RIPPLE Database

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RIPPLE Database by Mind Map: RIPPLE Database

1. Outcomes

1.1. Stress

1.1.1. Secondary outcome

1.1.1.1. Fatigue

1.1.1.1.1. Absenteeism/Presenteeism

1.1.1.1.2. Turnover

2. Environmental Safety

2.1. Design categories

2.1.1. Acoustic Envrionment

2.1.1.1. Strategies

2.1.1.1.1. Carpet tile in corridors in patient bed floors to help reduce some noise

2.1.1.1.2. Walls at noise intensive areas went to deck to reduce noise

2.1.1.1.3. Connect building occupants with access to the natural environment (connect access and views)

2.1.1.1.4. Conduct an inventory to identify equipment that uses CFC refrigerants and provide a replacement schedule for these refrigerants

2.1.1.1.5. Design the shape of ceiling soffits to trap sound to prevent it from crossing the corridor

2.1.1.1.6. Choose insulating materials with the highest R-values, least environmental impact, and best indoor air quality properties

2.1.1.1.7. Consider replacing constructed surfaces (e.g. roof, roads, sidewalks, etc) with vegetated surfaces (e.g. vegetated roofs and open grid paving, etc).

2.1.1.1.8. Minimize the amount of paging throughout the facility by using a personal communication system that sends calls directly to each other.

2.1.1.2. Primary outcome category

2.1.1.2.1. Patient outcomes

2.1.1.2.2. Resource consumption

2.1.1.2.3. Staff outcomes

2.1.1.3. Research

2.1.1.4. Case Studies

2.1.2. Building Envelope

2.1.2.1. Strategies

2.1.2.2. Research

2.1.2.3. Case Studies

2.1.2.4. Primary outcome category

2.1.2.4.1. Patient outcomes

2.1.2.4.2. Resource consumption

2.1.2.4.3. Staff outcomes

2.1.3. Daylighting

2.1.3.1. Strategies

2.1.3.2. Research

2.1.3.3. Primary outcome category

2.1.3.3.1. Patient outcomes

2.1.3.3.2. Resource consumption

2.1.3.3.3. Staff outcomes

2.1.4. Fixture Selection

2.1.4.1. Strategies

2.1.4.2. Research

2.1.4.3. Case Studies

2.1.4.4. Primary outcome category

2.1.4.4.1. Patient outcomes

2.1.4.4.2. Resource consumption

2.1.4.4.3. Staff outcomes

2.1.5. Interior Materials Selection

2.1.5.1. Strategies

2.1.5.2. Research

2.1.5.3. Case Studies

2.1.5.4. Primary outcome category

2.1.5.4.1. Patient outcomes

2.1.5.4.2. Resource consumption

2.1.5.4.3. Staff outcomes

2.1.6. Ventilation, Thermal Comfort, Indoor Air Quality

2.1.6.1. Research

2.1.6.2. Case Studies

2.1.6.3. Primary outcome category

2.1.6.3.1. Patient outcomes

2.1.6.3.2. Resource consumption

2.1.6.3.3. Staff outcomes

3. Patient Safety

3.1. Design categories

3.1.1. (Contact infection): Occupancy type, room config, surfaces & furnishings, hand hygiene devices, ventilation/HVAC. (Airborne): Construction activities/renovation/remodeling, HVAC, occupancy type. (Water): Water supply systems, fixture design (design of sink/faucet, location of sink, toilet room configuration, toilet design)

3.1.1.1. Primary Outcomes

3.1.1.1.1. Infection

3.1.1.2. Research

3.1.1.3. Case Studies

3.1.1.4. Strategies

3.1.2. (Medication errors): Light levels, noise level, unit layout (includes med location) (Communication breakdown): acuity-adaptable rooms, unit layout, nurse station design, noise level. (Surgical errors): Noise level, Unit configuration, Access to information sources, design of OR. (Diagnostic errors): Light levels, noise levels.

3.1.2.1. Primary Outcomes

3.1.2.1.1. Medical Errors - including safety hazards, surgical, wrong sided, malpractice claims, communication errors. (An event that goes against conventional practice).

3.1.2.2. Research

3.1.2.3. Case Studies

3.1.2.4. Strategies

3.1.3. Flooring type, furniture, fixtures/equipment design (lifts, design of handrails, etc), environmental hazards/obstacles, unit configuration, monitoring patient exit of bed, patient room configuration (design/location of bathroom), lighting

3.1.3.1. Primary Outcomes

3.1.3.1.1. Falls

3.1.3.2. Research

3.1.3.3. Case Studies

3.1.3.4. Strategies

3.1.4. (Self-harm): positive distractions, finishes/fixtures, layout, access control, lighting, color, occupancy. (Harming others): same as above. (pressure ulcer): Lifts, bed design, room configuration.

