Inpatient Telemedicine and New Models of Care during COVID-19: Hospital Design Strategies to Enhance Patient and Staff Safety
The challenges of the COVID-19 pandemic have led to the development of new hospital design strategies and models of care. To enhance staff safety while preserving patient safety and quality of care, hospitals have created a new model of remote inpatient care using telemedicine technologies. The desi...
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doaj-60c5456c1dbc4e0e946f6b4ef1ac447a2021-08-26T13:48:54ZengMDPI AGInternational Journal of Environmental Research and Public Health1661-78271660-46012021-08-01188391839110.3390/ijerph18168391Inpatient Telemedicine and New Models of Care during COVID-19: Hospital Design Strategies to Enhance Patient and Staff SafetyNirit Putievsky Pilosof0Michael Barrett1Eivor Oborn2Galia Barkai3Itai M. Pessach4Eyal Zimlichman5Cambridge Digital Innovation—CJBS & Hughes Hall, University of Cambridge, Cambridge CB1 2EW, UKCentre for Digital Built Britain, University of Cambridge, Cambridge CB3 0FA, UKWarwick Business School, University of Warwick, Coventry CV4 7AL, UKSheba Medical Center, Tel Hashomer, Ramat Gan 52621, IsraelSheba Medical Center, Tel Hashomer, Ramat Gan 52621, IsraelSheba Medical Center, Tel Hashomer, Ramat Gan 52621, IsraelThe challenges of the COVID-19 pandemic have led to the development of new hospital design strategies and models of care. To enhance staff safety while preserving patient safety and quality of care, hospitals have created a new model of remote inpatient care using telemedicine technologies. The design of the COVID-19 units divided the space into contaminated and clean zones and integrated a control room with audio-visual technologies to remotely supervise, communicate, and support the care being provided in the contaminated zone. The research is based on semi-structured interviews and observations of care processes that implemented a new model of inpatient telemedicine at Sheba Medical Center in Israel in different COVID-19 units, including an intensive care unit (ICU) and internal medicine unit (IMU). The study examines the impact of the diverse design layouts of the different units associated with the implementation of digital technologies for remote care on patient and staff safety. The results demonstrate the challenges and opportunities of integrating inpatient telemedicine for critical and intermediate care to enhance patient and staff safety. We contribute insights into the design of hospital units to support new models of remote care and suggest implications for Evidence-based Design (EBD), which will guide much needed future research.https://www.mdpi.com/1660-4601/18/16/8391inpatient telemedicinehealthcare designpatient safetystaff safetycontrol roommodel of care |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nirit Putievsky Pilosof Michael Barrett Eivor Oborn Galia Barkai Itai M. Pessach Eyal Zimlichman |
spellingShingle |
Nirit Putievsky Pilosof Michael Barrett Eivor Oborn Galia Barkai Itai M. Pessach Eyal Zimlichman Inpatient Telemedicine and New Models of Care during COVID-19: Hospital Design Strategies to Enhance Patient and Staff Safety International Journal of Environmental Research and Public Health inpatient telemedicine healthcare design patient safety staff safety control room model of care |
author_facet |
Nirit Putievsky Pilosof Michael Barrett Eivor Oborn Galia Barkai Itai M. Pessach Eyal Zimlichman |
author_sort |
Nirit Putievsky Pilosof |
title |
Inpatient Telemedicine and New Models of Care during COVID-19: Hospital Design Strategies to Enhance Patient and Staff Safety |
title_short |
Inpatient Telemedicine and New Models of Care during COVID-19: Hospital Design Strategies to Enhance Patient and Staff Safety |
title_full |
Inpatient Telemedicine and New Models of Care during COVID-19: Hospital Design Strategies to Enhance Patient and Staff Safety |
title_fullStr |
Inpatient Telemedicine and New Models of Care during COVID-19: Hospital Design Strategies to Enhance Patient and Staff Safety |
title_full_unstemmed |
Inpatient Telemedicine and New Models of Care during COVID-19: Hospital Design Strategies to Enhance Patient and Staff Safety |
title_sort |
inpatient telemedicine and new models of care during covid-19: hospital design strategies to enhance patient and staff safety |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1661-7827 1660-4601 |
publishDate |
2021-08-01 |
description |
The challenges of the COVID-19 pandemic have led to the development of new hospital design strategies and models of care. To enhance staff safety while preserving patient safety and quality of care, hospitals have created a new model of remote inpatient care using telemedicine technologies. The design of the COVID-19 units divided the space into contaminated and clean zones and integrated a control room with audio-visual technologies to remotely supervise, communicate, and support the care being provided in the contaminated zone. The research is based on semi-structured interviews and observations of care processes that implemented a new model of inpatient telemedicine at Sheba Medical Center in Israel in different COVID-19 units, including an intensive care unit (ICU) and internal medicine unit (IMU). The study examines the impact of the diverse design layouts of the different units associated with the implementation of digital technologies for remote care on patient and staff safety. The results demonstrate the challenges and opportunities of integrating inpatient telemedicine for critical and intermediate care to enhance patient and staff safety. We contribute insights into the design of hospital units to support new models of remote care and suggest implications for Evidence-based Design (EBD), which will guide much needed future research. |
topic |
inpatient telemedicine healthcare design patient safety staff safety control room model of care |
url |
https://www.mdpi.com/1660-4601/18/16/8391 |
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