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Design for Clinical Staff

Tulane School of Medicine: Architectural Design as a Determinant of Health

January 14, 2021 / Dochitect / Design for Clinical Staff, Evidence-Based Design, The Physician-Architect Model

Presentations

Event: Tulane School of Medicine- Medical Student Government + GAPSA (Graduate Professional Student Association) lecture series
Title: Architectural Design as a Determinant of Health
Date: January 14, 2021

Lecture Overview
Our understanding of the role the environment plays in shaping health has expanded immensely over the last few decades. A growing body of empirical data and evidence-based design research demonstrates that architecture impacts care delivery as well as health outcomes. This talk explores built space as an important determinant of health and questions whether the built environment itself should be considered alongside other parameters of care, analogous to our medical interventions.

Historical examples of the convergence of hospital architecture and medical practice exist. The design of the tuberculosis sanatorium during the early 20th century illustrates this infrequent intersection; the healthy building emphasizing contact with nature, developed to prevent the spread of contagions by isolating patients and preparing them for a return to normal life. In the context of the COVID-19 global pandemic, we can revisit the sanatorium model to de-medicalize architecture, and emphasize infection prevention and control. It is imperative that we consider a convergence of the healthcare and design disciplines in order to promote innovative solutions to augment built environment resilience and subsequently support equitable, safe and efficient care delivery.

 

 

Lectures

AWMA Thinking Beyond the White Coat: Medical Hybrid Careers

January 9, 2021 / Dochitect / Design for Clinical Staff, The Physician-Architect Model

Presentations

Event: American Women’s Medical Association (AMWA) NY/NJ Virtual Conference
Title: Interview with a Dochitect: Medical Hybrid Careers
Date: January 9, 2021

The AWMA is a multitiered organization dedicated to the advancement of women in medicine through advocacy, education, and mentorship in order to ensure excellence in healthcare. Dochitect was invited to speak about medical hybrid careers during the “Thinking Beyond the White Coat” Session.

 

Conference Presentations

JHD Editorial – Widening the lens: Clinical perspectives on design thinking for public health

November 25, 2020 / Dochitect / Design for Clinical Staff, Design for Patient Safety, Design for Resiliency

Peer-reviewed publication

Publication: The Journal of Health Design
Publication Reference: Vol 5, No 3 (2020): The Year Like No Other
Authors: Bassin BS, Nagappan B, Sozener CB, Kota SS, Anderson DC

Abstract
The COVID-19 pandemic has created opportunities for innovation, ingenuity, and system reengineering. The next big investment in health care should be intentional and embedded partnerships between clinicians, designers, and architects who can collaborate to help solve health care’s greatest challenges.

“We think it is time to support a paradigm change and advocate for healthcare’s next big investment: intentional and embedded partnerships between clinicians, designers, and architects with dedicated resources to ensure an effective collaborative environment to help solve healthcare’s greatest challenges.”

Read the full editorial HERE.

Listen to the podcast with the authors HERE.

Peer-Reviewed Publications

A New Peace of Mind – a podcast episode on the changing meaning of security in 2020, including our health

September 22, 2020 / Dochitect / Design for Clinical Staff, Design for Patient Safety, Design for Resiliency

Presentations

Title: A New Peace of Mind
Podcast: Pacific Content
Date: September 22, 2020

Episode Summary

2020 has been a year of instability and upheaval, so it’s no surprise many of us have been especially focused on our security. And that comes in many forms – securing our health, our homes, our finances, and even our digital lives. We used to talk about ‘safety in numbers’ – but during the pandemic as we’ve been in quarantine and isolation, we’ve had to rethink what security looks and feels like today. In this episode, hosts Shannon Murphy and Erin Shea explore how this need for fortification has been accelerated by work-from-home orders and lockdowns, and how this year has changed our idea of security for good.

Episode Notes

2020 has been a year of instability and upheaval, so it’s no surprise many of us have been especially focused on our security. And that comes in many forms – securing our health, our homes, our finances, and even our digital lives. We used to talk about ‘safety in numbers’ – but during the pandemic as we’ve been in quarantine and isolation, we’ve had to rethink what security looks and feels like today.

