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Publication type: "Lectures"

Jewish Hospital Foundation’s 2021 Patient Safety Fellowship: Ethics and Design in the Long-Term Care Setting

July 20, 2021 / Dochitect / Design for Geriatrics, Health Design & Ethics

Presentations

Event: Jewish Hospital Foundation’s 2021 Patient Safety Fellowship
Title: Ethics and Design in the Long-Term Care Setting
Date: July 20, 2021

The Jewish Healthcare Foundation’s 2021 Patient Safety Fellowship will offer a unique curriculum to explore the challenges and opportunities facing senior residential living and senior care. After the disruption of COVID-19, options for seniors must embrace creative solutions that help individuals age well and safely in a range of settings. Fellows, working across disciplines — including health care, public policy, public health, tech, architecture, and beyond — will explore existing and conceptional models for transforming our community and healthcare systems that maximize quality of life for seniors and families. New models of care need to be wired for safety, built for continuous improvement, and efficient for providers, seniors, and families.

As part of the 2021 fellowship program, Dr. Anderson lectured around design ethics in clinical and long-term care settings.

Lectures

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

Healthcare Architecture: A Moral Imperative

January 31, 2020 / Dochitect / Health Design & Ethics

Presentations

Event: Johns Hopkins Berman Institute of Bioethics – Seminar Series
Title: Healthcare Architecture: A Moral Imperative
Date: January 31, 2020

There is increasing recognition and understanding of the impact built space has on people.

Healthcare architecture has strongly advocated for patient-centered design, but can the resulting concealment of clinical spaces devalue the role of medical professionals? With a recent paradigm shift towards design quality measurement, has the social responsibility of health architects changed?

Obligations to develop an ethically-based framework to structure design decisions and allocation discussions in healthcare architecture are explored.

 

Keynote Presentations, Lectures

Habitats for Healers: Architectural Design for Clinicians

April 29, 2019 / Dochitect / Design for Clinical Staff, Evidence-Based Design, The Physician-Architect Model

Presentations

Event: Harvard University Graduate School of Design Lecture Series
Title: Habitats for Healers: Architecture Design for Clinicians
Date: April 29 2019

Dochitect was invited to the Harvard’s Graduate School of Design to discuss design for health providers:

 

Lectures

Design Museum Boston – The Architecture of Health

January 25, 2019 / Dochitect / Evidence-Based Design, The Physician-Architect Model

Presentations

Event: Design Museum Boston
Title: The Architecture of Health
Date: January 25, 2019

Design Museum Mornings with Diana Anderson, MD, M.Arch, healthcare architect, and a board-certified internist.

Can architecture impact health? Increasingly, clinicians are asking not only for the architect’s perspective, but to develop a skill-set and knowledge-base that will allow them to help shape the future of health. Architects aim to engage clinical professionals in research, education, and practice. For some patients, design can succeed where drugs may fail. For clinicians, the built environment can support and improve efficient care delivery. We all have a shared goal in seeking to enhance health outcomes through innovations in the design of healthcare spaces.

Dochitect speaks at the Design Museum Boston Morning event about The Architecture of Health!

Keynote Presentations, Lectures

IHCD: Architectural Form + Clinical Function: A Design Paradigm Follows

October 9, 2018 / Dochitect / Evidence-Based Design, The Physician-Architect Model

Presentations

Event: Institute for Human Centered Design, Boston
Title: Architectural Form + Clinical Function: A Design Paradigm Follows
Date: October 9, 2018

Dochitect is invited to speak at the Institute for Human Centered Design (IHCD) in Boston as part of their HUBweek 2018 open door event!

“A thought-provoking talk. I also loved your sketches.”

“Diana was amazing! So articulate and thoughtful, we are excited to see what you do next!”

“‘Design matters & design can prevent disease’ – Dr. Diana Anderson @dochitect – on #ethics in architecture & design for healthcare – speaking at @IHCDesign for #HUBweek #architecture #designmatters”

Lecture overview: The delivery and design of healthcare today is rapidly changing, and increasingly complex. How are we closing the gap between designer intent and user experience? Increasingly, clinicians are asking not only for the architect’s perspective, but to develop a skill-set and knowledge-base that will allow them to help shape the future of health. Architects aim to engage clinical professionals within research, education and practice. We all have a shared goal in seeking to enhance health outcomes through innovations in the design of healthcare spaces, technologies, care delivery systems and policies. Specialized experts who can offer unique perspectives and hybrid models in problem-solving of complex systems are increasingly seen. Through combined thinking, research-based design has expanded to understand and improve the experience within healthcare spaces.

For some patients, design can succeed where drugs may fail. For clinicians, the built environment can support and improve efficient care delivery. Current trends, ideas and next steps for design to enrich our healthcare interface are presented, including an overview of:

(1) the infrequent historical intersection and recent convergence of medicine and design;
(2) the impact of architecture on health for preventative care;
(3) the future of health with an emphasis on multidisciplinary collaborative space, technology, and health spaces within our homes.

