Hospital Design that focuses on the patient can improve patient satisfaction, the quality and safety of patient care, and employee safety, productivity and retention. Studies have found an association between healthcare design and reductions in patient falls, medication errors, adverse events, hospital acquired conditions, pain management and patient and family satisfaction. Selected resources are included here.
- Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process from Center for Health Design by Joseph Anjail and colleagues
This 115 page document discusses patient safety issues to be considered in various stages of healthcare design process, including key activities, methods and tools for improving facility design.
- Reiling JG Creating a culture of patient safety through innovative hospital design . In AHRQ Advances in Patient Safety Vol 2 John Reiling, former CEO at St Joseph Hospital in West Bend WI discusses in this book chapter how a hospital design can improve patient safety.
- Case study on St. Joseph Hospital, West Bend WI
This West Bend, WI-based St. Joseph’s Community Hospital assembled a multi-departmental team of architects, patients, families, hospital staff, physicians and local citizens to design a hospital that would be safety driven from the ground up. The design is also described in a special article from the Joint Commission Journal on Quality and Safety, includes standardized patient rooms, new technology that will help minimize falls, and patient care alcoves in each patient room. Additional design principles for the new facility include visibility of patients to staff, automation such as bar-coding of medications, and noise reduction.
- Case study on St. Joseph Hospital, West Bend WI
AHRQ Healthcare Innovations Exchange – Patient Centered Hospital Design
- Childrens Hospital of Pittsburgh: Engaging Room Design and Distraction Techniques Comfort Pediatric Radiology Patients, Leading to Less Need for Sedation, Shorter Wait Times, Higher Satisfaction
- Griffin Hospital: Patient-Centered Hospital Redesign Leads to Low Infection Rates, Higher Patient Satisfaction, More Admissions, and Other Benefits
- Samuel Oschin Cancer Center: Patient-Centered Redesign Improves Patient and Staff Satisfaction at Outpatient Cancer Center
- DVD: Transforming Hospitals: designing for safety and quality reviews the case for evidence-based design and how it increases patient and staff satisfaction, quality of care, employee retention. Order free DVD from AHRQ (Publication No. 07.0076-DVD)
- Interior Design Manual: For New Construction and Renovations of Hospitals and Clinics
Developed by Department of Veterans Affairs
- Patient-Centered Care Improvement Guide
Developed by Picker Institute, Inc.; Planetree, Inc.
- Transforming Hospitals: Designing for Safety and Quality
Developed by Agency for Healthcare Research and Quality
- Safe and Green Healthcare Design – What is the Return on Investment?
Blair L. Sadler JD Former President and CEO Rady Children’s Hospital, San Diego and Vice Chair Center for Health Design and Gina Pugliese, Vice President , Safety Institute, Premier healthcare alliance. Presentation at Premier Governance meeting
- Safety and quality Sadler BL, Joseph A. Evidence for innovation -Transforming children’s health through the physical environment . The National Association of Children’s Hospitals and Related Institutions. May, 2008.
- Sadler BL, Joseph A, Keller A, Rostenberg B. Using Evidence-Based Environmental Design to Enhance Safety and Quality . IHI Innovation Series White paper. Cambridge, Massachusetts: Institute for Healthcare Improvement; 2009.
- Sound Control Joseph A, Ulrich R. Sound control for improved outcomes in healthcare settings – CHD issues paper. 17-page Issues paper from The Center for Health Design. January, 2007.
- Furniture Design Malone EB and Dellinger BA Furniture Design Features and Healthcare Outcomes – From the Center for Health Design. May 2011. As a component of a comprehensive plan to improve targeted healthcare outcomes, the “Evidence-Based Design Furniture Checklist” was created as a tool to facilitate the best healthcare furniture purchases across the facility life cycle. Furniture in this context includes the more common objects, such as chairs, sofas, tables, systems, and built-in furniture; it does not include the patient bed (which has become more equipment-like) or carts that support medical procedures.
- Impact of Evidenced-based design . Taylor M. Use and impact of evidence based design in healthcare from Center for Health Design is a survey of applications of evidenced based design research in healthcare settings
- Medication and error reduction Mahmood A and Chaudhury H. Effects of environmental design on Reducing Nursing and Medication Errors in Acute Care Settings from Center for Health Design
- Worker safety and patient outcomes. Lundstrom T, Pugliese G, Bartley J et al Organizational and environmental factors that affect worker health and safety and patient outcomes In American Journal of Infection Control.
- Green building: Alternatives to polyvinyl chloride (PVC) building materials for health care; Pub-33
This chart provides contact information and alternative materials for the products listed below:
This publication is part of Going Green: A Resource Kit for Pollution Prevention in Health Care . Ver: October 6, 2008. Complete resource kit available at noharm.org.
- Toxic chemicals in building materials- An overview for health care organizations
The 14 page Fact Sheet briefly describes the reasons for health concerns from the chemicals listed below and is useful for providing essential background when selecting safer, environmentally sustainable materials.
- Halogenated flame retardants
- Heavy metals
- Antimicrobials and Bisphenol A
- Resilient flooring and chemical hazards
Resilient Flooring & Chemical Hazards: A Comparative Analysis of Vinyl and Other Alternatives for Health Care 2009 addresses resilient flooring, evaluating potential health impacts of vinyl flooring and the leading alternatives – synthetic rubber, polyolefin and linoleum – currently in the health care marketplace. The study inventories chemicals incorporated as contents in each of the four material types or involved in their life cycle as feed-stocks, intermediary chemicals, or emissions. It then characterizes those chemicals using a chemical hazard-based framework that addresses:
- persistence & bioaccumulation;
- human toxicity; and
- human expo
- Sustainable Resilient Flooring Choices for Hospitals: Perceptions and
Experiences of Users, Specifiers and Installers
The study builds on the 2009 Health Care Research Collaborative paper, “Resilient Flooring & Chemical Hazards” The present study, involved hearing directly from users about their perceptions and experiences and used an online survey of and a series of interviews with architects, installers and facility managers to identify the key issues with resilient flooring materials and their installation prior to the development of the survey.
- Surge capacity and building design – Joint Commission
The Joint Commission (TJC) and its affiliate Joint Commission Resources (JCR) released a free web-based publication on surge hospitals in December, 2005. Surge hospitals are designed to assist the community in absorbing an overwhelming number of patients seeking care during emergencies, such as mass-casualty events or infectious disease outbreaks. Surge hospitals provide care when permanent facilities exhaust their capacity or cannot operate because of damage or other conditions This guide describes the different possibilities, such as shuttered hospitals, closed wards in existing hospitals, and mobile facilities, and the design considerations for each. It explores the challenges of planning for, establishing and operating surge hospitals, such as obtaining sufficient staff, supplies and equipment and providing safe care.
- Surge Capacity – MERET- Minnesota Emergency Preparedness Education and Training
The MERET site has six modules including one on isolation and one on how to develop Temporary Negative Pressure rooms (TNP).