The Patient Room: what is the ideal solution? - Cornell University

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HOT TOPIC1: INFECTION CONTROL 12
Patient Room and Infection Control Single-bed rooms are not being built exclusively for patient satisfaction, though this is a factor. There is a wide body of research available that says single rooms reduce infection rates. The most commonly mentioned types of infections are nosocomial, or hospital-acquired infections. The motivation is simple, a patient is allowed a specific and often certain amount of money for their hospital stay based on their diagnosis. If, while an inpatient, they happen to develop an infection and need to stay an extra few days or week, the hospital gets paid the same amount. This is a huge incentive to do whatever possible to avoid nosocomial infections. It has been said that water fixtures such as sinks, faucets, showers, and toilets have been seen as potential sites for pathogenic microorganisms (HERD Journal 2008). While classically these fixtures were in a single, separate bathroom within the patient room that is not necessarily the case anymore. There are now some rooms being built with sinks exposed in them right in the room so that caregivers have a convenient and obvious place to wash their hands. While this may seem a threat it should also be noted that instead of several people sharing a bathroom that cannot possibly be completely disinfected every time one of them uses it , a single patient is now using the facilities. This does not, however, protect against the nurse, physician, or family member who uses the sink after interacting with many different people and patients. It should be noted that empirical evidence linking these fixtures to nosocomial infections is limited (HERD Journal 2008). However, just because there is no specific evidence does not mean that these should be ignored. If there is the potential to harbor bacteria then it is clearly something to be addressed and considered. 13
Page 1 and 2: Design Dilemma DEA 4350 November 8t
Page 3 and 4: Executive Summary DEA 4530/6530 Pla
Page 6 and 7: The Patient Room: a complicated web
Page 8 and 9: History of Patient Rooms Historical
Page 10 and 11: History of Patient Rooms What happe
Page 14 and 15: Patient Room and Infection Control
Page 16 and 17: Airborne Infection: Patient Room an
Page 18 and 19: How do these issues impact the admi
Page 20 and 21: Patient Room and Infection Control
Page 22 and 23: HOT TOPIC 2: SINGLE VS. MULTI-PATIE
Page 24 and 25: Why so much building Activity? •
Page 26 and 27: "With what we are learning about th
Page 28 and 29: New York City Construction Costs: i
Page 30 and 31: Single Patient Room and Safety What
Page 32 and 33: Single Patient Rooms and Safety: In
Page 34 and 35: Single Patient Room and Increased P
Page 36 and 37: Single Patient Room and Communicati
Page 38 and 39: Single Patient Room and Patient Sat
Page 40 and 41: Single Patient Room and Layout Comp
Page 42 and 43: Single Patient Room and Social Isol
Page 44 and 45: HOT TOPIC 3: EVIDENCE BASED DESIGN
Page 46 and 47: A closer look at Evidence-Based Des
Page 48 and 49: (Healthcare Design, 2006) Evidence-
Page 50 and 51: Evidence-Based Design: A Homelike A
Page 52 and 53: The Ideal Patient Room: proposed so
Page 54 and 55: To compensate for insufficient fund
Page 56: Safety, efficiency, and ease on sta
Page 59 and 60: esonance/ Resources continued: Inst

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