Designing for Patient Safety: Developing methods to integrate patient safety conc

描述(由申请人提供)：设计和运行不佳的医疗保健构建环境会导致不良事件，如医疗保健相关感染、用药错误和患者跌倒。设施设计和翻新项目提供了一个仔细检查和重新设计医疗保健流程的绝佳机会，以便消除影响患者安全的建筑环境潜在条件。然而，在医疗保健设计领域缺乏强大的知识库或明确的方法来在设施设计过程中纳入患者的安全考虑。有关“患者安全风险评估”(PSRA)的简短介绍性语言已包含在设施指南研究所的2010年医疗设施设计和建设指南(医疗设施设计的关键信息资源和指导文件)的附录中。该项目建议汇集一个多学科专家小组，以帮助进一步发展这一节，以便在2014年版指南中纳入明确界定的纳入患者安全关切的程序。该项目的具体目标包括：“确定如何在其他领域的设计过程中识别和解决安全问题；确定其他领域的关键方法和工具，以适用于医疗设施的设计过程；就需要考虑的关键问题达成共识，以解决医疗设施设计过程中不同阶段的患者安全问题”为医疗设施设计过程的不同阶段，为设施首席执行官/设计团队制定一套问题/问题。会议将包括专题介绍、互动式小组讨论、工作组和促进多学科专家组参与的共识发展。Virtua正在建造一座新的替代医院(2011年春季开放)，它在设计过程的每一步都使用了结合精益原则的过程驱动方法。本次会议期间，该医院项目将作为一个案例研究和旅游景点。一个由不同背景的专家组成的咨询小组将帮助制定会议议程和交付成果。从长远来看，该项目将通过在医疗设计过程中促进对患者安全的更周密的方法来改变医疗设计实践。这将通过将本次会议的发现转化为卫生设计中心循证设计认可和认证计划(EDAC)的指南和研究指南来实现。 与公共卫生相关：用药失误、患者跌倒和医疗保健获得性感染是美国医院和世界各地的一个严重问题。研究表明，医疗保健物理环境因素，如噪音、光线差、通风不足以及建筑布局和设计，导致了医疗保健方面的这些负面结果。该项目的目标是通过开发方法，在医疗设施的设计和建设过程中仔细考虑建成环境因素，从而创建更安全的医疗环境。

DESCRIPTION (provided by applicant): Poorly designed and operated healthcare built environments contribute to adverse events such as healthcare associated infections, medication errors and patient falls. Facility design and renovation projects provide an excellent opportunity to carefully examine and redesign healthcare processes so that the built environment latent conditions that impact patient safety might be eliminated. However, there is a lack of a strong knowledge base or well defined methodologies in the healthcare design field for incorporating patient safety concerns during the facility design process. Brief introductory language around a 'patient safety risk assessment' (PSRA) has been included in the appendix of the 2010 Guidelines for Design and Construction of Healthcare Facilities (a key information resource and guiding document in healthcare facility design) from the Facilities Guidelines Institute. This project proposes to bring together a multidisciplinary group of experts to help develop this section further so that a well defined process for incorporating patient safety concerns can be included in the 2014 version of the Guidelines. Specific aims for this project include: " Identify how safety concerns are identified and resolved during the design process in other fields " Identify key methodologies and tools from other fields that can be adapted for use during the design of healthcare facilities " Develop consensus around key issues that need to be considered in order to address patient safety concerns at different stages in the healthcare facility design process " Develop a set of questions/issues for the facility CEO/design team to be addressed at different stages of the healthcare facility design process The project goals will be achieved through a two-day conference program organized at Virtua Health in Marlton, NJ in partnership with the Facilities Guidelines Institute. The conference will include presentations, interactive panel discussions, workgroups and facilitated consensus development involving a multidisciplinary group of experts. Virtua, which is in the process of constructing a new replacement hospital (opens in Spring 2011), has used a process driven approach incorporating LEAN principles at every step in the design process. This hospital project will serve as a case study as well as tour site during this conference. An advisory panel of experts with diverse backgrounds will help develop the conference agenda as well as deliverables. In the long term, this project will change healthcare design practice by facilitating a more deliberate approach to patient safety during the healthcare design process. This will be achieved by translating the findings from this conference into the Guidelines as well as the study guides for the Evidence-Based Design Accreditation and Certification Program (EDAC) of The Center for Health Design. PUBLIC HEALTH RELEVANCE: Medication errors, patient falls and healthcare acquired infections are a serious problem in U.S. hospitals as well as worldwide. Research shows that healthcare physical environment factors such as noise, poor lighting, inadequate ventilation and building layout and design contribute to these negative outcomes in healthcare. The goal of this project is to create safer healthcare environments by developing methods to enable careful consideration of built environment factors during the design and construction of healthcare facilities.