Innovative designs

This month's issue looks at clinician involvement in hospital design, electronic glucose management systems, sepsis survivorship, and more.

Have you ever wanted to design a hospital and place all the spaces and features where they would work best for your clinical practice? Cost and overall function continue to drive much of the decision making about hospital design, but physicians are more often being consulted in the early stages of the process, according to this month's main story. It describes how hospitals launching construction projects have sought clinician input on everything from the location of the elevators to the size of the rooms, with the goal of making hospital practice both more efficient and more comfortable. A sidebar looks at the history of patient-centered design, including recent efforts to support mobility and quiet in the hospital.

A feature article in this issue describes another new advance that could be making your practice easier—electronic systems for glucose management. Whether developed in-house or purchased from an outside vendor, these tools may simplify insulin dosing and improve patients' glycemic control. Or they may not. The article reviews the mixed results from research on these systems and the potential challenges to implementing them.

Figuring out how to protect patients from the long-term consequences of a sepsis hospitalization is a challenge even for the experts, according to another article in this issue. It seems likely that optimizing inpatient and postdischarge care, including rehab, should reduce the risks faced by sepsis survivors, which range from increased mortality and readmission to reduced function, but there are still many uncertainties in this relatively new area of research. Also check out the Test Yourself with questions about sepsis.

Speaking of new areas, see this month's Q&A to learn about some hospitals' plans to get into the pharmaceutical business. Have any innovations underway at your hospital that you'd like to share? Email us.

Stacey Butterfield