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    A Decade of Adult Intensive Care Unit Design: A Study of the Physical Design Features of the Best‐Practice Examples

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    2006_Rashid_CCNQ.pdf (717.2Kb)
    Issue Date
    2006-10-01
    Author
    Rashid, Mahbub
    Publisher
    Lippincott, Williams & Wilkins
    Type
    Article
    Article Version
    Scholarly/refereed, author accepted manuscript
    Published Version
    http://journals.lww.com/ccnq/pages/articleviewer.aspx?year=2006&issue=10000&article=00003&type=abstract
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    Abstract
    This article reports a study of the physical design characteristics of a set of adult intensive care units (ICUs), built between 1993 and 2003. These ICUs were recognized as the best-practice examples by the Society of Critical Care Medicine, the American Association of Critical Care Nurses, and the American Institute of Architects. This study is based on a systematic analysis of the materials found on these ICUs in the booklet and videos jointly published by the above organizations in 2005. The study finds that most of these examples of best-practice adult ICUs have the following negative characteristics: (1) they are built as renovation projects with more health and safety hazards during construction; (2) most of them are mixed-service units with more safety and staffing problems; (3) the overall layout and the layout of staff work areas in these ICUs do not have any common design solutions for improved patient and staff outcomes; and (4) in these ICUs, family space is often located outside the unit, and family access to the patient room is restricted, even though family presence at the bedside may be important for improved patient outcomes. Some of these negative characteristics are offset by the following positive characteristics in most ICUs: (1) they have only private patient rooms for improved patient care, safety, privacy, and comfort; (2) most patient beds are freestanding for easy access to patients from all sides; (3) they have handwashing sinks and waste disposal facilities in the patient room for improved safety; and (4) most patient rooms have natural light to help patients with circadian rhythms. The article discusses, in detail, the implications of its findings, and the role of the ICU design community in a very complicated design context.
    Description
    This is the author's accepted manuscript. The original publication is available is available at http://journals.lww.com/ccnq/pages/default.aspx.
    URI
    http://hdl.handle.net/1808/18035
    Collections
    • Architecture & Design Scholarly Works [70]
    Citation
    Rashid, Mahbub. (2006). "A Decade of Adult Intensive Care Unit Design: A Study of the Physical Design Features of the Best‐Practice Examples." Critical Care Nursing Quarterly, 29(4):282-311.

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    KU Libraries
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    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
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    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

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