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

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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
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Healthcare Design - August 2016 - 104
Healthcare Design - August 2016 - 105
Healthcare Design - August 2016 - 106
Healthcare Design - August 2016 - 107
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Healthcare Design - August 2016 - 109
Healthcare Design - August 2016 - 110
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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
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Healthcare Design - August 2016 - 126
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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
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Healthcare Design - August 2016 - Cover3
Healthcare Design - August 2016 - Cover4
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