Enhancing Patient Experience through Effective Wayfinding in Healthcare Facilities


Background

As a healthcare designer, I've both visited and designed various healthcare facilities, encountering a significant challenge in the process—the design of effective wayfinding systems. Navigating a hospital during site visits often proves challenging, emphasizing the pressing need for a thoughtful and user-friendly wayfinding design. It is hard for me as an architectural designer who looks at plan everyday. With the constant renovation inside Hospitals which worsen the situation, I cannot connect deeper with patients and visitors' frustrations when visiting large healthcare facilities. Recognizing this need, I have devoted myself to developing a comprehensive wayfinding solution aimed at guiding parents and visitors, starting from compact clinical spaces. In this research study, I present findings derived from a combination of investigative research and insights gained through my professional experience.


Abstract

Effective wayfinding is a crucial aspect of healthcare facility design, impacting patient satisfaction, staff efficiency, and overall operational effectiveness. This research study explores the significance of wayfinding in healthcare environments, the challenges associated with navigation, and innovative strategies to improve the overall patient and visitor experience.


Introduction

Navigating a healthcare facility can be a challenging experience for patients, patients family and friends, visitors, and even healthcare staff. Effective wayfinding is not only essential for timely access to medical services but also plays a vital role in reducing stress and anxiety among patients and their families. This study examines the importance of wayfinding in healthcare settings and its impact on the overall well-being of individuals.


Challenges

a. Complexity of Healthcare Environments: Healthcare facilities are often large and complex, with multiple departments, clinics, and floors. Navigating through these intricate spaces can be daunting for individuals unfamiliar with the layout.

b. Emotional State of Patients: Patients and their families are often in a heightened emotional state, making it critical to provide clear and intuitive wayfinding systems to reduce stress and facilitate a more positive experience.

c. Diverse User Groups: Healthcare facilities serve individuals with varying degrees of physical and cognitive abilities. Wayfinding solutions must be inclusive and accessible to cater to the needs of diverse user groups.


Impact on Patient Satisfaction and Health Outcomes

a. Patient Satisfaction: Studies have shown a direct correlation between effective wayfinding and patient satisfaction. Clear signage and well-designed paths contribute to a positive perception of the healthcare facility.

b. Timely Access to Care: Efficient wayfinding ensures that patients can locate their destinations promptly, leading to reduced wait times and improved access to medical services.


Innovative Wayfinding Strategies and Case Studies


a. Digital Signage and Mobile Apps: Integration of digital signage and mobile applications provides real-time information, interactive maps, and personalized navigation assistance for users.

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Conventional solution is to place kiosks around the facilities to provide directional assistance. However, you may need one at almost every intersection and gathering space for complex buildings. It may take up a lot of physical space and the action could be repetative for visitors.

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Another common solution is to design a navigation app for the hopsital. However, technicians may need to update the map real-time for any renovation inside the hospital. The different levels and difference between physical and digital environment may still be confusing.

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Clear communications are the key to positive patient experiences in hospitals and healthcare practices. Immediate welcoming visual experiences are the first impression for a patient and promote a positive environment and the organization’s brand identity. A more systematic design of hospital digital signage may simplify the experience.



b. Color-coded Pathways: Implementing a color-coded system for different departments and services aids in quick recognition and enhances navigation efficiency.

Here are some of my implemented professional work and precedents that have successfully helped the visitor experience.

1. Children's PHS Rambler Park - wayfinding in a mixed-used space

Children's Health has been our client for a long time. This is an off-site clinic desigining for Pediatric Heart Specialists. It is a rather compact clinic with providers offices, exam rooms, echo rooms, nurse workspace, and other support rooms. The doctors love an open clinic with no physical divider but still prefer some privacy. So, the design was to use flooring and ceiling elements only to direct visitors with minimal signage. Also, we used such design to divide the function of an open space into office area and patient area.

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Curved ceiling furr down directs visitors from waiting area to the inside of the clinic.

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Coved lights and colored ceiling furr down to emphasize the centralized nurse station.

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The swap of color on flooring and ceiling to indicate a different function of space.

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Check-out area with lower ceiling and signage helps visitors to find the exit.



