28th Annual Conference of the International Group for Lean Construction (IGLC) - Berkeley, California, USA - 2020

https://doi.org/10.24928/2020/0032

Influence of the Built Environment on Patient Safety and Well-Being: A Functional Perspective

Natália Ransolin1, Tarcísio Abreu Saurin2 & Carlos Torres Formoso3

1PhD Student, Civil Engineering Post-Graduation Program: Construction and Infrastructure, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil, [email protected], orcid.org/0000-0002-7128-8000
2Professor, Industrial Engineering Post-Graduation Program, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil, [email protected], orcid.org/0000-0003-2929-5888
3Professor, Civil Engineering Post-Graduation Program: Construction and Infrastructure, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil, [email protected], orcid.org/0000- 0002-4772-3746

Abstract

In healthcare facilities, patient safety and well-being are known to be influenced by the built environment (BE). However, mechanisms linking BE to patient safety and wellbeing are not well-understood, which hinders the prevention and mitigation of undesired outcomes. In this paper, the Functional Resonance Analysis Method (FRAM) is used to model the functions carried out by caregivers and patients in an Intensive Care Unit (ICU), supporting the analysis of how variability in meeting BE requirements propagates across the work system and impacts patient safety and well-being. The FRAM model was based on observations of everyday work in the ICU, interviews with 24 professionals, and analysis of documents. One scenario derived from the FRAM model is discussed, emphasizing impacts on patient safety and well-being. Results show the utility of understanding how healthcare services work under real circumnstances, as a basis for BE design. Findings also indicate that the variability of everyday healthcare services may either amplify or dampen the impacts of unfulfilled BE requirements on patient safety and well-being.ements on patient safety and well-being.

Keywords

Built Environment, Requirements Management, FRAM, Patient Safety, Patient WellBeing

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Reference

Ransolin, N. , Saurin, T. A. & Formoso, C. T. 2020. Influence of the Built Environment on Patient Safety and Well-Being: A Functional Perspective, Proc. 28th Annual Conference of the International Group for Lean Construction (IGLC) , 61-72. doi.org/10.24928/2020/0032

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