Overview
Increasingly, hospitals are faced with caring for patients with medical conditions who may also have a diagnosed or undiagnosed mental health condition (comorbidities). Studies suggest that people diagnosed with a serious or chronic medical illness (e.g., cancer, cardiovascular disease, metabolic issues, inflammatory and neurological disorders) will often experience mental and behavioral health issues as well. Non-psychiatric healthcare environments such as medical-surgical patient rooms can be designed to support the needs of patients with mental health comorbidities.
Each organization will need to balance priorities and evaluate risk to establish an appropriate solution to meet specific care models, address anticipated patient acuity, and comply with regulatory performance standards. Evidence-based decisions for medical-behavioral rooms to address the prevalence and range of comorbidities should focus on a therapeutic design aesthetic that also supports safety and high quality medical care for all.
In these diagrams, strategies that are focused solely on safety are indicated as such with an S
Click on one of the dots or the thumbnails below to learn more
- Layout (Overall); Space Configuration
- Layout-Caregiver/ Clinical Staff Zone
- Layout-Patient Zone
- Layout-Family Zone
- Sound-Masking Equipment
- Flooring
- Walls
- Ceiling
- Windows
- Doors
- HVAC
- Electrical
- Lighting
- Fixtures/ Equipment/ Appliances/ Accessories
- Furniture
- Casework/ Storage
- Patient Handling/ Movement Equipment
- Technology/ Internet/ Communication/ Monitoring Equipment
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Layout (Overall); Space Configuration
Desirable OutcomeMinimize stigmaDesirable OutcomeEnhanced securityDesign StrategiesDesirable OutcomeCaregiver health/support/respiteDesign Strategies- Maximize daylight and views of nature citation
Desirable OutcomeCaregiver safety; minimize risk of physical injuryDesign StrategiesDesirable OutcomeCommunication/ interaction with care provider/ emergency careDesign Strategies- Features that support patient visibility citation
Desirable OutcomeCommunication; staff to staffDesign Strategies- Features that support patient visibility citation
Desirable OutcomeEfficient delivery of careDesirable OutcomeSafe delivery of careDesirable OutcomeMinimize patient stress/anxietyDesign Strategies- Non-institutional/homelike aesthetics that feel welcoming and secure citation
- Single-patient rooms citation
- Discreet safety/security features that reinforce safety without compromising experience citation
- Well-organized, orderly spaces citation
- Minimize sensory stimulation (e.g., glare, noise, odors) citation
- Features that support patient visibility citation
- Maximize daylight and views of nature citation
Desirable OutcomePatient control/ independenceDesirable OutcomePatient satisfactionDesign Strategies- Non-institutional/homelike aesthetics that feel welcoming and secure citation
- Single-patient rooms citation
- Discreet safety/security features that reinforce safety without compromising experience citation
- Well-maintained features and environment citation
- Well-organized, orderly spaces citation
- Opportunities to personalize the room citation
Desirable OutcomePatient comfortDesirable OutcomePsychosocial supportDesirable OutcomeImproved patient engagementDesirable OutcomeImproved family presence and engagement in patient careDesign Strategies- Non-institutional/homelike aesthetics that feel welcoming and secure citation
Desirable OutcomeEnhanced privacyDesign Strategies- Single-patient rooms citation
Desirable OutcomeImproved sleep qualityDesign Strategies- Maximize daylight and views of nature citation
Desirable OutcomeReduced noiseDesirable OutcomeSafety; fall/injury prevention and improved mobilityDesign Strategies- Features that support patient visibility citation
Desirable OutcomeSafety; Infection prevention/controlDesign Strategies- Single-patient rooms citation
Desirable OutcomeSafety; minimize risk of injuryDesign Strategies- Features that support patient visibility citation
Desirable OutcomeSafety; reduce risk of harm to self or harm to othersDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
- Single-patient rooms citation
- Provide adequate space for additional staff when required (e.g.,, to assist patient to bathroom) citation
- Features that support patient visibility citation
- Clear/consistent line of sight throughout the entire room (e.g.,, no blind corners or hiding places; first means of egress, etc.) citation
- Consider outboard toilet for staff visibility citation
- Features that support patient visibility citation
Desirable OutcomeEnhanced durabilityDesign Strategies- Well-maintained features and environment citation
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Layout-Caregiver/ Clinical Staff Zone
Desirable OutcomeMinimize stigmaDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
Desirable OutcomeEnhanced securityDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
Desirable OutcomeCaregiver safety; minimize risk of physical injuryDesirable OutcomeSafe delivery of careDesign Strategies- Promote first means of egress from staff zone citation
Desirable OutcomeMinimize patient stress/anxietyDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
Desirable OutcomePatient satisfactionDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
Desirable OutcomeSafety; minimize risk of injuryDesign Strategies- Features that support patient visibility citation
