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Papers by Xiaobo Quan

Research paper thumbnail of Designing High-Performance Emergency Care Facilities against COVID-19

The international journal of design in society, 2022

This literature review study aimed to develop a set of key evidence-based design recommendations ... more This literature review study aimed to develop a set of key evidence-based design recommendations to improve the efficiency and safety of emergency care for COVID-19. Keyword searches for relevant publications were conducted in electronic databases such as PubMed (including Medline), CINAHL, EBSCO, and Google Scholar. The inclusion criteria included: original research studies, research reviews, and expert opinions published in peer-reviewed journals; written in English; related to emergency care; and evaluation of environment design examples and considerations for the management and prevention of COVID-19. Emergency department (ED) design strategies for COVID-19 were emerging and evolving. A total of 41 design recommendations focusing on physical separation, virtual care, ventilation, cleanliness of environmental surfaces, and hand hygiene could potentially contribute to the efficiency and safety of care for COVID-19. A systems approach is needed to coordinate various design and operational strategies to maximize the benefits through multidisciplinary collaboration. The built environment played an important role in the management and prevention of COVID-19 infections. The recommendations will be valuable for healthcare organizations to better prepare for possible future crises involving similar respiratory infection outbreaks. Further research is needed to continue the development and rigorous evaluation of design innovations.

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Research paper thumbnail of Designing a Cardiac Intensive Care Unit by Employing an Evidence-Based Design Approach

The International Journal of Architectonic, Spatial, and Environmental Design

This literature review study aimed to develop a set of key evidence-based design considerations f... more This literature review study aimed to develop a set of key evidence-based design considerations for a prototype (3-Dimensional) cardiac intensive care unit (CICU) that promotes patient health and safety as well as staff work efficiency. To provide convergent evidence about the association between cardiac intensive care and the physical environment, searches were conducted in the PubMed, Google Scholar, and other databases as well as in certain specialized journals. The inclusion criteria included qualitative, quantitative, mixed-methods studies, or systematic reviews; written in English; and related to the built environmental design of cardiac intensive care. The contents of the selected articles were first extracted and then analyzed and synthesized. The results of this review demonstrated that the CICU physical design had a strong influence on patient health and safety. A total of more than forty CICU design recommendations were identified. In practice, all environmental and nonenvironmental factors should be holistically considered in the design decision-making process. The next step is the development and testing of prototypes that incorporate relevant design strategies before wide application. This literature review disclosed the key design strategies that enhance the physical design of CICUs. Further research is needed to evaluate the prototype and to investigate the future needs and issues in designing CICUs

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Research paper thumbnail of Improving Ambulatory Surgery Environments: The Effects on Patient Preoperative Anxiety, Perception, and Noise

HERD: Health Environments Research & Design Journal

Objectives: The study aimed to comparatively evaluate three types of preoperative care environmen... more Objectives: The study aimed to comparatively evaluate three types of preoperative care environment in terms of patient experience outcomes including patient preoperative anxiety, perceived environmental qualities, and noise level. Background: Preoperative anxiety is a major healthcare problem causing delays, complications, dissatisfaction, and rising healthcare costs. The design of preoperative spaces may play an important role in reducing preoperative anxiety and improving outcomes. Methods: Anonymous questionnaire surveys were conducted with 228 patients in the three types of preoperative bays that varied in terms of bay size and the amount of hard-wall partitions between bays to compare patient self-reported anxiety and perceived environmental qualities. Sound level measurements were conducted throughout the three preoperative care units. Results: Female patients in the preoperative unit with largest bays and full hard-wall partitions between bays reported significantly lower lev...

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Research paper thumbnail of Residents: A Systematic Review of the Literature

eab.sagepub.com

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Research paper thumbnail of A Review of Research Literature on Evidence-based Healthcare Design

Objective: This report surveys and evaluates the scientific research on evidence-based healthcare... more Objective: This report surveys and evaluates the scientific research on evidence-based healthcare design and extracts its implications for designing better and safer hospitals. Background: It builds on a literature review conducted by researchers in 2004. Methods: Research teams conducted a new and more ex-haustive search for rigorous empirical studies that link the design of hospital physical environments with healthcare out-comes. The review followed a two-step process, including an extensive search for existing literature and a screening of each identified study for the relevance and quality of evidence. Results: This review found a growing body of rigorous studies to guide healthcare design, especially with respect to reducing the frequency of hospital-acquired infections. Results are organized according to three general types of outcomes: patient safety, other patient outcomes, and staff outcomes. The findings further support the importance of improving outcomes for a range of ...

