Transcript Transformation of Pediatric Care Space

Transformation of Pediatric Care Spaces
--- Pediatric Design of the Future
TRANSFORMERS:
Marianna Jewell, Jamie Beyer, Jiten Chhabra, Hui Cai
Method
EVIDENCE
PROBLEMS
PRINCIPLES
The Plan-Do-Study-Act cycle was developed by W. Edwards Deming
(Deming WE. The New Economics for Industry, Government, Education.).
Five Principles
1. To foster a collaborative and patient-centered
environment of respect and shared decision making.
2. To provide privacy and sense of security to all
patients and families.
3. To guarantee quality and safety through research,
education, evidence-based practices.
4. To provide equitable access and distribution of
healthcare to all.
5. To achieve excellence in primary and specialized
pediatric care by continuously adapting to the needs
of patients.
Problems
1. Patient history is repeated multiple times when
changing caregivers.
2. The multi-bed emergency room design does not
support patient privacy and safety.
3. There is a lack of data and decision-support tools
to provide evidence based care.
4. Patients make unnecessary hospital visits.
5. Ignorance of physical and psychological needs of
different user groups.
6. There is no separation between front and back of
house.
Evidences
1. Patient history is repeated multiple times when
changing caregivers.
Evidences
2. The multi-bed emergency room design does not
support patient privacy and safety.
PRIVACY
Evidence showed frequent breaches of auditory and visual
privacy and confidentiality in areas with curtains compared to
rooms with solid walls in emergency department (Mlinek &
Pierce, 1997).
Case study: 5 percent of the patients in curtained spaces
reported they withheld portions of their medical history and
refused parts of their physical examination because of lack of
privacy (Barlas et al.,2001).
Evidences
2. The multi-bed emergency room design does not
support patient privacy and safety.
SAFETY
Evidences indicate that infection rates are usually
lower in single-bed rooms than in multi-bed rooms.
(Gardner, Court, Brocklebank, Downham, &
Weightman, 1973; McKendrick & Emond, 1976).
Case study: Severe Acute Respiratory Syndrome (SARS)
outbreaks in Asia and Canada highlighted the shortcomings of
multibed spaces in emergency departments and ICUs for
controlling or preventing infections both for patients and
healthcare workers (Farquharson & Baguley, 2003).
Evidences
3. There is a lack of data and decision-support tools
to provide evidence based care.
Evidences
4. Patients make unnecessary hospital visits.
Evidences
5. Ignorance of physical and psychological needs of
different user groups.
Case study: Vanderbilt's recognition that having a child in the
hospital puts an incredible strain on families, a third of the
hospital's area is devoted to family space. Support resources
for these family members include a close-by and comfortable
place to sleep, meals and meditation rooms. Each floor offers
additional family sleep areas, and family quiet areas. Family
lounges have kitchen and laundry facilities and a fully equipped
business center. (Richard L. Miller, FAIA, and David C. Miller,
2005)
Evidences
6. There is no separation between front and back of
house.