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Publications

The Architecture + Health program is dedicated to the research that informs and enhances our designs. In addition to the design studio, students and professors work to keep architectural research as an important part of the overarching program. Topics of Research and related publications include: RIPCHD.OR | Design of Healthcare Spaces and Products of the Future | Patient Room Prototype | Additional Publications | Books

Realizing Improved Patient Care through Human-Centered Design in the OR (RIPCHD.OR)

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Realizing Improved Patient Care through Human-Centered Design in the OR | Volume 3 - ISSUU Publication

Realizing Improved Patient Care through Human-Centered Design in the OR | Volume 2 - ISSUU Publication

Realizing Improved Patient Care through Human-Centered Design in the OR | Volume 1 -  ISSUU Publication



Operating Room Simulation and Build | Charleston, SC

Related Publications:

Neyens, D.M., Bayramzadeh, S., Catchpole, K., Joseph, A., Taaffe, K., Jurewicz, K., Khoshkenar, A., San, D; RIPCHD.OR Study Group. (2019, July). Using a systems approach to evaluate a circulating nurse's work patterns and workflow disruptions. Applied Ergonomics, 78:293-300. PMID: 29609835 https://doi.org/10.1016/j.apergo.2018.03.017 

Wingler, D., Joseph, A., Bayramzadeh, S., Robb, A. (2019, May 21). Using virtual reality to compare design alternatives using subjective and objective evaluation methods. HERD: Health Environments Research & Design Journal, 1-16. https://doi.org/10.1177%2F1937586719851266

Joseph, A., Khoshkenar, A., Taaffe, K.M., Catchpole, K., Machry, H., Bayramzadeh, S.; RIPCHD.OR study group. (2019, April). Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating room. BMJ Qual Saf. 28(4):276-283. http://dx.doi.org/10.1136/bmjqs-2018-007957 

Jurewicz, K. A., Neyens, D. M., Catchpole, K., & Reeves, S. T. (2018, November). Developing a 3D gestural interface for anesthesia-related human-computer interaction tasks using both experts and novices. Human Factors, 60(7): 992-1007. https://doi.org/10.1177%2F0018720818780544

Mousavi, E., Jafarifiroozabadi, R., Bayramzadeh, S., Joseph, A., & San, D. (2018, October 15). An observational study of door motion in operating rooms. Building and Environment, 144:502-507. https://doi.org/10.1016/j.buildenv.2018.08.052

Wingler, D., Machry, H., Bayramzadeh, S., Joseph, A., & Allison, D. (2018, August 30). Comparing the effectiveness of four different design media in communicating desired performance outcomes with clinical end users. Health Environments Research & Design Journal. https://doi.org/10.1177/1937586718796626

Joseph, A., Khoshkenar, A., Taaffe, K., Catchpole, K., Machry, H., & Bayramzadeh, S. (2018, August 29). Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating room. BMJ Quality & Safety, 0:1-8. http://dx.doi.org/10.1136/bmjqs-2018-007957

Bayramzadeh, S., Joseph, A., Allison, D., Schultz, J., Abernathy, J; RIPCHD.OR Study Group. (2018, July). Using an integrative mock-up simulation approach for evidence-based evaluation of operating room design prototypes. Applied Ergonomics, 70:288-299. https://doi.org/10.1016/j.apergo.2018.03.011. PMID: 29866321

Joseph, A., Bayramzadeh, S., Zamani, Z., & Rostenberg, B. (2018, April). Safety, performance, and satisfaction outcomes in the operating room: A literature review. Health Environments Research & Design Journal, 11(2):137-150. https://doi.org/10.1177%2F1937586717705107 PMID: 28436232

Taaffe, K., Lee, B., Ferrand, Y., Fredendall, L., San, D., Salgado, C., Shvorin, D., Khoshkenar, A. & Reeves, S. (2018, April). The influence of traffic, area location, and other factors on operating room microbial load. Infection Control and Hospital Epidemiology, 39(4):391-397. https://doi.org/10.1017/ice.2017.323

Neyens, D.M., Bayramzadeh, S., Catchpole, K., Joseph, A., Taaffe, K., Jurewicz, K., Khoshkenar, A., San, D; RIPCHD.OR Study Group. (2018, March 30). Using a systems approach to evaluate a circulating nurse's work patterns and workflow disruptions. Applied Ergonomics. https://doi.org/10.1016/j.apergo.2018.03.017 PMID: 29609835

Bayramzadeh, S., Joseph, A., San, D., Khoshkenar, A., Taaffe, K., Jafarifiroozabadi, R., Neyens, D; RIPCHD.OR Study Group. (2018, January). The impact of operating room layout on circulating nurse’s work patterns and workflow disruptions: A behavioral mapping study. Health Environments Research & Design Journal. https://doi.org/10.1177%2F1937586717751124 PMID: 29355033

Jurewicz, K., M. Alfred, D.M. Neyens, K. Catchpole, A. Joseph, & S. Reeves (2018) Investigating Intraoperative and Intraprofessional Handoffs in Anesthesia. Proceedings of the 62nd Annual Meeting of the Human Factors and Ergonomics Society. Philadelphia, PA.

Jurewicz, K. A., Neyens, D. M., Catchpole, K., & Reeves, S. T. (2018). Developing a 3D Gestural interface for anesthesia-related human-computer interaction tasks using both experts and novices. Human Factors, 18720818780544. https://doi.org/10.1177%2F0018720818780544

Catchpole, K., Neyens, D.M., Abernathy, J., Allison, D., Joseph, A. & Reeves, S.T. (2017, December). Framework for direct observation of performance and safety in healthcare. BMJ Quality and Safety, 26(12):1015-1021. http://dx.doi.org/10.1136/bmjqs-2016-006407 PMID: 28971880

Joseph, A., Bayramzadeh, S., Zamani, Z., & Rostenberg, B. (2017, April 24). Safety, performance, and satisfaction outcomes in the operating room: A literature review. Health Environments Research & Design Journal. https://doi.org/10.1177%2F1937586717705107 PMID: 28436232

Ibrahim, A., Dimick, J., & Joseph, A. (2017, January). Building a better operating room: Views from Surgery and Architecture. Annals of Surgery, 265(1), 34-36. doi:10.1097/sla.0000000000001777

Betza, S. M., Jurewicz, K. A., Neyens, D. M., Riggs, S., Abernathy, J. H., & Reeves, S. (2016). Anesthesia maintenance and vigilance examining task switching. Proceedings of the Human Factors and Ergonomics Society Annual Meeting, 60(1), 608-612. https://doi.org/10.1177%2F1541931213601139

Related Presentations 2019:

Jafarifiroozabadi, R., Joshi, R., & Joseph, A. (2019, May 22-26). Evaluating user experience in clinical waiting areas using virtual reality. Environmental Design Research Association (EDRA) 50 conference. Brooklyn, NY.