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Research paper thumbnail of The Role of the Physical Environment in the Hospital of the 21 st Century: A Once-in-a-Lifetime Opportunity

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Research paper thumbnail of Designing Ambulatory Care Facilities—An Evidence-Based Design Checklist

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Research paper thumbnail of Creating Safer Healthcare Environments Using an Evidence-Based Design Process

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Research paper thumbnail of The Environment's Impact on Safety

U.S. hospitals are dangerous and stressful for patients, families, and staff members. Medical err... more U.S. hospitals are dangerous and stressful for patients, families, and staff members. Medical errors and hospital-acquired infections are among the leading causes of death in the United States, each killing more Americans than AIDS, breast cancer, or automobile accidents (Institute of Medicine [IOM] 2001). According to IOM’s landmark Crossing the Quality Chasm report, “The frustration levels of both patients and clinicians have probably never been higher. Yet the problems remain. Health care today harms too frequently and routinely fails to deliver its potential benefits.” Problems with U.S. healthcare not only influence patients; they affect staff as well. Registered nurses have a turnover rate averaging 20 percent (Joint Commission on Accreditation of Healthcare Organizations [JCAHO] 2002). As with Chapter 3, in this chapter we report on some of the results of a large literature review conducted for The Center for Health Design (The Center) in 2004. A large and growing body of rig...

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Research paper thumbnail of Developing Evidence-based Tools for Designing and Evaluating Hospital Inpatient Rooms

Journal of Interior Design

A growing body of research shows that hospital inpatient room design greatly impacts healthcare o... more A growing body of research shows that hospital inpatient room design greatly impacts healthcare outcomes, although research is often difficult for designers to understand and apply in decision making and postoccupancy evaluation (POE). The purpose of this study was to create evidence-based design checklists and POE tools for medical-surgical, intensive care, and maternity care patient rooms. Extensive literature reviews and focus groups with industry experts resulted in a set of design checklists and evaluation tools, including design considerations and features organized around 23 design goals. The tools were optimized after testing at multiple design firms and hospitals through questionnaire surveys and focus group discussions. The final product is an evidence-based toolkit with a series of features to increase usability. Testing results confirmed not only its validity and reliability, but also provided valuable lessons for further improvement. By facilitating the use of research evidence, the tools may contribute to improvements in the process of designing and evaluating healthcare facilities.

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Research paper thumbnail of Impact of the Physical Environment of Residential Health, Care, and Support Facilities (RHCSF) on Staff and Residents

Environment and Behavior

The physical environment of residential health, care, and support facilities (RHCSF) is a critica... more The physical environment of residential health, care, and support facilities (RHCSF) is a critical component in providing supportive and resident-centered care for the elderly. Although past reviews of the literature have focused on specific settings for the elderly or specific residential populations of the elderly, a systematic literature review that covers the range of settings and populations has been lacking. This article provides an overview and synthesis of the most recent empirical evidence addressing the impact of the physical environment on residents and staff of RHCSFs. The review also identifies gaps where future research is needed. This review found 66 studies examining the relationship between the built environment and outcomes in three broad domains of resident quality of life, resident safety, and staff and organizational outcomes. The studies address a range of topics including the impact on elderly residents of the facility scale and size, outdoor environments, and...

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Research paper thumbnail of Testing a Tool to Support Safety in Healthcare Facility Design

Procedia Manufacturing, 2015

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Research paper thumbnail of Improving Pediatric Radiography Patient Stress, Mood, and Parental Satisfaction Through Positive Environmental Distractions: A Randomized Control Trial

Journal of Pediatric Nursing, 2015

To evaluate how a positive environmental distraction intervention impacted pediatric radiography ... more To evaluate how a positive environmental distraction intervention impacted pediatric radiography patient behavioral stress-responses, mood states, and parental satisfaction. Behavioral observation, rating scales, surveys on 182 pediatric patients and their parents randomly assigned to three positive distraction levels (minimum, light, light and animation). Under interventional conditions, patients exhibited less low-stress coping behaviors (ps<0.001-0.007) and more verbal behaviors indicating positive affect (p=0.003); parents more favorably rated environmental pleasantness (ps<0.001), sense of environmental control (ps=0.002), and willingness to return and recommend the facility (ps=0.001-0.005). The intervention improved pediatric radiography experience but needs further investigation in more stressful settings.