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Layout-Patient Zone
Desirable OutcomeMinimize stigmaDesign Strategies- Non-institutional/homelike aesthetics that feel welcoming and secure citation
- Discreet safety/security features that reinforce safety without compromising experience citation
- Well-organized, maintained, and orderly spaces citation
- Movable furniture that maximizes patient control without sacrificing safety citation
- Therapeutic furniture that patients can rock slightly (e.g., glider chair and ottoman) citation
- Provide options/opportunities for patient personalization citation
Desirable OutcomeEnhanced securityDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
- Provide adequate space for additional staff when required (e.g.,, to assist patient to bathroom) citation
- Clear/consistent line of sight throughout the entire room (e.g.,, no blind corners or hiding places; first means of egress, etc.) citation
Desirable OutcomeCaregiver health/ support/respiteDesign Strategies- Maximize daylight and views of nature citation
Desirable OutcomeCaregiver safety; minimize risk of physical injuryDesign Strategies- Space to store appropriate pull-out equipment and furniture (e.g., workstation, patient monitoring) citation
Desirable OutcomeEfficient delivery of careDesign Strategies- Well-organized, maintained, and orderly spaces citation
Desirable OutcomeSafe delivery of careDesign Strategies- Provide adequate space for additional staff when required (e.g.,, to assist patient to bathroom) citation
- ADA compliant clearances citation
- Movable furniture that maximizes patient control without sacrificing safety citation
- Features that support patient visibility citation
- Clear/consistent line of sight throughout the entire room (e.g.,, no blind corners or hiding places; first means of egress, etc.) citation
Desirable OutcomeMinimize patient stress/anxietyDesign Strategies- Non-institutional/homelike aesthetics that feel welcoming and secure citation
- Discreet safety/security features that reinforce safety without compromising experience citation
- Well-organized, maintained, and orderly spaces citation
- Positive distractions (e.g.,, outdoor views, art, television, information wall, etc.) citation
- Bed positioned for view out window citation
- Features that support patient visibility citation
- Maximize daylight and views of nature citation
Desirable OutcomePatient control/ independenceDesign Strategies- Well-organized, maintained, and orderly spaces citation
- Doorless storage cubbies for clothing and personal items citation
- Movable furniture that maximizes patient control without sacrificing safety citation
- Therapeutic furniture that patients can rock slightly (e.g., glider chair and ottoman) citation
- Affordances for autonomy/spontaneity (e.g., appropriate level of access to technology, food options, nature) citation
- Single-patient rooms citation
Desirable OutcomePatient satisfactionDesign Strategies- Non-institutional/homelike aesthetics that feel welcoming and secure citation
- Discreet safety/security features that reinforce safety without compromising experience citation
- Well-organized, maintained, and orderly spaces citation
- Single-patient rooms citation
- Curved surfaces (e.g.,, walls, casework, counters, etc.) to minimize dust and debris citation
- Affordances for autonomy/spontaneity (e.g., appropriate level of access to technology, food options, nature) citation
Desirable OutcomePatient comfortDesign Strategies- Non-institutional/homelike aesthetics that feel welcoming and secure citation
- Positive distractions (e.g.,, outdoor views, art, television, information wall, etc.) citation
- Bed positioned for view out window citation
- Provide options/opportunities for patient personalization
- Maximize daylight and views of nature citation
Desirable OutcomePsychosocial supportDesign Strategies- Single-patient rooms citation
Desirable OutcomeImproved patient engagementDesirable OutcomeImproved family presence and engagement in patient careDesign Strategies- Non-institutional/homelike aesthetics that feel welcoming and secure citation
Desirable OutcomeImproved sleep qualityDesign Strategies- Maximize daylight and views of nature citation
Desirable OutcomeSafety; fall/injury prevention and improved mobilityDesign Strategies- Features that support patient visibility citation
Desirable OutcomeSafety; minimize risk of injuryDesign Strategies- Features that support patient visibility citation
Desirable OutcomeSafety; reduce risk of harm to self or harm to othersDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
- Provide adequate space for additional staff when required (e.g.,, to assist patient to bathroom) citation
- Features that support patient visibility citation
- Space to store appropriate pull-out equipment and furniture (e.g., workstation, patient monitoring) citation
- Ligature-resistant features (e.g.,, lacking points for looped or tied attachments) S citation
- ADA compliant clearances citation
- Features that support patient visibility citation
- Clear/consistent line of sight throughout the entire room (e.g.,, no blind corners or hiding places; first means of egress, etc.) citation
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Layout-Family Zone
Desirable OutcomeEnhanced securityDesign Strategies- Family/visitor zone should be visible and easily accessible by staff citation
Desirable OutcomePsychosocial supportDesign Strategies- Family/visitor zone should support family participation citation
