Healthcare Design - November 2019 - 71

IN FO C U S
S T R A T E G I C A P P R O A C H E S to D E S I G N C H A L L E N G E S

THE DELIVERY OF healthcare

PLANNING AND DESIGN

DAVID SENIOR

SAFETY FIRST

Implementing a simulation-based testing approach can help
identify design flaws and mitigate risks before a facility opens
By Dr. Nora Colman and Dr. Kiran Hebbar

requires a complex system in which providers interact with
patients, technology, equipment, and the
physical environment. These interactions are
strongly linked to patient and employee safety.
In planning for a new healthcare facility, decisions made during the planning process, such
as layouts or placement of supplies and fixtures, can have unintentional and significant
downstream effects that may lead to hospitalacquired conditions, medical errors, adverse
events, system deficiencies, compromised employee safety, and poor job satisfaction. These
weaknesses, or "accidents waiting to happen,"
are known as latent safety threats (LSTs).
Some common design elements and associated LSTs include location of equipment or supply areas leading to inefficient workflows that
cause staff fatigue or delay patient care; noise
reduction strategies that impact team communication; inaccessible mounting of equipment
(diagnostic sets, thermometers, blood pressure cuffs) that causes providers to overreach or
stretch while providing patient care; and confusing wayfinding signage that causes a negative patient or family experience.
LSTs may contribute to adverse events if not
remediated proactively, but they can be difficult to detect because the planning process
requires clinical leaders to imagine how work
will be done prior to a new facility opening.
This process has many limitations, as teams
can't completely predict the complexity of
delivering patient care. Upon a facility opening, work as imagined by the planning team is
often not an accurate reflection of work as it's
actually done.
One strategy to identify and remediate LSTs
in a facility post-construction and pre-occupancy is Simulation-based Clinical Systems Testing
(SbCST). This step allows clinicians and clinical
leaders to witness care delivery through simulations and then evaluate spatial layout, location
of fixture placement, gaps in care processes,
care team communication, and accessibility
of supplies. It helps to unmask safety threats,
inefficiencies in workflow, or gaps
in planned processes that would
otherwise go unrecognized prior
to facility opening.

NOVEMBER 2019

71



Healthcare Design - November 2019

Table of Contents for the Digital Edition of Healthcare Design - November 2019

Healthcare Design - November 2019
Contents
EDITORIAL
SHOW TALK
NATURE INSPIRED
EXPLORING STANDARDIZED POE
FIRST LOOK
GOLDEN OPPORTUNITY
STEP INSIDE
DESIGN INTUITION
AIMING HIGH
PLANNING AND DESIGN
PRODUCT SPOTLIGHT
THE CENTER
PROJECT WATCH
PRODUCT GALLERY
FACE TIME
Healthcare Design - November 2019 - Healthcare Design - November 2019
Healthcare Design - November 2019 - Cover2
Healthcare Design - November 2019 - 1
Healthcare Design - November 2019 - 2
Healthcare Design - November 2019 - Contents
Healthcare Design - November 2019 - 4
Healthcare Design - November 2019 - 5
Healthcare Design - November 2019 - 6
Healthcare Design - November 2019 - 7
Healthcare Design - November 2019 - 8
Healthcare Design - November 2019 - EDITORIAL
Healthcare Design - November 2019 - SHOW TALK
Healthcare Design - November 2019 - 11
Healthcare Design - November 2019 - 12
Healthcare Design - November 2019 - NATURE INSPIRED
Healthcare Design - November 2019 - 14
Healthcare Design - November 2019 - 15
Healthcare Design - November 2019 - EXPLORING STANDARDIZED POE
Healthcare Design - November 2019 - FIRST LOOK
Healthcare Design - November 2019 - GOLDEN OPPORTUNITY
Healthcare Design - November 2019 - 19
Healthcare Design - November 2019 - 20
Healthcare Design - November 2019 - 21
Healthcare Design - November 2019 - 22
Healthcare Design - November 2019 - 23
Healthcare Design - November 2019 - 24
Healthcare Design - November 2019 - 25
Healthcare Design - November 2019 - 26
Healthcare Design - November 2019 - 27
Healthcare Design - November 2019 - STEP INSIDE
Healthcare Design - November 2019 - 29
Healthcare Design - November 2019 - 30
Healthcare Design - November 2019 - 31
Healthcare Design - November 2019 - 32
Healthcare Design - November 2019 - 33
Healthcare Design - November 2019 - 34
Healthcare Design - November 2019 - 35
Healthcare Design - November 2019 - 36
Healthcare Design - November 2019 - 37
Healthcare Design - November 2019 - 38
Healthcare Design - November 2019 - 39
Healthcare Design - November 2019 - 40
Healthcare Design - November 2019 - 41
Healthcare Design - November 2019 - DESIGN INTUITION
Healthcare Design - November 2019 - 43
Healthcare Design - November 2019 - 44
Healthcare Design - November 2019 - 45
Healthcare Design - November 2019 - 46
Healthcare Design - November 2019 - 47
Healthcare Design - November 2019 - 48
Healthcare Design - November 2019 - 49
Healthcare Design - November 2019 - AIMING HIGH
Healthcare Design - November 2019 - 51
Healthcare Design - November 2019 - 52
Healthcare Design - November 2019 - 53
Healthcare Design - November 2019 - 54
Healthcare Design - November 2019 - 55
Healthcare Design - November 2019 - 56
Healthcare Design - November 2019 - 57
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Healthcare Design - November 2019 - 66
Healthcare Design - November 2019 - 67
Healthcare Design - November 2019 - 68
Healthcare Design - November 2019 - 69
Healthcare Design - November 2019 - 70
Healthcare Design - November 2019 - PLANNING AND DESIGN
Healthcare Design - November 2019 - 72
Healthcare Design - November 2019 - 73
Healthcare Design - November 2019 - PRODUCT SPOTLIGHT
Healthcare Design - November 2019 - 75
Healthcare Design - November 2019 - 76
Healthcare Design - November 2019 - 77
Healthcare Design - November 2019 - 78
Healthcare Design - November 2019 - 79
Healthcare Design - November 2019 - 80
Healthcare Design - November 2019 - 81
Healthcare Design - November 2019 - THE CENTER
Healthcare Design - November 2019 - 83
Healthcare Design - November 2019 - PROJECT WATCH
Healthcare Design - November 2019 - 85
Healthcare Design - November 2019 - 86
Healthcare Design - November 2019 - 87
Healthcare Design - November 2019 - 88
Healthcare Design - November 2019 - 89
Healthcare Design - November 2019 - 90
Healthcare Design - November 2019 - PRODUCT GALLERY
Healthcare Design - November 2019 - 92
Healthcare Design - November 2019 - 93
Healthcare Design - November 2019 - 94
Healthcare Design - November 2019 - 95
Healthcare Design - November 2019 - 96
Healthcare Design - November 2019 - 97
Healthcare Design - November 2019 - 98
Healthcare Design - November 2019 - 99
Healthcare Design - November 2019 - 100
Healthcare Design - November 2019 - 101
Healthcare Design - November 2019 - 102
Healthcare Design - November 2019 - 103
Healthcare Design - November 2019 - FACE TIME
Healthcare Design - November 2019 - Cover3
Healthcare Design - November 2019 - Cover4
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