Presentation
HE14 - Identifying Best Practices in Modern ICU Design: A Scoping Literature Review and Qualitative Analysis of Stakeholder Priorities
SessionPoster Session 2
DescriptionEach year Canadian Intensive Care Units (ICUs) treat 250, 000 critically ill patients. In contrast to an extensive focus on the performance of ICUs for clinicians, ICU design has received limited attention as an integral influencer of stakeholder outcomes. Furthermore, there has been greater emphasis on the use of human-centered design for ICUs to reduce adverse incidents, improve provider workflow, and support patient-centered care. There is, although limited, data that appropriately considers the design priorities of key clinical stakeholders. The objective of this research is to identify high-priority ICU design implications in order to inform ICU design best practices.
A systematic literature search was conducted on Medline and Scopus. The search results were screened for relevance and then included in a thematic synthesis to find the most cited design categories. The initial literature search generated 786 articles from Medline and 108 from Scopus. After the initial screening, 104 articles from Medline and 54 from Scopus were deemed relevant. After Full-text review, 47 articles were chosen for synthesis. X Semi-structured interviews were conducted with critical clinical stakeholder groups based on the design categories identified in the literature search.
After synthesizing the articles and analyzing the interviews, key design categories included room layout, lighting, noise, family spaces, and privacy. After ten semi-structured interviews with relevant clinical stakeholders, the critical design categories were room layout, family spaces, and privacy. single-occupancy patient rooms, freestanding beds, larger room sizes, large windows, sound isolation, comfortable family seating, and an open floor plan were preferred by patients and providers. The study found several vital intersections between the literature review and interviews perspectives of the clinical stakeholder groups that should be considered for ICU design best practices.
Overall, there was less disagreement about the preference for single rooms than has been seen in the literature. The findings also suggested that wayfinding and noise mitigation were assigned a lower priority by our sample than we expected to find based on the existing literature. There was also a strong consensus about certain room design elements, including freestanding beds with booms (versus headwall), the need for ergonomic and flexible workstations, and an emphasis on ICU room total capacity. Importantly, these elements showed relative consensus both within and among participant groups, leading to their high priority scores. Combining these findings would allow ICU designers to emphasize design elements with broad agreement on importance while potentially de-emphasizing some lower-priority elements that can pose challenges and trade-offs (e.g., sound isolation and noise mitigation strategies).
A systematic literature search was conducted on Medline and Scopus. The search results were screened for relevance and then included in a thematic synthesis to find the most cited design categories. The initial literature search generated 786 articles from Medline and 108 from Scopus. After the initial screening, 104 articles from Medline and 54 from Scopus were deemed relevant. After Full-text review, 47 articles were chosen for synthesis. X Semi-structured interviews were conducted with critical clinical stakeholder groups based on the design categories identified in the literature search.
After synthesizing the articles and analyzing the interviews, key design categories included room layout, lighting, noise, family spaces, and privacy. After ten semi-structured interviews with relevant clinical stakeholders, the critical design categories were room layout, family spaces, and privacy. single-occupancy patient rooms, freestanding beds, larger room sizes, large windows, sound isolation, comfortable family seating, and an open floor plan were preferred by patients and providers. The study found several vital intersections between the literature review and interviews perspectives of the clinical stakeholder groups that should be considered for ICU design best practices.
Overall, there was less disagreement about the preference for single rooms than has been seen in the literature. The findings also suggested that wayfinding and noise mitigation were assigned a lower priority by our sample than we expected to find based on the existing literature. There was also a strong consensus about certain room design elements, including freestanding beds with booms (versus headwall), the need for ergonomic and flexible workstations, and an emphasis on ICU room total capacity. Importantly, these elements showed relative consensus both within and among participant groups, leading to their high priority scores. Combining these findings would allow ICU designers to emphasize design elements with broad agreement on importance while potentially de-emphasizing some lower-priority elements that can pose challenges and trade-offs (e.g., sound isolation and noise mitigation strategies).
Event Type
Poster Presentation
TimeTuesday, April 14:45pm - 6:15pm EDT
LocationFrontenac Foyer