Desirable OutcomeImproved patient engagementDesign Strategies- Family/visitor zone should support family participation citation
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Sound-Masking Equipment
Desirable OutcomeCommunication/ interaction with care provider/ emergency careDesirable OutcomeImproved Job satisfactionDesign Strategies- Positive distractions (e.g., nature sounds) citation
Desirable OutcomeMinimize patient stress/anxietyDesirable OutcomePatient control/ independenceDesign Strategies- White noise generator with patient-controlled volume to curb unwanted noise citation
Desirable OutcomePatient recoveryDesign Strategies- Positive distractions (e.g., nature sounds) citation
Desirable OutcomePatient satisfactionDesirable OutcomePsychosocial supportDesign Strategies- Minimize sensory stimulation citation
Desirable OutcomeEnhanced privacyDesign Strategies- High-performance, sound-absorbing flooring citation
Desirable OutcomeReduced noiseDesirable OutcomeSafety; reduce risk of harm to self or harm to othersDesign Strategies- Avoid materials that are breakable, toxic, flame retardant, or can cause suffocation S citation
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Flooring
Desirable OutcomeMinimize stigmaDesirable OutcomeCommunication/ interaction with care provider/ emergency careDesign Strategies- High-performance, sound-absorbing flooring citation
Desirable OutcomeMinimize patient stress/anxietyDesirable OutcomePatient satisfactionDesign Strategies- High-performance, sound-absorbing flooring citation
- Homelike aesthetics such as wood-grain pattern sheet vinyl flooring
Desirable OutcomePatient comfortDesign Strategies- Damage-resistant materials that are easily repaired or replaced citation
Desirable OutcomeEnhanced privacyDesign Strategies- High-performance, sound-absorbing flooring citation
Desirable OutcomeReduced noiseDesirable OutcomeSafety; fall/injury prevention and improved mobilityDesign Strategies- Low reflectance value (LRV) of finish material to minimize glare S citation
- Stable, firm, and slip-resistant materials S
- Flush flooring transitions citation
- Minimum joints and seams to ensure that sharp-edged objects (e.g., walking sticks, heels) do not cause trips
- Low contrast flooring patterns citation
- Minimum changes between flooring types within the room citation
Desirable OutcomeSafety; reduce risk of harm to self or harm to othersDesirable OutcomeEnhanced durabilityDesign Strategies- Seamless epoxy or sheet vinyl flooring with integral (coved preferred) wall bases S citation
Desirable OutcomeSafety; Infection prevention/controlDesign Strategies- Smooth surfaces, with minimum perforations and crevices
- Minimum ridges or reveals that could serve as dust collectors
- Joints and seams treated for easy cleaning/maintenance
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Walls
Desirable OutcomeMinimize StigmaDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
- Avoid monochromatic, bland color schemes, “institutional green.” Consider soothing, warm blue tones or other color pallets with similar value and intensity. citation
- Wall-mounted panels with nature scenes to supplement window views citation
- Soothing colors to contribute to the homelike aesthetic citation
- Consider homelike decor (e.g.,, soothing color accent wall, wood grain textured wainscoting panels) citation
- Option to conceal headwall gas and power behind lockable sliding door/panel
Desirable OutcomeEnhanced securityDesirable OutcomeCaregiver safety; minimize risk of physical injuryDesirable OutcomeImproved Job satisfactionDesign Strategies- Positive distractions (e.g.,, outdoor views, art, television, information wall, etc.) citation
Desirable OutcomeMinimize patient stress/anxietyDesign Strategies- Nature art and prints citation
- Discreet safety/security features that reinforce safety without compromising experience citation
- Positive distractions (e.g.,, outdoor views, art, television, information wall, etc.) citation
- Avoid monochromatic, bland color schemes, “institutional green.” Consider soothing, warm blue tones or other color pallets with similar value and intensity. citation
- Minimize sensory stimulation (e.g., glare, noise, odors) citation
- Positive distractions (e.g.,, outdoor views, art, television, information wall, etc.) citation
Desirable OutcomePatient control/ independenceDesirable OutcomePatient recoveryDesign Strategies- Positive distractions (e.g.,, outdoor views, art, television, information wall, etc.) citation
Desirable OutcomePatient satisfactionDesign Strategies- Positive distractions (e.g.,, outdoor views, art, television, information wall, etc.) citation
- Discreet safety/security features that reinforce safety without compromising experience citation
- Opportunities to personalize the room citation
- Avoid monochromatic, bland color schemes, “institutional green.” Consider soothing, warm blue tones or other color pallets with similar value and intensity. citation
Desirable OutcomePatient comfortDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
- Positive distractions (e.g.,, outdoor views, art, television, information wall, etc.) citation
- Damage-resistant materials that are easily repaired or replaced citation
- Avoid monochromatic, bland color schemes, “institutional green.” Consider soothing, warm blue tones or other color pallets with similar value and intensity. citation
