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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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The Patient Experience: Coming Out of the Shadows
July 17, 2015
We are a reductionist culture. Whatever the words are, we come up with an acronym. Whatever the catastrophe, we love headlines. Whatever the issue, we reduce to the shortest most
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When Medicare Pays for End-of-Life Consultation
July 10, 2015
This week, there was a profound policy change by the Centers for Medicare & Medicaid Services (CMS) that would allow reimbursements for end-of-life consultations between patients and their physicians. This
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Palliative Care and Hospice: All About Living
July 3, 2015
Palliative care and hospice are often talked about together. So often, in fact, that many of us are confused as to whether they are the same. Well, not so. Clearing
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Wrong Music in the Operating Room is Risky
June 26, 2015
Can listening to the wrong type of music cause accidents or medical errors? The Israeli Daily paper Haartetz reported this week that Warren Brodsky, Director of Music Psychology in the Department of the Arts at
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A Life Worth Living: One Outcome of a Great Patient Experience
June 19, 2015
A few years ago, we received an email from a patient that read something like this: I am a veteran. I am in the hospital. I was injured while on
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The Evidence-Based Patient Experience
June 12, 2015
All of our patients’ opinions and perceptions are evidence-based. Each of us uses deductive reasoning to make predictions into the immediate future. Deductive reasoning is adding up what we know
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Making Noise about Patient Safety
May 29, 2015
I have been writing about hospital noise for many years. And, I am convinced that much of the conversation and rationale behind reducing noise is wrong. I say that because
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Ageism in Healthcare: Fear or Fact?
May 22, 2015
I just saw Dr. Bill Thomas’ “Age of Disruption” presentation at the University of Nevada Reno. It made me think about ageism in healthcare. As a gerontologist and leader in the
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The 5-Star Patient Experience: What do Stars Have to Do With It?
May 15, 2015
In the beginning, there was only accreditation. Then, there were surveys to measure patient satisfaction. Then, there was a survey to measure the patient experience. Now, there are 5 stars. In April, the
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The Power of Healing is the Nurse
May 8, 2015
Telling the story of nursing is like telling the story of everyone who has been ill, been in an accident, or has held a vigil at the bed of a
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