Abstract

(1) Background: There are many complexities and trade-offs that design teams consider when designing or renovating a built environment for healthcare. Virtual reality (VR) mock-ups can allow design teams to evaluate the planned design. This study aimed to examine the overall value of using VR mock-ups to conduct a simulation-based mock-up evaluation. (2) Methods: Data collected from scenario enactments within a VR mock-up was compared to data collected from an existing medication room with the same design to assess predictive validity. Outcomes regarding quality and patient safety were also examined as a result of design modifications to the VR mock-up which were identified through a post-occupancy evaluation (POE) of the existing medication room. Survey data from participants, hospital design stakeholders, and POE recommendation recipients captured perceptions regarding the evaluation process. Specifically, this included perceptions regarding mock-up and scenario realism as well as utility of the evaluation process. (3) Results: Evidence-based data collected using the VR mock-up accurately assessed workflow (link analysis), bumps, impediments, interruptions, and task completion times. Collecting data pertaining to selection errors and equipment placement were identified after procuring the VR software and therefore the accuracy of these measures was not assessed. Searching behaviours were not possible to capture using the VR software. A 506% return on investment was achieved through the VR mock-up evaluations. (4) Conclusion: Organizations should consider what evaluation objectives are planned and how they will be measured for a mock-up evaluation to determine if VR is appropriate.

Highlights

  • Designing or renovating a built environment for healthcare is a complex process that is riddled with challenges and opportunities

  • Collecting data pertaining to selection errors and equipment placement were identified after procuring the Virtual reality (VR) software and the accuracy of these measures was not assessed

  • The findings suggest that the use of VR mock-ups can produce a 506% return on investment (ROI)

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Summary

Introduction

Designing or renovating a built environment for healthcare is a complex process that is riddled with challenges and opportunities. Patient and staff outcomes have been linked to healthcare environment design in more than 5000 citations [1]. The process used to design healthcare facilities is evolving to incorporate and produce learnings in evidence-based design. The Center for Health Design defined evidence-based design as “the process of basing decisions about the built environment on credible research to achieve the best possible outcomes.” [2]. Conducting simulation-based mock-up evaluations by having planned users enact scenarios within a mock-up allows design teams to evaluate how effectively the built environment will support the planned processes [4]. Design decisions can be made which are informed by evidence-based data gathered from the scenario enactments to enhance quality and patient safety

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