Desirable OutcomePsychosocial supportDesirable OutcomeReduced noiseDesirable OutcomeSafety; fall/injury prevention and improved mobilityDesign Strategies- Avoid handrails if programmatically possible, or provide ligature resistant handrails (e.g., closed-bottom) S citation
Desirable OutcomeSafety; reduce risk of harm to self or harm to othersDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
- Minimize ligature points S citation
- Avoid objects, fixtures, and furniture which might be used as weapons S citation
- Avoid clothes hooks if programmatically possible, or provide ligature resistant clothes hooks S citation
- Avoid curtain rods if programmatically possible, or provide collapsible curtain rods S citation
- Avoid handrails if programmatically possible, or provide ligature resistant handrails (e.g., closed-bottom) S citation
- Avoid materials that are breakable, toxic, flame retardant, or can cause suffocation S citation
- Ligature resistant alternative to wall-mounted alcohol-based hand rub (ABHR) dispensers S citation
- Ligature resistant alternatives to wall-mounted equipment (e.g.,, flush-mounted or recessed behind lockable casework workstations, medical devices, equipment, etc.) S citation
- Wall mounted items should avoid glass, protruding edges, or exposed corners S citation
- Cover plates and receptacles free from protruding edges, exposed corners, and screws that can be tampered with S citation
- Wall-mounted panels with nature scenes to supplement window views citation
- Curb noise with durable sound-absorbing plaster wall and ceiling finish systems citation
- Damage-resistant materials that are easily repaired or replaced citation
- Flush-mounted integrated marker boards/smartboard technology citation
- Recessed soap dispenser at hand hygiene sink citation
- Option to conceal headwall gas and power behind lockable sliding door/panel
Desirable OutcomeSafety; infection control/preventionDesign Strategies- Smooth surfaces, with minimum perforations and crevices
- Minimum ridges or reveals that could serve as dust collectors
- Joints and seams treated for easy cleaning/maintenance
- Wipeable, washable, easy-to-clean/disinfect high-touch surfaces with minimal joints/seams citation
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Ceiling
Desirable OutcomeMinimize StigmaDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
Desirable OutcomeEnhanced securityDesirable OutcomeCaregiver safety; minimize risk of physical injuryDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
Desirable OutcomeMinimize patient stress/anxietyDesirable OutcomePatient control/ independenceDesirable OutcomePatient satisfactionDesirable OutcomeImproved patient engagementDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
Desirable OutcomeEnhanced privacyDesign Strategies- High performance sound-absorbing ceiling citation
Desirable OutcomeReduced noiseDesirable OutcomeSafety; reduce risk of harm to self or harm to othersDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
- Minimize ligature points S citation
- Ligature resistant fire sprinklers S citation
- Ligature resistant ceiling lights S citation
- Discreet safety/security features that reinforce safety without compromising experience citation
- Avoid privacy curtain if programmatically possible, or provide collapsible curtain rails citation
- Use alternative to suspended ceiling (e.g.,, monolithic ceiling surface) to restrict ceiling space access S citation
- Avoid materials that are breakable, toxic, flame retardant, or can cause suffocation S citation
- Ligature resistant alternative to non-recessed life safety devices (e.g.,, chimes, strobes, pull station, smoke detectors, sprinkler heads, fire extinguishers, hose cabinets, etc.) S citation
- Ligature resistant alternative to non-recessed monitoring, communication, and access equipment (e.g.,, speakers, cameras, phone, access card readers, wireless access points, etc.) S citation
- Use alternative to suspended ceiling (e.g.,, monolithic ceiling surface) to restrict ceiling space access S citation
- Consider ligature resistant features and minimize ligatures points S citation
- Curb noise with durable sound-absorbing plaster wall and ceiling finish systems citation
Desirable OutcomeSafety; infection control/preventionDesign Strategies- Smooth surfaces, with minimum perforations and crevices
- Minimum ridges or reveals that could serve as dust collectors
- Joints and seams treated for easy cleaning/maintenance
Desirable OutcomeEnhanced durabilityDesign Strategies- Avoid objects, fixtures, and furniture which might be used as weapons S citation
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Windows
Desirable OutcomeMinimize stigmaDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
- Options for patient-controlled lighting and privacy (e.g., dimmers, integral blinds) citation
- Solid, cordless window treatments or glazing without any strings or chains (or shades should be between glass panes) citation
- Avoid using correctional-style view panels in patient room doors citation
- Maximize daylight and views of nature citation
Desirable OutcomeEnhanced securityDesirable OutcomeCaregiver health/support/respiteDesign Strategies- Maximize daylight and views of nature citation
Desirable OutcomeCaregiver safety; minimize risk of physical injuryDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
- Avoid objects, fixtures, and furniture which might be used as weapons S citation
- Unbreakable glass in windows S citation
- Clear/consistent line of sight throughout the entire room (e.g.,, no blind corners or hiding places; first means of egress, etc.) citation
