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- Learning Organization
Naik G. The Wall Street Journal. May 8, 2006:A1.
This article reports on innovations implemented at a Wisconsin hospital to improve patient safety and how other institutions are redesigning their hospitals with safety in mind.
Hollnagel E, Woods DD, Leveson NG, eds. Aldershot, England: Ashgate Publishing; 2006. ISBN: 0754646416.
This book explores how organizations and individuals must anticipate risk and continuously adapt to the complexity of their work environments to prevent failure.
Journal Article > Study
Does patient-centered design guarantee patient safety?: Using human factors engineering to find a balance between provider and patient needs.
France DJ, Throop P, Walczyk B, et al. J Patient Safety. 2005;1:145-153.
This study evaluated the impact of a newly designed children's hospital on patient safety and job function. The investigators begin with a detailed discussion of the contextual factors involved in their hospital redesign, drawing on human factors approaches in safety interventions. They follow by presenting their hospital design process, sharing both unit and floor layouts aimed to ensure family-centered ideals. Results from the 270 clinical faculty and staff surveys suggested that the majority reported a better overall new facility, more efficient information and patient flow, and high ratings for work environment factors such as lighting and equipment availability. However, providers in intensive care settings expressed concern about the negative impact new designs played in team communications, rates of interruptions, and work processes. As perhaps expected, the findings demonstrated many benefits and some unanticipated consequences of the redesign efforts but ultimately reinforced the need for human factors expertise.