Process Improvement & Clinical Efficiency through Facility Design

April 2, 2014 / Dochitect / Design for Critical Care

Webinar

Webinar Title: Lean Planning & Design Innovation
Webinar Date: April 2, 2014
Title: Process Improvement & Clinical Efficiency through Facility Design

In this webinar presentation, dochitect examines innovative design trends based on clinical practice anecdotes.

The notion of medial rounding practice is reviewed and how design can make this daily process of information gathering more efficient is discussed.
The changing work hour regulations for clinicians means subsequent space design modifications to support the new model of nocturnal practice are becoming recognized.
The need for multidisciplinary teams is reviewed and why the future of patient care will require designated spaces for promoting communication and teamwork is discussed.
Through a further understanding of medical conventions, design strategies for ambulatory care are reviewed in order to promote efficient care in the clinic setting.

Click here to see more on innovative design trends based on clinical practice experiences.

Webinars

Guidelines for Intensive Care Unit Design

May 1, 2012 / Dochitect / Design for Critical Care

Peer-Reviewed Design Guidelines

Publication: Critical Care Medicine
Publication Reference: 2012 May;40(5):1586-600.
Authors: Dan R. Thompson, MD, MA, FACP, FCCM (Co-Chair); D. Kirk Hamilton, FAIA, FACHA (Co-Chair); Charles D. Cadenhead, FAIA, FACHA, FCCM; Sandra M. Swoboda, RN, MS, FCCM; Stephanie M. Schwindel, MArch, LEED; Diana C. Anderson, MD, MArch; et. al.
View article

Note This document was awarded the following: 2013 Society of Critical Care Medicine Section Award Winner for Published Guidelines.

Abstract

Objective: To develop a guideline to help guide healthcare professionals participate effectively in the design, construction, and occupancy of a new or renovated intensive care unit.

Participants: A group of multidisciplinary professionals, designers, and architects with expertise in critical care, under the direction of the American College of Critical Care Medicine, met over several years, reviewed the available literature, and collated their expert opinions on recommendations for the optimal designof an intensive care unit.

Scope: The design of a new or renovated intensive care unit is frequently a once- or twice-in-a-lifetime occurrence for most critical care professionals. Healthcare architects have experience in this process that most healthcare professionals do not. While there are regulatory documents, such as the Guidelines for the Design and Construction of Health Care Facilities, these represent minimal guidelines. The intent was to develop recommendations for a more optimal approach for a healing environment.

Data Sources and Synthesis: Relevant literature was accessed and reviewed, and expert opinion was sought from the committee members and outside experts. Evidence-based architecture is just in its beginning, which made the grading of literature difficult, and so it was not attempted. The previous designs of the winners of the American Institute of Architects, American Association of Critical Care Nurses, and Society of Critical Care Medicine Intensive Care Unit Design Award were used as a reference. Collaboratively and meeting repeatedly, both in person and by teleconference, the task force met to construct these recommendations.

Conclusions: Recommendations for the design of intensive care units, expanding on regulatory guidelines and providing the best possible healing environment, and an efficient and cost-effective workplace.

Key Words: architecture; construction; critical care medicine; design; environment; healing; intensive care unit

Click here to view the 2012 Guidelines for ICU Design.

Peer-Reviewed Design Guidelines

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_Cover Rounding 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.

Conference Presentations, Peer-Reviewed Publications

Critical Care Design – Lessons Learned From 16 Years of SCCM Award Winning Designs

March 1, 2009 / Dochitect / Design for Critical Care

Book Chapter

Book Title: Design for Critical Care: An Evidence-Based Approach
Book Authors: D. Kirk Hamilton, Mardelle McCuskey Shepley
Publisher: Oxford, United Kingdom. Architectural Press of Elsevier, 2009
Chapter Title: Critical Care Design – Lessons Learned From 16 Years of SCCM Award Winning Designs
Chapter Authors: Charles D. Cadenhead, FAIA, FACHA, Diana C. Anderson, MD, MArch, LEED AP, Robert G. Uhlenhake, AIA, ACHA, LEED AP

Except: Beginning in 1992, the Society of Critical Care Medicine (SCCM), with the American Association of Critical Care Nurses (AACN), and the American Institute of Architects/Academy of Architecture for Health (AIA/AAH), holds an annual SCCM Intensive Care Unit (ICU) Design Competition.

Each year at the SCCM Congress, awards are presented to the medial director and architect of the chosen winning unit. Each of the sponsoring organizations, composed of physicians, nurses and architects, is represented in judging competition entries, leading to the judging of selections by multi-professional perspectives. Over the history of the design competition, an impressive array of critical care units have been identified, all with varying attributes. The richness of information and best-practice examples that these winning designs offer encouraged a review of best-practices design trends. This analysis presents best-practice trends from the SCCM ICU Design Competition winners between 1992-2009.

Link to Purchase Book:

Design for Critical Care Book Chapter

Critical Care Unit Design, The Winners and Future Trends: An Investigative Study

February 1, 2009 / Dochitect / Design for Critical Care

Peer-Reviewed Publications

Publication: World Health Design
Publication Reference: 2009;2(3):72-77.
Authors: Charles D. Cadenhead, FAIA, FACHA; Diana C. Anderson, MD, MArch, LEED AP
Read Article

This study compares key trends in the design of the award-winning critical care units over the 17-year history of the annual Society of Critical Care Medicine Intensive Care Unit (ICU) design competition.

Click here for the complete study, including an overview of the identified best-practice critical care design trends.

Peer-Reviewed Publications

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