Because there are so many things to consider when designing a healthcare facility, it is crit- ical to search the literature, talk to experts, review post-occupancy evaluations, and interview end users of newly completed proj- ects. All evidence informs the deci- sion making regarding the ultimate design solutions to troublesome chal- lenges. This issue of Health Environ- ments Research & Design focuses on the effects of on design of human fac- tors and ergonomics (HFE). Human factors and ergonomics must include how people use both their bodies and minds in an environment- how they move, bend, stretch, lift, reach, and walk as well as what they need to know, see, smell, and hear in order to make critical decisions. How people in an environ- ment is also a critical consideration. Do they feel happy, sad, oppressed, vulnerable, safe, incentivized, fatigued, or energetic in the environment? All of these feelings are human factors to be considered and can affect how a person completes the cognitive, behavioral, interactional, and physical tasks that make up his or her work. Although some consider the terms human factors and ergonomics to be synonymous, others expand the concept of human factors to include the human psychology related to a person's use of or interac- tion with equipment and the envi- ronment while performing work or other activities.The concept of ergonomics has been around since at least the 19th cen- tury, while the term human fac- tors didn't came into use until more recently, beginning in the 1940s. Human factors became an important design consideration with increased awareness and met- rics of quality and safety in health- care environments. Taken together, human factors and ergonomics is a multidisciplinary field that inte- grates theory and science drawn from organizational studies, psy- chology, engineering, industrial design, quality science, statistics, and anthropometry. The intent is to fit the equipment and environment to serve the person(s), as contrasted to having the person(s) adapt his or her work to fit the equipment or envi- ronment (Feiler & Stichler, 2011; Stichler & Feiler, 2011; Waters, 2010).On its own, ergonomics marries multiple sciences as well, with its integration of kinesiology, phys- iology, psychology, industrial engineering and design, biometrics, anthropometry, and informa- tion design. How the healthcare provider fits into chairs, slides under desktops, reaches for supplies or pharmaceuticals, prepares medications, or even hangs intravenous (IV) solutions on an IV pole are all ergonomic considerations. Though it is a daunt- challenge to design environments and equip- ment for the wide variations in providers' heights, ages, and physical capabilities, it is important to create a good fit between the worker and the envi- ronment. The goal is to have the worker in a neu- tral position, one in which the biomechanical joints and surrounding soft tissues are not stressed when engaging in tasks (Feiler & Stichler, 2011; Stichler & Feiler, 2011). When the worker is fight- ing with the environment or equipment, injuries are more likely to occur, errors increase, productiv- ity is negatively affected, and the worker is less sat- isfied. Ergonomically sensitive design therefore has tremendous implications for healthcare providers, particularly nurses given that nursing is the fifth- most injured occupation in the United States (U.S. Bureau of Labor Statistics, 2010). Certainly ergo- nomics in the workplace must be considered for all healthcare providers, and adaptable and adaptive equipment and work spaces are essential to meet- the ergonomic needs of healthcare providers and their variances in cognitive and physical capa- bilities and limitations.Human factors is a concept that is steeped in deci- sion theory and is a growing focus in risk man- agement science. Hospitals and other healthcare environments are intended to be healing environ- ments, but there are inherent risks to the health of both patients and providers in these environments. …