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Research paper thumbnail of Designing Safety-net Clinics for Flexibility

To help inform and educate all participants in the clinic design process, three publications were... more To help inform and educate all participants in the clinic design process, three publications were developed based on literature reviews, interviews, and visits to exemplary health centers and clinics. The papers suggest a range of design strategies for building and renovating safety-net clinics, with special attention to health care interactions, patient flow, and the use of new technology: * Designing Safety-Net Clinics for Innovative Care Delivery Models; * Designing Safety-Net Clinics for Flexibility; and * Designing Safety-Net Clinics for Cultural Sensitivity. To help place these publications in context, an introductory paper, Promising Practices in Safety-Net Clinic Design: An Overview, summarizes the concepts presented in the research.

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Research paper thumbnail of Designing Safety-net Clinics for Innovative Care Delivery Models

To help inform and educate all participants in the clinic design process, three publications were... more To help inform and educate all participants in the clinic design process, three publications were developed based on literature reviews, interviews, and visits to exemplary health centers and clinics. The papers suggest a range of design strategies for building and renovating safety-net clinics, with special attention to health care interactions, patient flow, and the use of new technology: * Designing Safety-Net Clinics for Innovative Care Delivery Models; * Designing Safety-Net Clinics for Flexibility; and * Designing Safety-Net Clinics for Cultural Sensitivity. To help place these publications in context, an introductory paper, Promising Practices in Safety-Net Clinic Design: An Overview, summarizes the concepts presented in the research.

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Research paper thumbnail of Designing for patient safety: Findings from a national seminar

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Research paper thumbnail of Designing a tool to support patient safety: Using research to inform a proactive approach to healthcare facility design

Healthcare architecture has become an increasingly specialized field, marked by a complex interac... more Healthcare architecture has become an increasingly specialized field, marked by a complex interaction between people, operations and the physical environment and an ever changing landscape of regulation and reimbursement. Patient safety is often considered in a behavioral context – what can someone do differently to improve outcomes? However, as a complex system of interactions, patient safety is better advanced through a systems-thinking lens of Human Factors/Ergonomics (HFE). Attaianese and Duca (2012) commented on the use of HFE principles in design, stating that, “when the system is the built environment, the systemic approach requires that designers move from an attention exclusively reserved for building functions towards the set of actions that users actually perform and that building has to support.” This paper reports the development of a proactive Safety Risk Assessment (SRA) tool which will contribute to the 2014 Facility Guidelines Institute (FGI) Guidelines for the Desi...

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Research paper thumbnail of Designing for Patient Safety - Considering a Patient Safety Risk Assessment

ABSTRACT (from Section IV. Physical Aspects and Risk Factors for Patients and Caregivers)

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Research paper thumbnail of A review of the research literature on evidence-based healthcare design

HERD, 2008

This report surveys and evaluates the scientific research on evidence-based healthcare design and... more This report surveys and evaluates the scientific research on evidence-based healthcare design and extracts its implications for designing better and safer hospitals. It builds on a literature review conducted by researchers in 2004. Research teams conducted a new and more exhaustive search for rigorous empirical studies that link the design of hospital physical environments with healthcare outcomes. The review followed a two-step process, including an extensive search for existing literature and a screening of each identified study for the relevance and quality of evidence. This review found a growing body of rigorous studies to guide healthcare design, especially with respect to reducing the frequency of hospital-acquired infections. Results are organized according to three general types of outcomes: patient safety, other patient outcomes, and staff outcomes. The findings further support the importance of improving outcomes for a range of design characteristics or interventions, in...

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Research paper thumbnail of Impact of imaging room environment: staff job stress and satisfaction, patient satisfaction, and willingness to recommend

HERD, 2012

The built environment significantly affects the healthcare experiences of patients and staff. Hea... more The built environment significantly affects the healthcare experiences of patients and staff. Healthcare administrators and building designers face the opportunity and challenge of improving healthcare experience and satisfaction through better environmental design. The purpose of the study was to evaluate how a novel environmental intervention for imaging rooms, which integrated multiple elements of healing environments including positive distractions and personal control over environment, affects the perceptions and satisfactions of its primary users-patients and staff. Anonymous questionnaire surveys were conducted to compare patient and staff perceptions of the physical environment, satisfaction, and stress in two types of imaging rooms: imaging rooms with the intervention installed (intervention rooms) and traditionally designed rooms without the intervention (comparison rooms). Imaging technologists and patients perceived the intervention rooms to be significantly more pleasan...

