Description
Evidence-Based Design for Healthcare Improvement
A practical and timely guide to using Evidence-Based Design (EBD) to transform healthcare.
Evidence-Based Design for Healthcare Improvement shows how the built environment can be a powerful tool for advancing healthcare outcomes. With accessible, well-illustrated chapters written by leading experts in EBD in collaboration with clinicians, this book bridges the gap between research and practice.
Focusing on areas where design has the greatest impact—teamwork, safety and infection prevention, patient experience, lighting, wayfinding, and inpatient room design—each chapter offers a concise introduction, key studies, successful project examples, and actionable design strategies.
Inside, readers will find:
- How EBD addresses core challenges in U.S. healthcare—directly and indirectly
- Ways that design can drive, not just reflect, change in healthcare systems
- Research-based strategies to improve outcomes for patients, families, staff, and organizations
- Specific examples where EBD has measurably improved healthcare environments
- Practical guidance for designers, health system leaders, and researchers—plus a look at what’s next
Whether you’re a healthcare executive, architect, researcher, or student, Evidence-Based Design for Healthcare Improvement is an essential resource for harnessing the built environment to deliver better care.
Foreword by Dr. Hamilto.
List of Contributors:
David Allison, Clemson University
Sheila J. Bosch, University of Florida
Mark Burnett, Scott County Hospital
Ilene Busch-Vishniac, BeoGrin Consulting
Hui Cai, Georgia Institute of Technology
Joshua D. Crews, Crews + Co.
Jennifer DuBose, Georgia State University
Heather Fellows, Crews + Co.
Mohammadhossein Ghasempourabadi, University of Alaska
Lindsey B. Gottlieb, Emory University School of Medicine
Saif Haq, Kennesaw State University
Jesse T. Jacob, Emory University School of Medicine
Anjali Joseph, Clemson University
Lisa Lim, Korea Advanced Institute of Science and Technology (KAIST)
Lesa N. Lorusso, Baptist Health
Kari L. Love, Emory University
Lorissa MacAllister, Enviah
Herminia Machry, University of Kansas
Zorana Mati´c, Northeastern University
Marc Matthews, Mayo Clinic
Maureen Ann McHale Burke, Emory Goizueta Brain Health Institute
Raha Motamed Rastegar, Georgia Institute of Technology
Joel Mumma, Emory University School of Medicine
Tatiana Orozco, Gresham Smith
Jennifer Pecina, Mayo Clinic
Scott Reeves, Medical University of South Carolina
Dagmar Rittenbacher, Gresham Smith
Erica Ryherd, University of Nebraska – Lincoln
Bonnie Sakallaris, GeorgeWashington University
Chris P. Schieffer, Mayo Clinic
Brock Slabach, National Rural Health Association
Kent Spreckelmeyer, University of Kansas
Robert Stroebel, Mayo Clinic
Shabboo Valipoor, University of Florida
Eunhwa Yang, Georgia Institute of Technology
Christina Ying Ying Chen, Mayo Clinic
Craig Zimring, Georgia Institute of Technology
Table of Contents
List of Contributors xiii
Foreword xvii
About the Editors xix
Preface xxi
Acknowledgments xxiii
Section I The Context of Healthcare: Problems, Opportunities, and Disruptors 1
1.1 Evidence-Based Design: Addressing the Challenges and Changes in Healthcare 3
Craig Zimring, Lisa Lim, and Robert Stroebel
1.2 Chasing Value: Exploring How the Built Environment Can Contribute to Healthcare Value 11
Lorissa MacAllister and Robert Stroebel
1.3 Evidence-Based Design: History, Issues, and Opportunities 19
Craig Zimring, Lisa Lim, and Robert Stroebel
Section II Providing and Receiving Care More Effectively and Safely 39
2.1 Designing Safer and More Human-Centered Operating Rooms 41
Anjali Joseph, David Allison, and Scott Reeves
2.2 Harm Reduction by Design: Optimizing Patient Rooms to Reduce Infection 59
Lindsey B. Gottlieb, Craig Zimring, and Kari L. Love
2.3 Architecture Can Keep Healthcare Workers Safe: Doffing Area Design to Improve Safety and Workflow in Caring for Patients with Serious Communicable Diseases 73
Zorana Matic , Herminia Machry, Jesse T. Jacob, and Joel Mumma
2.4 Improving Primary Care Teamwork and Communication by Team-Based Clinic Design 91
Lisa Lim, Craig Zimring, and Robert Stroebel
Section III Improving the Experience of Care for Patients and Staff 103
3.1 Environmental Design to Enhance Well-Being and Experience for Healthcare Workers 105
Lesa N. Lorusso, Sheila J. Bosch, Shabboo Valipoor, Dagmar Rittenbacher, and Tatiana Orozco
3.2 Experience Design for the Immersed Moving Visitor: Introducing "Diachronic Experiences" and Layout as Critical Research and Design Considerations 125
Saif Haq and Chris P. Schieffer
3.3 Inpatient Room Design to Meet the Challenge of Patient Expectations 139
Lorissa MacAllister and Bonnie Sakallaris
3.4 A Light Touch: How to Use Light to Improve Patient Experience 153
Jennifer Du Bose and Mohammadhossein Ghasempourabadi
3.5 Shhhh. I am Trying to Heal: Designing Healthy Soundscapes to Support Patients and Staff 167
Erica Ryherd, Ilene Busch-Vishniac, and Christina Ying Ying Chen
Section IV Care Outside Traditional Hospitals 187
4.1 Using Design to Empower People Facing Cognitive Decline in the Community and Healthcare Facilities 189
Eunhwa Yang, Christina Ying Ying Chen, Craig Zimring, Herminia Machry, Raha Motamed Rastegar, Heather Fellows, Joshua D. Crews, and Maureen Ann McHale Burke
4.2 Evidence-Based Innovative Rural Hospital Design 203
Hui Cai, Kent Spreckelmeyer, Brock Slabach, and Mark Burnett
4.3 All In: Clinic Design for Connected Care and Communication 221
Lisa Lim, Marc Matthews, and Jennifer Pecina
References 229
Afterword: Call to Action-Transform Healthcare Through Evidence-Based Design 233
Craig Zimring, Robert Stroebel, and Lisa Lim
Index 237