2. Village Health Plano - wayfinding in a long hallway (common in healcare facilities)

For larger facilities like Village Health. There are usually pods of exam rooms that are directed by one main corridor. Often, patients get lost trying to figure out which sub-corridor they should turn into. For this design, we used color (gradients of paint on wall), signage (a name for each horizontal corridor), and visibility (alternating the half-tree structure that hosts the signage) to direct people to their destinations. Even though the final implementation was deviated from the most effective wayfinding design due to budget, we understood that it would have been a very successful wayfinding solution.

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Check-in with curved ceiling furr down that directs visitors to the entrance.

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Main corridor with gradient shades of green paint for identification of sub-corridors.

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Main corridor with alternated half-tree structure for easier read of signage.

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Check-out area with half-tree structure that directs to the exit.



3. Seattle Children's Hostpial - wayfinding in a complex hospital

This is a precedent that I have found very helpful in helping vistors navigate large healthcare factilities like a complex hospital. The wayfinding initiative at Seattle Children’s Hospital goes beyond offering mere directions; it envelops patient families in a comforting visual environment that facilitates their journey. Functioning as a fresh gateway to Seattle Children’s, this structure warmly receives visitors while introducing the hospital’s visual identity. The synergy between artwork and wayfinding is evident, featuring depictions of animals engaging in acts of care, comfort, and wonder.

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The Discovery Trail map links all four zones within the hospital from Forest to Ocean.

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An interactive diorama at reception desk playfully educates the campus layout.

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Animals portrayed for patients' care and comfort in Forest concept.

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Landscapes designed for patients' care and comfort in River concept.

While digital assistance and spatial enhancements have led to positive outcomes, significant challenges still persist in navigating larger facilities.
What can we do to improve hopsital experience using what we have learned in all different solutions?
The answer may be more of a multidisciplinary solution - Augmented Reality.



c. Augmented Reality.

AR apps can offer real-time, step-by-step navigation instructions overlaid onto the physical environment through a mobile device- a tool everyone in modern society relies on. This helps patients, families, visitors, and even staff find their way within the complex hospital layout in more immersive ways.
While there are a lot of advantages in pushing technology into Healthcare field, there are still a lot of challenges of Using AR in Hospital Navigation. Maybe that is one of the biggest problem why there aren't many AR navigation use in hospitals and other larger facilities like airports yet.

Advantages of Using AR in Hospital Navigation:

1. Enhanced Wayfinding:
- AR provides real-time, interactive, and context-aware navigation, guiding users through complex hospital environments with precision.

2. Improved Patient Experience:
- Patients and visitors can benefit from an intuitive navigation system, reducing stress and making it easier to find their way to appointments, amenities, and facilities.

3. Efficient Staff Navigation:
- Hospital staff can optimize their movements within the facility, improving efficiency in responding to emergencies or navigating large and complex healthcare environments.

4. Augmented Information:
- AR can overlay additional information on the user's view, such as department names, doctors' offices, and important landmarks, enhancing situational awareness.

5. Integration with Health Records:
- Integration with electronic health records (EHR) and patient data can enable healthcare providers to access relevant information while on the move, improving patient care.

6. Training and Education:
- AR can be used for training medical professionals, offering simulations and interactive educational experiences in a real-world hospital setting.

Challenges of Using AR in Hospital Navigation:

1. Cost of Implementation:
- Implementing AR navigation systems can involve significant upfront costs, including the purchase of AR devices, software development, and integration with existing hospital systems. Hospitals may need to provide extra devices in case of users' technical issues such as battery life, device compatibility, and connectivity.

2. User Adoption:
- Users, especially patients and older individuals, may not be familiar with AR technology, leading to potential challenges in adoption and effective use. However, technology has always been pushing the society to progress. What we as designers need to do is to design ways for all patients to feel included in this new technology.

3. Training and Support:
- Staff and users may require training to effectively use AR navigation systems. Adequate support mechanisms must be in place to address any issues that arise during use.

4. Maintenance and Updates:
- Regular maintenance and updates are essential to ensure the AR navigation system remains accurate, reliable, and compatible with evolving hospital infrastructure.

5. Limited Standardization:
- The lack of standardized AR platforms and applications in healthcare may result in compatibility issues and hinder interoperability between different systems.



Balancing the benefits of AR navigation with these challenges requires careful planning, user education, and ongoing technological advancements. Addressing these challenges is essential to maximize the positive impact of AR in hospital navigation and healthcare delivery.


