Creating the ICU of the future: patient-centred design to optimise recovery

Critical Care

Research

Robert Holdsworth¹  Dylan Flaws²  John F. Fraser³  Oystein Tronstad⁴  Sue Patterson⁵ 

[1] Critical Care Research Group, The Prince Charles Hospital, Level 3 Clinical Sciences Building, 4032, Chermside, QLD, Australia;Critical Care Research Group, The Prince Charles Hospital, Level 3 Clinical Sciences Building, 4032, Chermside, QLD, Australia;Department of Mental Health, Metro North Mental Health, Caboolture Hospital, Caboolture, QLD, Australia;School of Clinical Sciences, Queensland University of Technology, Brisbane, QLD, Australia;Critical Care Research Group, The Prince Charles Hospital, Level 3 Clinical Sciences Building, 4032, Chermside, QLD, Australia;Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia;Critical Care Research Group, The Prince Charles Hospital, Level 3 Clinical Sciences Building, 4032, Chermside, QLD, Australia;Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia;Physiotherapy Department, The Prince Charles Hospital, Brisbane, QLD, Australia;Critical Care Research Group, The Prince Charles Hospital, Level 3 Clinical Sciences Building, 4032, Chermside, QLD, Australia;School of Dentistry, University of Queensland, Brisbane, QLD, Australia;

关键词: Acoustics;    Environment;    ICU;    Light;    Noise;    Redesign;    Technology;   

DOI  :  10.1186/s13054-023-04685-2

 received in 2023-09-05, accepted in 2023-10-13,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundIntensive Care survival continues to improve, and the number of ICU services is increasing globally. However, there is a growing awareness of the detrimental impact of the ICU environment on patients, families, and staff. Excessive noise and suboptimal lighting especially have been shown to adversely impact physical and mental recovery during and after an ICU admission. Current ICU designs have not kept up with advances in medical technology and models of care, and there is no current ‘gold-standard’ ICU design. Improvements in ICU designs are needed to optimise care delivery and patient outcomes.MethodsThis manuscript describes a mixed-methods, multi-staged participatory design project aimed at redesigning and implementing two innovative ICU bedspaces. Guided by the action effect method and the consolidated framework for implementation research, the manuscript describes the processes taken to ensure the patient-centred problems were properly understood, the steps taken to develop and integrate solutions to identified problems, and the process of implementation planning and rebuilding in a live ICU.ResultsTwo innovative ICU bedspaces were rebuilt and implemented. They feature solutions to address all identified problems, including noise reduction, optimisation of lighting, access to nature via digital solutions, and patient connectivity and engagement, with solutions developed from various specialty fields, including IT improvements, technological innovations, and design and architectural solutions. Early evaluation demonstrates an improved lighting and acoustic environment.ConclusionsOptimising the ICU bedspace environment and improving the lighting and acoustic environment is possible. The impact on patient outcomes needs to be evaluated.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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