Machry, H. (2019, May 22-26). Translating research into practice: Developing an operating room design tool to support evidence-based decision-making between multiple stakeholders. Environmental Design Research Association (EDRA) 50 conference. Brooklyn, NY.

Wingler, D. & Machry, H. (2019, May 22-26). Developing a systems-based observation toolkit for evaluating high-fidelity scenario-based simulation testing in OR environments. Environmental Design Research Association (EDRA) 50 conference. Brooklyn, NY.

Jurewicz, K. A., & Neyens, D. M. (2019, May 18-21). Using a Bayesian Framework to Develop 3D Gestural Input Systems for Anesthetic Tasks. Poster presented at the 2019 Institute of Industrial and Systems Engineers Annual Conference: Doctoral Colloquium, Orlando, FL.

Joseph, A. (2019, April 8). Designing a safer OR using a human-centered approach: Learnings from a Four-year Patient Safety Learning Lab. Leadership Summit of the AORN Global Surgical Conference and Expo. Nashville, TN.

Joseph, A. (2019, April). Realizing improved patient care through human-centered design in the OR. SimTigrate Symposium on Designing the Future of Healthcare. Atlanta, GA.

Joseph, A., Neyens, D., & Taaffe, K. (2019, March 24-27). Designing a safer and more ergonomic operating room using simulation in a patient safety learning lab (PSLL). Human Factors and Ergonomics Society 2019 Health Care Symposium. Chicago, IL.

Joseph, A., Taaffe, K., Allison, D., Khoshkenar, A., & Machry, H. (2019, March 17-20). How large should the OR be? Using a multi-disciplinary systems approach to designing safer operating rooms. International Summit & Exhibition on Health Facility Planning, Design, & Construction. Phoenix, AZ.

Additional Presentations 2019:

Jafarifiroozabadi, R. (2019, May 22-26). The impact of daylight and views on post-myocardial infarction patients in cardiac ICUs. Environmental Design Research Association (EDRA) 50 conference. Brooklyn, NY.

Joshi, R. (2019, May 22-26). Impact of built environment on situational awareness in the ED: A Socio-technical approach to improve handoffs. Environmental Design Research Association (EDRA) 50 conference. Brooklyn, NY.

Wingler, D. (2019, May 22-26). Utilizing photo-elicitation to garner feedback from children and their parents of the outpatient surgical environment. Environmental Design Research Association (EDRA) 50 conference. Brooklyn, NY.

Related Presentations 2018:

Allison, D., Bayramzadeh, S., Wingler, D., & Joseph, A. (2018, Nov. 10-13). Testing and implementing human-centered design ideas throughout the design process. Healthcare Design Conference. Phoenix, AZ.

Joseph, A., Valipoor, S., & Bosch, S. (2018, Nov. 10-13). How simulation-based evaluations are improving healthcare design decisions. Healthcare Design Conference. Phoenix, AZ.

Joseph, A., Wingler, D., Joshi, R., & O’Hara. (2018, Nov. 10-13). Leveraging virtual reality to support objective user evaluations of alternative preoperative room designs in supporting nurse work performance. Healthcare Design Conference. Phoenix, AZ

Wingler, D., Keys, L., & Taylor, E. (2018, Nov. 10-13). New research and new results: Go behind the scenes. Healthcare Design Conference. Phoenix, AZ

Wingler, D. & Oakland, K. (2018, Nov. 10-13). Portraits of a nurse: Understanding the role of the built environment on nurse fatigue. Healthcare Design Conference. Phoenix, AZ

Ferrand, Y., Fredendall, L., Taaffe, K., Khoshkenar, A., Reeves, R., Lee, B., Joseph, A., & San, D. (2018, Nov. 4-7). Reduction of Patient and Surgery Preparation Time in the Operating Room. INFORMS 2018 Annual Meeting, Phoenix, AZ.

Machry, H., Bayramzadeh, S., Joseph, A., & Allison, D. (2018, Oct 30 – Nov 2). Developing and Evaluating an Operating Room Design Prototype: the use of a Mock-up Simulation Approach Integrated to an Iterative Evidence-based Design Process. In Proceedings of the VIII VIII Congresso Brasileiro para o Desenvolvimento to Edificio Hospitalar (CBDEH). Curitiba, PR, Brazil.

Joseph, A. & Wingler, D. (2018, Oct 25-26). Engaging clinicians in the design process through simulation-based mock-up evaluations to support the design of high performance healthcare environments. MUSC Performance Improvement Conference. Charleston, SC.

Joseph, A., Wingler, D., Robb, A., & Bayramzadeh, S. (2018, August 26-30). Integrating technology in patient care spaces: Using scenario-based evaluations to compare design alternatives in virtual reality. Congress of International Ergonomics Association. Florence, Italy.

Wingler, D., Martin, L., & Joseph, A. (2018, June 11-13). Understanding the impact of induction room vs. operating theater on child and parent anxiety during the ambulatory surgical process. European Healthcare Design. London, UK.

Joseph, A., Taaffe, K., Khoshkenar, A., & Bayramzadeh, S. (2018, June 11-12). How large should the OR be? Using a multi-disciplinary systems approach to designing safer operating rooms. European Healthcare Design. London, UK.

Joseph, A., Wingler, D., Robb, A., & Bayramzadeh, S. (2018, June 11-12). Integrating technology in patient care spaces: Using scenario-based evaluations to compare design alternatives in virtual reality. European Healthcare Design. London, UK

Bayramzadeh, S., Joseph, A., & Allison, D. (2018, June 6-9). Using simulation-based mock-up evaluations to proactively engage clinicians during healthcare facility design and renovation projects. Environmental Design Research Association (EDRA) 49 Conference. Oklahoma City, OK.

Jafarifiroozabadi, R., Bayramzadeh, S., Joseph, A., & Mousavi, E. (2018, June 6-9). Patterns of door openings in operating rooms. Environmental Design Research Association (EDRA) 49 Conference. Oklahoma City, OK.

Wingler, D., Joseph, A., Bayramzadeh, S., & Machry, H. (2018, June 6-9). Engaging end-users in architectural design decision-making: A comparison of four design communication media. Environmental Design Research Association (EDRA) 49 Conference. Oklahoma City, OK.

