Using Simulation to Support Evidence-Based Design of Safer Health Care Environments.

The design of health care environments and the technologies used within them have tremendous influence on the performance of the professionals who care for patients in those spaces. In turn, the performance of those professionals greatly impacts the safety of the care that is delivered to patients. Active and latent safety errors can be greatly reduced by rigorous testing of the patient care environment. · Prior to the approval of final design specifications and actual construction.. · After construction is complete before the first patients move in.. · On an ongoing basis once patient care is in progress.. While there are numerous types of testing that can be conducted, this manuscript will focus on the use of simulated clinical scenarios in realistic/real physical environments to detect and remediate weaknesses in the design of those environments with a focus on their use in perinatal centers. KEY POINTS: · Environmental design influences human performance.. · Realistic clinical simulation can improve the design.. · Simulation should be done on a continuous basis..