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Design for Clinical Staff

Consider the Benefits of Virtual Windows for Clinicians and Healthcare Staff

September 19, 2016 / Dochitect / Design for Clinical Staff

Letters to the Editor

Publication: Health Environments Research & Design Journal, Letter to the Editors
Publication Reference: 2016, Vol. 10(1) 172-173
Author: Diana C. Anderson, MD, MArch
View article

20160418_120655Excerpt: Architects and hospital designers have a duty to minimize the stress associated with illness and hospitalization through environmental factors, but also have the opportunity to advocate for the mental and physical needs of the physicians and healthcare workers themselves. While patients generally can spend days to weeks in healthcare settings, clinical staff may spend countless days, nights, and years working in windowless spaces.

Click here to read this Letter to the Editor, in which Dochitect considers the benefits of virtual windows for clinicians and healthcare staff.

 

Peer-Reviewed Publications

A Dochitect and a User/Expert Share Views of Healthcare Design

December 15, 2015 / Dochitect / Design for Clinical Staff

Presentations

Presentation Title: A Dochitect and a User/Expert Share Views of Healthcare Design
Event: Institute for Human Centered Design Lecture Series
Presentation Date: Thursday, December 10, 2015
Event Location: Boston, MA

Dr. Anderson lectures at the Institute for Human Centered Care. Watch the session video here.

sketch2_colorSession Description:
Two experts, one an architect/physician and one a user/expert collaborated on an essay in the Health Environments Research & Design (HERD) Journal. Dr. Diana Anderson, MRAIC and Penny Shaw, Ph.D. present on the critical need for human-centered healthcare design.

Penny reached out to Diana after reading a piece in the Journal of the American Geriatrics Society (JAGS) in order to relate her story of how a window changed her experience dramatically while in long-term care. They teamed up to write a piece for HERD that builds on the topic of windows and exterior views. 

Read the HERD Letter to the Editors- A View From and On the Window here.

Read the JAGS article- Rx: Window Bed here.

Lectures

Finding Respite in the Moment: Designing for Clinical Staff

October 13, 2015 / Dochitect / Design for Clinical Staff

Presentations

Presentation Title: Finding Respite in the Moment: Designing for Clinical Staff
Event: 31st Annual Agency for Health Care Administration (AHCA) Seminar
Presentation Date: Tuesday, October 13, 2015
Event Location: Orlando, FL

Dr. Anderson speaks at one of the AHCA main speaker sessions where the theme was a focus on creating therapeutic healing environments that are inspirational to promote healing.

Session Description:

Diana CroppedHealthcare design has evolved around patient-centered care and health outcomes related to the built environment. However, clinicians face increasing workload demands and a shift in this design model is needed in order to understand the impact of space on staff efficiency, job satisfaction and multidisciplinary teamwork. Healthcare staff members utilize these areas for countless consecutive hours, working both day and night shifts. Dr. Anderson’s presentation will explain the necessity of providing staff respite areas inside the domains of the health care facility. These areas should be connected to the exterior environment to provide regenerative spaces to regain the perspective necessary for adequate care giving.

Learning Objectives:

  • Understand the medical staff experience, including design and layout requirements to accommodate movement patterns and space needs.
  • Explore the spaces needed for staff emotional support during intense periods of training, for those who serve on the front lines of patient care.
  • Gain an understanding of successful environmental components promoting staff efficiency and multidisciplinary care.
  • Describe the work hour restrictions currently underway within medical training programs across North America, changing the way physicians practice and gain an understanding of how this change affects space and design requirements.

sketch6

 

 

The sketch demonstrates the change towards a shift-work model for physicians, where work periods are regulated and hand-offs of patient information take place more frequently.

 

Conference Presentations

From Bench to Bedside: Exploring the Impact of Space Design on Multidisciplinary Collaboration

November 16, 2014 / Dochitect / Design for Clinical Staff

Presentations

Presentation Title: From Bench to Bedside: Exploring the Impact of Space Design on Multidisciplinary Collaboration
Event: Healthcare Design Expo & Conference 2014
Presentation Date: November 16, 2014
Event Location: San Diego, CA

Dr. Anderson co-leads a round table session discussing the impact of space design on multidisciplinary collaboration between scientists and clinicians.

Session Description:

Diana Anderson, M.D., MRAIC, LEED AP, Resident Physician, Department of Medicine, New York-Presbyterian Hospital – Columbia University Medical Center; Thomas Postler, Ph.D., Post-doctoral Research Scientist, Department of Microbiology and Immunology, Columbia University Medical Center.

Lab hospital 1It has been documented that 80% of scientific breakthroughs occur outside the laboratory environment in social settings. Take an inside look at the research and clinical environments through the eyes of a scientist and a physician working on the same academic healthcare campus and understand the interface between the two, a true bench to bedside approach. Discuss the unique features of collaboration in the research setting and subsequent application to clinical treatment. The types of interactions that occur in the research and clinical environments will be shared , and subsequently translated into a discussion of the built environment’s impact on collaboration.