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Research paper thumbnail of Designing High-Performance Emergency Care Facilities against COVID-19

The international journal of design in society, 2022

This literature review study aimed to develop a set of key evidence-based design recommendations ... more This literature review study aimed to develop a set of key evidence-based design recommendations to improve the efficiency and safety of emergency care for COVID-19. Keyword searches for relevant publications were conducted in electronic databases such as PubMed (including Medline), CINAHL, EBSCO, and Google Scholar. The inclusion criteria included: original research studies, research reviews, and expert opinions published in peer-reviewed journals; written in English; related to emergency care; and evaluation of environment design examples and considerations for the management and prevention of COVID-19. Emergency department (ED) design strategies for COVID-19 were emerging and evolving. A total of 41 design recommendations focusing on physical separation, virtual care, ventilation, cleanliness of environmental surfaces, and hand hygiene could potentially contribute to the efficiency and safety of care for COVID-19. A systems approach is needed to coordinate various design and operational strategies to maximize the benefits through multidisciplinary collaboration. The built environment played an important role in the management and prevention of COVID-19 infections. The recommendations will be valuable for healthcare organizations to better prepare for possible future crises involving similar respiratory infection outbreaks. Further research is needed to continue the development and rigorous evaluation of design innovations.

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Research paper thumbnail of Designing a Cardiac Intensive Care Unit by Employing an Evidence-Based Design Approach

The International Journal of Architectonic, Spatial, and Environmental Design

This literature review study aimed to develop a set of key evidence-based design considerations f... more This literature review study aimed to develop a set of key evidence-based design considerations for a prototype (3-Dimensional) cardiac intensive care unit (CICU) that promotes patient health and safety as well as staff work efficiency. To provide convergent evidence about the association between cardiac intensive care and the physical environment, searches were conducted in the PubMed, Google Scholar, and other databases as well as in certain specialized journals. The inclusion criteria included qualitative, quantitative, mixed-methods studies, or systematic reviews; written in English; and related to the built environmental design of cardiac intensive care. The contents of the selected articles were first extracted and then analyzed and synthesized. The results of this review demonstrated that the CICU physical design had a strong influence on patient health and safety. A total of more than forty CICU design recommendations were identified. In practice, all environmental and nonenvironmental factors should be holistically considered in the design decision-making process. The next step is the development and testing of prototypes that incorporate relevant design strategies before wide application. This literature review disclosed the key design strategies that enhance the physical design of CICUs. Further research is needed to evaluate the prototype and to investigate the future needs and issues in designing CICUs

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Research paper thumbnail of Improving Ambulatory Surgery Environments: The Effects on Patient Preoperative Anxiety, Perception, and Noise

HERD: Health Environments Research & Design Journal

Objectives: The study aimed to comparatively evaluate three types of preoperative care environmen... more Objectives: The study aimed to comparatively evaluate three types of preoperative care environment in terms of patient experience outcomes including patient preoperative anxiety, perceived environmental qualities, and noise level. Background: Preoperative anxiety is a major healthcare problem causing delays, complications, dissatisfaction, and rising healthcare costs. The design of preoperative spaces may play an important role in reducing preoperative anxiety and improving outcomes. Methods: Anonymous questionnaire surveys were conducted with 228 patients in the three types of preoperative bays that varied in terms of bay size and the amount of hard-wall partitions between bays to compare patient self-reported anxiety and perceived environmental qualities. Sound level measurements were conducted throughout the three preoperative care units. Results: Female patients in the preoperative unit with largest bays and full hard-wall partitions between bays reported significantly lower lev...

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Research paper thumbnail of Residents: A Systematic Review of the Literature

eab.sagepub.com

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Research paper thumbnail of A Review of Research Literature on Evidence-based Healthcare Design

Objective: This report surveys and evaluates the scientific research on evidence-based healthcare... more Objective: This report surveys and evaluates the scientific research on evidence-based healthcare design and extracts its implications for designing better and safer hospitals. Background: It builds on a literature review conducted by researchers in 2004. Methods: Research teams conducted a new and more ex-haustive search for rigorous empirical studies that link the design of hospital physical environments with healthcare out-comes. The review followed a two-step process, including an extensive search for existing literature and a screening of each identified study for the relevance and quality of evidence. Results: This review found a growing body of rigorous studies to guide healthcare design, especially with respect to reducing the frequency of hospital-acquired infections. Results are organized according to three general types of outcomes: patient safety, other patient outcomes, and staff outcomes. The findings further support the importance of improving outcomes for a range of ...

