality. BACKGROUND: Rural hospitals have served as the backbone of rural communities in the United States. Over time, these facilities have witnessed enhanced expectations, expanding their scope of operations from acute care to diversified services through linked provider networks and disaster management...
October 2016: HERD
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