Conference Presentations, Lectures

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

Epidemiology of Hospital System Patient Falls: A Retrospective Analysis

April 8, 2015 / Dochitect / Evidence-Based Design

Peer-Reviewed Publication

Publication: American Journal of Medical Quality
Publication Date: Am J Med Qual. 2015 Apr 8. pii: 1062860615581199.
Authors: Diana C. Anderson, MD, MArch, Thomas S. Postler, PHD, Thuy-Tien Dam, MD

Abstract

Patient falls are the most common type of in-hospital accidents. The objective of this retrospective descriptive study was to describe the locations and characteristics of hospital-related falls. Data on patient characteristics, including locations and fall circumstances, were collected through incident reports and medical records. A total of 1822 falls were documented at a 921-bed, urban academic hospital center over a one-year period; 1767 (97.0%) of the falls occurred in the hospital setting, 55 (3.0%) in ambulatory care. The majority of falls (80.8%) occurred within inpatient units; the remainder within the greater hospital campus. In all, 73.4% of fallers had fall prevention protocols implemented prior to the fall. The youngest age group (≤49 years) had the highest percentage of fallers. This study provides novel insights into variables found to be associated with falling, including location of falls within the hospital campus, efficacy of fall prevention protocols, and age groups.

Additional Press:

Note This research was presented at Medicine Grand Rounds, Department of Internal Medicine Resident Research Day, Columbia University Medical Center, March 26, 2014:

2014 Resident Research Poster_compressed copy Lectures, Peer-Reviewed Publications

Bricks and Morals: The Ethics of Architecture for Healthcare

February 27, 2015 / Dochitect / The Physician-Architect Model

Presentations

Presentation Title: Bricks and Morals: The Ethics of Architecture for Healthcare
Event: 2015 Meltzer Fellowship in Medical Ethics, Department of Medicine, Columbia University Medical Center
Presentation Date: February 27, 2015
Event Location: New York, NY

Jay I. Meltzer Fellowship in Medical Ethics
The Meltzer Fellowship gives internal medicine residents the unique opportunity to research medical ethics issues and present their findings to their peers. The fellowship program was conceived by Dr. Jay Meltzer, clinical professor of medicine, and designed by Dr. Lerner in collaboration with Dr. Rothman. It is funded by the Vidda Foundation. Each Meltzer Fellow selects one case for an in-depth analysis of its ethical issues and analyzes the relevant literature. The work culminates in a case presentation to the medical center community.

To learn more about the Jay I. Meltzer Fellowship in Medical Ethics click here.

Overview:

As a physician-architect, I propose to address the issue of design ethics as applied to the healthcare environment. Throughout my clinical training, I have noted instances of the harmful effects of unpleasant spaces. Through this presentation, I consider the need for an alliance between design and ethics whereby the architect can assist the physician.

Meltzer Fellowship_2015

Beyond Traditional Clinical Ethics

Architects working on healthcare projects face ethical choices:

  • Do the designs for healthcare facilities include elements which enhance or harm the institution’s duty of care for the patients and families?
  • How do architectural designs emphasize the well-being not only of patients, but also those who care for them?
  • Do architects acknowledge ethical issues surrounding patient vulnerability and family stress associated with hospitalization?
  • To what extent should non-medical needs of family members and visitors be a factor in deciding the merits of specific designs for hospital architecture?

Designing for Basic Rights

Privacy and confidentiality are considered basic rights. Safeguarding personal health information is an ethical and legal obligation. Can privacy be created architecturally when shared patient spaces are still a reality? As we move into an era of high-tech environments, what are the ethical implications of cameras integrated into the patient room design? In the realm of institutional design, some prison buildings have been shown to violate human rights. Healthy design is a growing topic, where natural light and ventilation are considered fundamental for those incarcerated. In contrast, patient and staff spaces within hospitals are still often without access to daylight. Are building codes changing?

Therapeutic Architecture

  • Patient and staff satisfaction can be greatly enhanced by well-designed facilities.
  • Beyond patient satisfaction, the architecture can be considered in the therapeutic benefit or harm to the patient. The growing field of Evidence-Based Design demonstrates that architectural design itself serves as therapy and the environment can improve healing.
  • There exists a relative shortage of compassionate spaces in healthcare facilities and clinical staff is too often excluded from being provided areas for emotional expression.

Architectural design solutions are increasingly recognized as impacting the well-being of those using the spaces, both in causing harm and improving clinical outcomes.

Lectures

A Book from Dochitect

The Dochitect’s Journal: A collection of writings on the intersection of Medicine and Architecture

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Recent Articles/Publications

  • The Bioethics of Built Space: Health Care Architecture as a Medical Intervention

    May 1, 2022
  • Architecture and Bioethics: A new value proposition for health care facility designers

    February 5, 2022
  • No Place Like Home: As the pandemic proved, long-term care homes are a health hazard

    September 1, 2021

Recent Presentations

  • RAIC 2022 Keynote: Architectural Design as a Determinant of Heath

    June 8, 2022
  • Ethical Obligations at their Nexus with Built Space

    February 25, 2022
  • FXCollaborative Architecture 5 10 20 Podcast Episode 2 with Diana Anderson the “dochitect”

    February 15, 2022

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