Desirable OutcomeImproved Job satisfactionDesign Strategies- Maximize daylight and views of nature citation
Desirable OutcomeMinimize patient stress/anxietyDesirable OutcomePatient control/ independenceDesign Strategies- Options for patient-controlled lighting and privacy (e.g., dimmers, integral blinds) citation
Desirable OutcomePatient recoveryDesign StrategiesDesirable OutcomePatient satisfactionDesirable OutcomePatient comfortDesirable OutcomeEnhanced privacyDesign Strategies- Integral blinds citation
Desirable OutcomeImproved sleep qualityDesign Strategies- Maximize daylight and views of nature citation
Desirable OutcomeReduced noiseDesign Strategies- Minimize sensory stimulation (e.g., glare, noise, odors) citation
Desirable OutcomeSafety; reduce risk of harm to self or harm to othersDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
- Minimize ligature points S citation
- Avoid objects, fixtures, and furniture which might be used as weapons S citation
- Avoid curtain rods S citation
- Unbreakable glass in windows citation
- Integral blinds S citation
- Window hardware and treatments that are both ligature resistant and non-institutional S citation
- Clear/consistent line of sight throughout the entire room (e.g.,, no blind corners or hiding places; first means of egress, etc.) citation
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Doors
Desirable OutcomeMinimize stigmaDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
- Avoid monochromatic, bland color schemes and “institutional green” citation
- Sliding door to bathroom (not pocket) with top sliding track inset within wall with no access to top of door, and receiving wall on patient room side citation
- Select doors with homelike aesthetic (e.g.,, wood instead of metal) citation
Desirable OutcomeAccessibility; ease of useDesign Strategies- Non-protruding wing door handles that do not allow patient to maintain grasp to prevent staff from entering room citation
Desirable OutcomeEnhanced securityDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
- Minimize ligature points S citation
- Avoid objects, fixtures, and furniture which might be used as weapons S citation
- Avoid hold-open devices and self-closers S citation
- Features that support patient visibility citation
Desirable OutcomeCaregiver safety; minimize risk of physical injuryDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
- Avoid objects, fixtures, and furniture which might be used as weapons S citation
- Doors open in both directions or only to outside (or alternative anti-barricade strategies) S citation
- Features that support patient visibility citation
Desirable OutcomeCommunication/ interaction with care provider/ emergency careDesign Strategies- Features that support patient visibility citation
Desirable OutcomeCommunication; staff to staffDesign Strategies- Features that support patient visibility citation
Desirable OutcomeEfficient delivery of careDesign Strategies- Doors open in both directions or only to outside (or alternative anti-barricade strategies) citation
Desirable OutcomeSafe delivery of careDesirable OutcomeMinimize patient stress/anxietyDesirable OutcomePatient satisfactionDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
Desirable OutcomePatient comfortDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
Desirable OutcomeEnhanced privacyDesign Strategies- Solid core wood door to reduce noise citation
Desirable OutcomeSafety; fall/injury prevention and improved mobilityDesign Strategies- Features that support patient visibility citation
Desirable OutcomeSafety; reduce risk of harm to self or harm to othersDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
- Minimize ligature points S citation
- Avoid objects, fixtures, and furniture which might be used as weapons S citation
- Non-protruding wing doorknobs that do not allow patient to maintain grasp to prohibit staff from entering the room citation
- Ligature resistant door hinges (e.g.,, continuous “piano” style that extend from top to bottom) S citation
- Doors open in both directions or only to outside (or alternative anti-barricade strategies) citation
- All lockable patient doors allow emergency access S citation
- Ligature resistant door to bathroom S citation
- Door closing devices, if used, should be on the public-facing side of the door S citation
- Ligature resistant door hinges (e.g.,, continuous “piano” style that extend from top to bottom) S citation
- Sliding doors should have stainless-steel recessed pull and concealed track S citation
- Features that support patient visibility citation
- Avoid door swing conflicts (e.g.,, inward-swinging door from corridor and an outward-swinging bathroom door) citation
- Sliding door to bathroom (not pocket) with top sliding track inset within wall with no access to top of door, and receiving wall on patient room side S citation
Desirable OutcomeSafety; infection control/preventionDesign Strategies- Smooth surfaces, with minimum perforations and crevices
- Minimum ridges or reveals that could serve as dust collectors
- Joints and seams treated for easy cleaning/maintenance
- Wipeable, washable, easy-to-clean/disinfect high-touch surfaces with minimal joints/seams citation
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HVAC
Desirable OutcomeEnhanced securityDesign Strategies- Minimize ligature points S citation
Desirable OutcomeEfficient delivery of careDesign Strategies- Temperature controls allow for heating and cooling per patient preference citation