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Research paper thumbnail of The Role of the Physical Environment in the Hospital of the 21 st Century: A Once-in-a-Lifetime Opportunity

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Research paper thumbnail of Designing Ambulatory Care Facilities—An Evidence-Based Design Checklist

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Research paper thumbnail of Creating Safer Healthcare Environments Using an Evidence-Based Design Process

Bookmarks Related papers MentionsView impact

Research paper thumbnail of The Environment's Impact on Safety

U.S. hospitals are dangerous and stressful for patients, families, and staff members. Medical err... more U.S. hospitals are dangerous and stressful for patients, families, and staff members. Medical errors and hospital-acquired infections are among the leading causes of death in the United States, each killing more Americans than AIDS, breast cancer, or automobile accidents (Institute of Medicine [IOM] 2001). According to IOM’s landmark Crossing the Quality Chasm report, “The frustration levels of both patients and clinicians have probably never been higher. Yet the problems remain. Health care today harms too frequently and routinely fails to deliver its potential benefits.” Problems with U.S. healthcare not only influence patients; they affect staff as well. Registered nurses have a turnover rate averaging 20 percent (Joint Commission on Accreditation of Healthcare Organizations [JCAHO] 2002). As with Chapter 3, in this chapter we report on some of the results of a large literature review conducted for The Center for Health Design (The Center) in 2004. A large and growing body of rig...

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Research paper thumbnail of Developing Evidence-based Tools for Designing and Evaluating Hospital Inpatient Rooms

Journal of Interior Design

A growing body of research shows that hospital inpatient room design greatly impacts healthcare o... more A growing body of research shows that hospital inpatient room design greatly impacts healthcare outcomes, although research is often difficult for designers to understand and apply in decision making and postoccupancy evaluation (POE). The purpose of this study was to create evidence-based design checklists and POE tools for medical-surgical, intensive care, and maternity care patient rooms. Extensive literature reviews and focus groups with industry experts resulted in a set of design checklists and evaluation tools, including design considerations and features organized around 23 design goals. The tools were optimized after testing at multiple design firms and hospitals through questionnaire surveys and focus group discussions. The final product is an evidence-based toolkit with a series of features to increase usability. Testing results confirmed not only its validity and reliability, but also provided valuable lessons for further improvement. By facilitating the use of research evidence, the tools may contribute to improvements in the process of designing and evaluating healthcare facilities.

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Research paper thumbnail of Impact of the Physical Environment of Residential Health, Care, and Support Facilities (RHCSF) on Staff and Residents

Environment and Behavior

The physical environment of residential health, care, and support facilities (RHCSF) is a critica... more The physical environment of residential health, care, and support facilities (RHCSF) is a critical component in providing supportive and resident-centered care for the elderly. Although past reviews of the literature have focused on specific settings for the elderly or specific residential populations of the elderly, a systematic literature review that covers the range of settings and populations has been lacking. This article provides an overview and synthesis of the most recent empirical evidence addressing the impact of the physical environment on residents and staff of RHCSFs. The review also identifies gaps where future research is needed. This review found 66 studies examining the relationship between the built environment and outcomes in three broad domains of resident quality of life, resident safety, and staff and organizational outcomes. The studies address a range of topics including the impact on elderly residents of the facility scale and size, outdoor environments, and...

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Research paper thumbnail of Testing a Tool to Support Safety in Healthcare Facility Design

Procedia Manufacturing, 2015

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Research paper thumbnail of Improving Pediatric Radiography Patient Stress, Mood, and Parental Satisfaction Through Positive Environmental Distractions: A Randomized Control Trial

Journal of Pediatric Nursing, 2015

To evaluate how a positive environmental distraction intervention impacted pediatric radiography ... more To evaluate how a positive environmental distraction intervention impacted pediatric radiography patient behavioral stress-responses, mood states, and parental satisfaction. Behavioral observation, rating scales, surveys on 182 pediatric patients and their parents randomly assigned to three positive distraction levels (minimum, light, light and animation). Under interventional conditions, patients exhibited less low-stress coping behaviors (ps<0.001-0.007) and more verbal behaviors indicating positive affect (p=0.003); parents more favorably rated environmental pleasantness (ps<0.001), sense of environmental control (ps=0.002), and willingness to return and recommend the facility (ps=0.001-0.005). The intervention improved pediatric radiography experience but needs further investigation in more stressful settings.

