The Representational Function of Clinic Design: Staff and Patient Perceptions of Teamwork

This study empirically investigates the relationships between visibility attributes and both patients’ and staff members’ teamwork experiences. Teamwork among healthcare professionals is critical for the safety and quality of patient care. While a patient-centered, team-based care approach is promoted in primary care clinics, little is known about how clinic layouts can support the teamwork experiences of staff and patients in team-based primary clinics

Backstage Staff Communication: The Effects of Different Levels of Visual Exposure to Patients

Objective: This article examines how visual exposure to patients predicts patient-related communication among staff members. Background: Communication among healthcare professionals private from patients, or backstage communication, is critical for staff teamwork and patient care. While patients and visitors are a core group of users in healthcare settings, not much attention has been given to how patients' presence impacts staff communication. Furthermore, many healthcare facilities provide team spaces for improved staff teamwork, but the privacy levels of team areas significantly vary. Method: This article presents an empirical study of four team-based primary care clinics where staff communication and teamwork are important. Visual exposure levels of the clinics were analyzed, and their relationships to staff members' concerns for having backstage communication, including preferred and nonpreferred locations for backstage communication, were investigated. Results: Staff members in clinics with less visual exposure to patients reported lower concerns about having backstage communication. Staff members preferred talking in team areas that were visually less exposed to patients in the clinic, but, within team areas, the level of visual exposure did not matter. On the other hand, staff members did not prefer talking in visually exposed areas such as corridors in the clinic and visually exposed areas within team spaces. Conclusions: Staff members preferred talking in team areas, and they did not prefer talking in visually exposed areas. These findings identified visually exposed team areas as a potentially uncomfortable environment, with a lack of agreement between staff members' preferences toward where they had patient-related communication

The new demand-driven post-occupancy evaluation

Copyright 1988, Locke Science Publishing Co., Chicago, IL, All Rights Reserved.Post-Occupancy Evaluation (POE) has become increasingly accepted and influential among client organizations responsible for large building management and construction programs. Managers and administrators look to POE to provide answers to important facilities questions. This increased focus on decision-making has resulted in a number of changes to the way in which POEs are conducted, including changes in the relationship between evaluator and client, the range of issues addressed, and the salience of certain methodological concerns. These issues are considered in light of current uses for POE information and some strategic choices faced by evaluators and clients

Designing for Effective and Safe Multidisciplinary Primary Care Teamwork: Using the Time of COVID-19 as a Case Study

Effective medical teamwork can improve the effectiveness and experience of care for staff and patients, including safety. Healthcare organizations, and especially primary care clinics, have sought to improve medical teamwork through improved layout and design, moving staff into shared multidisciplinary team rooms. While co-locating staff has been shown to increase communi-cation, successful designs balance four teamwork needs: face-to-face communications; situational awareness; heads-down work; perception of teamness. However, precautions for COVID-19 make it more difficult to conduct face-to-face communications. In this paper we describe a model for un-derstanding how layout affects these four teamwork needs and describe how the perception of teamwork by staff changed after COVID-19 precautions were put in place. Observations, interviews and two standard surveys were conducted in two primary care clinics before COVID-19 and again in 2021 after a year of precautions. In general, staff felt more isolated and found it more difficult to conduct brief consults, though these perceptions varied by role. RNs, who spent more time on the phone, found it convenient to work part time-from home, while medical assistants found it more difficult to find providers in the distanced clinics. These cases suggest some important considera-tions for future clinic designs, including greater physical transparency that also allow for physical separation and more spaces for informal communication that are distanced from workstations

Encouraging Physical Activity Among Retirement Community Residents - The Role of Campus Commitment, Programming, Staffing, Promotion, Financing and Accreditation

Despite the well-established benefits of physical activity for older adults, seniors ages 75 and above are among the most sedentary of Americans. Continuing care retirement communities (CCRCs) seem ideal settings for creating physical activity promoting environments. We report on results of a nationally representative sample survey of CCRCs that are members of the American Association of Homes and Services for the Aging. Campuses with more physical activity opportunities on campus or in the outside community, more physical activity-related staff, better physical activity facilities and activities, more types of sources to finance the costs of physical activity, and more channels to promote physical activity tend to have more physically active residents. Campuses in which management places more importance on encouraging physical activity among residents also have more physically active residents.This project was funded by a grant from the Robert Wood Johnson Foundation

Designing Assistive Technology

Design Now: A Panel Discussion with Dr. Donald Norman, Author, Living with Complexity; Dr. Craig Zimring, Georgia Tech College of Architecture; Dr. Thad Starner, Georgia Tech College of Computing; Dr. Stephen Sprigle, Georgia Tech School of Industrial Design. Discussions of assistive technology, evidence-based and human-centered design, usability, and more.Presented at the College of Architecture Auditorium, October 4, 2013 from 2:00 pm to 3:00 pm.Runtime: 59:10 minutes.Based on the 2013 First Year Common Reading book: Living with Complexity by Donald A. Norman, MIT Press (October 29, 2010)Panel discussion at College of Architecture on technology, evidence-based design, assistive technology, human-centered design. The primary audience will include Industrial Design, Architecture, Human Computer Interaction, Computer Science, and the local ID/HCI community

A Feasibility Study on Indoor Localization and Multi-person Tracking Using Sparsely Distributed Camera Network with Edge Computing

Camera-based activity monitoring systems are becoming an attractive solution for smart building applications with the advances in computer vision and edge computing technologies. In this paper, we present a feasibility study and systematic analysis of a camera-based indoor localization and multi-person tracking system implemented on edge computing devices within a large indoor space. To this end, we deployed an end-to-end edge computing pipeline that utilizes multiple cameras to achieve localization, body orientation estimation and tracking of multiple individuals within a large therapeutic space spanning $1700m^2$, all while maintaining a strong focus on preserving privacy. Our pipeline consists of 39 edge computing camera systems equipped with Tensor Processing Units (TPUs) placed in the indoor space's ceiling. To ensure the privacy of individuals, a real-time multi-person pose estimation algorithm runs on the TPU of the computing camera system. This algorithm extracts poses and bounding boxes, which are utilized for indoor localization, body orientation estimation, and multi-person tracking. Our pipeline demonstrated an average localization error of 1.41 meters, a multiple-object tracking accuracy score of 88.6\%, and a mean absolute body orientation error of 29\degree. These results shows that localization and tracking of individuals in a large indoor space is feasible even with the privacy constrains

A tale of two capitalisms: preliminary spatial and historical comparisons of homicide rates in Western Europe and the USA

This article examines comparative homicide rates in the United States and Western Europe in an era of increasingly globalized neoliberal economics. The main finding of this preliminary analysis is that historical and spatial correlations between distinct forms of political economy and homicide rates are consistent enough to suggest that social democratic regimes are more successful at fostering the socio-cultural conditions necessary for reduced homicide rates. Thus Western Europe and all continents and nations should approach the importation of American neo-liberal economic policies with extreme caution. The article concludes by suggesting that the indirect but crucial causal connection between political economy and homicide rates, prematurely pushed into the background of criminological thought during the ‘cultural turn’, should be returned to the foreground

Evaluation report: Medical College of Georgia 3-west critical care unit

Issued as final reportMedical College of Georgia Health Inc

Atlanta parks facility assessment study (phase II)

Issued as Progress reports, nos. 1-4, and Final report, Project no. D-48-652 (subproject under D-48-648/Myers