Emergency Department Design (05-22-19)

Gharaveis, Hamilton, Shepley, Pati, and Rodiek studied how Emergency Department design influences teamwork, communication, and security;  their findings are applicable in both healthcare and other contexts.  The Gharaveis-lead team reports that “By providing high accessibility and visibility, the security issues can be minimized and teamwork and communication can be enhanced. . . . Transparency in the core of the ED would improve levels of teamwork and communication. . . .  design should provide visual and acoustical privacy when needed by flexibility in design. . . . Observation and supervision are important strategies to promote security. Psychiatric patients should have high visibility from/to staff. . . . EDs with efficient layouts (in terms of visibility, flexibility and accessibility), appropriate size of different locations, private spaces and lower levels of background noise provide opportunities to have higher values of teamwork and communication. The data of this study also suggest that ED security would be enhanced through unit configuration to provide visibility, connectivity to all locations, entrance observation, specific locations for psychiatric patients and security personnel close accommodation.”

Arsalan Gharaveis, D. Hamilton, Mardelle Shepley, Debajyoti Pati, and Susan Rodiek.  “Design Suggestions for Greater Teamwork, Communication and Security in Hospital Emergency Departments.”  Indoor and Built Environment, in press, https://doi.org/10.1177/1420326X19836209