Healthcare Design - August 2016 - 63


space and also avoided in future design. The findings
revealed that colocation of medications, supplies, and
nourishment; accommodation for WOWs; and spatial
and technological connectivity between care teams
and patients should be considered while designing a
medical/surgical unit.
Sound level captures showed the highest sound
levels in the nurses' stations that tend to serve as collaboration hubs (and showed the need for workplaces
where decentralized units are offset with larger team
areas). The most "wasteful" walk was identified as the
walk to the nourishment room for a minor task such
as getting applesauce that a patient may need to
accompany meds. Conversations with staff members
revealed that it's not just the distance but also the
perceived value in the walk that can impact satisfaction. Walking a full length of the unit for something as
minor as applesauce is a dissatisfier. The notion of
colocating nourishment areas with meds/supplies is a
new one to the literature.
Other insights-such as the need for collaboration
zones in addition to decentralized and point-of-use
access, as well as flexibility to accommodate different
work modes-complement the existing literature. However, the key innovation in this study is the methodology.

Results in use
The team used data from the observations to develop a
simulation model that mapped key sequences of activities. The research team benchmarked field research
results against findings from larger data sets of existing
research. The simulation model analyzed optimal and
suboptimal sequences. The ability to take data from field
research and input that into simulation models allowed
the design team to optimize throughout the process. After each design iteration, the design team ran the simulation and analyzed visibility and walking distances (based
on optimized and actual sequences of activities). The final
plan configuration resulted in reducing walking distances
in half, even though the overall floor plate was larger.
Following are the key innovations in the design, based
on the diagnostic and evidence-informed user interaction:
* Improved unit connectivity.
* A narrow and porous support core that allows for
clear staff-to-patient and staff-to-staff visibility.
* Technology leveraged to enhance staff communication, such as mobile phones connected to the
electronic medical record.
* Reduction of wasteful walking.
* An equal distribution and proximity of key support
spaces throughout the unit, such as the colocation of

HCDmagazine.com 08.16

63


http://www.oleevue.com http://www.DeepStreamDesign.com http://www.HCDmagazine.com