Joseph, A., Khoshkenar, A., Taaffe, K., Bayramzadeh, S., Catchpole, K., & Machry, H. (2018, May 19-22). Minor disruptions, traffic levels, and their effect on major flow disruptions in the operating room. 2018 Institute of Industrial and Systems Engineers (IISE) Annual Conference. Orlando, FL.

Khoshkenar, A., Taaffe, K., Fredendall, L., Ferrand, Y. San, D., & Joseph, A. (2018, May). Traffic flow improvements in the operating room using a Markov chain simulation model. 2018 IISE Annual Conference. Orlando, FL.

Lee, B., San, D., Taaffe, K., Fredendall, L., Ferrand, Y., Khoshkenar, A., Joseph, A., Reeves, S; RIPCHD.OR team. (2018, May). Reduction of patient and surgery preparation time in the operating room. Annual meeting of the Production and Operations Management Society. Houston, TX.

Lee, B., San, D., Taaffe, K., Fredendall, L., Ferrand, Y., Khoshkenar, A., Fiore, A., Joseph, A., Reeves, S; RIPCHD.OR team. (2018, April). Potential benefits of a separate instrument setup room or induction room adjacent to the operating room. Health Sciences Center Research Showcase, Greenville Health System. Greenville, SC.

Gomes, K. & Riggs, S. (2018, March 26-28). The evaluation of tactile technology for continuous information displays in anesthesia. 2018 International Symposium on Human Factors and Ergonomics in Health Care. Boston, MA. 

Joseph, A., Wingler, D., Machry, H., & Bayramzadeh, S. (2018, March 26-28). Communicating Effectively with Clinical End-Users About Desired Performance Outcomes During the Health-Care Facility Design Process. 2018 International Symposium on Human Factors and Ergonomics in Health Care. Boston, MA.

Jurewicz, K., & Neyens, D.M. (2018, March 26-28) Examining different task-based layouts of an anesthesia workstation based on task relationships and task sequencing.  2018 International Symposium on Human Factors and Ergonomics in Health Care. Boston, MA. 

Khoshkenar, A., Taaffe, K., Fredendall, L., Ferrand, Y. San, D., & Joseph, A. (2018, February). Traffic flow improvements in the operating room using a Markov chain simulation model. 2018 Healthcare Systems Process Improvement Conference. Atlanta, GA.

Lee, B., San, D., Taaffe, K., Muhs, M., Khoshkenar, A., Fredendall, L., Ferrand, Y., & Joseph, A. (2018, February). Monitoring task flows for aseptic practices in the operating room. 2018 Healthcare Systems Process Improvement Conference. Atlanta, GA.

Jurewicz, K., M. Alfred, D.M. Neyens, K. Catchpole, A. Joseph, & S. Reeves (2018) Investigating Intraoperative and Intraprofessional Handoffs in Anesthesia. Proceedings of the 62nd Annual Meeting of the Human Factors and Ergonomics Society. Philadelphia, PA.

Related Presentations 2017:

Khoshkenar, A., Taaffe, K., Muhs, M., Fredendall, L., Ferrand, Y., San, D., & Joseph, A. (2017, December). Simulation-based design and traffic flow improvements in the operating room. In Proceedings of the 2017 Winter Simulation Conference. Washington, DC.

Bayramzadeh, S., Joseph, A., & Machry, H. (2017, July 17-21). Operating room layout configuration: a tool to improve staff experience, performance, and efficiency. 8th International Conference on Applied Human Factors and Ergonomics (AHFE). Los Angeles, CA.

Joseph, A., Catchpole, K., & Allison, D. (2017, June 12-14). Using a systems approach to designing a safer and more ergonomic operating room. Poster presented at the European Healthcare Design Conference. London, UK.

Bayramzadeh, S., Joseph, A., Wingler, D., & Machry, H. (2017, May 31-June 3). Developing methods to observe and analyze behaviors in operating room environments. Environmental Design Research Association (EDRA) 48 Conference. Madison, WI.

Machry, H., & Joseph, A. (2017, May 31-June 3). The built environment as a factor in the engagement process in healthcare (workshop). Paper presented at the Environmental Design Research Association (EDRA) 48 Conference. Madison, WI.

Machry, H., Joseph, A., Wingler, D., & Matthews, R. (2017, May 31-June 3). Spatial implications of essential surgical flows in ambulatory surgery centers. Environmental Design Research Association (EDRA) 48 Conference. Madison, WI.

Lee, B., Shvorin, D., Fredendall, L., Taaffe, K., Ferrand, Y., Muhs, M., San, D., Joseph, A., & Reeves, S. (2017, May). Correlation of microbial load and movement within the operating room. Presented at the Clemson University Research Symposium, Clemson, SC.

Taaffe, K., Khoshkenar, K., Muhs, M., Fredendall, L., Ferrand, Y., San, D., Joseph, A., Reeves, S. (2017, May). Simulation-based design improvements in the operating room. Presented at the Clemson University Research Symposium, Clemson, SC.

Betza, S., Reeves, S., Abernathy, J., & Riggs, S.L. (2017). The effect of movement and cue complexity on tactile change detection. In Proceedings the Human Factors and Ergonomics Society 61th Annual Meeting (pp. TBD-TBD). Santa Monica, CA: Human Factors and Ergonomics Society.

Joseph, A., Bayramzadeh, S., Machry, H., & Wingler, D. (2017). Realizing improved patient care through human centered design in the OR: Phase 2 findings. Healthcare Design Conference. Kissimmee, FL.

Joseph, A., & Reeves, S. (2017). Improving patient care through human-centered design in the OR. Paper presented at the AHRQ PSLL Webinar series, Webinar.

Joseph, A., Wingler, D., Bayramzadeh, S. & Abernathy, J. (2017). Integrating research, education and practice in the healthcare facility design process through the use of physical mock-ups. Association of Canadian Ergonomists & Symposium on Human Factors in Organizational Design and Management (ACE-ODAM 2017), Banf, Alberta, Canada.

Joseph, A., Wingler, D., Bayramzadeh, S., Machry, H. (2017). Using a systems framework and methodology for observing behavior in operating room environments. Association of Canadian Ergonomists & Symposium on Human Factors in Organizational Design and Management (ACE-ODAM 2017), Banf, Alberta, Canada.

Related Presentations 2016:

Lee, B., Fredendall, L., Taaffe, K., & Joseph, A. (2016, Nov. 18-21). Operating room management when considering microbial loads. 48th Annual Meeting of the Decision Sciences Institute. Austin, TX.

