Impact of hospital space standardization on patient health and safety

Price, A D F and Lu, J (2013) Impact of hospital space standardization on patient health and safety. Architectural Engineering and Design Management, 9(1), pp. 49-61. ISSN 1745-2007

Abstract

The first two steps in making any process more reliable are to standardize or simplify the process thus turning a desired action into a default action. Standardization reduces reliance on short-term memory and allows those unfamiliar with new location to follow an already experienced standard process or design thus leading to safe and efficient work practices. This study reports on research into healthcare facility design and identifies the drivers, barriers, priorities and potential areas that can inform the design process and the adoption of standardization aimed at significantly improving patient care and safety as well as enhancing staff productivity. Interviews were held with architects, project managers, healthcare planners and contractors to elicit their views. An interview protocol was developed based on initial literature findings. This paper highlights the need to think more deeply about why space standardization is needed and which benefits need to be captured from space standardization. Meanwhile, hospitals and Trusts provide very different situations and contexts, such as the model of care, the patient's journey, medical technologies and demographics. Innovative solutions to the space standardization must be in response to the context being considered, but there are some generic principles and concepts that apply to most situations.

Item Type: Article
Uncontrolled Keywords: facility; healthcare; hospital; space; standardization
Index terms: architect, planner, standardization, work practice, demographics, default, project manager, health and safety, design process, interview, productivity
Subjects: demography, management, performance measurement, health safety and environment, data collection methods, profession, dispute resolution, design methods
Topics: Design Practice, Legal Issues, Urban Studies, Quality Management, Organizational Design, Business Strategy, Health and Safety, Research Practice, Roles and Professions
Descriptive scope: 4 PCTE

N.B. Descriptive scope is a count of how many of the five facets of empirical research are indicated by the words used in title, abstract and keywords. It is not intended as a judgement on the research; merely a count of the kind of word we would expect to indicate Phenomenon, Concepts, Theoretical framing, Empirical techniques, Analytical techniques. If all five are present, then a code of “5 PCTEA” will indicate this. If you feel the coding for this record is questionable, we welcome discussion around the terms we matched or the way we categorized them. The facet you would expect may not be coded, or a facet may be coded inappropriately. This can also bear on a larger question, of which facets should be treated as defining in construction management research. Please get in touch, and we will look at it. More details here