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Research paper thumbnail of Designing Safety-net Clinics for Flexibility

To help inform and educate all participants in the clinic design process, three publications were... more To help inform and educate all participants in the clinic design process, three publications were developed based on literature reviews, interviews, and visits to exemplary health centers and clinics. The papers suggest a range of design strategies for building and renovating safety-net clinics, with special attention to health care interactions, patient flow, and the use of new technology: * Designing Safety-Net Clinics for Innovative Care Delivery Models; * Designing Safety-Net Clinics for Flexibility; and * Designing Safety-Net Clinics for Cultural Sensitivity. To help place these publications in context, an introductory paper, Promising Practices in Safety-Net Clinic Design: An Overview, summarizes the concepts presented in the research.

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Research paper thumbnail of Designing Safety-net Clinics for Innovative Care Delivery Models

To help inform and educate all participants in the clinic design process, three publications were... more To help inform and educate all participants in the clinic design process, three publications were developed based on literature reviews, interviews, and visits to exemplary health centers and clinics. The papers suggest a range of design strategies for building and renovating safety-net clinics, with special attention to health care interactions, patient flow, and the use of new technology: * Designing Safety-Net Clinics for Innovative Care Delivery Models; * Designing Safety-Net Clinics for Flexibility; and * Designing Safety-Net Clinics for Cultural Sensitivity. To help place these publications in context, an introductory paper, Promising Practices in Safety-Net Clinic Design: An Overview, summarizes the concepts presented in the research.

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Research paper thumbnail of Designing for patient safety: Findings from a national seminar

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Research paper thumbnail of Designing a tool to support patient safety: Using research to inform a proactive approach to healthcare facility design

Healthcare architecture has become an increasingly specialized field, marked by a complex interac... more Healthcare architecture has become an increasingly specialized field, marked by a complex interaction between people, operations and the physical environment and an ever changing landscape of regulation and reimbursement. Patient safety is often considered in a behavioral context – what can someone do differently to improve outcomes? However, as a complex system of interactions, patient safety is better advanced through a systems-thinking lens of Human Factors/Ergonomics (HFE). Attaianese and Duca (2012) commented on the use of HFE principles in design, stating that, “when the system is the built environment, the systemic approach requires that designers move from an attention exclusively reserved for building functions towards the set of actions that users actually perform and that building has to support.” This paper reports the development of a proactive Safety Risk Assessment (SRA) tool which will contribute to the 2014 Facility Guidelines Institute (FGI) Guidelines for the Desi...

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Research paper thumbnail of Designing for Patient Safety - Considering a Patient Safety Risk Assessment

ABSTRACT (from Section IV. Physical Aspects and Risk Factors for Patients and Caregivers)

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Research paper thumbnail of A review of the research literature on evidence-based healthcare design

HERD, 2008

This report surveys and evaluates the scientific research on evidence-based healthcare design and... more This report surveys and evaluates the scientific research on evidence-based healthcare design and extracts its implications for designing better and safer hospitals. It builds on a literature review conducted by researchers in 2004. Research teams conducted a new and more exhaustive search for rigorous empirical studies that link the design of hospital physical environments with healthcare outcomes. The review followed a two-step process, including an extensive search for existing literature and a screening of each identified study for the relevance and quality of evidence. This review found a growing body of rigorous studies to guide healthcare design, especially with respect to reducing the frequency of hospital-acquired infections. Results are organized according to three general types of outcomes: patient safety, other patient outcomes, and staff outcomes. The findings further support the importance of improving outcomes for a range of design characteristics or interventions, in...

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Research paper thumbnail of Impact of imaging room environment: staff job stress and satisfaction, patient satisfaction, and willingness to recommend

HERD, 2012

The built environment significantly affects the healthcare experiences of patients and staff. Hea... more The built environment significantly affects the healthcare experiences of patients and staff. Healthcare administrators and building designers face the opportunity and challenge of improving healthcare experience and satisfaction through better environmental design. The purpose of the study was to evaluate how a novel environmental intervention for imaging rooms, which integrated multiple elements of healing environments including positive distractions and personal control over environment, affects the perceptions and satisfactions of its primary users-patients and staff. Anonymous questionnaire surveys were conducted to compare patient and staff perceptions of the physical environment, satisfaction, and stress in two types of imaging rooms: imaging rooms with the intervention installed (intervention rooms) and traditionally designed rooms without the intervention (comparison rooms). Imaging technologists and patients perceived the intervention rooms to be significantly more pleasan...

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