In this episode, hosts Shannon Murphy and Erin Shea explore how this need for fortification has been accelerated by work-from-home orders and lockdowns, and how this year has changed our idea of security for good.

Featuring Dominic Lester, Jefferies’ European Head of Investment Banking, and Ramin Safai, Jefferies’ Global Head of Information Security.

Also featuring:

  • Christian Cerda is the CEO of Simplisafe.
  • Thomas Smyth is the founder and CEO of Trim.
  • Diana Anderson is a “dochitect,” a MD and M.Arch who specializes in the design of healthcare spaces.

Listen to the full podcast HERE.

Podcasts

Physician Engagement and Perspective in the Lean Facility Design Process

September 16, 2020 / Dochitect / Design for Clinical Staff, Design for Resiliency

Presentations

Event: 6th European Healthcare Design 2020 Congress, Awards & Exhibition
Presentation type: Poster presentation, Lean Design
Presenters: Ben Bassin, MD, Cemal Sozener, MD, MEng, Diana Anderson, MD, M.Arch, Juliet Rogers, PhD, MPH
Date: September 16, 2020

Clinician involvement is essential to the success of any healthcare design project centered around patient care delivery. Practicing physicians can contribute valuable clinical knowledge to healthcare design projects to ensure the final product meets desired patient care goals.

There are many challenges in obtaining optimal physician engagement in longitudinal design projects, including time constraints, differing priorities, competing interests, insufficient knowledge of design and development process and understanding the value of their contribution.

Because many challenges exist to optimizing physician participation in the process, balancing the perspectives of both the practicing clinician and the healthcare administrator and healthcare consultants are paramount in creating successful healing environments.

Conference Presentations

JHD Podcast – Widening the Lens: Clinical Perspectives on Design Thinking in Public Health

August 20, 2020 / Dochitect / Design for Clinical Staff, Design for Patient Safety, Design for Resiliency, Evidence-Based Design

Presentations

Title: “Widening the Lens: Clinical Perspectives on Design Thinking in Public Health”
Podcast: The Journal of Health Design
Date: August 20, 2020

The Health Design Podcast · Benjamin Bassin, MD, EDAC

The COVID-19 pandemic has created many stressors and challenges across all levels of low to highly resourced health systems. However, it has also shown the incredible number of opportunities for innovation, ingenuity and system re-engineering. This team believe it is time to support a paradigm change and advocate for healthcare’s next big investment: intentional and embedded partnerships between clinicians, designers, and architects with dedicated resources to ensure an effective collaborative environment to help solve healthcare’s greatest challenges.

Read the full editorial article HERE.

Podcasts

Getting Neighborly in 2030: A Shared Fellow Workspace Improves Communication, Teaching, and Burnout

June 21, 2020 / Dochitect / Design for Clinical Staff

Peer-reviewed publication

Publication: Journal of Graduate Medical Education
Publication Reference: June 2020, Vol. 12, No. 3, pp. 358-360.
Authors: Block Bl, Anderson D, O’Brien B, Babik J

Excerpt:

Over the past several decades, hospitalized patients have become increasingly complex, often with multisystem needs. In response, hospital teams now rely heavily on subspecialty consultants and interprofessional colleagues. While this has improved care delivery, fragmentation of responsibilities has changed the clinical learning environment, and graduate medical education has suffered.

By the mid-2020s, collaborative models of care made it unclear who was responsible for teaching and evaluating residents. Subspecialty consultation—particularly e-consults—were common, but residents and fellows rarely met face-to-face, forfeiting opportunities for workplace learning. Isolation and anonymity overtook any sense of community in the hospital, and rates of burnout soared. Moreover, asynchronous siloed work patterns led to misunderstandings and conflicting recommendations from different teams.

Recognizing the potential for the built environment to impact work patterns and workplace learning, we assessed whether colocating medicine subspecialty fellows in a shared workspace near the medicine resident workroom could increase face-to-face interactions during subspecialty consultation. We hypothesized this would have benefits for communication, teaching, and burnout.

