Healthcare Design - October 2015 - 40


EBD features and capabilities, but the rooms had to
be small (less than 180 square feet).
I suggested to the architects that they annotate the
early room designs to show explicit lines of reasoning
concerning why specific design features and floor plan
aspects would achieve intended consequences, such
as reducing infection transmission. In searching for
a solution, the architects examined a great variety of
conventional rectangular floor plans, and shrank them
to the required small size.
They found layouts that performed well if space was
in the range of 220-260 square feet-but when shrunk
to 170-180 square feet, they imploded and failed,
according to EBD criteria. At this point, the design
team began to innovate. They experimented with
novel shapes and layouts. For each one they thought
through whether it would achieve the intended positive
effects on patient safety and other outcomes.
This led to what I consider a creative breakthrough:
a canted, or slanted, patient room-to my knowledge,
the first of its kind. Performance analysis (including
using mock-ups) showed that the small canted room
(177 square feet) was superior to small box shapes
across a range of EBD performance criteria. Tony
Burley (then with RTKL) and I gave a presentation

about the canted room at the 2007 Healthcare Design
Conference. Subsequently, canted patient rooms
have appeared in new hospitals in Europe and North
America.

"Some of the newer studies are like rough
diamonds that are widely scattered. ... It
takes a team to go out and find them."
There are still some architects, unfortunately, who
have not learned that EBD doesn't tell you what to do
in each situation. It rarely does. There's almost no study
available that will be directly relevant to the specific
problem that a design team is facing. And the job of
the design team is to try to understand the findings,
see how credible the evidence is, and internalize the
knowledge to the point where it can inform their way of
coming up with a design that's high-performance.
Most basically, EBD knowledge helps the design
team to be better informed with quality information.
What could be more empowering for creativity? HCD
Kristin D. Zeit is editor-in-chief of Healthcare Design. She
can be reached at kristin.zeit@emeraldexpo.com.

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Table of Contents for the Digital Edition of Healthcare Design - October 2015

Healthcare Design - October 2015
Contents
hcdmagazine.com
Editorial
Show Talk
Monitor
Interiors
The Center
Adapt and Overcome
Seeds of Change
Site Seeing
State of Mind
Research
Special Advertising Section: 2015 Landscape Design Portfolio
First Look
Healthcare Design - October 2015 - Healthcare Design - October 2015
Healthcare Design - October 2015 - Cover2
Healthcare Design - October 2015 - 1
Healthcare Design - October 2015 - Contents
Healthcare Design - October 2015 - 3
Healthcare Design - October 2015 - hcdmagazine.com
Healthcare Design - October 2015 - 5
Healthcare Design - October 2015 - Editorial
Healthcare Design - October 2015 - 7
Healthcare Design - October 2015 - Show Talk
Healthcare Design - October 2015 - 9
Healthcare Design - October 2015 - Monitor
Healthcare Design - October 2015 - 11
Healthcare Design - October 2015 - 12
Healthcare Design - October 2015 - 13
Healthcare Design - October 2015 - 14
Healthcare Design - October 2015 - 15
Healthcare Design - October 2015 - 16
Healthcare Design - October 2015 - 17
Healthcare Design - October 2015 - 18
Healthcare Design - October 2015 - 19
Healthcare Design - October 2015 - Interiors
Healthcare Design - October 2015 - 21
Healthcare Design - October 2015 - 22
Healthcare Design - October 2015 - 23
Healthcare Design - October 2015 - 24
Healthcare Design - October 2015 - 25
Healthcare Design - October 2015 - The Center
Healthcare Design - October 2015 - 27
Healthcare Design - October 2015 - Adapt and Overcome
Healthcare Design - October 2015 - 29
Healthcare Design - October 2015 - 30
Healthcare Design - October 2015 - 31
Healthcare Design - October 2015 - 32
Healthcare Design - October 2015 - 33
Healthcare Design - October 2015 - 34
Healthcare Design - October 2015 - 35
Healthcare Design - October 2015 - Seeds of Change
Healthcare Design - October 2015 - 37
Healthcare Design - October 2015 - 38
Healthcare Design - October 2015 - 39
Healthcare Design - October 2015 - 40
Healthcare Design - October 2015 - 41
Healthcare Design - October 2015 - Site Seeing
Healthcare Design - October 2015 - 43
Healthcare Design - October 2015 - State of Mind
Healthcare Design - October 2015 - 45
Healthcare Design - October 2015 - 46
Healthcare Design - October 2015 - 47
Healthcare Design - October 2015 - 48
Healthcare Design - October 2015 - 49
Healthcare Design - October 2015 - 50
Healthcare Design - October 2015 - 51
Healthcare Design - October 2015 - 52
Healthcare Design - October 2015 - 53
Healthcare Design - October 2015 - Research
Healthcare Design - October 2015 - 55
Healthcare Design - October 2015 - 56
Healthcare Design - October 2015 - 57
Healthcare Design - October 2015 - Special Advertising Section: 2015 Landscape Design Portfolio
Healthcare Design - October 2015 - 59
Healthcare Design - October 2015 - 60
Healthcare Design - October 2015 - 61
Healthcare Design - October 2015 - 62
Healthcare Design - October 2015 - 63
Healthcare Design - October 2015 - First Look
Healthcare Design - October 2015 - Cover3
Healthcare Design - October 2015 - Cover4
Healthcare Design - October 2015 - SCover1
Healthcare Design - October 2015 - S1
Healthcare Design - October 2015 - S2
Healthcare Design - October 2015 - S3
Healthcare Design - October 2015 - S4
Healthcare Design - October 2015 - S5
Healthcare Design - October 2015 - S6
Healthcare Design - October 2015 - S7
Healthcare Design - October 2015 - S8
Healthcare Design - October 2015 - S9
Healthcare Design - October 2015 - SCover3
Healthcare Design - October 2015 - SCover4
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