Ideas for hospitals


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Part # 1: Questions about communication.
Part # 2: Questions about food, medicine, equipment, infrastructure.

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Ideas for hospitals

  1. 1. Ideas for hospitals
  2. 2. Part # 1 Questions about communication. Part # 2 Questions about food, medicine, equipment, infrastructure.
  3. 3. Part # 1 Questions about communication
  4. 4. Question # 1 How often do you tell a patient why you are there?
  5. 5. Every time you interact with a patient, tell them who you are, what you’re there to do, and then share a heartfelt why. Example I’m Tom, I’m here change your dressings, cause we want you home in time to be at your granddaughter’s wedding.
  6. 6. Question How will we know if we’re succeeding? Answer You’ll see it in a patient’s smile, you’ll here it their voice, you’ll sense it when they take your hand - and ultimately, you’ll feel it in your own heart.
  7. 7. Further inspiration
  8. 8. Question # 2 How often do you use walls to communicate?
  9. 9.
  10. 10. Question # 3 How often do you use checklists?
  11. 11. Survey shows that teams using checklists were 74% less likely to miss key life-saving steps in care during emergency situations than those working from memory alone.
  12. 12. Question # 4 How often are results of treatments published on the Internet?
  13. 13. Hospitals publish results of treatments on the Internet.
  14. 14. Question # 5 How often do teams copy ideas from another?
  15. 15. The team, who copies an idea / process from another team and uses it to create more value, gets a prize. Adapted from Exercise # 1
  16. 16. The team, that gets an idea / process copied by another team, also gets a prize. Adapted from Exercise # 2
  17. 17. Question # 6 What video will you post next on YouTube?
  18. 18. Examples
  19. 19. Question # 7 What social media do you use?
  20. 20. Sources
  21. 21.
  22. 22.
  23. 23.
  24. 24. Further inspiration
  25. 25. Question # 8 How do you help patients monitor their own health?
  26. 26. Instant heart rate app
  27. 27.
  28. 28. The Fitbit Flex tracks steps, distance, calories and sleep - and syncs with your smartphone
  29. 29. Diabetes Manager App
  30. 30. Question # 9 How do you help patients use the Internet to store and share their health information?
  31. 31.
  32. 32. At Morristown Medical Center in New Jersey, USA there is a physical store at the hospital’s main lobby where patients, family members, and medical professionals can learn about health apps and wearable devices.
  33. 33. Question # 10 How do you help patients do physical exercise?
  34. 34. Question # 11 How often do you proactively go to patients?
  35. 35. The nursing team came up with the idea of checking on patients every two hours without waiting for a call button, to see if they need help walking to the bathroom or moving about their rooms. 10% of fatal falls by the elderly in the U.S. occur in hospitals. This one change at Providence reduced falls by 25%, according to chief nursing officer Kim Williams.
  36. 36. Question # 12 How often do you proactively call patients?
  37. 37. Patients with dementia discharged from the William S. Middleton Memorial Veterans Hospital received weekly phone calls from a nurse for 4 weeks or until the patient transitioned to a primary care provider. This simple initiative reduced readmissions and cut $1,225 in costs per patient.
  38. 38. Question # 13 To what extent do you use languages of patients?
  39. 39. Question to the patient: In what language do you prefer to discuss your health care?, p. 10.
  40. 40. Use translation technology
  41. 41. Further inspiration
  42. 42. Question # 14 How often do you involve patients at nurse shifts?
  43. 43. After a 2011 pilot program, nurses on every medical and surgical unit at St. Michael's Hospital perform handover at their patient's bedside.
  44. 44. Study shows that patients have a better understanding of and engagement in their care when handoffs are performed at bedside. Bedside nurse handover is beneficial to both clinicians and patients as they improve and strengthen communication between both parties, reduce errors – for example medication - and strengthen the concept of patient-centered care.
  45. 45. Further inspiration
  46. 46. Question # 15 How do you care for and involve friends and family of patients?