Figure: Schematic of Old and New Hospital Buildings on Campus

Note: Panel A depicts the original distribution of fellow workspaces across 3 buildings in 2020; Panel B shows the colocated resident and fellow workspaces on the 7th floor of the new inpatient hospital building, opened in 2030.

Read the full article HERE.

Peer-Reviewed Publications

Fix Room 16! Designing Healthcare Facilities to be More Resilient & Equitable

May 28, 2020 / Dochitect / Design for Clinical Staff, Design for Infection Control, Design for Resiliency, Health Design & Ethics, The Physician-Architect Model

Presentations

Title: Fix Room 16! Designing Healthcare Facilities to be More Resilient & Equitable
Podcast: Design is Everywhere, Design Museum
Date: May 28, 2020

This is one of the main reasons we’re quarantined, not just to keep ourselves safe from the virus but also to “flatten the curve,” and help our hospitals keep up with a growing number of cases. On this episode we talk about how hospitals are designing solutions for surge capacity and what lessons there are for the future of hospital architecture. Those lessons could be very important as we may see new spikes in COVID-19 and as we must adapt facilities to be equitable for all patients, healthcare workers, and staff. We’re joined by Dr. Diana Anderson, a doctor architect, or Dochitect, currently a geriatric medicine fellow at the University of California, San Francisco; and Dr. Esther Choo, she’s an emergency medicine physician and health services researcher based in Portland, Oregon at Oregon Health & Science University, and she’s the chief medical advisor for a startup called Jupe, which is creating pop-up medical facilities. Plus our weekly dose of good design.

Dochitect co-hosts the Design is Everywhere podcast! Listen HERE.

Podcasts

Paging the Engineers and Architects, STAT: The emergence of the hybrid clinician

May 16, 2020 / Dochitect / Design for Clinical Staff, Evidence-Based Design, The Physician-Architect Model

Webinar

Webinar Title:’Paging the Engineers and Architects, STAT: The emergence of the hybrid clinician
Webinar Date: May 16, 2020
Organization: Clinician Engineer Hub Webinar Series

Overview:
The Clinician Engineer Hub is an international non-profit organisation that aims to bring together the clinical and biomedical engineering field and provide talented medical students and clinicians exposure to the world of clinical medicine, the challenges doctors face in diagnosing and treating patients and how to potentially solve these issues with cutting edge engineering solutions.

For the Clinician Engineer Hub Webinar Series, Dochitect discusses the emergence of the hybrid clinician and the importance of this model in addressing healthcare challenges and innovation.

The webinar recording is accessible HERE!

Webinars

Healthcare Interior Design 2.0 Podcast

November 11, 2019 / Dochitect / Design for Clinical Staff, Evidence-Based Design, Health Design & Ethics, The Physician-Architect Model

Presentations

Podcast: Healthcare Interior Design 2.0
Date: November 11, 2019

Dochitect is featured on the Healthcare Interior Design 2.0 Podcast!
Listen to @dochitect discuss the idea of what is the moral imperative of the architect to communicate research to clients and discuss potential benefits and harms of design. “Architects are sometimes torn between thinking about the state of healthcare outside of their individual project to a client,” Diana shares. “And I think we often have reservations about measuring design quality.” This and more on the changing face of the healthcare design from a “dochitect’s” perspective.

Click HERE to listen to the full podcast!
Podcasts
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Recent Articles/Publications

  • Built Environment Design Interventions at the Exits of Secured Dementia Care Units: A Review of the Empirical Literature

    October 9, 2022
  • HERD Editorial: Evidence, Bioethics, and Design for Health

    May 5, 2022
  • The Bioethics of Built Space: Health Care Architecture as a Medical Intervention

    May 1, 2022

Recent Presentations

  • Harvard Medical School Center for Bioethics: If Architecture Influences Health Outcomes, How Should Healthcare Systems Respond? Bioethics at the Frontier of the Science of Design

    January 20, 2023
  • UT Southwestern Ethics Grand Rounds: Exploring the untapped nexus of ethics and health facility design

    January 10, 2023
  • The Center for Health Design EBD Journal Club: Built Environment Design Interventions at the Exits of Secured Dementia Care Units

    December 8, 2022

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