Simulation-Based Mock-Up Evaluation of a Universal Operating Room.

Area of Science:

• Healthcare Design
• Human Factors Engineering
• Patient Safety

Background:

• Designing healthcare environments is complex and impacts patient care.
• Simulation-based mock-ups offer a proactive approach to evaluating and optimizing designs.
• Previous evaluations have shown benefits in patient safety, staff efficiency, and user experience.

Purpose of the Study:

• To evaluate a proposed design template for universal operating rooms (ORs) using simulation-based mock-ups.
• To identify evidence-based design changes to improve OR functionality and safety.
• To iteratively refine the OR design based on simulation findings.

Main Methods:

• A framework was followed to evaluate 28 universal ORs at a tertiary care center.
• Simulation scenarios were enacted by multidisciplinary healthcare staff.
• Video and debriefing data were analyzed for link analysis and observed behaviors like congestion.

Main Results:

• Recommendations for design changes included relocating doors, booms, equipment, and supplies.
• Reconfigurations to workstations were also proposed and tested.
• Incorporated changes led to improved room utilization, decreased congestion, and enhanced equipment access.

Conclusions:

• Simulation-based mock-up evaluations are effective for optimizing healthcare facility design.
• Evidence-based design changes derived from simulations significantly improve OR functionality.
• This approach enhances patient safety, staff efficiency, and overall user experience in operating rooms.