Desirable OutcomeMinimize patient stress/anxietyDesirable OutcomePatient control/ independenceDesign Strategies- Temperature controls allow for heating and cooling per patient preference citation
Desirable OutcomePatient satisfactionDesirable OutcomePatient comfortDesirable OutcomePsychosocial supportDesign Strategies- Minimize sensory stimulation (e.g., glare, noise, odors) citation
Desirable OutcomeSafety; reduce risk of harm to self or harm to othersDesign Strategies- Minimize ligature points S citation
Desirable OutcomeSafety; Infection prevention/controlDesign Strategies- Easy-to-clean HVAC (heating, ventilation, and air conditioning) equipment S citation
- Ultraviolet germicidal irradiation (UVGI) filters S citation
- High-efficiency particulate absorption (HEPA) filters S citation
- Uniform, non-mixed airflow patterns whereby contaminants are directed toward exhaust registers and grilles S citation
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Electrical
Desirable OutcomeSafety; reduce risk of harm to self or harm to othersDesirable OutcomeEfficient delivery of careDesign Strategies- Electrical power, data and medical gas outlets in all zones (headwall, footwall, caregiver, patient and family zones)
Desirable OutcomeImproved family presence and engagement in patient careDesign Strategies- Accessible electrical power/data outlets in patient and family zones
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Lighting
Desirable OutcomeMinimize stigmaDesign Strategies- Non-institutional/homelike lighting that feels welcoming and secure citation
Desirable OutcomeEnhanced securityDesirable OutcomeCaregiver safety; minimize risk of physical injuryDesign Strategies- Avoid objects, fixtures, and furniture which might be used as weapons S citation
Desirable OutcomeEfficient delivery of careDesign Strategies- Unobtrusive night lighting options for both patients and staff citation
Desirable OutcomeSafe delivery of careDesign Strategies- Soft, indirect, and pervasive or full-spectrum lighting S citation
Desirable OutcomeMinimize patient stress/anxietyDesirable OutcomePatient control/ independenceDesign Strategies- Options for patient-controlled lighting and privacy (e.g.,, dimmers, integral blinds) citation
Desirable OutcomePatient satisfactionDesirable OutcomePatient comfortDesirable OutcomeImproved family presence and engagement in patient careDesign Strategies- Non-institutional/homelike lighting that feels welcoming and secure citation
Desirable OutcomeImproved sleep qualityDesign Strategies- Unobtrusive night lighting options for both patients and staff citation
Desirable OutcomeSafety; fall/injury prevention and improved mobilityDesign Strategies- Unobtrusive night lighting options for both patients and staff S citation
Desirable OutcomeSafety; reduce risk of harm to self or harm to othersDesign Strategies- Minimize ligature points S citation
- Avoid objects, fixtures, and furniture which might be used as weapons S citation
- Limit access to light bulbs and electrical contacts (e.g., table lamps) S citation
- Light fixtures with substantial lenses securely anchored in place and frames secured with tamper-resistant screws S citation
Desirable OutcomeEnhanced durabilityDesign Strategies- Avoid objects, fixtures, and furniture which might be used as weapons S citation
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Fixtures/ Equipment/ Appliances/ Accessories
Desirable OutcomeMinimize stigmaDesign Strategies- Avoid monochromatic, bland color schemes, “institutional green.” Consider soothing, warm blue tones or other color pallets with similar value and intensity. citation
Desirable OutcomeEnhanced securityDesirable OutcomeCaregiver safety; minimize risk of physical injuryDesign Strategies- Avoid objects, fixtures, and furniture which might be used as weapons S citation
Desirable OutcomeSafety; fall/injury prevention and improved mobilityDesirable OutcomeSafety; reduce risk of harm to self or harm to othersDesign Strategies- Minimize ligature points S citation
- Avoid objects, fixtures, and furniture which might be used as weapons S citation
- Durable plumbing fixtures and concealed piping citation
- Ligature resistant alternative to wall-mounted alcohol-based hand rub (ABHR) dispensers S citation
- Ligature resistant alternative to non-recessed life safety devices (e.g.,, chimes, strobes, pull station, smoke detectors, sprinkler heads, fire extinguishers, hose cabinets, etc.) S citation
- Durable plumbing fixtures and concealed piping citation
- Lockable cabinets and carts (e.g.,, housekeeping, laundry, dietary, etc.) citation
- Liner-free equipment and accessories (e.g.,, waste receptacles) citation
- If present, dumbwaiter controls and access need to be secure from patients citation
- Lockable water taps S citation
- Recessed paper towel dispenser at hand hygiene sink citation
- Recessed soap dispenser at hand hygiene sink citation
- Option to conceal headwall gas and power behind lockable sliding door/panel
Desirable OutcomeEnhanced durabilityDesign Strategies- Avoid objects, fixtures, and furniture which might be used as weapons S citation
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Furniture
Desirable OutcomeMinimize stigmaDesign Strategies- Non-institutional/homelike aesthetics that feel welcoming and secure citation
- Avoid monochromatic, bland color schemes, “institutional green.” Consider soothing, warm blue tones or other color pallets with similar value and intensity. citation
