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Publication type: "Book Chapter"

Intensive Care Unit Design: Current Standards and Future Trends

December 30, 2017 / Dochitect / Design for Critical Care

Book Chapter

Book Title: Irwin and Rippe’s Intensive Care Medicine, 8e
Book Editors: Richard S. Irwin, Craig M. Lilly, Paul H. Mayo and James M. Rippe
Publisher: Wolters Kluwer, 2017
Chapter Title: Intensive Care Unit Design: Current Standards and Future Trends
Chapter Authors:
Diana C. Anderson, Neil A. Halpern

Except: Hospital-based intensivist administrators at some point in their careers may be asked to participate in designing new or renovating existing ICUs. For simplicity of presentation we have divided this chapter into five sections; the ICU design process, the ICU patient room, central clinical, visitor and staff support and administrative areas, ICU informatics, and future trends. While we classify these areas separately, they are indeed heavily interrelated.

Healthcare and design are actually very complex processes that must accommodate and address continuously evolving guidelines and regulatory standards. Several core principles should guide ICU-specific design.

Link to Purchase Irwin and Rippe’s Intensive Care Medicine, 8e:

Intensive Care Unit Design: Current Standards and Future Trends Book Chapter

Contemporary ICU Design

November 11, 2016 / Dochitect / Design for Critical Care

Book Chapter

Book Title: Principles of Adult Surgical Critical Care
Book Editors: Niels D. Martin, Lewis J. Kaplan
Publisher: Springer, 2016
Chapter Title: Contemporary ICU Design
Chapter Authors:
Diana C. Anderson, Neil A. Halpern

9783319333397Except: The design of an intensive care unit (ICU) is a complex process and requires a multidisciplinary group of professionals. In 2010, there were approximately 6,100 ICUs with over 104,000 beds in the 3,100 acute care hospitals in the United States. ICU design itself is continuously evolving as new guidelines and regulatory standards are developed, clinical models are changing, and medical technologies are advancing. It is highly probable that hospital-based intensivist leaders will be asked at some point in their careers to participate in efforts to design new ICUs or renovate existing ones. This chapter provides an overview to a wide array of design issues and is divided into three sections: an overview of ICU design, confi guring the ICU space, and future trends in ICU design.

Link to Purchase Book and/or Contemporary ICU Design Chapter:

Contemporary ICU Design Book Chapter

Design and Role of the Intensive Care Unit

July 28, 2016 / Dochitect / Design for Critical Care

Book Chapter

Book Title: Handbook of Intensive Care Organization and Management
Book Editor: Andrew Webb
Publisher: Imperial College Press
Publication Date: July 28, 2016
Chapter Title: Design and Role of the Intensive Care Unit
Chapter Authors:
  Neil A. Halpern and Diana C. Anderson

Key Points

  • ICU-specific design is a complex process and requires a multidisciplinary team which includes both clinical and expert design-based professionals.
  • The layout of an ICU is arguably the most important design feature affecting all aspects of critical care services.
  • The core of the ICU experience is the patient room, conceptually subdivided into patient, caregiver and family/visitor zones.
  • Central clinical support zones within the ICU act to bind the patient rooms and other supportive areas together, with the overall goal of supporting bedside care.
  • Deploying advanced informatics into the modern ICU electronically integrates the patient with all aspects of care.

 

Link to Purchase Book:

Handbook of Intensive Care Organization and Management Book Chapter

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

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

DesignForCriticalCare-coverExcept: 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

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