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RIPPLE Database by Mind Map: RIPPLE Database
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RIPPLE Database

Outcomes

Stress

Secondary outcome, Fatigue, Absenteeism/Presenteeism, Turnover

Environmental Safety

Design categories

Acoustic Envrionment, Strategies, Carpet tile in corridors in patient bed floors to help reduce some noise, Walls at noise intensive areas went to deck to reduce noise, Connect building occupants with access to the natural environment (connect access and views), Conduct an inventory to identify equipment that uses CFC refrigerants and provide a replacement schedule for these refrigerants, Design the shape of ceiling soffits to trap sound to prevent it from crossing the corridor, Choose insulating materials with the highest R-values, least environmental impact, and best indoor air quality properties, Consider replacing constructed surfaces (e.g. roof, roads, sidewalks, etc) with vegetated surfaces (e.g. vegetated roofs and open grid paving, etc)., Minimize the amount of paging throughout the facility by using a personal communication system that sends calls directly to each other., Primary outcome category, Patient outcomes, Secondary outcome category, Length of stay, Patient perceptions, Infection rate, Resource consumption, Secondary outcome category, Energy use, Water use, Staff outcomes, Secondary outcome category, Staff injury, Staff perceptions of the healthcare environment, Staff productivity, Research, Case Studies

Building Envelope, Strategies, Research, Case Studies, Primary outcome category, Patient outcomes, Secondary outcome category, Length of stay, Patient perceptions, Infection rate, Resource consumption, Secondary outcome category, Energy use, Water use, Staff outcomes, Secondary outcome category, Staff injury, Staff perceptions of the healthcare environment, Staff productivity

Daylighting, Strategies, Research, Primary outcome category, Patient outcomes, Secondary outcome category, Length of stay, Patient perceptions, Infection rate, Resource consumption, Secondary outcome category, Energy use, Water use, Staff outcomes, Secondary outcome category, Staff injury, Staff perceptions of the healthcare environment, Staff productivity

Fixture Selection, Strategies, Research, Case Studies, Primary outcome category, Patient outcomes, Secondary outcome category, Length of stay, Patient perceptions, Infection rate, Resource consumption, Secondary outcome category, Energy use, Water use, Staff outcomes, Secondary outcome category, Staff injury, Staff perceptions of the healthcare environment, Staff productivity

Interior Materials Selection, Strategies, Research, Case Studies, Primary outcome category, Patient outcomes, Secondary outcome category, Length of stay, Patient perceptions, Infection rate, Resource consumption, Secondary outcome category, Energy use, Water use, Staff outcomes, Secondary outcome category, Staff injury, Staff perceptions of the healthcare environment, Staff productivity

Ventilation, Thermal Comfort, Indoor Air Quality, Research, Case Studies, Primary outcome category, Patient outcomes, Secondary outcome category, Length of stay, Patient perceptions, Infection rate, Resource consumption, Secondary outcome category, Energy use, Water use, Staff outcomes, Secondary outcome category, Staff injury, Staff perceptions of the healthcare environment, Staff productivity

Patient Safety

Design categories

(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), Primary Outcomes, Infection, Secondary Outcomes, self-harm, Contact (hands, surfaces), Airborne, Water, Research, Case Studies, Strategies

(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., Primary Outcomes, Medical Errors - including safety hazards, surgical, wrong sided, malpractice claims, communication errors. (An event that goes against conventional practice)., Secondary Outcomes, Medication errors, Communication breakdown, Surgical errors, Diagnostic errors, Research, Case Studies, Strategies

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, Primary Outcomes, Falls, Secondary Outcomes, Research, Case Studies, Strategies

(Self-harm): positive distractions, finishes/fixtures, layout, access control, lighting, color, occupancy. (Harming others): same as above. (pressure ulcer): Lifts, bed design, room configuration., Primary Outcomes, Patient Harm (self-imposed, harming others - staff, visitors, other patients), Secondary Outcomes, harming others, Pressure ulcers, Research, Case Studies, Strategies

(Electric shock): outlet location design. (Radiation exposure): (Oxygen and gases):, Primary Outcomes, Safety Hazards, Secondary Outcomes, Electric shock, Radiation exposure, Oxygen and gases

Visibility afforded by layout, control of access, site layout and design, Primary Outcomes, Security, Secondary Outcomes, Abduction, Physical assault, Sexual assault

Hospital Transport

Operational issues that impact environment), moderating variables included here

Worker Safety

Make sure to link to this metrics - what are the outcome measures for each of the secondary outcomke categories.

Design categories

(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, Outcomes, Injury, Secondary outcome, MSD and other, Sharps, Strategies, Case Studies

Physical harm: positive distractions, finishes/fixtures, layout, access control, lighting, color, occupancy, room configuration, unit circulation, Outcomes, Physical harm, Secondary outcome, Strategies, Research, Case Studies

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), Outcomes, Infection, Secondary outcome, Airborne, Water, Contact, Strategies, Research, Case Studies

Access to daylight, access to nature/views, destressing areas, socialization areas. Lighting, access to daylight, rest areas, break areas, building construction materials, cleaning materials, Outcomes, Health Conditions, Secondary outcome, Sleep disorders, Illness, Psychological issues, Stress, Strategies, Research, Case Studies

Quality of Care

Design categories

Connect to Patient Safety Design Categories, Strategies, Outcomes, Research, Case Studies, Research, Case Studies, Case Studies

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, Outcome, Effective Care, Secondary outcome, Patient handoff, Errors, Teamwork, Communication, Information Access, Strategies, Shared resources, Research, Case Studies

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., Outcome, Efficient Care, Secondary outcome, Transport (moving products), Waiting (waiting for the next production step), Over production (production ahead of demand), Inventory (all components, work in process), Motion (people or equipment moving or walking more than is required to perform the processing), Over processing (resulting from poor tool or product design creating activity), Defects (the effort involved in inspecting for and fixing defects), Strategies, Research, Case Studies

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., Outcome, Patient centered, Secondary outcome, Family engagement, Metric: Family satisfaction, Communication, Access to health information, Control of environment, Patient stress, Patient safety, Like falls, bedsores, infections, Pain management, Waiting experience, Clarity of access (wayfinding), Culturally sensitive care, Strategies, Research, Case Studies

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., Outcome, Equitable, Secondary outcome, Access to care, Compliance with healthcare regimen, Culturally sensitive care, Strategies, Research, Case Studies

Timely (Enter design categories here): This is about the patient: Capacity (lack of), visual access from waiting room to physician/nurse., Outcome, Timely, Secondary outcome, Waiting times (care, service, results), Strategies, Research, Case Studies