  47. 47. After a medical work-up, a husband was told that his wife was dying of cancer and probably won’t leave the hospital alive. The news struck like a thunderbolt, and he simply lost it. Having been called to the scene, the security guards were ready to phone the police when an associate nurse comes around the corner. Seeing the distraught husband lashing out at everyone around him, a nurse walked up to him and calmly asked, “Can I hug you?” When the man nodded yes, she wrapped her arms around him and for the next 20 she held him as he wept into her uniform. Finally calm, he returned to support his wife and the nurse went on with her duties.
  48. 48. At the Narayana health hospital in Mysore, India, family members, who want to help out, are trained how to care for patients during the 3 days following heart surgery. Govindarajan, Vijay & Ramamurti, Ravi: Delivering world class health care, affordably.
  49. 49. Question # 16 How do you involve young people who want to help?
  50. 50. Youth unemployment in Europe is alarming
  51. 51. At several hospitals in India, paramedic workers with 2 years of training after high school help out do various medical jobs. without-cutting-quality/2013/11/01/d02c8e58-3c28-11e3-b7ba-503fb5822c3e_story.html
  52. 52. To help nurses and doctors reduce stress, how about reducing wages of nurses and doctors by about 10% and investing the money in paying young people who want to help out do various tasks in the hospital and/or at people’s homes?
  53. 53. Further inspiration
  54. 54. Question # 17 How do you involve people who work for other hospitals?
  55. 55. Study shows that top hospitals tend to have a lot of collaboration with other hospitals.
  56. 56. Development of hospital services until 2020 - Zürich Sources
  57. 57. Question # 18 Leaders, how often do you walk around the hospital?
  58. 58. By regularly seeing and hearing with their own eyes and ears what’s happening on the front lines of patient care, leaders - including leaders in, for example, finance, cooking, and cleaning - can better understand patient needs and help identify problems and opportunities for improvement.
  59. 59. Further inspiration
  60. 60. Question # 19 What can you do to improve meetings?
  61. 61. Further inspiration
  62. 62. Question # 20 To what extent do you invite artists to create art in hospitals?
  63. 63. A survey with heart surgery patients in the intensive care unit showed the following: Patients, who looked at a large nature photograph showing water and trees, were less anxious and needed fewer doses of strong pain medicine than patients who looked at a darker forest photograph, abstract art or no pictures at all.
  64. 64. Question # 21 How can you use design to make patients happier?
  65. 65. Happy healing!
  66. 66. Question # 22 How do you use music to heal patients?
  67. 67. Research by Frank Russo shows that music therapy can help Parkinson's patients walk and people with Alzheimer’s remember
  68. 68. A review of 23 studies covering almost 1,500 patients found that listening to music reduced heart rate, blood pressure and anxiety in heart disease patients.
  69. 69.
  70. 70. Further inspiration
  71. 71. Serve yourself, pay what you think is fair. Thank you very much in advance for your crowdfunding contribution. When you give a tip / pay / donate, you help to 1. keep content openly accessible for anyone. 2. keep content free of advertisements. 3. support ongoing development - including updates to existing content as well as creation of new content.
  72. 72. Part # 2 Questions about food, medicine, equipment, infrastructure.
  73. 73. Question # 1 How healthy is the food?
  74. 74. Hundreds of hospitals in the United States and Europe are replacing the fast-food joints in their lobbies with farmers’ markets.
  75. 75. Vending machines at hospitals Vending machines today Vending machines tomorrow  Soda.  Chips.  Candy.  Water.  Fresh fruit.  Healthy snacks.
  76. 76. Michigan hospital’s organic greenhouse includes healthy fruits and vegetables
  77. 77. Question # 2 What is done with food that patients – for whatever reason – do not eat?
  78. 78. Question # 3 To what extent do patients to go out to eat?
  79. 79. Some advantages for patients of going out to eat:  Patients get exercise, which help prevent illnesses.  Money is saved on distribution of food to patient rooms.  Depending on the variety of food offered at cafes / food stands near the hospital, patients may be able to choose from more different types of food. This could be an advantage, when there is a high cultural diversity among patients, their family and friends.