Lee, B., Fredendall, L., Taaffe, K., & Joseph, A. (2016, Nov. 13-16). Operating room management when considering microbial loads. INFORMS 2016 Annual Conference. Nashville, TN.

Catchpole, K., Joseph, A., Machry, H., & Zamani, Z. (2016, Nov. 12-15). Realizing Improved Patient Care through Human Centered Design in the OR: Phase 1 findings. Healthcare Design Conference. Houston, TX.

Joseph, A., Catchpole, K., & Allison, D. (2016, Nov. 12-15). Bench to bedside: Integrating research education and practice in architecture and health. Healthcare Design Conference. Houston, TX.

Shvorin, D., Taaffe, K., Fredendall, L., Ferrand, Y., San, D., Lee, B., Bhide, K., & Joseph, A. (2016, Oct. 26-29). Operating room management when considering microbial loads. International Annual Conference of the American Society for Engineering Management. Charlotte, NC.

Joseph, A. (2016, September 23). Designing safer operating rooms using a systems approach. The Carolinas anesthesiology 2016 annual meeting, Charleston, SC.

Betza, S., Jurewicz, K., Neyens, D., Riggs, S., Abernathy III, J., & Reeves, S. (2016, Sept. 19-23). Anesthesia maintenance and vigilance examining task switching. 60th Annual Meeting of the Human Factors and Ergonomics Society (HFES) 2016, Washington, D.C.

Joseph, A., Zamani, Z., & Machry, H. (2016, May 18-21). Addressing patient safety outcomes associated with the operating room’s built environment. Paper presented at the EDRA 47: Innovation - Shifting Ground, Raleigh, NC.

Fredendall, L., Ferrand, Y., Taaffe, K., San, D., Joseph, A. & Reeves, S. (2016, May 6-9). An Examination of the Operating Room's Physical Environmental Impact on Multi-Operational Flows. Presented at the 27th Annual POMS (Production and Operations Management Society) Conference, Orlando, FL.

Design of Healthcare Spaces and Products of the Future

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Related Publications:

Joseph, A., Wingler, D., & Zamani, Z. (2017). Balancing the Human Touch with the Need for Integrating Technology in Ambulatory Surgical Environments: Barriers and Facilitators to Nursing Work and Care Team Interactions. Journal of Interior Design, n/a-n/a. doi:10.1111/joid.12089

Wingler, D., Joseph, A., & Joshi, R. (2018). An Ergonomic Evaluation of Preoperative and Postoperative Workspaces in Ambulatory Surgery Centers. In V. Duffy & N. Lightner (Eds.), Advances in Human Factors and Ergonomics in Healthcare and Medical Devices: Proceedings of the AHFE 2017 International Conferences on Human Factors and Ergonomics in Healthcare and Medical Devices, July 17–21, 2017, The Westin Bonaventure Hotel, Los Angeles, California, USA (pp. 11-21). Cham: Springer International Publishing.

Related Presentations 2017:

Joseph, A. (2017). Architecture + Health: Healthcare spaces of the future. Presentation at the Watt Innovation Forum, Clemson, SC.

Joseph, A., & Wingler, D. (2017, March). Balancing the human touch with the need for integrating technology in ambulatory surgical environments: Barriers and facilitators to nursing work and care team interactions. Poster presented at the Greenville Health System Health Sciences Research Showcase, Greenville, SC.

Joseph, A., Wingler, D., & Joshi, R. (2017, May 31 - June 3). Designing preoperative and postoperative workspaces to support communication between patients, staff and care partners in ambulatory surgery centers: An ergonomic evaluation. Paper presented at the Environmental Design Research Association (EDRA) 48 conference, Madison, WI.

Joseph, A., Wingler, D., & Zook, J. (2017, July). Evaluating the impact of spatial configuration on care team interactions in ambulatory surgical environments. Paper presented at the Design and Health 12th World Congress and Exhibition, Vienna, Austria.

Wingler, D., Joseph, A., & Joshi, R. (2017, July 17-21). An ergonomic evaluation of preoperative workspaces in ambulatory surgery centers. Paper presented at the 8th International Conference on Applied Human Factors and Ergonomics (AHFE), Los Angeles, CA.

Related Presentations 2016:

Joseph, A., Wingler, D., Zamani, Z., & Wilson, S. (2016, May 18-21). Communication, coordination and collaboration: Understanding the nature of work for pre-operative and post-operative nurses in ambulatory surgical environments. Paper presented at the EDRA 47: Innovation - Shifting Ground, Raleigh, NC.

Patient Room Prototype (2006-2009)

Click to view completed project

Related Publications:

1. Allison, D (2009). Single Bed Hospital Rooms in the US: Design Issues and Trends. Journal of Japan Institute of Healthcare Architecture [Japan] pp 4-7, 1/2009.

2. Fink, N., Pak, R. And Battisto, D. (2009). Prospective memory in the nursing environment: Effects of type of prospective task and prospective load. Proceedings of the Human Factors and Ergonomics Society 53rd Annual Meeting. San Antonio, TX: Human Factors and Ergonomics Society.

3. Fink, N., Pak, R. and Battisto, D. (2009) Developing a Usability Evaluation Tool to Assess the Patient Room Bathroom, Health Environments Research Design Journal Special Issue.

4. Vincent, E. Battisto, D. and Grimes, L. (2009) The Effects of Presence and Influence in Nature Images in a Simulated Hospital Patient Room, Health Environments Research Design Journal Special Issue.

5. Battisto, D. and Allison, D. (2008). A Hospital Patient Room Prototype: Bridging Design and Research. AIA Academy of Architecture for Health Journal. 11th edition.

Additional Publications

Allison, D. (2012) Designing Hospitals and Medical Centers as Healthy Livable Urban Districts, Proceedings of the 49th International Making Cities Livable Conference, Portland Oregon, May 2012.

Allison, D. (2007) Hospital as City, Health Facilities Management.

Allison, D., Battisto, D., Ramsey R. (2011). Healthcare Design Conference 2010 - Clemson Architecture + Health Footprint.

Allison, D. (2009) Graduate Studies in Architecture + Health at Clemson University. Urbanism and Architecture [China], 7.2009 No58 pp 31-34

Barmparas, G., Ley, E.J., Martin, M.J., Ko, A., Harada, M., Weigmann, D., Catchpole, K.R., & Gewertz, B.L. (2018, June). Failure to rescue the elderly: a superior quality metric for trauma centers. European Journal of Trauma and Emergency Surgery, 44(3):377-384. https://www.ncbi.nlm.nih.gov/pubmed/28331951

Barmparas, G., Martin, M. Wiegmann, D., Catchpole, K., Gewertz, B., & Ley, E. (2016). Increased Age Predicts Failure to Rescue. The American Surgeon, 82 (11): 1073-1079.

