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Improving visibility in emergency departments (EDs) can decrease security risks. Nurses and physicians reported feeling more secure in EDs with enhanced visibility, suggesting design improvements are key.

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Area of Science:

  • Healthcare Design
  • Security Management
  • Clinical Practice

Background:

  • Emergency departments (EDs) face significant global security concerns.
  • Visibility is a known design factor influencing behavior in healthcare settings.
  • Limited research exists on visibility's role in reducing ED security risks using evidence-based design.

Purpose of the Study:

  • To explore the relationship between visibility and perceived security risks in EDs.
  • To investigate how visibility influences the sense of security among clinical staff.
  • To provide design strategies for minimizing security issues in EDs.

Main Methods:

  • Qualitative research conducted in five EDs.
  • Semi-structured interviews with 17 clinical staff (nurses and physicians).
  • 48 hours of field observations with coding based on naturalistic inquiry.

Main Results:

  • Findings indicate that enhanced visibility correlates with decreased security risks.
  • Nurses and physicians reported a greater sense of security in EDs with higher visibility.
  • Visibility is a critical factor in the perceived safety of the ED environment.

Conclusions:

  • Improving visibility in EDs can effectively reduce security risks.
  • Design strategies should prioritize visibility to enhance staff security.
  • Clinical staff can proactively improve team security by considering visibility in daily practices.