3.1.4.1. Primary Outcomes

3.1.4.1.1. Patient Harm (self-imposed, harming others - staff, visitors, other patients)

3.1.4.2. Research

3.1.4.3. Case Studies

3.1.4.4. Strategies

3.1.5. (Electric shock): outlet location design. (Radiation exposure): (Oxygen and gases):

3.1.5.1. Primary Outcomes

3.1.5.1.1. Safety Hazards

3.1.6. Visibility afforded by layout, control of access, site layout and design

3.1.6.1. Primary Outcomes

3.1.6.1.1. Security

3.1.7. Hospital Transport

3.2. Operational issues that impact environment), moderating variables included here

4. Worker Safety

4.1. Design categories

4.1.1. (MSD and other): Ceiling lifts, flooring materials, ergonomically placed outlets, ergonomic n. stations, everything, equipment design. (Sharps): location, design, lighting, layout of room and nursing unit

4.1.1.1. Outcomes

4.1.1.1.1. Injury

4.1.1.2. Strategies

4.1.1.3. Case Studies

4.1.2. Physical harm: positive distractions, finishes/fixtures, layout, access control, lighting, color, occupancy, room configuration, unit circulation

4.1.2.1. Outcomes

4.1.2.1.1. Physical harm

4.1.2.2. Strategies

4.1.2.3. Research

4.1.2.4. Case Studies

4.1.3. Occupancy type, room config, surfaces & furnishings, hand hygiene devices, ventilation/HVAC. Construction activities/renovation/remodeling, HVAC, occupancy type. Water supply systems, fixture design (design of sink/faucet, location of sink, toilet room configuration, toilet design)

4.1.3.1. Outcomes

4.1.3.1.1. Infection

4.1.3.2. Strategies

4.1.3.3. Research

4.1.3.4. Case Studies

4.1.4. Access to daylight, access to nature/views, destressing areas, socialization areas. Lighting, access to daylight, rest areas, break areas, building construction materials, cleaning materials

4.1.4.1. Outcomes

4.1.4.1.1. Health Conditions

4.1.4.2. Strategies

4.1.4.3. Research

4.1.4.4. Case Studies

5. Quality of Care

5.1. Design categories

5.1.1. Connect to Patient Safety Design Categories

5.1.1.1. Strategies

5.1.1.2. Outcomes

5.1.1.3. Research

5.1.1.4. Case Studies

5.1.1.5. Research

5.1.1.6. Case Studies

5.1.1.7. Case Studies

5.1.2. Effective: Patient handoff: Acuity adaptable, standardization, universal rooms, adjacencies, nursing station design, circulation. Errors: Same as patient safety. Teamwork: Nursing station design, departmental design (include shared resources), patient treatment area. Communication: departmental design, acoustical environment. Information access: teamwork rooms, nursing station design, wireless technology, hardware, IT, Access points, room occupancy, noise level, room size

5.1.2.1. Outcome

5.1.2.1.1. Effective Care

5.1.2.2. Strategies

5.1.2.2.1. Shared resources

5.1.2.3. Research

5.1.2.4. Case Studies

5.1.3. Efficient (Transport: Acuity adaptable, elevators, adjacencies [vertical vs. horizontal], storage solutions (centralized or not), RFID tagging, size of floorplate); Waiting: storage solutions, RFID tagging, adjacencies; Over production: Nothing design/physical related; Inventory: RFID tagging, standardized locations of equipment, supplies; Motion: Centralized/decentralized, location of supplies, medication, adjacencies, size of nursing unit; Over-processing: nothing at this time; Defects: nothing at this time.

5.1.3.1. Outcome

5.1.3.1.1. Efficient Care

5.1.3.2. Strategies

5.1.3.3. Research

5.1.3.4. Case Studies

5.1.4. Patient centered (enter design categories); Family engagement: space for families in room & unit, consultation rooms, nursing station design, parking space; Communication: patient room design and space for families, same as above; Access to health information: internet access in room with computer in room, health information center (library); Control of environment: temperature, lighting control, privacy, windows; Patient stress: positive distractions, acoustic environment (noise), daylighting, room occupancy (single versus multiple); Patient safety: family space in room; Pain management: positive distractions, lighting; Waiting experience: positive distraction, access to information, physical comfort; Clarity of access: layout, signage, lighting; culturally sensitive care: examination room, family space in room/unit, larger rooms, nondenominational spiritual space.

5.1.4.1. Outcome

5.1.4.1.1. Patient centered

5.1.4.2. Strategies

5.1.4.3. Research

5.1.4.4. Case Studies

5.1.5. Equitable (enter design categories here)Access to care: ADA requirements, barrier free environment, location in the community, access via public transportation; Compliance: family participation in care - family space in room; Culturally sensitive care: public transportation, location in community, access.

5.1.5.1. Outcome

5.1.5.1.1. Equitable

5.1.5.2. Strategies

5.1.5.3. Research

5.1.5.4. Case Studies

5.1.6. Timely (Enter design categories here): This is about the patient: Capacity (lack of), visual access from waiting room to physician/nurse.

5.1.6.1. Outcome

5.1.6.1.1. Timely

5.1.6.2. Strategies

5.1.6.3. Research

5.1.6.4. Case Studies