Security Implications of Physical Design Attributes in the Emergency Department

HERD
Debajyoti PatiThomas E Harvey

Abstract

Security, a subset of safety, is equally important in the efficient delivery of patient care. The emergency department (ED) is susceptible to violence creating concerns for the safety and security of patients, staff, and visitors and for the safe and efficient delivery of care. Although there is an implicit and growing recognition of the role of the physical environment, interventions typically have been at the microlevel. The objective of this study was to identify physical design attributes that potentially influence safety and efficiency of ED operations. An exploratory, qualitative research design was adopted to examine the efficiency and safety correlates of ED physical design attributes. The study comprised a multimeasure approach involving multidisciplinary gaming, semistructured interviews, and touring interviews of frontline staff in four EDs at three hospital systems across three states. Five macro physical design attributes (issues that need to be addressed at the design stage and expensive to rectify once built) emerged from the data as factors substantially associated with security issues. They are design issues pertaining to (a) the entry zone, (b) traffic management, (c) patient room clustering, (d) centralizatio...Continue Reading

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Citations

Oct 16, 2016·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Ambrose Hon-Wai WongMaureen Gang
Feb 6, 2018·Ergonomics·M C Emre SimseklerP John Clarkson
Jan 21, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Andrew R KettererAmer Z Aldeen
Jan 16, 2019·The Western Journal of Emergency Medicine·Andrew R KettererMatthew Pirotte
Jun 2, 2021·BMC Nursing·Hamidreza MokaramiAlireza Choobineh
Jul 10, 2021·International Journal of Qualitative Studies on Health and Well-being·Susanna NordinMarie Elf

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