Patient Visibility Ann Rogers Kushal Waghmare Wanlin Xiang Group IV.
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Transcript of Patient Visibility Ann Rogers Kushal Waghmare Wanlin Xiang Group IV.
![Page 1: Patient Visibility Ann Rogers Kushal Waghmare Wanlin Xiang Group IV.](https://reader036.fdocuments.net/reader036/viewer/2022081603/56649ee85503460f94bf9496/html5/thumbnails/1.jpg)
Patient Visibility
Ann Rogers Kushal Waghmare Wanlin Xiang
Group IV
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Patient Visibility What and Why?
– Monitoring • Noting changes in state• Preventing falls• Preventing suicide• Verifying alarm falsity/veracity
– Improved workflow• Remembering patient conditions (out of sight, out of mind)• Toyota Lean Principles
Physical sightlines between patient and care staff (Open doors and blinds; Adequate lighting)
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Visibility Analysis
– No. of unique points visible from a particular point– Visibility Plots– Generic Visibility vs. Target Visibility
Visibility can be measured/calculated mathematically
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Spatial Positioning Tool
– Measures visual relationship among selected positions
– Isovist = (2d polygon – shadow space)– I/P file is a dxf file which contains 2d information
Markhede and Carranza proposed an isovist based automated model developed in Java
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Current Configurations
Parallel Corridor Open/Closed Surrounded
Off Beds
Spokes, No End Station
Spokes With End Station Embedded U-Shaped
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Visibility -> “Visibility”Physical proximity to patients = better than direct
sightlines – HKS Study:
• Increased socialization, mentoring, consulting
– In class: Empathy and Rapid assessments• Smell, Hearing
Outboard Inboard
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ObservationsMortality rates of High-Visibility vs. Low-Visibility Rooms
– Mortality rates (HVR) < Mortality rates (LVR)– Especially in Cardiac Arrests and Respiratory
Issues– Patients have very little time to recover
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NICU and PICUNeonatal & Pediatric ICUs
– More vigilant, careful monitoring required– Signals indicating change in medical conditions are
very subtle– NICUs should provide good visibility to infants– Control stations: within close proximity and direct
visibility of newborn care area. – Incubators should be transparent from at least 3
sides to allow maximum visibility
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When a re-design isn’t possible
• Higher nurse to patient ratio
• Minimize peer-to-peer relationships among nurses with decentralized nursing stations
• Place sickest patients in most visible rooms
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DOs Position of the headwall canted toward corridor view window Room has a provision for a computer and supplies storage Standardized room size, layout Charting alcove with window Appropriate lighting
St Joseph’s Hospital, St Paul, Minnesota
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DON’Ts
• Small windows• Centralized nursing stations• Closed private rooms with more privacy• Presence of blind spots• Improper alignment of beds• Large unit sizes with poor sightlines