EDAC EXAM QUESTIONS AND
ANSWERS
Quantitative - Answer-The goal of this research methodology is to explain and predict
phenomena by examining the relationships between empirically measured variables.
7 trends that are impacting healthcare - Answer--Public focus on quality and patient
safety
-Healthcare costs and reimbursement
-Aging population and caregiver shortage
-Health information technology
-Genomics and technology
-Disaster preparedness and ER saturation
-Environmental safety and sustainability
7 identifiable organizational healthcare cultures - Answer--Cultures of safety
-Faith-based cultures of caring
-Patient and family centered
-Physician centered
-Profit minded corporate
-Bureaucratic and hierarchical
-Academic and research
Environment of Care - Answer-1. Delivery of Care model (concepts)
2. Facility and service users (people)
3. Systems design
4. Layout and operational planning
5. Physical environment
6. Design Process and implementation
EOC measures - Answer--Temperature
-Light
-Sound
-Distance
-Patient: safety, injuries, outcomes, satisfaction
-Staff: errors
-Cost of care
-Return on investment
What do built environments impact? - Answer--Patient stress
-Patient safety
-Staff safety
-Staff effectiveness
-Quality of care
,Evidence Based Design Process - Answer-1. Define evidence-based goals and
objectives
2. Find sources of relevant evidence
3. Critically interpret relevant evidence
4. Create and innovate evidence-based design concepts
5. Develop a hypothesis
6. Collect baseline performance measures
7. monitor implementation of design and construction
8. Measure post-occupancy performance results
4 Levels of Evidence Based Design - Answer-1. Keep up with literature and apply to
inform design decisions
2. Predict outcomes expected from design (develop hypothesis; commit to measures)
3. Commit to hypothesis, measures and share findings publicly
4. Increase rigor by publishing results in peer-reviewed venues
9 Research Process Components are... - Answer-1. Research question
2. Literature review
3. Hypothesis
4. Research plan
5. Pilot study
6. Data collection
7. Data analysis
8. Report
9. Future Research
What is the research process? - Answer-1. Identify the purpose and aim of the research
2. Propose
A. A plan to reference and evaluate existing research
B. Research to gather and evaluate new evidence
3. Develop research questions/hypothesis
4. Identify valid and reliable instruments/surveys/scale/metrics to measure intended
outcomes
5. Collect study data related to research questions/hypothesis
A. Prior to project
B. After project
6. Validate theories and experiential knowledge
7. Perform studies to answer important questions related to project
8. Evaluate effects/outcomes of completed project
9. Present findings publicly
Institute of Medicines (I.O.M) Quality Aims - Answer--Patient Centered
-Effective
-Efficient
-Timely
, -Equitable
Patient Benefits from EBD... - Answer--Patient-care quality (adverse drug events,
hospital acquired infections)
-Patient safety (medical errors, falls/slips)
-Patient satisfaction (comfort, security, cleanliness, ease of access, visual and auditory
privacy)
-Patient stress
-Patient outcomes (LOS)
Staff Benefits from EBD... - Answer--Reduction in staff injuries (safety incidents)
-Stress reduction (staff fatigue, chaotic environment)
-Work effectiveness (increased time with patient, communication)
-Satisfaction (staff turnover, recruitment, retention)
-Error rates
Family Benefits from EBD... - Answer--Increased time with family and patients
-Increase social support
-Family satisfaction
-Family stress
Community Benefits from EBD... - Answer--Community pride
-Community satisfaction
-Philanthropic involvement
Community leaders are important because... - Answer-The team can gain insights about
consumer expectations.
Evidence Based Design Definition - Answer-The process of basing decisions about the
built environment on credible research to achieve the best possible outcomes.
How can EBD influence financial outcomes? - Answer-Each design strategy have as
associated cost and thus a potential Risk On Investment (R.O.I.)
How can EBD influence operational metrics? - Answer--Design strategies impact
operational and clinical care models, maintenance, and repair life cycle costs
-Design strategies impact patient, family, and staff outcomes
How can EBD influence clinical + safety outcomes? - Answer-Clinical Outcomes: Ceiling
lifts reduce staff injuries, pain, sleep, stress,etc...
Safety Outcomes: L.O.S. correlational data to patient stress - views to nature, noise,
single bed rooms, reduce H.A.I.'s, HEPA filtration, etc...
How can EBD influence satisfaction + commitment outcomes? - Answer--Increase
social support - zones
-Spatial disorientation - cues
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