Table of Contents for the Digital Edition of Healthcare Design - August 2016

Healthcare Design - August 2016
Contents
hcdmagazine.com
Editorial
Show Talk
Monitor
Product Spotlight: Waiting Areas
The Center
Forward Thinkers
Charting a New Course
Whole in One
In the City
Research
First Look
Healthcare Design - August 2016 - Healthcare Design - August 2016
Healthcare Design - August 2016 - Cover2
Healthcare Design - August 2016 - 1
Healthcare Design - August 2016 - Contents
Healthcare Design - August 2016 - 3
Healthcare Design - August 2016 - 4
Healthcare Design - August 2016 - 5
Healthcare Design - August 2016 - hcdmagazine.com
Healthcare Design - August 2016 - 7
Healthcare Design - August 2016 - Editorial
Healthcare Design - August 2016 - 9
Healthcare Design - August 2016 - Show Talk
Healthcare Design - August 2016 - 11
Healthcare Design - August 2016 - 12
Healthcare Design - August 2016 - 13
Healthcare Design - August 2016 - Monitor
Healthcare Design - August 2016 - 15
Healthcare Design - August 2016 - 16
Healthcare Design - August 2016 - 17
Healthcare Design - August 2016 - 18
Healthcare Design - August 2016 - 19
Healthcare Design - August 2016 - 20
Healthcare Design - August 2016 - 21
Healthcare Design - August 2016 - 22
Healthcare Design - August 2016 - 23
Healthcare Design - August 2016 - Product Spotlight: Waiting Areas
Healthcare Design - August 2016 - 25
Healthcare Design - August 2016 - 26
Healthcare Design - August 2016 - 27
Healthcare Design - August 2016 - The Center
Healthcare Design - August 2016 - 29
Healthcare Design - August 2016 - 30
Healthcare Design - August 2016 - 31
Healthcare Design - August 2016 - Forward Thinkers
Healthcare Design - August 2016 - 33
Healthcare Design - August 2016 - 34
Healthcare Design - August 2016 - 35
Healthcare Design - August 2016 - 36
Healthcare Design - August 2016 - 37
Healthcare Design - August 2016 - 38
Healthcare Design - August 2016 - 39
Healthcare Design - August 2016 - Charting a New Course
Healthcare Design - August 2016 - 41
Healthcare Design - August 2016 - 42
Healthcare Design - August 2016 - 43
Healthcare Design - August 2016 - 44
Healthcare Design - August 2016 - 45
Healthcare Design - August 2016 - Whole in One
Healthcare Design - August 2016 - 47
Healthcare Design - August 2016 - 48
Healthcare Design - August 2016 - 49
Healthcare Design - August 2016 - 50
Healthcare Design - August 2016 - 51
Healthcare Design - August 2016 - 52
Healthcare Design - August 2016 - 53
Healthcare Design - August 2016 - 54
Healthcare Design - August 2016 - 55
Healthcare Design - August 2016 - In the City
Healthcare Design - August 2016 - 57
Healthcare Design - August 2016 - 58
Healthcare Design - August 2016 - 59
Healthcare Design - August 2016 - 60
Healthcare Design - August 2016 - 61
Healthcare Design - August 2016 - Research
Healthcare Design - August 2016 - 63
Healthcare Design - August 2016 - 64
Healthcare Design - August 2016 - 65
Healthcare Design - August 2016 - 66
Healthcare Design - August 2016 - 67
Healthcare Design - August 2016 - 68
Healthcare Design - August 2016 - 69
Healthcare Design - August 2016 - 70
Healthcare Design - August 2016 - 71
Healthcare Design - August 2016 - 72
Healthcare Design - August 2016 - 73
Healthcare Design - August 2016 - 74
Healthcare Design - August 2016 - 75
Healthcare Design - August 2016 - 76
Healthcare Design - August 2016 - 77
Healthcare Design - August 2016 - 78
Healthcare Design - August 2016 - 79
Healthcare Design - August 2016 - 80
Healthcare Design - August 2016 - 81
Healthcare Design - August 2016 - 82
Healthcare Design - August 2016 - 83
Healthcare Design - August 2016 - 84
Healthcare Design - August 2016 - 85
Healthcare Design - August 2016 - 86
Healthcare Design - August 2016 - 87
Healthcare Design - August 2016 - 88
Healthcare Design - August 2016 - 89
Healthcare Design - August 2016 - 90
Healthcare Design - August 2016 - 91
Healthcare Design - August 2016 - 92
Healthcare Design - August 2016 - 93
Healthcare Design - August 2016 - 94
Healthcare Design - August 2016 - 95
Healthcare Design - August 2016 - 96
Healthcare Design - August 2016 - 97
Healthcare Design - August 2016 - 98
Healthcare Design - August 2016 - 99
Healthcare Design - August 2016 - 100
Healthcare Design - August 2016 - 101
Healthcare Design - August 2016 - 102
Healthcare Design - August 2016 - 103
Healthcare Design - August 2016 - 104
Healthcare Design - August 2016 - 105
Healthcare Design - August 2016 - 106
Healthcare Design - August 2016 - 107
Healthcare Design - August 2016 - 108
Healthcare Design - August 2016 - 109
Healthcare Design - August 2016 - 110
Healthcare Design - August 2016 - 111
Healthcare Design - August 2016 - 112
Healthcare Design - August 2016 - 113
Healthcare Design - August 2016 - 114
Healthcare Design - August 2016 - 115
Healthcare Design - August 2016 - 116
Healthcare Design - August 2016 - 117
Healthcare Design - August 2016 - 118
Healthcare Design - August 2016 - 119
Healthcare Design - August 2016 - 120
Healthcare Design - August 2016 - 121
Healthcare Design - August 2016 - 122
Healthcare Design - August 2016 - 123
Healthcare Design - August 2016 - 124
Healthcare Design - August 2016 - 125