Competitive Analysis

I understand that there are a lot of big tech focusing on AR navigation like Google, Microsoft, and Apple. However, they are mainly investigating outdoor navigation. While there are several tech companies on the market right now that focus on indoor navigation like Resonai, ARway.ai , IndoorAtlas, MedNav (Medical Navigation Solutions), and so on. The problem with them is that they are only focusing on the navigation part, which is not the most difficult portion of the development.

What these navigation systems need to provide, is an immersive experience tailored to every single user so that they feel like exploring the space, not empowered by the space. Such design will require the following improvements:

1. PERSONALIZATION AND CUSTOMIZATION

- Harnessing the power of big data, AR navigation systems can initiate personalization by offering different themes based on the user's age group.
- Implementing advanced artificial intelligence (AI) algorithms, the system can delve deeper into individual preferences, incorporating elements such as favorite colors and animals.
- Continuous learning mechanisms will ensure that the navigation system evolves over time, adapting to the user's changing preferences and enhancing the overall experience.
- Introducing a user-friendly interface that allows individuals to customize their navigation experience according to personal preferences.
- Providing options for users to select preferred landmarks, themes, or even specific routes tailored to their interests, ensuring a more engaging and personalized journey.



2. REAL-TIME ADAPTABILITY

- Integrating real-time data updates to accommodate changes in the environment or user preferences.
- Utilizing AI-driven algorithms to analyze user behavior during navigation, enabling the system to dynamically adjust recommendations and information in response to immediate user needs.
- Establishing a seamless feedback loop where users can provide real-time feedback on their navigation experience.
- Leveraging this feedback to continuously refine and enhance the system, addressing any pain points or areas for improvement identified by users.



3. MULTISENSORY ENGAGEMENT

- Expanding beyond visual cues, incorporating multisensory elements such as audio, haptic feedback, or even olfactory stimuli to create a truly immersive and memorable navigation experience.
- Tailoring these multisensory features based on user preferences to ensure a personalized and enjoyable journey for each individual.



4. INCLUSIVE DESIGN PRINCIPLES

- Prioritizing inclusivity by considering diverse user needs, including those with disabilities.
- Implementing design features that ensure the navigation system is accessible and user-friendly for individuals with varying abilities, contributing to a more universally inclusive experience.


Design Concept

Objectives
- To enhance patient emotional engagement with personalized visuals
- An intuitive wayfinding system with spatial navigation display
- Scalable experience that can map to any hospital with well-designed physical references.

Flow
Step 1: Find a goggle vending machine at the entrance of the hospital.
Step 2: Rent a goggle and set your destination and navigation style.
Step 3: Follow the virtual path and signages to get to your destination.
Other scenario: Guests in the waiting room can use the goggles to modify their environment, creating a moment of escape from stress.

Step1 Find a goggle vending machine at the entrance of the hospital.
Step2 Rent a goggle and set your destination and navigation style.
Step3 Guests in the waiting room can use the goggles to modify the environment, creating a moment of escape from stress.
ARway.ai Forest theme is generated tailored to users who love the nature.
GuideBOT "Finding Nemo" theme is generated for kids who likes the ocean.


Conclusion

Effective wayfinding is a critical component of healthcare facility design, impacting patient satisfaction, staff productivity, and overall healthcare outcomes. As healthcare environments continue to evolve, investing in innovative wayfinding solutions is essential to create a more patient-centric and supportive healthcare experience.


Sources

Corgan Associates
Children's Health System of Texas
https://www.commarts.com/project/35670/seattle-children-s-building-care-wayfinding
https://www.zgf.com/work/4266-seattle-children-s-building-care-diagnostic-and-treatment-facility
https://touchsource.com/touchsource-industries/healthcare
http://www.mitchellai.com/wayfinding-signage-system-design/
https://archinect.com/formation-design/project/texas-children-s-hospital-wayfinding-graphics
https://arreya.com/key-benefits-of-using-digital-signage-in-hospitals/
https://www.uab.edu/medicine/news/latest/item/1287-uab-to-offer-indoor-wayfinding-navigation-at-uab-hospital-and-clinics
https://www.indooratlas.com/solutions/indooratlas-ar/
https://www.resonai.com/vera-concierge
https://www.arway.ai/post/augmented-reality-wayfinding-for-hospitals-the-future-of-healthcare