Battisto, D. & Franqui, D. (forthcoming 2018). Developing a Performance Framework for Architects. Routledge, Taylor, and Francis Group. New York: NY.

Battisto, D. Vincent, E. & Dye, C. (forthcoming 2018). Technological Supports to Increase Nature Contact for Older Adults. In Pak & McLaughlin (Eds.). Designed Technologies for Healthy Aging. Elsevier. Amsterdam, Netherlands.

Battisto, D. & Wilhelm, J (formerly with Wolfgang Preiser) Eds. Frontiers of Healing Architecture. Book proposal submitted to Routledge, August 2017.

Bayramzadeh, S. (2016). An assessment of five levels of safety in psychiatric units. Health Environments Research & Design Journal, 10(2), 66-80.

Bayramzadeh, S., Portillo, M., & Carmel-Gilfilen, C. (2018). Understanding design vulnerabilities in the physical environment relating to patient fall patterns in a psychiatric hospital: Seven years of sentinel events. Journal of American Psychiatric Nurses Associationhttps://doi.org/10.1177%2F1078390318776086

Catchpole, K. & Alfred, M. (2018, August 16). Industrial conceptualization of healthcare vs the naturalistic decision making paradigm: Work as imagined vs work as done. Journal of Cognitive Engineering and Decision Making, 12(3):222-226. https://doi.org/10.1177%2F1555343418774661

Catchpole, K. (2017). Surgery through a Human Factors and Ergonomics Lens. In Sanchez, Barach, Johnson, Jacobs (Eds.). Surgical Patient Care: Improving Safety, Quality and Value

Catchpole, K., Hallett, E., Curtis, S., Mirchi, T., Souders, C., & Anger, J. (2018, January. Diagnosing Barriers to Safety and Efficiency in Robotic Surgery. Ergonomics, 61(1):26-39. https://doi.org/10.1080/00140139.2017.1298845 PMID: 28271956

Catchpole, K. & Jeffcott, S. (2017). Human Factors Practice in Healthcare: Opportunities and Challenges. In Shorrock and Williamson (Eds). Human Factors and Ergonomics in Practice: Improving system performance and human well-being in the real world.

Cohen, T.N., Cabrera, J.S., Litzinger, T.L., Captain, K.A., Fabian, M.A., Miles, S.G., Reeves, S.T., Shappell, S.A., & Boquet, A.J. (2017, June). Proactive Safety Management in Trauma Care: Applying the Human Factors Analysis and Classification System. Journal for Healthcare Quality. DOI: 10.1097/JHQ.0000000000000094. PMID: 28671897

Cohen, T.N., Cabrera, J.S., Pohl, E.E., Sisk, O.D., Welsh, K.W., Abernathy, J.H., Reeves, S.T., Wiegmann, D.A., Shappell, S.A., & Boquet, A.J. (2016, August). Identifying workflow disruptions in the cardiovascular operating room. Anesthesia, 71:948-54. DOI: 10.1111/anae.13521. PMID: 27396248

Cohen, T.N., Wiegmann, D.A., Reeves, S.T., Boquet, A.J., & Shappell, S.A. (2017). Coding human factors observations in surgery. Am J Med Qual, 32(5):556-562. DOI: 10.1177/1062860616675230. PMID: 27784757

Cohen, T. Boquet, A., Reeves, S.T., & Shappell, S. (2017, June). Flow disruptions impacting the surgeon during cardiac surgery: Defining the boundaries of the error space. Perioperative Care and Operating Room Management, 7: 1-6. https://doi.org/10.1016/j.pcorm.2017.03.001

Dru, C.J., Anger, J.T., Souders, C., Bresee, C., Weigl, M., Hallett, E., & Catchpole, K.R. (2017, June). Surgical flow disruptions during robotic prostatectomy. Canadian Journal of Urology, 24(3):8814-8821. PMID: 28646936

Frykman, P., Freedman, A., Kane, T., Cheng, Z., Petrosyan, M., & Catchpole, K. (2016). A study of the VITOM exoscope in pediatric surgery and urology: Evaluation of technology acceptance and usability by operating team and surgeon musculoskeletal discomfort. Journal of Laparoendoscopic & Advanced Surgical Techniques, 23(7): 639-643. DOI: 10.1089/lap.2016.0225.

Hignett, S., Albolino, S., & Catchpole, K. (2017). Health and social care ergonomics: patient safety in practice. Ergonomics, Oct 9:1-4. https://doi.org/10.1080/00140139.2017.1386454

Ibrahim, A. M., Dimick, J. B., & Joseph, A. (2016). Building a Better Operating Room: Views from Surgery and Architecture. Annals of Surgery. DOI:10.1097/sla.0000000000001777

Jain, M., Fry, B.T., Hess, L.W., Anger, J.T., Gewertz, B.L., & Catchpole, K. (2016). Barriers to efficiency in robotic surgery: The resident effect. Journal of Surgical Research, 205 (2): 296–304. DOI: 10.1016/j.jss.2016.06.092

Jiang, S, Powers, M. Allison, D, and Vincent E (2017, July). Informing Healthcare Waiting Area Design Using Transparency Attributes: A comparative Preference Study. Health Environments Research & Design Journal, 10(4):49-63. DOI: 10.1177/1937586716675581. PMID: 28643559

Jiang, S. (2014 approved for publication). Therapeutic Landscapes and Healing Gardens: A Review of Chinese Literature in Relation to the Studies in Western CountriesFrontiers of Architectural Research: Special Issue on Healthcare.

Joseph, A. (2016, April 14). Overcoming challenges while designing clinics. Healthcare Executive.

Joseph, A. (2015, March 5). Design Principles and Trends in Assisted Living. Healthcare Executive. https://www.healthcareexecutive.in/design-principles-and-trends-in-assisted-living

Joseph, A., Choi, Y.-S., & Quan, X. (2015). Impact of the Physical Environment of Residential Health, Care, and Support Facilities (RHCSF) on Staff and Residents: A Systematic Review of the Literature. Environment and Behavior. DOI:10.1177/0013916515597027

Joseph, A., Taylor, E., & Quan, X. (final review). Creating safer healthcare environments using an evidence-based design process. In V. K. Singh (Ed.). Innovative, Lean & Evidence Based Healthcare Facilities Planning and Design.

