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
Healthcare Design - November 2019 - 58
Healthcare Design - November 2019 - 59
Healthcare Design - November 2019 - 60
Healthcare Design - November 2019 - 61
Healthcare Design - November 2019 - 62
Healthcare Design - November 2019 - 63
Healthcare Design - November 2019 - 64
Healthcare Design - November 2019 - 65
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
https://www.nxtbook.com/emerald/healthcaredesign/202405
https://www.nxtbook.com/emerald/healthcaredesign/202404
https://www.nxtbook.com/emerald/healthcaredesign/202403
https://www.nxtbook.com/emerald/healthcaredesign/20240102
https://www.nxtbook.com/emerald/healthcaredesign/202312
https://www.nxtbook.com/emerald/healthcaredesign/202311
https://www.nxtbook.com/emerald/healthcaredesign/202310
https://www.nxtbook.com/emerald/healthcaredesign/202309
https://www.nxtbook.com/emerald/healthcaredesign/202308
https://www.nxtbook.com/emerald/healthcaredesign/20230607
https://www.nxtbook.com/emerald/healthcaredesign/202305
https://www.nxtbook.com/emerald/healthcaredesign/202304
https://www.nxtbook.com/emerald/healthcaredesign/202303
https://www.nxtbook.com/emerald/healthcaredesign/20230102
https://www.nxtbook.com/emerald/healthcaredesign/202212
https://www.nxtbook.com/emerald/healthcaredesign/202211
https://www.nxtbook.com/emerald/healthcaredesign/202210
https://www.nxtbook.com/emerald/healthcaredesign/202209
https://www.nxtbook.com/emerald/healthcaredesign/202208
https://www.nxtbook.com/emerald/healthcaredesign/20220607
https://www.nxtbook.com/emerald/healthcaredesign/202205
https://www.nxtbook.com/emerald/healthcaredesign/202204
https://www.nxtbook.com/emerald/healthcaredesign/202203
https://www.nxtbook.com/emerald/healthcaredesign/20220102
https://www.nxtbook.com/emerald/healthcaredesign/202112
https://www.nxtbook.com/emerald/healthcaredesign/202111
https://www.nxtbook.com/emerald/healthcaredesign/202110
https://www.nxtbook.com/emerald/healthcaredesign/202109
https://www.nxtbook.com/emerald/healthcaredesign/202108
https://www.nxtbook.com/emerald/healthcaredesign/202106
https://www.nxtbook.com/emerald/healthcaredesign/202105
https://www.nxtbook.com/emerald/healthcaredesign/healthcare-design-april-2021
https://www.nxtbook.com/nxtbooks/healthcaredesign/202103
https://www.nxtbook.com/nxtbooks/healthcaredesign/20210102
https://www.nxtbook.com/nxtbooks/healthcaredesign/202012
https://www.nxtbook.com/nxtbooks/healthcaredesign/202011
https://www.nxtbook.com/nxtbooks/healthcaredesign/202010
https://www.nxtbook.com/nxtbooks/healthcaredesign/202009
https://www.nxtbook.com/nxtbooks/healthcaredesign/202008
https://www.nxtbook.com/nxtbooks/healthcaredesign/20200607
https://www.nxtbook.com/nxtbooks/healthcaredesign/202005
https://www.nxtbook.com/nxtbooks/healthcaredesign/202004
https://www.nxtbook.com/nxtbooks/healthcaredesign/202003
https://www.nxtbook.com/nxtbooks/healthcaredesign/20200102
https://www.nxtbook.com/nxtbooks/healthcaredesign/201912
https://www.nxtbook.com/nxtbooks/healthcaredesign/201911
https://www.nxtbook.com/nxtbooks/healthcaredesign/201910
https://www.nxtbook.com/nxtbooks/healthcaredesign/201909
https://www.nxtbook.com/nxtbooks/healthcaredesign/201908
https://www.nxtbook.com/nxtbooks/healthcaredesign/20190607
https://www.nxtbook.com/nxtbooks/healthcaredesign/201905
https://www.nxtbook.com/nxtbooks/healthcaredesign/201904
https://www.nxtbook.com/nxtbooks/healthcaredesign/201903
