Transcript Document
Lego Brainwaves Design of Pediatric Health Center of the Future Team Lego: Randeep Youngseon Choi Lavanavarjit 6 principles Increase Social Support for families and patients Reduce Patient Stress Improve Quality of Care Increase Staff Efficiency Improve Communication to Patients Increase Patient Safety Eight problems 1. 2. 3. 4. 5. 6. 7. 8. No interactions between families and patients Lack of technological supports for providing social support for pediatric patients Inefficient patient flow Different medical equipment do not interact with each other Lack of multi-perspective Waiting Area Design of efficient Nursing Units to minimize nurse travel Post-diagnosis care has to be improved and healthcare professionals have to continually improve their service To transfer patients effectively from ambulance to hospital Problem – no interactions occur between families Family area in Pediatric Intensive Care Unit at MCG 4th Floor family area Related work - MCG Children’s hospital (Patient room) Chair Private bathroom Full body length sofa Private refrigerator Related work - The children’s medical center of Dayton (2007 ICU design winner) Related work - The children’s medical center of Dayton (2007 ICU design winner) Related work - The children’s medical center of Dayton <possible suggestion> Support interactions between “families” • Easy to identify person who uses the area • Easy to encounter same family members and be familiar with each other • Interact more with each other • May get emotional and informational support to each other through the interactions Problem – limited access to social support & facilities A play room Problem – limited access to social support & facilities A class room Related work - The Hospital for Sick Children in Toronto, Canada Limited time operation Lack of child life specialists http://www.sickkids.ca/childlife/section.asp?s=Child+Life+programs&sID=7551 Problem – limited access to social support <Possible suggestions> Child life program through “Game Engine” Virtual Playroom or classroom Patients can enjoy it anytime. Patients can meet other patients or teachers and interact with them in the virtual environment who accessed from other places Problem – no efficiency in patient flow Patients are frustrated by too many places to go for one visit and not knowing where to go. Related literature - no efficiency in patient flow According to MGH (Massachusetts General Hospital), on an average, patients had to travel to more than 4 separate locations in order to receive all their care for a particular disease. The worst-case, cardiology, had services in 14 separate locations. This created a significant amount of frustration for patients, substantial foot traffic and inefficiency within the clinical departments. Pauly (2005) Planning a Large Ambulatory Care Center at an Academic Medical Center, J Ambulatory Care Manage Related literature - no efficiency in patient flow Developed a guideline for future construction project 1. organize clinical services into patient focused programs and that can be co-located to maximize space, operations, and technology 2. adopt a modular design approach to organizing clinical practices to maximize the long term flexibility Pauly (2005) Planning a Large Ambulatory Care Center at an Academic Medical Center, J Ambulatory Care Manage Problem – Different medical equipment do not interact with each other Power column IV pump Patient Monitor Oxygen cylinder Problem – Different medical equipment do not interact with each other <possible suggestions> 1. 2. 3. 4. Steps All Equipment are capable of transmitting signals wirelessly to the server at the nurses station. The observing nurse checks the vital signs of the patient and decides if any dosage needs alteration. The equipment receives feedback and alters the dosage accordingly. Streaming Video monitoring of the patient to view the physical condition. Problem – Different medical equipment do not interact with each other Problem – Lack of multi-perspective Waiting Area Space efficient Source of Distraction for patient’s siblings Aesthetically appealing Family centered Healthy healing environment Proposed Atrium, Dublin Methodist Hospital Dublin, OH Gardens @ Vanderbilt (1st, 4th & 6th Floors with different themes) Problem – Design of efficient Nursing Units to minimize nurse travel for monitoring patients and supply management Optimal monitoring of patients Remote monitoring using technology? Decentralized vs centralized units Where to locate? Design of units “Decentralized units” The Children’s Hospital of Philadelphia Philadelphia, PA “e-ICUs” Phoenix Children’s Hospital Phoenix, AZ Problem – Post-diagnosis care has to be improved and healthcare professionals have to continually improve their service Effective communication of diagnosis medicines to be taken precautions Continuous improvement from the perspective of Healthcare professionals Problem – To transfer patients effectively from ambulance to hospital How to make the transition Smooth Convenient Effective – shortest possible time, min # of resources A study on the practices being followed currently is required References 1. 2. 3. 4. http://www.vanderbiltchildrens.com/interior.php?mid=799 http://www.evelinaappeal.org/hospital/index.html http://www.chp.edu/about/new_building.php Karlsberger, Current Trends in Pediatric Hospital Design : Are they right for your organization?, Karlsberger Knowledge Paper Series – Volume 1, Number 1, October 2005 5 questions Do you have child life program in your hospital? If you have, how does it work? 1) How often does a child life specialist meet a patient? 2) how many patients does a child life specialist meet? 3) I heard there are teachers who involve in patients’ education. Are they also child life specialist or do they belong to other kinds of program related to patients’ education? What other kinds of activities your hospital do for patients’ educational or psychological support?