chih-pin hsiao, mengdie hu, takahiro ito, thomas roh northside hospital, piedmont hospital, scottish...

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Page 1: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh Northside Hospital, Piedmont Hospital, Scottish Rite, Emory Hospital 1

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Page 2: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh Northside Hospital, Piedmont Hospital, Scottish Rite, Emory Hospital 1

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Page 3: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh Northside Hospital, Piedmont Hospital, Scottish Rite, Emory Hospital 1

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Page 4: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh Northside Hospital, Piedmont Hospital, Scottish Rite, Emory Hospital 1

1. Keyboard and mouse are dirty.2. Especially in ICU room3. Cause high possibilities of infection

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Page 5: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh Northside Hospital, Piedmont Hospital, Scottish Rite, Emory Hospital 1

1. Nurses often forget to scan medicines when grab it2. Hard to monitor the usage of medicine3. The central pharmacy doesn’t when to restock

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Page 6: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh Northside Hospital, Piedmont Hospital, Scottish Rite, Emory Hospital 1

Information in ICU is basically text, especially records of medicine

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Page 7: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh Northside Hospital, Piedmont Hospital, Scottish Rite, Emory Hospital 1

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Page 8: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh Northside Hospital, Piedmont Hospital, Scottish Rite, Emory Hospital 1

Chart as things happen versus chart at the end of the day

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Page 9: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh Northside Hospital, Piedmont Hospital, Scottish Rite, Emory Hospital 1

Information from different sources are in different formats.

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Page 10: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh Northside Hospital, Piedmont Hospital, Scottish Rite, Emory Hospital 1

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Page 11: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh Northside Hospital, Piedmont Hospital, Scottish Rite, Emory Hospital 1

Concrete is adequate structure for big building like hospital, but it has little adaptability.

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Page 12: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh Northside Hospital, Piedmont Hospital, Scottish Rite, Emory Hospital 1

1. They need much more money to change circulation of telephone codes.

2. In order to get visualization of patients’ room, they need to set up extra cameras.

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Page 13: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh Northside Hospital, Piedmont Hospital, Scottish Rite, Emory Hospital 1

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Page 14: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh Northside Hospital, Piedmont Hospital, Scottish Rite, Emory Hospital 1

Doors

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Page 15: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh Northside Hospital, Piedmont Hospital, Scottish Rite, Emory Hospital 1

Original designs are not always followed through.Original designs are not always followed through.

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Page 16: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh Northside Hospital, Piedmont Hospital, Scottish Rite, Emory Hospital 1

Emory University Hospital EDFour rooms specifically for intensive care

Located right across from main nurses’ and doctors’ station

Walk-In Entrance

EMS Entrance

Life Flight Entrance

Staff StationICU Rooms

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Page 17: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh Northside Hospital, Piedmont Hospital, Scottish Rite, Emory Hospital 1

Layout Problems

Patient and staff congestion is greatest in the hallway outside these rooms

Noise is also the greatest in these areas

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Page 18: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh Northside Hospital, Piedmont Hospital, Scottish Rite, Emory Hospital 1

Layout ProblemsRound Layout ICUs in Piedmont

Hospital

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Page 19: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh Northside Hospital, Piedmont Hospital, Scottish Rite, Emory Hospital 1

Layout Solutions

Divert some hallway traffic to other areas, move ICU rooms to new location

Add more restrooms to rooms so patients and visitors are not in the hallway excessively

Sound absorption walls

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Page 20: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh Northside Hospital, Piedmont Hospital, Scottish Rite, Emory Hospital 1

1. Outboard layout for ICU patient room2. Lack of accessibility to outside environment3. Lose track of time

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Page 21: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh Northside Hospital, Piedmont Hospital, Scottish Rite, Emory Hospital 1

1. Patient ability to handle his/her own daily life in ICU2. Access to TV remote or the alarm to nurse station3. Control the lighting conditions in the room4. Cause fall problem

Courtesy of Akash Shah 2211

Page 22: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh Northside Hospital, Piedmont Hospital, Scottish Rite, Emory Hospital 1

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Page 23: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh Northside Hospital, Piedmont Hospital, Scottish Rite, Emory Hospital 1

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Page 24: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh Northside Hospital, Piedmont Hospital, Scottish Rite, Emory Hospital 1

1. It is hard to give equal services.2. Regulations for visitors’ mobile technology

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Page 25: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh Northside Hospital, Piedmont Hospital, Scottish Rite, Emory Hospital 1

Other Problems

Communicable Disease – any family and friends are allowed in

Transfer of knowledge of patient after patient has been stabilized

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Page 26: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh Northside Hospital, Piedmont Hospital, Scottish Rite, Emory Hospital 1

Other Solutions

Visual cues to remind visitors to wash hands and wear masks

Locate cleansers outside each room

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