Healthcare Design - November 2014 - 96

and, as a result, reduce patient harm and help
owners improve reimbursement results. For
example, most HAIs, like CAUTI and CLABSI,
are transmitted by caregivers who have contact
with contaminated patients and surfaces. Often,
without washing their hands, they'll go on to
touch other patients or objects (door knobs, light
switches, bed rails, over-bed tables), contaminating each surface. When others touch the
same surfaces, the offending pathogens are
spread. Designers can facilitate hand hygiene
through the placement of highly visible and
accessible sinks and alcohol-gel dispensers to
improve handwashing compliance. In addition, in the selection of materials and design of

Goal: Preventing healthcareassociated infections

Design solutions

Facilitate hand sanitization

‡ Visible and accessible sinks, alcohol-gel dispensers
‡ Hands-free technology for sinks
‡ Electronic reminders

Easy-to-clean surfaces, fixtures,
equipment, and accessories

‡ High-touch surfaces that are smooth and nonporous, and
have minimal surface joints and seams
‡ Sink design to reduce splashing
‡ Cleaning requirements based on CDC 2003 recommendations

Filtered air contaminates

‡ HEPA (high-efficiency particulate air)
‡ UVGI (ultraviolet germicidal irradiation)

Enable patient mobility without
harm

‡ Clearances between the bed, chair, wheelchair, and equipment
‡ Barrier-free access to the bathroom, including a visible
bathroom door, large bathroom door openings, flush flooring
transition, grab bars and handrails, and ceiling-mounted lifts
from the bed to the bathroom
‡ Furniture that's sturdy and stable, chairs with seats of appropriate height for patient size, full-length armrests, space
beneath chairs to support foot changes, and no sharp edges to
injure patients if they fall
‡ Flooring that's stable, firm, and slip-resistant; has minimal
joints; is low in reflectance value; and has low-contrast patterns

surfaces, it's important to enable the proper
cleaning protocols for high-touch areas.
Reducing the number of hip fractures that occur during a hospitalization is among the AHRQ
safety problems targeted in the PSI composite
measure. These fractures typically occur
when a patient falls, which for most patients
happens when they move from the bed to
the bathroom without assistance. There are

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96

HCDmagazine.com 11.14



http://www.accuratelockandhardware.com http://www.HCDmagazine.com

Healthcare Design - November 2014

Table of Contents for the Digital Edition of Healthcare Design - November 2014

Contents
Healthcare Design - November 2014 - Cover1
Healthcare Design - November 2014 - Cover2
Healthcare Design - November 2014 - 1
Healthcare Design - November 2014 - 2
Healthcare Design - November 2014 - 3
Healthcare Design - November 2014 - Contents
Healthcare Design - November 2014 - 5
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Healthcare Design - November 2014 - Cover3
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