Healthcare Design - August 2016 - 126
Healthcare Design - August 2016 - 127
Healthcare Design - August 2016 - 128
Healthcare Design - August 2016 - 129
Healthcare Design - August 2016 - 130
Healthcare Design - August 2016 - 131
Healthcare Design - August 2016 - 132
Healthcare Design - August 2016 - 133
Healthcare Design - August 2016 - 134
Healthcare Design - August 2016 - 135
Healthcare Design - August 2016 - 136
Healthcare Design - August 2016 - 137
Healthcare Design - August 2016 - 138
Healthcare Design - August 2016 - 139
Healthcare Design - August 2016 - 140
Healthcare Design - August 2016 - 141
Healthcare Design - August 2016 - 142
Healthcare Design - August 2016 - 143
Healthcare Design - August 2016 - 144
Healthcare Design - August 2016 - 145
Healthcare Design - August 2016 - 146
Healthcare Design - August 2016 - 147
Healthcare Design - August 2016 - 148
Healthcare Design - August 2016 - 149
Healthcare Design - August 2016 - 150
Healthcare Design - August 2016 - 151
Healthcare Design - August 2016 - First Look
Healthcare Design - August 2016 - 153
Healthcare Design - August 2016 - 154
Healthcare Design - August 2016 - 155
Healthcare Design - August 2016 - 156
Healthcare Design - August 2016 - 157
Healthcare Design - August 2016 - 158
Healthcare Design - August 2016 - 159
Healthcare Design - August 2016 - 160
Healthcare Design - August 2016 - Cover3
Healthcare Design - August 2016 - Cover4
http://www.nxtbook.com/nxtbooks/healthcaredesign/201911
http://www.nxtbook.com/nxtbooks/healthcaredesign/201910
http://www.nxtbook.com/nxtbooks/healthcaredesign/201909
http://www.nxtbook.com/nxtbooks/healthcaredesign/201908
http://www.nxtbook.com/nxtbooks/healthcaredesign/20190607
http://www.nxtbook.com/nxtbooks/healthcaredesign/201905
http://www.nxtbook.com/nxtbooks/healthcaredesign/201904
http://www.nxtbook.com/nxtbooks/healthcaredesign/201903
http://www.nxtbook.com/nxtbooks/healthcaredesign/201902
http://www.nxtbook.com/nxtbooks/healthcaredesign/201901
http://www.nxtbook.com/nxtbooks/healthcaredesign/201812
http://www.nxtbook.com/nxtbooks/healthcaredesign/201811
http://www.nxtbook.com/nxtbooks/healthcaredesign/201810
http://www.nxtbook.com/nxtbooks/healthcaredesign/201809
http://www.nxtbook.com/nxtbooks/healthcaredesign/201808
http://www.nxtbook.com/nxtbooks/healthcaredesign/20180607
http://www.nxtbook.com/nxtbooks/healthcaredesign/201805
http://www.nxtbook.com/nxtbooks/healthcaredesign/201804
http://www.nxtbook.com/nxtbooks/healthcaredesign/201803
http://www.nxtbook.com/nxtbooks/healthcaredesign/201802
http://www.nxtbook.com/nxtbooks/healthcaredesign/201801
http://www.nxtbook.com/nxtbooks/healthcaredesign/201712
http://www.nxtbook.com/nxtbooks/healthcaredesign/201711
http://www.nxtbook.com/nxtbooks/healthcaredesign/201710
http://www.nxtbook.com/nxtbooks/healthcaredesign/201709
http://www.nxtbook.com/nxtbooks/healthcaredesign/201708
http://www.nxtbook.com/nxtbooks/healthcaredesign/201706
http://www.nxtbook.com/nxtbooks/healthcaredesign/201705
http://www.nxtbook.com/nxtbooks/healthcaredesign/201704
http://www.nxtbook.com/nxtbooks/healthcaredesign/201703
http://www.nxtbook.com/nxtbooks/healthcaredesign/201702
http://www.nxtbook.com/nxtbooks/healthcaredesign/201701
http://www.nxtbook.com/nxtbooks/healthcaredesign/201612
http://www.nxtbook.com/nxtbooks/healthcaredesign/201611
http://www.nxtbook.com/nxtbooks/healthcaredesign/201610
http://www.nxtbook.com/nxtbooks/healthcaredesign/201609
http://www.nxtbook.com/nxtbooks/healthcaredesign/201608
http://www.nxtbook.com/nxtbooks/healthcaredesign/20160607
http://www.nxtbook.com/nxtbooks/healthcaredesign/201605
http://www.nxtbook.com/nxtbooks/healthcaredesign/201604
http://www.nxtbook.com/nxtbooks/healthcaredesign/201603
http://www.nxtbook.com/nxtbooks/healthcaredesign/20160102
http://www.nxtbook.com/nxtbooks/healthcaredesign/201512
http://www.nxtbook.com/nxtbooks/healthcaredesign/201511
http://www.nxtbook.com/nxtbooks/healthcaredesign/201510
http://www.nxtbook.com/nxtbooks/healthcaredesign/201509
http://www.nxtbook.com/nxtbooks/healthcaredesign/201508
http://www.nxtbook.com/nxtbooks/healthcaredesign/201506
http://www.nxtbook.com/nxtbooks/healthcaredesign/201505
http://www.nxtbook.com/nxtbooks/healthcaredesign/201504
http://www.nxtbook.com/nxtbooks/healthcaredesign/201503
http://www.nxtbook.com/nxtbooks/healthcaredesign/201501
http://www.nxtbook.com/nxtbooks/healthcaredesign/201412
http://www.nxtbook.com/nxtbooks/healthcaredesign/201410
http://www.nxtbook.com/nxtbooks/healthcaredesign/201409
http://www.nxtbook.com/nxtbooks/healthcaredesign/201408
http://www.nxtbook.com/nxtbooks/healthcaredesign/201407
http://www.nxtbook.com/nxtbooks/healthcaredesign/201405
http://www.nxtbook.com/nxtbooks/healthcaredesign/201404
http://www.nxtbook.com/nxtbooks/healthcaredesign/201403
http://www.nxtbook.com/nxtbooks/healthcaredesign/201401
http://www.nxtbook.com/nxtbooks/healthcaredesign/201312
http://www.nxtbook.com/nxtbooks/healthcaredesign/201311
http://www.nxtbook.com/nxtbooks/healthcaredesign/201310
http://www.nxtbook.com/nxtbooks/healthcaredesign/201309
http://www.nxtbook.com/nxtbooks/healthcaredesign/201308
http://www.nxtbookMEDIA.com