https://www.nxtbook.com/nxtbooks/healthcaredesign/201902
https://www.nxtbook.com/nxtbooks/healthcaredesign/201901
https://www.nxtbook.com/nxtbooks/healthcaredesign/201812
https://www.nxtbook.com/nxtbooks/healthcaredesign/201811
https://www.nxtbook.com/nxtbooks/healthcaredesign/201810
https://www.nxtbook.com/nxtbooks/healthcaredesign/201809
https://www.nxtbook.com/nxtbooks/healthcaredesign/201808
https://www.nxtbook.com/nxtbooks/healthcaredesign/20180607
https://www.nxtbook.com/nxtbooks/healthcaredesign/201805
https://www.nxtbook.com/nxtbooks/healthcaredesign/201804
https://www.nxtbook.com/nxtbooks/healthcaredesign/201803
https://www.nxtbook.com/nxtbooks/healthcaredesign/201802
https://www.nxtbook.com/nxtbooks/healthcaredesign/201801
https://www.nxtbook.com/nxtbooks/healthcaredesign/201712
https://www.nxtbook.com/nxtbooks/healthcaredesign/201711
https://www.nxtbook.com/nxtbooks/healthcaredesign/201710
https://www.nxtbook.com/nxtbooks/healthcaredesign/201709
https://www.nxtbook.com/nxtbooks/healthcaredesign/201708
https://www.nxtbook.com/nxtbooks/healthcaredesign/201706
https://www.nxtbook.com/nxtbooks/healthcaredesign/201705
https://www.nxtbook.com/nxtbooks/healthcaredesign/201704
https://www.nxtbook.com/nxtbooks/healthcaredesign/201703
https://www.nxtbook.com/nxtbooks/healthcaredesign/201702
https://www.nxtbook.com/nxtbooks/healthcaredesign/201701
https://www.nxtbook.com/nxtbooks/healthcaredesign/201612
https://www.nxtbook.com/nxtbooks/healthcaredesign/201611
https://www.nxtbook.com/nxtbooks/healthcaredesign/201610
https://www.nxtbook.com/nxtbooks/healthcaredesign/201609
https://www.nxtbook.com/nxtbooks/healthcaredesign/201608
https://www.nxtbook.com/nxtbooks/healthcaredesign/20160607
https://www.nxtbook.com/nxtbooks/healthcaredesign/201605
https://www.nxtbook.com/nxtbooks/healthcaredesign/201604
https://www.nxtbook.com/nxtbooks/healthcaredesign/201603
https://www.nxtbook.com/nxtbooks/healthcaredesign/20160102
https://www.nxtbook.com/nxtbooks/healthcaredesign/201512
https://www.nxtbook.com/nxtbooks/healthcaredesign/201511
https://www.nxtbook.com/nxtbooks/healthcaredesign/201510
https://www.nxtbook.com/nxtbooks/healthcaredesign/201509
https://www.nxtbook.com/nxtbooks/healthcaredesign/201508
https://www.nxtbook.com/nxtbooks/healthcaredesign/201506
https://www.nxtbook.com/nxtbooks/healthcaredesign/201505
https://www.nxtbook.com/nxtbooks/healthcaredesign/201504
https://www.nxtbook.com/nxtbooks/healthcaredesign/201503
https://www.nxtbook.com/nxtbooks/healthcaredesign/201501
https://www.nxtbook.com/nxtbooks/healthcaredesign/201412
https://www.nxtbook.com/nxtbooks/healthcaredesign/201411
https://www.nxtbook.com/nxtbooks/healthcaredesign/201410
https://www.nxtbook.com/nxtbooks/healthcaredesign/201409
https://www.nxtbook.com/nxtbooks/healthcaredesign/201408
https://www.nxtbook.com/nxtbooks/healthcaredesign/201407
https://www.nxtbook.com/nxtbooks/healthcaredesign/201405
https://www.nxtbook.com/nxtbooks/healthcaredesign/201404
https://www.nxtbook.com/nxtbooks/healthcaredesign/201403
https://www.nxtbook.com/nxtbooks/healthcaredesign/201401
https://www.nxtbook.com/nxtbooks/healthcaredesign/201312
https://www.nxtbook.com/nxtbooks/healthcaredesign/201311
https://www.nxtbook.com/nxtbooks/healthcaredesign/201310
https://www.nxtbook.com/nxtbooks/healthcaredesign/201309
https://www.nxtbook.com/nxtbooks/healthcaredesign/201308
https://www.nxtbookmedia.com