Effective Lighting Design Standards  Impacting Patient Care: A Systems Approach

In order to ensure the driving safety of high-altitude highway tunnel and effectively reduce the lighting cost, this paper adopts the method considering the influence of automobile headlights luminance which combines reaction time incremental theory at different altitudes and lighting design simulation calculation. The paper has studied the design pattern of high-altitude highway tunnel, which are dominated by fixed lighting and supplemented by automotive lighting. The results show that: to ensure driving safety, the luminance of the lighting design for interior zone of highway tunnel increases with the increasing altitude. Based on the supplementary lighting of automobile headlights, the lighting design standards for the interior zone of high-altitude highway tunnel(the altitude is 2000m, 3000m, 4000m, 5000m respectively) are 0.73cd/m2, 0.82cd/m2, 0.91cd/m2, 1.0cd/m2.

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Pediatric Intensive Care Unit (PICU) Patient Room Design: Identifying Safety Risks in Mirrored Rooms Through a Graphical Systems Analysis

HERD Health Environments Research & Design Journal ◽

10.1177/19375867211032921 ◽

2021 ◽

pp. 193758672110329

Author(s):

Anjali Joseph ◽

Rutali Joshi ◽

Sahar Mihandoust ◽

Swati Goel ◽

Kiran Hebbar ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Patient Care ◽

Pediatric Intensive Care Unit ◽

Systems Approach ◽

Care Delivery ◽

Pediatric Intensive Care ◽

Patient Room ◽

Design Elements ◽

Clinical Scenarios

Objective: The objectives of this study are to graphically depict specific clinical challenges encountered in a mirrored pediatric intensive care unit patient room and to represent potential solutions to address these challenges using a systems approach. Background: The intensive care unit (ICU) patient room is a highly complex patient care environment where the design of the room must support patient care delivery safely and efficiently. There is a lack of research examining how ICU design elements interact with other system components to impact patient care. Methods: An observational case study method utilizing a systems approach was used to observe and graphically depict clinical challenges with mirrored room configurations and to identify potential solutions. Video recordings of the three clinical scenarios were analyzed in detail in conjunction with three rounds of interviews with a clinical expert. Results: Equipment or task characteristics that require orienting to a specific side of a patient create challenges in a mirrored room. In order to deliver care safely and efficiently in the mirrored room, adaptations would be required including changing boom, equipment and team member locations, purchasing new equipment, staff training, and inventory management. Some procedures such as extracorporeal membrane oxygenation would be difficult to conduct safely in the mirrored room, even with significant adaptations. Conclusion: Solutions to the challenges presented in mirrored room configurations are multifaceted and require simultaneous and ongoing changes to multiple systems elements, while others can be addressed relatively easily, for example, purchasing new equipment.

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A systems approach to infection assessment enhances patient care and infection control practices

Journal of Hospital Infection ◽

10.1016/0195-6701(84)90046-x ◽

1984 ◽

Vol 5 ◽

pp. 121-122

Author(s):

P. Jemison-Smith ◽

L. Thrupp

Keyword(s):

Infection Control ◽

Patient Care ◽

Systems Approach

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Applying systems approach for bridging education, research, and patient care in a health sciences university

Tropical Parasitology ◽

10.4103/tp.tp_49_19 ◽

2019 ◽

Vol 9 (2) ◽

pp. 77 ◽

Cited By ~ 1

Author(s):

BV Adkoli ◽

SC Parija

Keyword(s):

Education Research ◽

Patient Care ◽

Systems Approach ◽

Health Sciences

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An Approach To Comparative Simulation Of Road Lighting and Estimation Of Associated Quality Parameters

Light & Engineering ◽

10.33383/2020-058 ◽

2021 ◽

pp. 77-87

Author(s):

Sourin Bhattacharya ◽

Suddhasatwa Chakraborty ◽

Susanta Ray

Keyword(s):

Lighting Design ◽

Quality Parameters ◽

Design Tool ◽

Programming Approach ◽

Design Standards ◽

Flexible Tool ◽

Road Lighting ◽

Road Surfaces ◽

Lighting Simulation ◽

Matlab Programming

A software-based comparative simulation work was conducted about the luminance-based method of road lighting design with MATLAB and DIALux, giving due consideration to the design standards laid down in CIE140:2019 technical report. The outputs were obtained for a specified set of road lighting conditions in terms of luminaire mounting height, road width, spacing of lighting poles, overhang, and maintenance factor for four different CIE standard road surfaces R1, R2, R3, and R4, six different observer positions and three types of luminai rearrangements. MATLAB and DIALux outputs were quantified by three quality parameters, namely: average luminance, overall uniformity and longitudinal uniformity of luminance, and the linear correlation between the two was found to be statistically significant (p < 0.00001). DIALux, as a graphical lighting design tool, was found to be more convenient than the algorithm-reliant MATLAB programming approach for general road lighting simulation. However, MATLAB programming approachcould facilitate experimental road lighting simulation, and the developed MATLAB program could be used as a flexible tool to simulate road lighting with experimental luminaire distribution curve of luminous intensity (I) and road surface reduced luminance coefficient (r) tables. Further developments upon it could potentially integrate provisions for luminaires with custom tilt and curved road surfaces.

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Improving patient care at the University of Virginia Health System: A systems approach to examining inpatient medication distribution

2008 IEEE Systems and Information Engineering Design Symposium ◽

10.1109/sieds.2008.4559706 ◽

2008 ◽

Author(s):

J. Berman ◽

E. Hagstrom ◽

S. Kunath ◽

J. Little ◽

E. Myers ◽

...

Keyword(s):

Health System ◽

Patient Care ◽

Systems Approach ◽

University Of Virginia ◽

System A ◽

The University ◽

Improving Patient Care ◽

Medication Distribution

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Simulation of Artificial Lighting Comfort of Cab for High-Speed Train

Applied Mechanics and Materials ◽

10.4028/www.scientific.net/amm.543-547.181 ◽

2014 ◽

Vol 543-547 ◽

pp. 181-184

Author(s):

Xue Liang Wang ◽

An Cui ◽

Wen Qiang Xu ◽

Qian Zhang

Keyword(s):

High Speed ◽

Evaluation Method ◽

Lighting Design ◽

Visual Comfort ◽

High Speed Train ◽

Design Standards ◽

Artificial Lighting ◽

Environmental Lighting ◽

Illuminance Uniformity ◽

Quality Indexes

The artificial lighting level and visual comfort of drivers for a high-speed train cab are evaluated by using computer simulation technology. The simulation model is established first, and then some lighting quality indexes, such as illuminance, illuminance uniformity and glare, are analyzed based on related design standards. Considering the effects of environmental lighting on drivers physiology and psychology, the analysis on environmental psychology for driver of the cab are conducted also. The evaluation method proposed in the paper is significant for improving artificial lighting design of high-speed train cab.

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