Safe design of healthcare facilities

Reiling, John

doi:10.1136/qshc.2006.019422

Cited by 79 publications

(80 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…New hospitals may now be built with safety in mind, using good design to reduce equipment problems, assist infection control and reduce errors of all kinds (Reiling 2006 ). Once we move into the home, this hard won gain in understanding is largely lost.…”

Section: The Home Environment As Risk Factormentioning

confidence: 99%

Safety Strategies for Care in the Home

Vincent

Amalberti

2016

Safer Healthcare

View full text Add to dashboard Cite

Patient safety has evolved and developed in the context of hospital care. The understanding we have of the epidemiology of error and harm, the causes and contributory factors and the potential solutions are almost entirely hospital based. Safety in home care is likely to require different concepts, approaches and solutions. Safety in this context has however been barely addressed and yet care provided in the home will soon become the most important context for healthcare delivery.The term 'home care' can encompass a variety of residential settings in which people are cared for by family, nurses and other professionals. In this chapter we use the term in a more restricted way to refer to the care of people in their own home, with varying degrees of informal and professional support. We focus on people with illnesses, usually chronic conditions, who are either living independently or being supported in their own homes by family or professional carers. Much healthcare is already delivered in the patient's home and this form of provision is growing rapidly. The benefi ts of home based care have been widely discussed, but the risks have not been fully articulated. In this chapter we fi rst briefl y summarise the background to the expansion of home care and then consider the nature and challenges for patient safety and the strategies that might help us manage risk in the home. An Ageing Population and the Expansion of Home CareMore than 20 % of citizens in developed countries will be over 65 in 2020. These people, while enjoying better quality of life than previous generations, will suffer from a variety of long term conditions. As we discussed earlier, patients with cancer, heart disease, dementia, renal and respiratory disorders may now live for decades with their disease. The most common causes of disability however are due to sight and hearing disorders which affect very large numbers of people and are particularly pertinent to safety in the home. As well as an absolute increase in the numbers of older people, there will also be a considerable relative increase. The socalled 'support ratio' -the ratio of people of working age to those over 65 -will

show abstract

Section: The Home Environment As Risk Factormentioning

confidence: 99%

Safety Strategies for Care in the Home

Vincent

Amalberti

2016

Safer Healthcare

View full text Add to dashboard Cite

show abstract

“…This is partly because of the role physical environments play on patient healing outcomes and partly because of the market oriented nature of the healthcare sector where organisations are now in a position to attract patients, resulting in a much greater emphasis on the provision of patient-centred care (Stern et al, 2003) and architectural design of the facilities (Reiling, 2006). Patients' perception and feedback about the physical environment include what they think are important to them, what matters to them and what supports their healthcare experience.…”

Section: Introductionmentioning

confidence: 99%

Design indicators for better accommodation environments in hospitals: inpatients’ perceptions

Zhao

Mourshed

2012

Intelligent Buildings International

View full text Add to dashboard Cite

Several studies have found an association between the physical environment and human health and wellbeing that resulted in the postulation of the idea of evidence-based and patient-centred design of healthcare facilities. The key challenge is that most of the underpinning research for the evidence base is context specific, the use of which in building design is complex, mainly because of the difficulties associated with the disaggregation of findings from the context. On the other hand, integrating patients' perspectives requires an understanding of the relative importance of design indicators, which the existing evidence base lacks to a large extent. This research was aimed at overcoming these limitations by investigating users' perception of the importance of key design indicators in enhancing their accommodation environments in hospitals. A 19-item structured questionnaire was used to gather inpatients' views on a 5-point scale, in two Chinese hospitals. A principal component analysis (PCA) resulted in five constructed dimensions with appropriate reliability and validity (Cronbach's alpha=0.888). The item, design for cleanliness, was ranked as most important, closely followed by environmental and safety design indicators. The item, entertainment facilities, was ranked lowest. The indicator, pleasant exterior view had the second lowest mean score, followed by the item, ability to customise the space. Age, accommodation type and previous experience of hospitalisation accounted for statistically significant differences in perceptions of importance of various constructed design dimensions.

show abstract

“…A first review in the 1980's of 6 studies on in-patient fall risk profiles and interventions to prevent in-patient falls in hospital settings gave some indications of potentially successful approaches. The few intervention studies conducted in acute care settings such as in medical, orthopedic and geriatric-psychiatric units showed a reduction in the incidence of falls [19]. No previous research has ever been conducted on falls prevention at the Health Insurance Organization Hospitals.…”

Section: Introductionmentioning

confidence: 99%