- Movable furniture that maximizes patient control without sacrificing safety citation
- Therapeutic furniture that patients can rock slightly (e.g., glider chair and ottoman) citation
- Durable furnishings and finishes that are residential in character citation
- Comfortable non-clinical seating option to support continuous staff presence in-room (e.g.,, "sitter chair") as needed citation
Desirable OutcomeEnhanced securityDesirable OutcomeCaregiver safety; minimize risk of physical injuryDesign Strategies- Avoid objects, fixtures, and furniture which might be used as weapons S citation
Desirable OutcomeMinimize patient stress/anxietyDesirable OutcomePatient control/ independenceDesign Strategies- Possibility to adapt furnishings and décor to personal preferences citation
- Movable furniture that maximizes patient control without sacrificing safety citation
- Therapeutic furniture that patients can rock slightly (e.g., glider chair and ottoman) citation
- Built-in furniture that maximizes safety and minimizes institutional aesthetics citation
Desirable OutcomePatient recoveryDesign Strategies- Positive distractions (e.g.,, furniture oriented to outdoor views) citation
Desirable OutcomePatient satisfactionDesign Strategies- Non-institutional/homelike aesthetics that feel welcoming and secure citation
- Damage-resistant furnishings that are easily repaired or replaced citation
- Nature art and prints citation
- Well-maintained features and environment citation
- Avoid monochromatic, bland color schemes, “institutional green.” Consider soothing, warm blue tones or other color pallets with similar value and intensity. citation
Desirable OutcomePatient comfortDesirable OutcomeImproved family presence and engagement in patient careDesign Strategies- Non-institutional/homelike aesthetics that feel welcoming and secure citation
Desirable OutcomeSafety; fall/injury prevention and improved mobilityDesirable OutcomeSafety; reduce risk of harm to self or harm to othersDesign Strategies- Damage-resistant furnishings that are easily repaired or replaced citation
- Minimize ligature points S citation
- Avoid objects, fixtures, and furniture which might be used as weapons S citation
- Furniture (e.g.,, patient bed) to meet specific performance standards for anticipated patient acuity needs as defined by the organization’s care model
- Avoid materials that are breakable, toxic, flame retardant, or can cause suffocation S citation
- Features that support patient visibility citation
- Avoid clothes hooks if programmatically possible, or provide ligature resistant clothes hooks S citation
- Movable furniture that maximizes patient control without sacrificing safety citation
- Therapeutic furniture that patients can rock slightly (e.g., glider chair and ottoman) citation
- Damage-resistant furnishings that are easily repaired or replaced citation
- Avoid clothes hooks if programmatically possible, or provide ligature resistant clothes hooks S citation
- Damage-resistant furniture citation
- Comfortable non-clinical seating option to support continuous staff presence in-room (e.g.,, "sitter chair") as needed citation
Desirable OutcomeSafety; Infection prevention/controlDesign Strategies- Minimum ridges, reveals, or horizontal surfaces on objects that could serve as dust collectors
- Minimum surface joints/seams
- Smooth and non-porous surfaces
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Casework/ Storage
Desirable OutcomeMinimize stigmaDesirable OutcomeEnhanced securityDesign Strategies- Minimize ligature points S citation
- Avoid objects, fixtures, and furniture which might be used as weapons S citation
- Space to store staff/extra visitor chair (i.e., "sitter chair") behind secured/lockable panel citation
- Lockable cabinets and carts (e.g.,, housekeeping, laundry, dietary, etc.)
- Option to house workstation behind lockable panel on headwall
- Medical equipment and resources secured in a safe manner out of sight when not required, but to be available if needed
- Option to conceal headwall gas and power behind lockable sliding door/panel
Desirable OutcomeCaregiver safety; minimize risk of physical injuryDesirable OutcomeEfficient delivery of careDesign Strategies- Well-organized, maintained, and orderly spaces citation
- Option to house workstation behind lockable panel on headwall
Desirable OutcomeSafe delivery of careDesign Strategies- Space to store staff/extra visitor chair (i.e., "sitter chair") behind secured/lockable panel citation
Desirable OutcomeMinimize patient stress/anxietyDesirable OutcomePatient control/ independenceDesign Strategies- Well-organized, maintained, and orderly spaces citation
Desirable OutcomePatient satisfactionDesirable OutcomeSafety; reduce risk of harm to self or harm to othersDesign Strategies- Minimize ligature points S citation
- Avoid objects, fixtures, and furniture which might be used as weapons S citation
- Avoid clothes hooks if programmatically possible, or provide ligature resistant clothes hooks S citation
- Durable plumbing fixtures and concealed piping citation
- Minimize ceiling access S citation
- Minimize sharp corners/edges S citation
- Lockable doors and drawers, drawers with flush pulls and recessed hinges citation
- Securely anchored non-adjustable shelves in casework citation
- Space to store staff/extra visitor chair (i.e., "sitter chair") behind secured/lockable panel citation
- Lockable cabinets and carts (e.g.,, housekeeping, laundry, dietary, etc.)
