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Presentations

What Will the ICU of the Future Look Like

December 11, 2014 / Dochitect / Design for Critical Care

Popular Press

Publication: Society of Critical Care Medicine, Critical Connections Newsletter
Date: December/January 2014, Volume 12, Number 6
Authors: Sandy Swoboda, RN, MS, FCCM; Diana C. Anderson, MD, March; D. Kirk Hamilton, FAIA, FACHA, EDAC; Charles D. Cadenhead, FAIA, FACHA, FCCM; Neil A. Halpern, MD, FCCM; Dan R. Thompson, MD, MA, FCCM
View article

Demand for intensive care unit (ICU) beds is increasing as the nature of medical practice shifts to become more multi-professional and multidisciplinary. These trends likely will be reflected in both our critical care space design and working practices. Clinicians are spending more time at computers to complete docu­mentation and more time discussing cases with the multi-professional team. Parallel to this shift toward healthcare provider teams is a growing awareness about the impact of evidence-based design principles on patient care and staff efficiency. The environment’s impact on the healing process, infection control practices and safety increasingly are studied in the context of a unit’s design and architectural layout. Hybrid professionals and interdisciplinary groups provide integrated solu­tions that cross disciplines in new ways.

In addition to assembling a task force to update the Guidelines for Critical Care Unit Design, members of the Society of Critical Care Medicine’s (SCCM) ICU Design Committee are champions for change and healthcare improvement. In this article, this diverse group shares their thoughts on the ICU of the future.

Click here to read more from the SCCM ICU Design Committee members about what the ICU of the future will look like.

Additional Press:

Note Dr. Anderson’s viewpoints on this topic, entitled “View from the Dochitect: Reflections of a Physician-Architect on ICU Design,” are presented as part of a panel discussion on the future of ICU design at the Society of Critical Care Medicine’s 43rd Annual Congress in San Francisco, CA; January 13, 2014.

Commentaries, Panel Discussions

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

Drafting Meets Doctoring: An Architect’s View of Health Design as Resident Physician

September 24, 2014 / Dochitect / The Physician-Architect Model

Book Chapter

Book Title: get better! the pursuit of better health and better healthcare design at lower costs per capita. Proceedings of the 33rd UIA/PHG International Seminar. Toronto, Canada. September 24-28, 2013
Publisher: University of Florence: TESIS Inter-University Research Center, 2014
Editor: Romano Del Nord

Chapter Title: Drafting Meets Doctoring, An Architect’s View of Health Design as Resident Physician
Chapter Author: Diana C. Anderson, MD, M.Arch.
View chapter

TESIS_cover-2013

The architect Louis Kahn said that “once challenged, the architect will find completely new shapes and means to produce the hospital, but he cannot know what the doctor knows.” Imagine the lessons learned if the architect could know what the doctor knows. Take an inside look at the hospital environment through the eyes of a dochitect, a hybrid professional in medicine and architecture.

See health design from the perspective of an architect pursuing internal medicine residency training at a large New York City teaching hospital. A design journal was kept throughout the dochitect’s medical internship to record functional annotations for each subspecialty space and their relation to form the urban hospital. Join the dochitect through core rotations including the medical intensive care unit, emergency department, cardiac care unit, outpatient clinics, infectious diseases, general medicine, and geriatrics. Case studies highlighting the importance of space design are presented. Design anecdotes and functional analysis of hospital departments emphasize the practical importance of design qualities that impact the work environment for staff and the healing environment for patients and families.

The dochitect’s practical knowledge of environmental design qualities promotes health and well-being within the hospital environment. The clinicians will find the design perspec­tives useful in providing insight into their daily workspace, empowering them to return to their facilities and promote changes or become involved in renovation or new construction projects; the designers will benefit from the medical perspective and the lessons learned from an architect working within various clinical environments.

Personal anecdotes from patient case studies allow for a behind-the-scenes look and a practical understanding of the use of hospital space. The architect can know what the doctor knows.

Click here to read more dochitect diary entries detailing the design lessons learned as a medical practitioner.

Links to Purchase Book:

Standard Edition Premium Edition

 

Additional Press:

Note This topic, “An Architect’s View of Health Design as Resident Physician,” was presented at the International Union of Architects Public Health Group (UIA/PHG) Annual Healthcare Forum in Toronto, Canada; September 26, 2013.

Book Chapter, 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

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

WebCast-LeanPlanning-Mar2014-rev2In 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

When Drafting meets Doctoring: An architect’s view of health design as a resident physician

November 18, 2013 / Dochitect / The Physician-Architect Model

Presentations

Presentation Title: When Drafting meets Doctoring: An architect’s view of health design as a resident physician
Event: Healthcare Design Expo & Conference 2013
Presentation Date: November 18, 2013
Event Location: Orlando, FL

Dr. Anderson leads a round table session discussing the architect’s view as a resident physician.

Session Description:

HCD talk2Imagine the lessons learned if the architect could know what the doctor knows. This unique discussion provides an inside look at the hospital environment through the eyes of a “Dochitect”—a hybrid professional in medicine and architecture. Hear the story of health design from an architect pursuing internal medicine residency training and uncover new perspectives as you go with her on core rotations. Case studies highlighting the importance of space design will be shared with design anecdotes and functional analysis of hospital departments emphasizing the practical importance of design qualities that impact the work environment for staff and healing environment for patients and families.

 

 

Conference Presentations

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

Patient and Family Preferences for the Design of a Palliative Care Unit

April 1, 2008 / Dochitect / Design for Palliative Care

Peer-Reviewed Publications

Publication: World Health Design
Publication Reference: 2008;1(1):62-67.
Author: Diana Anderson, MArch, MD Candidate, Class of 2008, University of Toronto
View article

2008_PALL-CARE-COVERThe primary purpose of this qualitative study was to identify what palliative care patients and their families perceive to be important elements in the design of a palliative care unit (PCU) for end-of-life care. Secondary objectives included exploring whether differences in preferences and perceptions exist between patients and family members. This study looked at the palliative care population of Bridgepoint Hospital in Toronto, Canada, and evaluated patient and family preferences for room design and layout, as well as preference for private versus shared accommodations.

Click here to view the study which includes patient and family room preferences towards the end of life, in addition to palliative care unit design recommendations.

Additional Press:

Note This study, “Patient and Family Preferences for the Design of a Palliative Care Unit,” was presented at the Design & Health 5th World Congress and Exhibition: International Academy for Design and Health, Glasgow, Scotland. June 30, 2007.

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Conference Presentations, Peer-Reviewed Publications
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