Team Alpha | Patient Room of the Future | Oct. Team Alpha | Patient Room of the Future | Oct. 11, 200711, 2007

Applying General Design Applying General Design Solutions to Hughes Solutions to Hughes Spalding:Spalding:

Wayfinding + Infection Wayfinding + Infection ControlControl

The Principle: Wayfinding The Principle: Wayfinding Design the hospital environment and wayfinding processes in order to reduce stress and anxiety for patients, visitors, and employees

PrinciplePrincipleDesign the hospital environment and wayfinding processes in order to reduce stress and anxiety for patients, visitors, and employees

ProblemProblem

Key Points in the EvidenceKey Points in the Evidence

Patient anxiety increases because lack of understanding and control over their environment.

• As floor plan complexity increases, wayfinding performance decreases.• The addition of signage results in 13% increased rate of travel and 62% decrease in backtracking.• As tasks become more difficult, your STM performance deteriorates.

PrinciplePrincipleDesign the hospital environment and wayfinding processes in order to reduce stress and anxiety for patients, visitors, and employees

ProblemProblem

Key Points in the EvidenceKey Points in the Evidence

Ineffective wayfinding costs hospitals a significant amount of money.

• Annual cost of wayfinding is $448/bed/year• 4,500 non-designated staff hours (2 FTEs)

PrinciplePrincipleDesign the hospital environment and wayfinding processes in order to reduce stress and anxiety for patients, visitors, and employees

ProblemProblem

Key Points in the EvidenceKey Points in the Evidence

Hospitals are not designed for the size or cognitive ability of children.

• Children orient themselves at a “start” position.• Younger children have problems estimating direction and learning a specific route.• Graphical signage produces the greatest rate of travel.

Proposed Wayfinding Proposed Wayfinding Solutions Solutions Step-by-Step• Getting to the Hospital

• Marta: walking maps, shuttle service • Car: large, uniform, graphical signage (for parking + hospital entrance)• On foot: colored footprints that lead to entrance

Proposed Wayfinding Proposed Wayfinding Solutions Solutions • Entering the Hospital

• 3D hospital mock-up with light-up directions and ability to print step-by-step customized maps

Proposed Wayfinding Proposed Wayfinding Solutions Solutions • Throughout the Hospital

• Interior Layout and Design• Use landmarks (ex: things that everyone can identify--large, physical structures)• Colors/themes to help differentiate areas• Ceiling/floor designs that lead you in the correct directions (subtly, but clearly)

Proposed Wayfinding Proposed Wayfinding Solutions Solutions • Throughout the Hospital

• 5 components of signage:• Graphical - for kids + no language barrier• Textual - LED signs + clear and concise + multiple languages• Uniform - Consistent layout + format• Uses landmarks and colors• Placement - for both adults and children

The Principle: Infection The Principle: Infection Control Control Implement solutions that result in very low infection rates

PrinciplePrinciple

ProblemProblem

Key Points in the EvidenceKey Points in the Evidence

Implement solutions that result in very low infection rates

Poor hand washing practices lead to higher nosocomial infections.

• Hand washing compliance rates are typically 15-35%.

• There are 2 million nosocomial infections per year in the US.

PrinciplePrinciple

ProblemProblem

Key Points in the EvidenceKey Points in the Evidence

Implement solutions that result in very low infection rates

Inconvenient sink locations and forgetfulness are barriers to proper hand washing behavior.

• Hand washing compliance rates are typically 15-35%.

• Alcohol-based hand-cleaners at bedside increase hand washing compliance

Proposed Infection Control Proposed Infection Control Solutions Solutions “Clean Hands” RFID Tracking System• RFID-based compliance monitoring

• Detects doctor’s entrance into room• Alerts doctor if Patient Zone entered without hand washing• Records when doctor washes hands

Proposed Infection Control Proposed Infection Control Solutions Solutions “Color me Clean” Antibacterial Gel/Foam•Hand cleaner that changes colors when used• Similar to Coppertone Kids sunblock• Provides visual evidence of sanitizer use

Summary of Proposed Summary of Proposed SolutionsSolutions• ‘Step-by-Step’• ‘Clean Hands’ RFID-tracking system• ‘Color me Clean’ Antibacterial Gel/Foam

Any Questions?Any Questions?