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Healthcare Design Strategy and Innovation:
NewYork-Presbyterian Pediatric Intensive Care Unit


NewYork Presbyterian Pediatric Intensive Care Unit (New York, NY)

Design Process and Deliverables

Report Excerpts

This report was the result of a very iterative and collaborative design process.  Over the course of several weeks, there were ongoing communications and reviews between the design teams and the client (project leaders) at the hospital. Given the sophistication of the client and their interest in the evidence behind the design, we developed a translational document with an emphasis on evidence and pragmatism. 


The translational document covers five distinct goals with accompanying strategies. However, upon consultation with the client at NYPH PICU, the team decided to solely focus its attention on one of these goals, i.e. reducing hospital-acquired infections (HAI), for the design innovation phase. These solutions tackle the issue of high CLASBI rates, as it was identified as the most pressing issue.


Translational Design Guidelines

  1. Reduce Hospital Acquired Infections (HAI)

  2. Buffering the stressful effects of noise

  3. Improve Palliative Care for patients, family and staff

  4. Identify human-centered care transformation opportunities

  5. Develop protocol/systems for maintaining solutions that are respectful to those on the front line and economically effective in effort and financial cost.


Design Innovation & Business Cases: Reduce HAI

  1. Pass-through cabinetry

  2. Temporary Isolation Room 

  3. Secure ID Access Card Reader

  4. Antimicrobial Copper Surfaces

  5. Patient Tablets

Qualitative and Quantitative Research

Investigative Process:

We spent time at the PICU making observations and speaking with all relevant user groups as well as specialists. We had the opportunity to listen to the experiences of families/parents of children who were or are in the PICU, to nurses, doctors, attendings, and administrators. The hospital provided a variety of data for us to analyze, from infection rates to floorplans to staff schedules. We were also given workshops on sleep science, healthcare metrics and terminology, infection control, and hospital floor plan analysis, from experts on the subjects.


We employed design thinking and SCRUM project management strategies.

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