  80. 80. Question # 4 What do you think about outsourcing hospital cafes to professional coffee houses?
  81. 81. Question # 5 How different do different types of medicine look?
  82. 82.
  83. 83. Question # 6 Where do you place sanitizers?
  84. 84. Sanitizerindoorhandle
  85. 85. Source Zollikerberg hospital. Zürich, Switzerland. Sanitizer on the wall
  86. 86. Each year in the USA, patients get more than 1 million infections in hospitals while they are being treated for something else.
  87. 87. Survey findings show that health and safety messages should focus on the people who are perceived as most vulnerable. Example of what a sign in a hospital could say: Hand hygiene prevents patients from catching diseases. Source Pink, Daniel: To sell is human: The surprising truth about moving others, location 2750.
  88. 88. Question # 7 What do robots help move from a to b?
  89. 89. At Southmead Hospital in Bristol, automatic guided vehicles deliver meals to patients.
  90. 90. Nurses spend up to 20% of their time wheeling equipment and carts from one location to another or waiting for a cart to arrive. Self-guided, motorized carts can take on these tasks.
  91. 91. Question # 8 How often do you take equipment to the patient?
  92. 92. Take testing equipment to the patient - not the other way around.
  93. 93. More than 90% of China’s population relies on poorly funded, low-tech hospitals or basic clinics in rural villages. These facilities has no sophisticated imaging centers, and transportation to urban hospitals is difficult, especially for the sick. When patients can’t come to the ultrasound machines, the ultrasound machines has to go to the patients.
  94. 94. Question # 9 What kind of lights do you install to heal people better?
  95. 95.
  96. 96. Question # 10 To what extent to you use LED lights and light sensors to save energy?
  97. 97. Question # 11 To reduce walking time, where do you place rooms doctors and nurses?
  98. 98. Rooms of doctors and nurses Patient room Patient room Patient room Patient room Patient room Patient room Patient room Patient room Patient room Patient room
  99. 99. Question # 12 To what extent do you use smartphone / tablet / laptop when serving patients?
  100. 100. Question # 13 How often do you use ”quiet rooms” to work?
  101. 101. To nurses and doctors: When you are not serving patients in patient rooms, what about also working on your smartphones / laptops / tablets / Internet / social media in ”quiet rooms”, for example in patient rooms that are not used / used little.
  102. 102. Further inspiration
  103. 103. Question # 14 Where is the fitness infrastructure?
  104. 104. Sportinapark. Beijing,China.
  105. 105.
  106. 106.
  107. 107. Question # 15 What makes the garden experience healing for patients?
  108. 108. A survey by Roger Ulrich of patients recovering from gallbladder surgery showed the following: Patients with bedside windows looking out on leafy trees healed, on average, a day faster, needed significantly less pain medication and had fewer postsurgical complications than patients who instead saw a brick wall.
  109. 109.
  110. 110. Examples of what makes a garden healing Adapted from # 1: Easy entry to the garden. # 2: 70% green and 30% walkways and plazas. # 4: Infrastructure that encourage interaction. Example: Games so people can play.
  111. 111.
  112. 112.
  113. 113. Question # 16 To what extent do you use mobile hospitals?
  114. 114.
  115. 115. The best hospital bed is empty, not full.
  116. 116. Question # 17 How often do you do homecare?
  117. 117. A report on "recovery-at-home" scheme in England found it could free hospital beds and improve care for patients.
  118. 118. Patient care is moving from the hospital to the outpatient setting and ultimately to wherever the patient happens to be located.
  119. 119. Question # 18 What about building a fake hospitals to test new ideas?
  120. 120. Kaiser Permanente is testing new ways of curing people at a fake hospital.
  121. 121. A big thank you for inspiration to: Magdalena Stępień. Rajha M. Pereira. Katharina Althaus. Brigitte Müller. Hanne Calberg. Berci Meskó. Thank you for useful tweets. Kevin Pho. Thank you for useful tweets.
  122. 122. Thank you for your interest. For further inspiration and coaching services, feel welcome to visit Have a great day.
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