Healthcare Design - November 2016 - 72

NEW
WORLD
ORDER

P R E V I E W

O P E NING KE Y NOT E

Dr. Gurpreet Dhaliwal
"How Doctors Think: Diagnostic
Challenges in the New Era of
Health IT"

Healthcare as we know it
is changing rapidly,
in large part due
to advancements
in technology and
innovations in care
delivery. Keynote speakers
at the Healthcare Design
Expo & Conference
will tackle these trends,
identifying the how and
why behind them as well
as the effects they'll have
on the built environment.

Healthcare Design:
You study how doctors
think-why is this
so important to
understand?

BY JENNIFER KOVACS SILVIS

we are very good at this but that there are fixed
tendencies toward error (e.g., cognitive biases).
For instance, all humans have a tendency to seek
information that confirms initial instincts (e.g.,
that a patient just has an upset stomach) while
disregarding contradictory information (e.g., that
a patient could have a kidney stone). In general, if
we're looking to improve our performance, there
are two avenues: decreasing errors, which is
generally system improvements, or increasing
expertise, which is generally improving your

Dr. Gurpreet Dhaliwal:

brain's thinking. The two are complementary, and

What is our most important
procedure? It's not a CT scan,

I greatly admire the work in the former, although

listening to your heart, or doing

my greatest interest lies in the latter.

a biopsy. In medicine, thinking is our most important

What are a few major ways that those patterns influence the patient experience?

For those involved in the planning and
design of healthcare facilities, understanding the needs of building users,
especially physicians, is critical to creating an appropriate solution. What are
some methods our readers might use or
questions they might ask to help get to the
core of doctors' thought processes and
how the built environment can support
them in care delivery?

How your doctor thinks influences everything that

Studies continue to show that the greatest source

happens on the path to maintaining or restoring

of satisfaction for doctors is knowing that their

your health. If a doctor is an advanced thinker, he

patients had a good experience and achieved

or she will understand the value of listening to a

good health outcomes. Therefore, designs that

patient's entire story and understanding the patient's

support these goals will be supported by doctors.

perspective, which includes their ideas, concerns,

For instance, designing spaces where doctors

and expectations. A doctor who is an advanced

can speak without interruption and with privacy

thinker understands the fallibilities of their own mind

are necessary to optimize candid communica-

and will welcome the input of others, including

tions between doctor and patient. Increasingly,

consultants, nurses, patients, and families. A doctor's

the doctor-patient relationship is becoming the

internal problem-solving process often determines

doctor-patient-computer relationship, and we all

the journey (tests, treatments, referrals) that a patient

need to consider how the room and the workflow

takes through the healthcare system.

can be changed so that a computer can be a

procedure. Our greatest successes-but also worst
failures-arise in the thinking process, where a physician takes all of the information (generated from those
other procedures) and tries to map a way forward,
which we call a diagnosis and treatment plan. The
way the human mind solves a problem is remarkable,
but it is fallible and therefore subject to improvement.

welcome partner (learning tool) and not an

72

NOVEMBER 2016

As a doctor of hospital and emergency
medicine, what have you learned about
the way you approach your profession and
patient interactions? And are there ways
to generalize your findings to help us all
understand how our brains work?

unwelcome intrusion (endless clicks).

The study of how the brain works in solving problems

Design principles that optimize the communica-

is a remarkable one. The human body can present

tion between the doctor and patients/family are

with approximately 200-300 different complaints

critical. It's hard to underestimate how cramped

or problems, and the job of the doctor is to find a

examination rooms, lack of ready access to key

match with the approximately 12,000 known human

information (such as an X-ray image, when a pic-

ailments. The study of physician cognition tells us that

ture is worth a thousand words), and conversa-

HCDMAGAZINE.COM

So how might understanding thought
processes and decision-making better
help our audience design buildings that
also improve the patient experience?