Joseph, A., Wingler, D. & Allison, D. (Editors) (2016). Realizing Improved Patient Care through Human-Centered Design in the Operating Room (RIPCHD.OR). (Internal CHFDT publication) http://issuu.com/clemsonchfdt/docs/ripchd.or_volume_1/1

Lygum, V., Stigsdotter, U., Verder, S., Jiang, S. (2013). Person-Nature Therapeutics in Crisis Shelters for Victims of Domestic Violence: A Review. EDRA44 Proceedings, Providence, Rhode Island, May 2013.

McCulloch, P., Morgan, L., New, S., Catchpole, K., Robertson, E., Hadi, M., Pickering, S., Collins, G., & Griffin, D. (2017, January). Combining Systems and Teamwork Approaches to Enhance the Effectiveness of Safety Improvement Interventions in Surgery: The Safer Delivery of Surgical Services (S3) Program. Annals of Surgery, 265(1):90-96. DOI: 10.1097/SLA.0000000000001589. PMID: 28009731

New, S., Hadi, M., Pickering, S., Robertson, E., Morgan, L., Griffin, D., Collins, G., Rivero-Arias, O., Catchpole, K., & McCulloch, P. (2016). Lean Participative Process improvement: Outcomes and obstacles in trauma orthopaedics. PLoS ONE 11(4): e0152360. DOI:10.1371/journal.pone.0152360

Quan, X., Joseph, A., & Nanda, U. (2017, March). Developing Evidence-based Tools for Designing and Evaluating Hospital Inpatient Rooms. Journal of Interior Design, 42 (1): 19-38. DOI:10.1111/joid.12091

Quan, X., Joseph, A., Nanda, U., Moyano-Smith, O., Kanakri, S., Ancheta, C., & Loveless, E. A. (2016). Improving Pediatric Radiography Patient Stress, Mood, and Parental Satisfaction Through Positive Environmental Distractions: A Randomized Control Trial. Journal of Pediatric Nursing, 31 (1), e11-22. DOI:10.1016/j.pedn.2015.08.004

Souders, C.P., Catchpole, K.R., Wood, L.N., Solnik, J.M., Avenido, R.M., Strauss, P.L., Eilber, K.S., & Anger, J.T. (2017, August). Reducing operating room turnover time for robotic surgery using a motor-racing pit-stop model. World Journal of Surgery, 41(8):1943-1949. DOI.10.1007/s00268-017-3936-4.

Taylor, E., Quan, X., & Joseph, A. (2015). Testing a tool to support safety in healthcare facility design. Paper presented at the 6th International Conference on Applied Human Factors and Ergonomics (AHFE 2015) ad the Affiliated Conferences, Krakow, Poland

Verderber, S., Jiang, S., Hughes, G., Xiao, Y. (2014 approved for publication) The Evolving Role of Evidence-based Research in Healthcare Facility Design Competitions. Frontiers of Architectural Research: Special Issue on Healthcare.

Verderber, S. Community Health Centers for the Medically Underserved: An American Case Study. (2013). Urbanism and Architecture, (11)001. (Published in Chinese, Translated by Jiang, S., Proofed by Xiao, Y. Jiang, Y.)

Wahr, J.A., Abernathy, J.H. III, Lazarra, E.H., Keebler, J.R., Wall, M.H., Lynch, I., Wolfe, R., & Cooper, R.L. (2017, January). Medication Safety in the operating room: Literature review and expert-based consensus. Br J Anesthesia, 118(1):32-43. DOI:10.109/bja/aew379 PMID: 28039240

Waterson, P. & Catchpole, K. (2016). Human factors in healthcare: welcome progress, but still scratching the surface. BMJ Quality and Safety, 25:480-484. DOI:10.1136/bmjqs-2015-005074. PMID: 26685148

Weigl, M., Stefan, P., Abhari, K., Wucherer, P., Fallavollita, P., Lazarovici, M., & Catchpole, K. (2016). Intra-operative disruptions, surgeon’s mental workload, and technical performance in a full-scale simulated procedure. Surgical Endoscopy, 30(2):559-66. doi: 10.1007/s00464-015-4239-1

Verderber, S.(2010) Innovations in Hospital Architecture. London: Taylor Francis/Spon Press.

Verderber, S. Private Inpatient Rooms and the 21st Century Hospital, Urbanism and Architecture, (Translated to Chinese, forthcoming 2010).

Verderber, S., Presier, W. and Battisto, D. Assessment of Health Center Performance: Toward the Development of Design Guidelines, International Journal of Architectural Research, 3:3, 2009, pp. 21-44.

Verderber, S. Preventing Chronic Disease Among the Aged: A Call for Evidence-based Design Research, Health Environments Research Design Journal, 2:3, Spring 2009, pp. 71-83.

Verderber, S., Presier, W. and Battisto, D. Assessment of Health Center Performance: Toward the Development of Design Guidelines, International Journal of Architectural Research, 3:3, 2009, pp. 21-44.

Verderber, S. Emergency Housing in the Aftermath of Hurricane Katrina: An Assessment of the FEMA Travel Trailer Program, Journal of Housing and the Built Environment, 23:4, 2008, pp. 367-381.

Verderber, S., Fauerbach, J. and Walter, B. On the Value of Environmental Stewardship and Sustainability in Health Administration Education, The Journal of Health Administration Education, 26:3, 2008, pp. 248-68.

Verderber, S. A Hospice for the 21st Century. Urbanism and Architecture (China), 46:7, 2008, pp. 28-30 (published in Chinese).

Verderber, S. Evidence-based Design for Healthcare in Post-Katrina New Orleans: Current Dilemmas, Health Environments Research Design Journal, 1:2, Winter 2008, pp. 71-79.

Yang, Y., Rivera, J., Fortier, C., & Abernathy, J.H. III. (2016, April). A human factors engineering study of the medication delivery process during an anesthetic: Self-filled syringes vs. pre-filled syringes. Anesthesiology, 124(4): 795-803. doi: 10.1097/ALN.0000000000001040  PMID: 26845139

Additional Presentations 2017:

Allison, D. (2017, April). Education in Architecture + Health: Lessons from the Architecture + Health Program at Clemson University. Invited keynote presentation delivered at the Mind the Gap: Healthcare Architecture through Practice and Education Summit, Washington, DC.

Allison, D. (2017, July). Clemson University Architecture + Health Program: Recent and Ongoing Initiatives. Invited presentation at the UIA Public Health Group Meeting, London, UK.