- Option to house workstation behind lockable panel on headwall
- Medical equipment and resources secured in a safe manner out of sight when not required, but to be available if needed
- Option to conceal headwall gas and power behind lockable sliding door/panel
Desirable OutcomeSafety; Infection prevention/controlDesign Strategies- Minimum ridges, reveals, or horizontal surfaces on objects that could serve as dust collectors
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Patient Handling/ Movement Equipment
Desirable OutcomeMinimize stigmaDesign Strategies- Accommodate older adults and persons with cognitive and/or physical impairment citation
- Discreet safety/security features that reinforce safety without compromising experience citation
- Medical equipment and resources secured in a safe manner out of sight when not required, but to be available if needed
Desirable OutcomeAccessibility; ease of useDesign Strategies- Accommodate older adults and persons with cognitive and/or physical impairment citation
Desirable OutcomeCaregiver safety; minimize risk of physical injuryDesign Strategies- If overhead ceiling lift is used, consider flush mount based on risk assessment S
- Position of ceiling lift tracks for main patient handling / movement tasks (e.g., moving patient from bed to wheelchair, lifting legs / arms, positioning / repositioning) S citation
- Other patient handling / movement equipment if included in the functional program (e.g., sling, lateral transfer devices, stand assist aids) S
Desirable OutcomeEfficient delivery of careDesign Strategies- If overhead ceiling lift is used, consider flush mount based on risk assessment S
Desirable OutcomeSafety; reduce risk of harm to self or harm to othersDesign Strategies- If overhead ceiling lift is used, consider flush mount based on risk assessment S citation
- Medical equipment and resources secured in a safe manner out of sight when not required, but to be available if needed
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Technology/ Internet/ Communication/ Monitoring Equipment
Desirable OutcomeMinimize stigmaDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
Desirable OutcomeEnhanced securityDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
- Minimize ligature points S citation
- Avoid objects, fixtures, and furniture which might be used as weapons S citation
- Discreet safety/security features that reinforce safety without compromising experience citation
- Features that support patient visibility citation
- Option to house workstation behind lockable panel on headwall
- Medical equipment and resources secured in a safe manner out of sight when not required, but to be available if needed
- Option to conceal headwall gas and power behind lockable sliding door/panel
Desirable OutcomeCaregiver safety; minimize risk of physical injuryDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
- Avoid objects, fixtures, and furniture which might be used as weapons S citation
- Discreet safety/security features that reinforce safety without compromising experience citation
- Features that support patient visibility citation
Desirable OutcomeCommunication/ interaction with care provider/ emergency careDesirable OutcomeCommunication; staff to staffDesign Strategies- Features that support patient visibility citation
- Option to house workstation behind lockable panel on headwall
Desirable OutcomeSafe delivery of careDesirable OutcomeImproved Job satisfactionDesign Strategies- Positive distractions (e.g.,, outdoor views, art, television, information wall, etc.) citation
Desirable OutcomeMinimize patient stress/anxietyDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
- Discreet safety/security features that reinforce safety without compromising experience citation
- Features that support patient visibility citation
- Positive distractions (e.g.,, outdoor views, art, television, information wall, etc.) citation
Desirable OutcomePatient control/ independenceDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
- Access to options for acoustical control citation
- Curb noise and promote auditory control (e.g.,, sound-absorbing plaster, patient-controlled white noise generator, etc.) citation
- Options for patient-controlled positive distractions (e.g.,, art, television, music, etc.) citation
Desirable OutcomePatient recoveryDesign Strategies- Positive distractions (e.g.,, outdoor views, art, television, information wall, etc.) citation
Desirable OutcomePatient satisfactionDesirable OutcomePatient comfortDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
Desirable OutcomeImproved patient engagementDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
Desirable OutcomeReduced noiseDesirable OutcomeSafety; fall/injury prevention and improved mobilityDesign Strategies- Features that support patient visibility citation
Desirable OutcomeSafety; reduce risk of harm to self or harm to othersDesign Strategies- Discreet safety/security features that reinforce safety without compromising experience citation
- Minimize ligature points S citation
- Avoid objects, fixtures, and furniture which might be used as weapons S citation
- Ligature resistant alternative to non-recessed life safety devices (e.g.,, chimes, strobes, pull station, smoke detectors, sprinkler heads, fire extinguishers, hose cabinets, etc.) S citation
- Ligature resistant alternative to non-recessed monitoring, communication, and access equipment (e.g.,, speakers, cameras, phone, access card readers, wireless access points, etc.) S citation
- Features that support patient visibility citation
- Option to house workstation behind lockable panel on headwall
- Medical equipment and resources secured in a safe manner out of sight when not required, but to be available if needed
- Option to conceal headwall gas and power behind lockable sliding door/panel
Desirable OutcomeEnhanced durabilityDesign Strategies- Avoid objects, fixtures, and furniture which might be used as weapons S citation