Things you should consider during Building hospitals to improve patient safety

 

 

 

If you are planning or designing new hospital and you have following hospital question reading the patient safety :
How can we design patient rooms that protect against falls? Which requirements have to be addressed bathrooms in order for them to protect against falls?
How can we reduce noise and achieve an acceptable noise level – not only in ICUs, but in hospital settings generally?
How can we design a medical unit that signals approach ability while, at the same time, allows staff to work in peace and protects them against unnecessary interruptions?
How can we ensure standardisation in the design of operating rooms and other rooms?
This article will help doctors or healthcare professionals in designing the hospital more safer . we back at hospaccx when we design hospital patient safety is the first . if you are designing or building a new hospital send your drawings to us for review so that your hospital will be more safe for your patient.
visit hospaccx website : www.hhbc.in email id: hospaccx.inda@gmail.com.

 

“We shape our buildings and afterwards, our buildings shape us.”

 

–Winston Churchill
A hospital is a complex system where many different people work together, carrying out demanding activities, often under time pressure. Errors do occur. Although medical errors are always ultimately made by individuals or teams, they are generally caused by interactions between humans and their environment .Safety systems have been implemented to ensure that potential causes of adverse events are anticipated and prevented, but systems may fail….
It may happen that safety systems are compromised by special circumstances acting in a combination with human factors, as a result of which adverse events happen that will cause patients harm or might have caused them harm.
In recognition thereof, patient safety is defined as the protection of patients against harm that occurs as a result of the efforts, or the lack of efforts, of the health care system. A high level of patient safety is achieved only in a culture characterised by openness and trust so that staff feels safe about raising issues on patient safety, the purpose being to extract learning that will protect the next patient from harm .

 

Why is it important to design for patient safety?

 

It has become increasingly clear that the problem of patient safety does not lie solely in the hands of clinicians or frontline healthcare staff. The healthcare system has many inherent latent conditions (holes and weaknesses) that interact in complex ways and result in adverse events . During our research in hospaccx it clearly shows that features in the built environment—such as light, noise, air quality, room layout, and others—contribute to adverse patient safety outcomes, like healthcare-associated infections, medication errors, and falls in healthcare settings. These latent conditions that adversely impact patient safety are built into the physical environment during the planning, design, and construction of healthcare facilities.
For example, the location of emergency departments and intensive care units might necessitate the transport of critically ill patients over long distances, potentially causing patient complications. Handwashing sinks located in inconvenient or inaccessible locations might result in poor handwashing compliance among physicians and nurses.
The top five activities that were identified as high priority for ensuring positive patient safety outcomes during the pre-design phase of a building project included:

 

1. Articulation of project mission/vision around patient safety: The articulation of a clear statement around patient safetyat the start of the healthcare facility design project was of paramount importance as it sets the tone for the activities of the team through the course of the project.

 

2. Operational/future state planning: The importance of clearly defining future states and planning processes that would help in achieving those states prior to even embarking on the actual design of the building.

 

3. Simulation/mock-ups: The importance of using simulation and mock-ups very early in the design process to help visualize key concepts and to identify possible built environment latent conditions.

 

4. Process-led design(flexibility in design) : The importance of designing the care processes in parallel to the building design. The importance of flexibility in design to accommodate changing processes was also discussed.

 

5. Define measurable goals/metrics: The importance of collecting baseline data around key patient safety outcomes such as falls, healthcare-associated infections, and medical errors, conducting a patient safety survey and developing goals
for improving these outcomes.

 

The top four activities that were identified by hospaccx healthcare consultancy as high priority during design and construction phases of a healthcare facility design project included:

 

1. Simulations/mock-ups: Simulations and mock-ups were considered the most important activity during the design and construction phases from the perspective of identifying built environment latent conditions.

 

2. Ongoing team check-ins at every phase: safety priorities needed to be institutionalized and the teams needed to have regular check-ins during all phases of the project to ensure that safe design features were being implemented as
envisioned.

 

3. Post-occupancy evaluations (POE): POEs were identified as a key activity to be undertaken once the building is
completed and occupied to ensure that the building was effective in providing safe care and supporting the staff in conducting their work in a safe and efficient manner.

 

4. Safety reviews: Similar to the check-in, attendees felt the safety reviews would enable the team to review plans and construction documents using a patient safety lens.

 

Building design team is also important : the design team needed to be multidisciplinary to ensure that patient safety issues were effectively addressed and should include clinicians, administrators, facility managers, architects, consultants, human factors specialists, and researchers. Many different tools were identified for use at different facility design phases, including design FMEAs (failure mode and effects analysis), process mapping, spaghetti diagrams, link analysis, Pareto analysis, safety culture surveys, and more.

 

14 design tools and approaches for designing for patient safety

 

Hospaccx healthcare design team has reviewed tool/method for its usability, relevance to the healthcare facility design process, feasibility, as well as generalizability to different types of settings, project scopes, and organisations. The tools reviewed included:

 

1. Failure mode and effects analysis (FMEA);
2. Balanced scorecard;
3. Work sampling (time motion studies);
4. Link analysis;
5. Process analysis (process chart/flowchart);
6. Simulation
7. Root cause analysis (RCA).
8. Patient safety rounds
9. Work sampling
10. Lean
11. Six sigma
12. Work design process
13. Systems engineering initiative for patient safety
14. Socio-technical probabilistic risk assessment

 

Most of these tools were considered relevant and applicable to the healthcare facility design process. Balanced scorecard, process analysis (process mapping), and link analysis were ranked high on all key criteria. Simulation and FMEA were also ranked high, and our team of healthcare design felt that these methods were already being used in the facility design process and could be modified to make it feasible for projects of different scopes. These methods could readily support the design teams in making key decisions that impacted patient safety.

 

Conclusion :

 

The key takeaway from this article was that the built environment significantly impacts patient and caregiver safety, and significant work needs to be done during the pre-design phase of a healthcare building project to ensure that safety concerns were addressed. This includes understanding the baseline safety metrics for the organizations, developing a mission statement around safety, and designing processes that would ensure safety for patients and staff. patient Safety work was a prerequisite before the functional program can be finalized.

 

this article will help doctors or healthcare professionals in designing the hospital more safer . we back at hospaccx when we design hospital patient safety is the first . if you are designing or building anew hospital send your drawings to us for review so that your hospital will be more safe for your patient on hospaccx.inda@gmail.com . or for more info visit hospaccx website :www.hhbc.in

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Email: hospaccx.india@gmail.com
website: www.hhbc.in
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