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Inpatient telemedicine and new models of care during COVID-19 : hospital design strategies to enhance patient and staff safety

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Pilosof, Nirit Putievsky, Barrett, Michael, Oborn, Eivor, Barkai, Galia, Pessach, Itai M. and Zimlichman, Eyal (2021) 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, 18 (16). e8391. doi:10.3390/ijerph18168391

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Official URL: https://doi.org/10.3390/ijerph18168391

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Abstract

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.

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine
Divisions: Faculty of Social Sciences > Warwick Business School
SWORD Depositor: Library Publications Router
Library of Congress Subject Headings (LCSH): COVID-19 (Disease) , COVID-19 (Disease) -- Patients -- Hospital care , COVID-19 (Disease) -- Patients -- Treatment , Telecommunication in medicine , Health facilities -- Planning, Health facilities -- Risk management
Journal or Publication Title: International Journal of Environmental Research and Public Health
Publisher: MDPI
ISSN: 1660-4601
Official Date: 8 August 2021
Dates:
DateEvent
8 August 2021Published
4 August 2021Accepted
Volume: 18
Number: 16
Article Number: e8391
DOI: 10.3390/ijerph18168391
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
RG96631 NSAG/202Centre for Digital Built Britainhttps://www.cdbb.cam.ac.uk/
WMCLAHRC-2014-1National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272
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