Simulation Enhances Safety Evaluation in the Design of New Healthcare Facilities
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Patient Safety (M Coffey, Section Editor)
Simulation Enhances Safety Evaluation in the Design of New Healthcare Facilities Nora Colman, MD1,* Ashley Dalpiaz, BSN, RN, CCRN2 Kiran B. Hebbar, MD, FCCM1 Address *,1 Department of Pediatrics, Division of Pediatric Critical Care, Children’s Healthcare of Atlanta, 1405 Clifton Road NE, Atlanta, GA, 30329, USA Email: [email protected] 2 Department of Pediatrics, Children’s Healthcare of Atlanta, 1585 Northeast Expressway, Atlanta, GA, 30329, USA
* Springer Nature Switzerland AG 2020
This article is part of the Topical Collection on Patient Safety Keywords Simulation I Hospital design I Latent conditions I Safety I Architecture I Human factors
Abstract Purpose of review Healthcare is a complex system where dynamic and unpredictable interactions of system components contribute to errors. In the design of a new healthcare facility, there is a need to increase levels of safety evaluation throughout all phases of hospital development as a means to manage risk. Simulation effectively represents the dynamics of care delivery in order to identify and remediate latent conditions in the built environment or work system prior to patient exposure. Recent findings Emerging literature suggests that the integration of human factor approaches with simulation-based activities has the potential to aid healthcare systems in achieving higher quality care. Simulation-based Hospital Design Testing (SbHDT) and Simulation-Based Clinical Systems Testing (SbCST) are applied in order to proactively identify latent conditions related to the built environment, work system, or care processes; ensure operational readiness; and ease transitioning healthcare systems by promoting preparedness. Summary Incorporation of simulation into the hospital development process places safety at the forefront of planning. By proactively identifying architectural or system weaknesses, corrective actions can be taken before harm occurs. This review discusses how simulation grounded in safety and architectural design concepts enhance safety evaluation during the development process.
Patient Safety (M Coffey, Section Editor)
Introduction In the last decade, there has been a major boom in the rates of hospital construction to create new or replace aging facilities and/or renovate existing ones to support population shifts [1]. Conflicting goals, limited resources, and the pressure to achieve more, faster, in a cost-effective manner challenges systems to consistently deliver high-quality care [2]. Healthcarerelated errors are due to flaws in the system, barriers to optimal functioning, and deviations from prescribed work [3•, 4]. These flaws within the system, known as latent conditions [5–9], contribute to adverse events if not corrected [10]. As the relationship between the work environment and safety is becoming clear, it is necessary to increase levels of safety evaluation throughout all phases of hospital development as a means to reduce the risk [1]. Solutions to aid healthcare systems in managing risk involv
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