Allison, D. & Edwards, B. (2017, July). Defining best practices in ambulatory care design for the medically underserved populations: An integrated and collaborative knowledge research informed learning-practice model. Academic update for Clemson University Graduate Studies Program presented at the AIA/AAH Summer Leadership Summit, Chicago, IL.

Allison, D., Schultz, E., & Heinrich, E. (2017, June). Daylighting in practice – within surgical environments. Poster presented at the European Healthcare Design Conference, London, UK.

Battisto, D. Lewis, W., & Kiss, C. (2017). A task analysis of patient-centered medical home room functionality and operational efficiency. Healthcare Design Conference. Orlando, FL.

Bayramzadeh, S. (2017, May 31-June 3). Family-Centered care as a double-edged sword: Why context and population matter when designing for vulnerable populations. Environmental Design Research Association (EDRA) 48 conference, Madison, WI.

Boquet, A., Cohen, T., Reeves, S., & Shappell, S. (2017, April). Using flow disruptions to define the error space during cardiovascular surgery. Presented at the 39th Society of Cardiovascular Anesthesiologists annual meeting, Orlando, FL.

Catchpole, K.R. (2017, March 6). Socio-technical systems issues in robotic surgery. Human Factors and Ergonomics in Healthcare, New Orleans, LA.

Catchpole, K.R. (2017, April 24). Resiliency in teams & organizations. Society for Cardiac Anesthesiologists, Orlando, FL.

Cohen, T., Boquet, A., Abernathy, J., Reeves, S., & Shappell, S. (2017, April). Identifying threats to patient safety in cardiac surgery: Differences between teaching and nonteaching hospitals. Presented at the 39th Society of Cardiovascular Anesthesiologists annual meeting, Orlando, FL.

Jafarifiroozabadi, R., Okhovat, H. (2017, May 31-June 3). Quality evaluation of architectural studios in University of Tehran based on students’ personality types. Environmental Design Research Association (EDRA) 48 conference, Madison, WI.

Joseph, A. (2017). Grant seeking workshop. Clemson University

Joshi, R. (2017, May 31-June 3). Understanding the built environment of shelter homes for survivors of domestic violence. Environmental Design Research Association (EDRA) 48 conference, Madison, WI.

Kiss, C., Battisto, D., & Lewis, W. (2017, June). Architecture students share insights about open plan studio environments. Environmental Design Research Association (EDRA) 48 conference, Madison, WI.

Lewis, W., Battisto, D. and Kiss C. (2017, June). Student perceptions on how classroom designs promote active learning. Environmental Design Research Association (EDRA) 48 conference, Madison, WI.

Machry, H., & Joseph, A. (2017, May 31-June 3). The built environment as a factor in the engagement process in healthcare. Environmental Design Research Association (EDRA) 48 conference, Madison, WI.

Reeves, S.T. (2017, April). Scope of practice and outcomes in cardiac surgery and anesthesia: East meets west. Society of Cardiovascular Anesthesiologist, 39th Annual Meeting. Orlando, FL.

Wingler, D., (2017, May). Impact of ambulatory surgical environments on stress and coping for children and their parents: A systematic review of the literature. Environmental Design Research Association (EDRA) 48 conference, Madison, WI.

Additional Presentations 2016:

Abernathy, J.H. III (2016). What does a safe OR look like? AMSECT. New Orleans, LA.

Abernathy, J.H. III (2016). Human factors in the cardiac operating room. AMSECT Keynote lecture, New Orleans, LA.

Abernathy, J.H. III (2016). Patient safety in the cardiac operating room: What can, will and might make patients safer and you happier. Grand Rounds, University of Nebraska, Omaha, NE.

Abernathy, J.H. III (2016, October). Human factors in the cardiac operating room. Refresher course lecture, American Society of Anesthesiologists Annual Meeting. Chicago, IL.

Allison, D. (2016, September). Designing healthcare settings as models of healthy facility and community design. Keynote presentation delivered at the VII CBDEH Congresso Basileiro para o Desenvolvimento do Edificio Hospitalar. Salvador, Brasil.

Allison, D. (2016, November) served as a forum facilitator and panelist for the Architecture + Health Education Forum at the Healthcare Design Conference. Houston, TX.

Allison, D., Edwards, B., & Franqui, D. (2016, November). Ambulatory Care Facility Design for Underserved Populations: Results of an NCARB – Sponsored Evidence-Based Learning Initiative. Presentation and discussion held at the Healthcare Design Conference. Houston, TX.

Battisto, D. (2016, December 14). A Presentation to the Leadership of the Defense Health Agency and Military Health System. Washington, DC.

Catchpole, K.R. (2016, July 26). Flow Disruptions in Image Guided Spinal Surgery. Applied Human Factors and Ergonomics 2016. Orlando, FL.

Catchpole, K.R. (2016, Sept 24). Hero not Hazard: Putting Humans at the Center of the System. North and South Carolina Societies SC Societies of Anesthesiologists Annual Meeting. Charleston, SC.

Catchpole, K.R. (2016, Oct 21). Managing Teams to Improve Patient Safety. Update on Perfusion Conference. Charleston, SC.

Catchpole, K.R. (2016, Dec 3). Human Factors and Systems Integration in Spinal Surgery. Seattle Science Foundation. Seattle, WA.

Catchpole, K.R. (2016, Dec 9). Keynote: Human Factors in Surgical Error. Current Approaches to Understanding Surgical Error. Leeds, UK.

Edwards, B. & Franqui, D. (2016, November). Making the Case for Case Studies: A Dynamic Database Reference for Practitioners and Researchers. Presentation and discussion held at the Healthcare Design Conference. Houston, TX.

Franqui, D. & Battisto, D. (2016, November). An Evidence-Based Design Checklist to Inform Clinic Design. Healthcare Design Conference. Houston, TX.

Watkins, N., LiBassi, Ph., Dieterle, Th., Tyson, T., & Bayramzadeh, S. (2016, Nov 12-15). Integration of Mixed Methods Research and Design Delivery: Validation of the Same Handed Room. Healthcare Design Conference. Houston, TX.

Books

Sprawling Cities and Our Endangered Public Health by Stephen Verderber

Sprawling Cities and Our Endangered Public HealthSprawl is an unsustainable pattern of growth that threatens to undermine the health of communities globally. It has been a dominant mid-to-late twentieth century growth pattern in developed countries and in the twenty-first century has shown widespread signs of proliferation in India, China, and other growing countries. The World Health Organization cites sprawl for its serious adverse public health consequences for humans and ecological habitats. The many adverse impacts of sprawl on the health of individuals, communities, and biological ecosystems are well documented. Architects have been rightly criticized for failing to grasp the aesthetic and functional challenge to create buildings and places that mitigate sprawl while simultaneously promoting healthier, active lifestyles in neighborhoods and communities.

