23. HEALTHCARE RESEARCH
STAYING INFORMED
5 point agenda for Healthcare Research
Improve Patient &
Family Experience
Reduce stress, pain
perception, anxiety
Improve comfort,
satisfaction, sense of
control, wayfinding,
family presence
Improve Safety /
Mitigate Risk
Reduce risk of
infections, falls, injury
and errors
Improve patient
monitoring; improving
environmental health
Increase Staff
Effectiveness &
Safety
Reduce staff fatigue,
injury, errors
Improve efficiency,
communication,
collaboration and
satisfaction
Improve performance
and patient interaction
Lower Life Cycle
Costs
Operational flexibility;
Balancing one-time
capital cost with life-
time operational cost,
accounting for
improved outcomes
and return on
investment
Improve
Organizational
Outcomes
HCAHPS; LOS (Length
of Stay); LWBS (Leave
without being seen
rate); Return Rate;
Referrals; Turnovers
24. HEALTHCARE RESEARCH
STAYING INFORMED
Evidenced Based Design Case Study: Emory Neuro ICU Design
Research Team: HKS and Georgia Tech
Objective:
Design for Patient/Family focused Care
Location:
Emory University Hospital
Procedure:
Industry survey and benchmarking of award-
winning Neuro ICU designs.
Design Charrettes with user groups.
Key findings:
Private family zone inside patient room increased
family satisfaction
Dissemination:
Wall Street Journal Article
25. Objective: To assess the performance of
membrane ceiling technology in controlling
air particulate dispersion in exam rooms.
Location: Washington Hospital Center Mock-up
Published: Journal of Healthcare Engineering
Method: Computational Fluid Dynamic (CFD)
Modeling
Key outcome: A membrane diffuser directed
airflow ventilation provides a less
turbulent airflow pattern and less mixing of
the air between the patient and others in
the room.
Membrane Ceilings in ED Exam Rooms
Research Team: CCRD; Fluid Dynamics Solutions Inc.
PI: D. Pati; Mik Pietrzak
26. HEALTHCARE RESEARCH
STAYING INFORMED
Evidenced Based Design Case Study: View and Acute Stress
Objective:
Ascertain impact of view duration and content on
acute stress and alertness of nurses
Location:
Children’s Healthcare of Atlanta
Procedure:
Measured acute stress, chronic stress and
alertness before and after shift
Key findings:
Nature view reduces staff stress
Nature view
Reduced Staff
Stress
Reduced Staff
Turnover?
Improved
Patient
Interaction
Improved
Patient
Satisfaction
More referrals,
More
reimbursement,
More $$$
36. Reported Data Observed Data Spatial Data
16 Interviews
(6 RN; 3 PCS; 3 Leadership;
2 NA; 1 UC; 1 care navigator)
17 hours of RN Shadowing
(day + night)
Travel distance from point
to point using parametric
modeling tools
Surveys (31 responses) Behavior Maps (6) + Sound
Readings (10)
Sight Lines
FIELD RESEARCH + SIMULATION
Human Behavior
Existing Use of Environment
Energy Performance
Environmental Affordance
37. ProMedica New Patient Tower 37May 13, 2014
RESEARCH FINDINGS: 7TH FLOOR MED-SURG
17 6 3 2Hours of Minute to Minute
Shadow Data
RN Interviews Patient Care
Supervisor
Interview
3
Leadership
Interview
1
Care Navigator
Interview
1
31
Survey Responses
10
Sound readings; Behavior
Maps
Nursing
Assistants
Interview
Unit Clerk
Interview
DETAILED PARAMETRIC
ANALYSIS
43. • Skills cannot be restricted to a few
• “research” with a big “R” must be in
collaboration with academia
• research in design practice must be
integrated throughout the process- not as
an “add-on”
• Please add thoughts here
