Hands-free sinks, Hindrance in Hospital Infection Control

A telling research on handsfree sinks by Johns Hopkins Hospital. This is the 2^nd research I’ve encountered with negative results.

Thought you would find this interesting. “…(hands-free sinks) were more likely to be contaminated with one of the most common and hazardous bacteria in hospitals compared to old-style fixtures with separate handles for hot and cold water.”

For full article published by Johns Hopkins Medicine, click here.

Ongoing JCAHO News

For JCAHO (Joint Commission on Accreditation of Healthcare Organizations) updates, news and related subjects online, this website comes useful.

JCAHO

Effective January 1, 2011, JCAHO has adopted the 2010 Healthcare Guidelines. The next revised edition is expected in 2014.

Lou Ruvo Center for Brain Health by Gehry

The July issue of Healthcare Design magazine makes mention of Gehry’s latest work, this time in the healthcare biz.  A new one in the list for Gehry’s observers: the 100M Cleveland Clinic Lou Ruvo Center for Brain Health in Las Vegas.

Find more pictures and studied analysis on the project here - by Design Boom. To play devil's advocate, you can find a more positive story by the LA Times here.

I’ve always wondered what starchitects would do when assigned the design of a seemingly highly restricted health care environment… Now we do. His unruly style comes through again.

As a side note, did you know he is 81? He doesn't look half as bad for someone twice his age. Just kidding Frank!

Healthcare Guidelines 2010

Around this time last year, architecture firms were asked to send suggesting revisions to the 2006 Guidelines for Design and Construction of Health Care Facilities. But architects were not the only ones invited to the round table. Nurses, surgeons, anesthesiologists, neonatologists, infection preventionists, administrators, facility managers, consulting engineers, safety and security professionals, risk managers and over 25 state, federal and private enforcing authorities have participated too. Finally, the 2010 FGI Guidelines are here.

It's said that the 'significant' changes from the 2006 edition are marked along the sides. For the Health Facilities Management article on the 2010 Guidelines, click here. Also try their official press release back in November 09. Both links list their mayor changes. For $168, you can get it on the FGI website.

Last year I sent a few suggestions on quiet and isolation rooms in Mental Health Facilities... I'll have to check and see if they were added. :)

mvs_

Lean - the 7 wastes

I am a little disappointed. Let's keep it clear. There are only 7 wastes in the Lean manufacturing process. No more. There are those out there claiming poetic license and adding their own 'waste' to the list... pluhh-ease!

In case you wonder, they are:

1. Overproduction

2. Waiting

3. Transporting

4. Inappropriate Processing

5. Unnecessary Inventory

6. Unnecessary Motion

7. Defects

If you are still wondering what this is all about, start with The Goal, a great book on Lean in fiction-style.

... and if you want to know more about Lean specifically for Healthcare, I was suggested to read The Toyota Way to Healthcare Excellence: Increase Efficiency and Quality with Lean, by John Black.

Still in my to-do list... I'm hoping to get to it soon.

The Hospital of the Future

Writing about the future patient rooms, got me thinking about the bigger picture, the future of healthcare design and the bigger task in hand. Designing a hospital can be once-in-a-lifetime-opportunity, and many times, it can be obsolete before even completing its life cycle. Architects and planners have to design for:

1. flexibility,

2. adaptability,

3. expansion,

4. safety,

5. productivity and

6. sustainability.

...And if that was not enough, designers should also consider:

7. the patient-centered care trends,

8. branding, and

9. the future of the healthcare administration.

let me know of you can think of anything else.

Patient Room Design

There is so much to say about patient rooms. My general approach is to see it from the patient's perspective. It is suggested that room doors should be located “patient right”, where the door is to the right-hand side of the patient bed. Since around 90% of the population is right-handed, I cant' object to that. Another worth-mentioning best practice is to locate the toilet room door on the same side of the head wall, so patient has the option to lean on to the wall in case mobility assistance is needed.

Patient Room of the Future

In patient rooms, where flexibility is the key factor, the question seems to be: what will the adaptable patient room of the future be like? You must consider healthcare trends, characteristics of future patients, resource limitations, rising costs, and technology. However, about the technology of the future, keep in mind that the rule of thumb is: do not project more than 7 years ahead. Otherwise, you can end up with something like the image below, the humongous 2004 computer of the future, decades ahead of its time....

In a healthcare world that is heavily gravitating towards patient-centered services, and where technology moves at exponential speeds, this seems like a tricky task for our healthcare planners. I'm confident the best trends are just around the corner.

Handed versus Mirrored Rooms

Traditionally, mirrored rooms have been preferred as their construction allows for shared head walls and plumbing walls. So the thought was that sharing wet walls should mean savings in construction costs.

On the other hand, same-handed rooms seem to be favorable for medical staff -although no tangible evidence is available yet. With every room being identical, medical staff would be able to access the exact same layout, reducing the possibility of medical errors. What's more, it is suggested that same-handed rooms can project lower costs. Architects can document same-handed items, contractors can build same-handed rooms faster, and health care organizations would only acquire/replace/track same-handed room equipment and furniture.

My preference, same-handed layouts. What say you?