Sprawling Cities and Our Endangered Public Health examines the past and present role of architecture in relation to the public health consequences of unmitigated sprawl and the ways in which it threatens our future. Topics examined include the role of twentieth century theories of architecture and urbanism and their public health ramifications, examples of current unsustainable practices, design considerations for the creation of health-promoting architecture and landscape urbanism, a critique of recent case studies of sustainable alternatives to unchecked sprawl, and prognostications for the future.

Architects, public health professionals, landscape architects, town planners, and a broad range of policy specialists will be able to apply the methods and tools presented here to counter unmitigated sprawl and to create architecture that promotes active, healthier lifestyles. Stephen Verderber is an internationally respected evidence-based researcher/practitioner/educator in the emerging, interdisciplinary field of architecture, health, and society. This, his latest book on the interactions between our buildings, our cities and our health, is an invaluable reference source for everyone concerned with sustainable architecture and landscape urbanism.

 

Innovations in Hospital Architecture by Stephen Verderber

hospitalarch

This indispensable reference book captures key recent developments in the rapidly evolving field of sustainable hospital architecture. Today’s architects must provide hospitals which enable high quality care for diverse patient populations in carbon neutral care settings, and this book succinctly considers what needs to be done in order to meet that challenge. The contemporary hospital is viewed in the context of global climate change, the planet’s diminishing natural resources and the spiralling cost of operating healthcare facilities.

Stephen Verderber considers the future of the hospital, and supplies a compendium of 100 planning and design considerations for the building type. The book includes twenty-eight case studies of built and unbuilt hospitals from around the world. These are grouped into five types - autonomous community based hospitals, children’s hospitals, rehabilitation and elderly care centres and hospitals, regional medical centre campuses, and visionary (unbuilt) projects.

Beautifully and extensively illustrated with many photographs, diagrams and floor plans, this is essential reading for all architects, planners, engineers, product manufacturers, clients, healthcare providers and government agencies involved in the present and future of sustainable healthcare environments.

 

Delirious New Orleans: Manifesto for an Extraordinary American City by Stephen Verderber

dnoFrom iconic neighborhoods such as the French Quarter and the Garden District to more economically modest but no less culturally vibrant areas, architecture is a key element that makes New Orleans an extraordinary American city. Delirious New Orleans began as a documentary project to capture the idiosyncratic vernacular architecture and artifacts--vintage mom-and-pop businesses, roadside motels, live music clubs, neon signs, wall murals, fast-food joints, and so on--that helped give the city's various neighborhoods their unique character. But because so many of these places and artifacts were devastated by Hurricane Katrina, Delirious New Orleans has become both a historical record of what existed in the past and a blueprint for what must be rebuilt and restored to retain the city's unique multicultural landscape. Stephen Verderber starts with the premise that New Orleans's often-overlooked neighborhoods imbue the city with deep authenticity as a place. He opens Delirious New Orleans with a photo-essay that vividly presents this vernacular architecture and its artifacts, both before Katrina and in its immediate aftermath. In the following sections of the book, which are also heavily illustrated, Verderber takes us on a tour of the city's commercial vernacular architecture, as well as the expressive folk architecture of its African American neighborhoods. He discusses how the built environment was profoundly shaped by New Orleans's history of race and class inequities and political maneuvering, along with its peculiar, below-sea-level geography. Verderber also considers the aftermath of Katrina and the armada of faceless FEMA trailers that have, at least temporarily and by default, transformed this urban landscape.

 

Innovations in Hospice Architecture by Stephen Verderber and Ben J. Refuerzo

hospicearchProviding much-needed focus on hospice projects in the context of unprecedented rates of societal ageing, this new reference book presents an overview of major recent developments in this rapidly evolving building type. The authors present an overview of the historical origins of the contemporary hospice and the diverse variations on the basic premise of hospice care, and offer a series of case studies of exemplary hospices. 

The most innovative work in this area over the past decade has been in Japan, the US, Canada and the UK, and the authors describe and analyze examples both as individual projects and as comparable yet differing approaches. Hospice Architecture will be essential reading for anyone involved in the planning, design and construction of hospices.

 

 

Healthcare Architecture in an Era of Radical Transformation by Stephen Verderber and David Fine

HAiaEoRTIn the 1960s and 1970s large, high-technology, in-patient oriented hospitals reflected the central role of such facilities in an expanding healthcare system. But hospital architecture and the healthcare system have vastly changed since then, in profound and unpredicted ways. This book explores for the first time how and why acute care hospitals and the often related psychiatric facilities, retirement communities, and community clinics have been transformed during the final decades of the twentieth century. The authors also consider utopian visions of unbuilt work and look ahead to the possible healthcare landscape of the future: 'health villages', home-based care for the ageing and aged population, and cyberclinics and virtual hospitals. 

 

 

 

Compassion in Architecture: Evidence-based Design for Health in Louisiana by Stephen Verderber

compassionThe element of passion in a work of architecture, usually centered on formal composition, materials, and siting, tends to obscure serious critical attention accorded to a building's lived qualities and too often ignores a building's social meaning or compassionate intent. "Compassion in Architecture: Evidence-based Design for Health in Louisiana" represents an approach that reconciles such contradictory concerns in architecture. It is a call for a new era of social advocacy in architectural design, one that truly incorporates the formal, experiential, and human aspects of architecture.

The discussion centers on a method for improving treatment settings for underrepresented minority populations and medically underserved patients throughout Louisiana. The evidence-based research and design (EBR&D) process is applied to the reinvention of Louisiana's network of community care clinics and public health support facilities.

Author Stephen Verderber spent over a decade compiling information for this book, which contains several first person narratives and eight case studies. Combined with his architect's eye for a successful physical structure, the personal stories and examples reveal underlying broader social, political, and cultural dimensions and reinforce the presentation of a lexicon of generative planning and design principles and guidelines.

The research and design work is centered on the importance of compassionate architecture for community health in the civic realm, and the enduring significance of places for health care in a community. The reader is carefully taken through each step in the process, from project inception to completion and post-occupancy assessment, in what is likely the longest continuously running evidence-based research and design initiative to date.

More than just a call to architectural arms, "Compassion in Architecture" is a detailed analysis of what components are necessary and vital to a community's public health facility. Verderber utilizes numerous illustrations, diagrams, and charts to support his text, making this study all the more informative.