Department of Interior Design, University of Florida College of Design Construction and Planning, Gainesville, FL, USA.
Florida Institute for Built Environment Resilience, Gainesville, FL, USA.
HERD. 2023 Apr;16(2):268-283. doi: 10.1177/19375867221137098. Epub 2022 Nov 20.
There is growing evidence that contact surfaces within healthcare settings can serve as reservoirs for pathogen colonization and spread infectious bacteria to humans. This article aims to demonstrate the use of a Prevention through Design Environment Material Integrative Control (PtD-EMIC) instrument to predict the infection prevention resilience potential of materials commonly used for healthcare contact surfaces. PtD-EMIC is based on fuzzy logic and Adaptive Neural Fuzzy Inference System architecture. Its objective is to serve as a computational design tool that guides the selection and specification of interior materials that may moderate the spread of pathogens in healthcare environments. This objective is accomplished through an applied systems requirement simulation framework that can help guide interior material choice and design for healthcare spaces. The motivation for developing this instrument is to provide a vehicle that can expand healthcare design industry capabilities and interior environment analysis research by using computational approaches to inform interior material selection and design decisions that support healthcare environments' infection control strategies. The selection and sourcing of embedded data related to relevant and high-use acute care treatment area finishes, the premise of instrument use, precedent research basis, and system architecture, as well as tool validation and demonstration of use, are all discussed. The text explains how using this instrument can facilitate categorization and leveraging interior material performance outcome data for informing safety-critical healthcare design.
越来越多的证据表明,医疗机构中的接触表面可能成为病原体定植和传播感染细菌的储库。本文旨在展示使用设计预防环境材料综合控制(PtD-EMIC)工具来预测医疗保健接触表面常用材料的感染预防弹性潜力。PtD-EMIC 基于模糊逻辑和自适应神经网络模糊推理系统架构。其目的是作为一种计算设计工具,指导用于医疗环境中病原体传播的内部材料的选择和规范。这一目标是通过应用系统需求模拟框架来实现的,该框架可以帮助指导医疗空间内部材料的选择和设计。开发这种工具的动机是提供一种工具,通过使用计算方法来支持医疗环境的感染控制策略,为医疗保健设计行业的能力和内部环境分析研究提供信息,从而扩展其内部材料选择和设计决策。本文讨论了与相关的和高使用率的急性治疗区域表面处理相关的嵌入式数据的选择和来源、仪器使用的前提、先例研究基础和系统架构,以及工具验证和使用演示。文本解释了如何使用该工具来促进分类,并利用内部材料性能结果数据为关键安全的医疗保健设计提供信息。