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Thoughts on the Environment of Care
This blog explores how the environment of care influences the patient’s experience and staff well-being, with a focus on how sound, visual atmosphere, pacing, and sensory load shape healing and outcomes in healthcare settings. Topics include patient safety and satisfaction, hospital noise, nurse wellness, HCAHPS, sleep, and much more. Our goal is to share practical insights to help you create environments that heal.
LATEST POST
HCAHPS 2.0 Raised the Bar: Why Noise, Rest & Environment Now Drive Your Scores
March 5, 2026
HCAHPS has long measured how patients perceive their hospital experience. Recent updates to the survey expand both the content being measured and how responses are collected
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Bhutan: Universal Healthcare and Gross National Happiness
March 22, 2016
Is healthcare (1) a human right, (2) a privilege, (3) a commodity, (4) a luxury, (5) a public utility, (6) a targeted market, (7) a service industry? Is a sick
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How Does the Hospital Room Support the Patient Experience?
March 11, 2016
A patient is admitted to a hospital room. Next to everything that happens — the tests, admission processes, many unknown people who continually enter and ask questions, the hospital room is her first entrance
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Music for the Elderly: The Dark Side of Nostalgia
March 4, 2016
The neurological benefits of music for the elderly with dementia have been well documented. The phenomenon of elderly stroke patients with aphasia (not being able to speak, but being able
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The Patient Experience Lives in the Details
February 19, 2016
We are buried in the patient experience metrics, advice, processes, workshops, and standards. And, while the HCAHPS survey has reduced the patient experience to its 31 multiple choice questions, much
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7 Features of A Compassionate Hospital Waiting Room
February 12, 2016
Compassion is evidenced in many ways, many of which are not verbal. Being compassionate is about a universal kindness that is real and genuine that shows itself in every aspect of
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Don’t Confuse Your Google Search With My Medical Degree
February 5, 2016
I read this statement on a mug recently and wondered if I was confused or believed what I read. How many Google searches have I done about any particular disease, drug,
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Impressive Outcomes for Geriatric Emergency Department
January 29, 2016
Going to the Emergency Department is frightening enough, but even more so if you’re a frail senior who is exposed to people who’ve ended up there as a result of gunshots or drug
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Encore Post: 5 Ways to Improve the Hospital Waiting Room Experience
January 22, 2016
No new post this week, but enjoy the encore post — one of my most-read in 2015! Waiting is not good in the American culture. If we were Buddhists, we might
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4 Ways to Improve the Intensive Care Experience
January 15, 2016
Critically ill patients in intensive care often endure invasive, life-saving technologies and procedures. They may have periods of semi-consciousness and confusion. They may be frightened. Once discharged from the ICU, memories of the
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5 Ways to Optimize the AHRQ Teach-Back Technique
January 8, 2016
Are you using the Agency for Healthcare Research and Quality (AHRQ) Teach-Back technique of asking patients to repeat what they have been told and/or explain their understanding of their condition?
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