Learning Objectives:

  • Understand the impact of an interdisciplinary research approach, which is then applied to patient care. Learn how space can accommodate the independent needs of the scientist, while maintaining a balance of social interaction and discussion.
  • Recognize how this research is then taken from the bench and applied at the bedside by a clinician and how physicians use interactive spaces with the multidisciplinary team for patient care.
  • Explore ways in which the physical environment can foster this model of teamwork and enhance communication between the two environments to promote application of research. Identify barriers to effective collaboration within both the laboratory and the clinical settings.
  • Describe the types of interactions that occur in the laboratory and hospital environments in order to explore design solutions for creating interdisciplinary discussion forums within both the research and clinical settings.
Lab hospital 2

 

Conference Presentations

The Hospitalization Cascade: Healing or Hazardous?

September 18, 2014 / Dochitect / Design for Clinical Staff, The Physician-Architect Model

Webinar

Event Topic: The Center for Health Design, Pecha Kucha Healthcare Facility Networking & Design Event: “Innovations in Healthcare Design”
Presentation Title: The Hospitalization Cascade: Healing or Hazardous?
Event Date: September 18, 2014

Dochitect’s Pecha Kucha discussion addresses the hazards of hospitalization.

What is Pecha Kucha?  It is an informal, energetic, creative, short format presentation of 20 slides at 20 seconds per slide.

Although hospitals are places designed to diagnose, treat and heal illness, often the process of hospitalization itself causes a cascade of physiologic decline. Hospitalization is a major risk factor for older patients and is often followed by an irreversible deterioration in functional status. The negative effects begin immediately upon admission and they progress rapidly, often by the second day. A high percentage of hospitalized elderly patients end up being discharged to nursing homes, never to return to their homes or communities. What are the implications for designers who plan the healthcare campus?

Follow the process of hospitalization from the initial emergency department assessment through to discharge planning. Understand the clinical decision processes which go into making key triage decisions that determine where patients will go within the hospital. Vital medical spaces within the acute care setting are reviewed, along with ways in which hospital layout and room design can assist in preventing some of the hazards associated with the healthcare setting.

Panel Discussions

Designing for the Clinician

June 19, 2014 / Dochitect / Design for Clinical Staff

Presentations

Presentation Title: Designing for the Clinician
Event: Educational evening hosted by Steelcase Health & Waldners Business and Healthcare Environments
Presentation Date: June 19, 2014
Event Location: New York, NY

Dr. Anderson delivers a keynote address to the healthcare architectural community on designing for the clinician.

Topics of discussion include: steelcase talk

  • Bridging the gap between clinical practice and design
  • Design trends based on clinical practice anecdotes
  • Innovative design as influencer of change
  • Designing for the physical encounter within various clinical practices

 

Dr Diana Anderson Invitation

 

Keynote Presentations

New Medical Staffing Procedures Call For Design Solutions

October 11, 2013 / Dochitect / Design for Clinical Staff

Commentaries

Publication: Healthcare Design
Publication Date: October 11, 2013
View article

HCD BlogThe hybrid medical professional—physician-writer, physician-researcher, physician-educator, and the physician-editor—is often mentioned in literature and popular press. As a self-labeled “dochitect,” I propose a new hybrid model, the physician-architect, with the intent of bridging the gap between architecture and medicine through the field of healthcare design.

An architect now working as a resident physician, I maintain two notebooks in my white coat pocket: one for medical facts, a common finding amongst trainees, and the other for design notes and sketches.

Click here to read about how the changing practices of medical training can impact staff space, and the subsequent needs for effective care delivery.

Commentaries

Designing for Multidisciplinary Rounding Practices in the Critical Care Setting

April 1, 2011 / Dochitect / Design for Clinical Staff, Design for Critical Care

Peer-Reviewed Publications

Publication: World Health Design
Publication Reference: 2011;4(2):80-85
Authors: Diana C. Anderson, MD, M.Arch, LEED AP, S. Rob Todd, MD, FACS
View article

2011_CoverRounding is critical to developing integrated care plans, and there is a trend for moving daily rounds from the bedside to conference rooms. This study’s aim was to document staff preferences for the location of rounding practices, and to determine the effect of available space on those preferences.

Read the full study on critical care rounding practices here.

 

 

Additional Press:

Note This study, “Staff Preference for Multidisciplinary Rounding Practices in the Critical Care Setting,” was presented at the International Academy for Design & Health: Design & Health 7th World Congress & Exhibition in Boston, Massachusetts; July 8, 2011.

Note This study was presented as a poster presentation at the Society of Critical Care Medicine Annual Congress in Miami, Florida; January 9-13, 2010.

SCCM-FINAL-Poster_Jan-6-2010 Conference Presentations, Peer-Reviewed Publications
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