http://www.HCDMAGAZINE.COM

Healthcare Design - November 2016

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

HEALTHCARE DESIGN - NOVEMBER 2016
CONTENTS
EDITORIAL
SHOW TALK
PHOTO TOUR
MEETING OF THE MINDS
POWER TRIO
GET SMART
WHAT ARE WE WAITING FOR?
HAVING IT ALL
HERE & NOW
WELCOME ADDITION
FIVE BUILDING BLOCKS OF WAYFINDING
FINANCIAL MATTERS HEALTHY SAV-INGS
PRODUCT SPOTLIGHT DINING
THE CENTER
AIA-AAH
Healthcare Design - November 2016 - HEALTHCARE DESIGN - NOVEMBER 2016
Healthcare Design - November 2016 - Cover2
Healthcare Design - November 2016 - 1
Healthcare Design - November 2016 - 2
Healthcare Design - November 2016 - CONTENTS
Healthcare Design - November 2016 - 4
Healthcare Design - November 2016 - 5
Healthcare Design - November 2016 - 6
Healthcare Design - November 2016 - 7
Healthcare Design - November 2016 - 8
Healthcare Design - November 2016 - EDITORIAL
Healthcare Design - November 2016 - SHOW TALK
Healthcare Design - November 2016 - 11
Healthcare Design - November 2016 - PHOTO TOUR
Healthcare Design - November 2016 - 13
Healthcare Design - November 2016 - 14
Healthcare Design - November 2016 - 15
Healthcare Design - November 2016 - 16
Healthcare Design - November 2016 - 17
Healthcare Design - November 2016 - 18
Healthcare Design - November 2016 - 19
Healthcare Design - November 2016 - 20
Healthcare Design - November 2016 - MEETING OF THE MINDS
Healthcare Design - November 2016 - 22
Healthcare Design - November 2016 - 23
Healthcare Design - November 2016 - POWER TRIO
Healthcare Design - November 2016 - 25
Healthcare Design - November 2016 - 26
Healthcare Design - November 2016 - 27
Healthcare Design - November 2016 - 28
Healthcare Design - November 2016 - 29
Healthcare Design - November 2016 - 30
Healthcare Design - November 2016 - 31
Healthcare Design - November 2016 - 32
Healthcare Design - November 2016 - 33
Healthcare Design - November 2016 - GET SMART
Healthcare Design - November 2016 - 35
Healthcare Design - November 2016 - 36
Healthcare Design - November 2016 - 37
Healthcare Design - November 2016 - 38
Healthcare Design - November 2016 - 39
Healthcare Design - November 2016 - 40
Healthcare Design - November 2016 - 41
Healthcare Design - November 2016 - 42
Healthcare Design - November 2016 - 43
Healthcare Design - November 2016 - WHAT ARE WE WAITING FOR?
Healthcare Design - November 2016 - 45
Healthcare Design - November 2016 - 46
Healthcare Design - November 2016 - 47
Healthcare Design - November 2016 - 48
Healthcare Design - November 2016 - 49
Healthcare Design - November 2016 - 50
Healthcare Design - November 2016 - 51
Healthcare Design - November 2016 - 52
Healthcare Design - November 2016 - 53
Healthcare Design - November 2016 - 54
Healthcare Design - November 2016 - 55
Healthcare Design - November 2016 - 56
Healthcare Design - November 2016 - 57
Healthcare Design - November 2016 - HAVING IT ALL
Healthcare Design - November 2016 - 59
Healthcare Design - November 2016 - 60
Healthcare Design - November 2016 - 61
Healthcare Design - November 2016 - 62
Healthcare Design - November 2016 - 63
Healthcare Design - November 2016 - 64
Healthcare Design - November 2016 - 65
Healthcare Design - November 2016 - 66
Healthcare Design - November 2016 - 67
Healthcare Design - November 2016 - 68
Healthcare Design - November 2016 - 69
Healthcare Design - November 2016 - HERE & NOW
Healthcare Design - November 2016 - 71
Healthcare Design - November 2016 - 72
Healthcare Design - November 2016 - 73
Healthcare Design - November 2016 - 74
Healthcare Design - November 2016 - 75
Healthcare Design - November 2016 - 76
Healthcare Design - November 2016 - 77
Healthcare Design - November 2016 - 78
Healthcare Design - November 2016 - 79
Healthcare Design - November 2016 - 80
Healthcare Design - November 2016 - 81
Healthcare Design - November 2016 - 82
Healthcare Design - November 2016 - 83
Healthcare Design - November 2016 - 84
Healthcare Design - November 2016 - 85
Healthcare Design - November 2016 - 86
Healthcare Design - November 2016 - 87
Healthcare Design - November 2016 - 88
Healthcare Design - November 2016 - 89
Healthcare Design - November 2016 - 90
Healthcare Design - November 2016 - 91
Healthcare Design - November 2016 - WELCOME ADDITION
Healthcare Design - November 2016 - 93
Healthcare Design - November 2016 - 94
Healthcare Design - November 2016 - 95
Healthcare Design - November 2016 - 96
Healthcare Design - November 2016 - 97
Healthcare Design - November 2016 - FIVE BUILDING BLOCKS OF WAYFINDING
Healthcare Design - November 2016 - 99
Healthcare Design - November 2016 - 100
Healthcare Design - November 2016 - 101
Healthcare Design - November 2016 - 102
Healthcare Design - November 2016 - 103
Healthcare Design - November 2016 - 104
Healthcare Design - November 2016 - 105
Healthcare Design - November 2016 - 106
Healthcare Design - November 2016 - 107
Healthcare Design - November 2016 - 108
Healthcare Design - November 2016 - FINANCIAL MATTERS HEALTHY SAV-INGS
Healthcare Design - November 2016 - 110
Healthcare Design - November 2016 - 111
Healthcare Design - November 2016 - 112
Healthcare Design - November 2016 - 113
Healthcare Design - November 2016 - PRODUCT SPOTLIGHT DINING
Healthcare Design - November 2016 - 115
Healthcare Design - November 2016 - 116
Healthcare Design - November 2016 - 117
Healthcare Design - November 2016 - 118
Healthcare Design - November 2016 - 119
Healthcare Design - November 2016 - 120
Healthcare Design - November 2016 - 121
Healthcare Design - November 2016 - 122
Healthcare Design - November 2016 - THE CENTER
Healthcare Design - November 2016 - 124
Healthcare Design - November 2016 - AIA-AAH
Healthcare Design - November 2016 - 126
Healthcare Design - November 2016 - 127
Healthcare Design - November 2016 - 128
Healthcare Design - November 2016 - 129
Healthcare Design - November 2016 - 130
Healthcare Design - November 2016 - 131
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Healthcare Design - November 2016 - Cover3
Healthcare Design - November 2016 - Cover4
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