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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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Conversations With a 23-Year Old About Health Reform
November 22, 2013
So, healthcare reform is in our face, hitting our checkbooks, and so very confusing. However, never was the challenge as clear to me as today, after spending some time speaking
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Patient Safety: It’s About the Culture!
November 15, 2013
This week, I spoke at the Hospital Council of Northern and Central California’s Patient Safety Exchange, an annual event that brings together nurses and administrators, physicians and risk officers, and
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Chasing the Rainbow of Health Care Reform
November 8, 2013
If I think about how many rainbows I have seen in my life, none have been as stunning as the absolutely vivid and full one, end-to-end, that I saw in
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Ready or Not, Here Comes the Future of Healthcare
November 1, 2013
The future shows up, ready or not. Old systems fade in the sunlight of time and new systems take over, ready or not. Transform 2013, the 4th annual symposium sponsored by the Mayo Clinic’s Center for Innovation in September, looked at the future of healthcare only slightly visible in the amazing work and dreamers of the now.
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Jan Adrian of Healing Journeys: When Cancer Inspires, Motivates, and Transforms
October 25, 2013
I learned about living with cancer from Jan Adrian, the founder and executive director of Healing Journeys. I met Jan in the early 1980s when she asked me to do a workshop for nurses on music as therapy. It was the first time I’d done any work in healthcare.
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Magnetics of Patient Safety, Quality Care & Compassion
October 11, 2013
Coming from the 2013 Magnet Conference in Orlando last week, it’s hard to describe what it feels like to be in the presence of 8,000 nurses whose sole mission is to care for patients and be caring while setting new standards for quality and redefining excellence.
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The Time is Now for End of Life Conversations
September 27, 2013
In the busy-ness of this technological age, it is so easy to lose track of real value of in-person sharing. I know that for me, email is now part of my DNA, part of how I breathe, and part of how relationships form, live, and, in most cases, thrive.
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Pain Management is More Than Drugs
September 20, 2013
My darling niece, Jessica, at three and a half years of age has already learned all she needs to know about pain management. What she does first is declare what hurts.
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Transform 2013: A Brain Trust of Ideas for Healthcare
September 16, 2013
This past week my husband Dallas and I spoke at the Mayo Clinic’s Center for Innovation conference, Transform 2013. This was the third year of the conference, attended by over 900 people with many minds and ideas colliding in a wash of TED-style talks.
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How Do We Add Mission to An Admission?
September 10, 2013
Great question. Great pun, too. However, in the current period of HCAHPS, patient engagement, employee engagement, patient satisfaction, without a mission, how can you ever reasonably expect to provide quality healthcare? And, I am not referring to the mission that is well framed and mounted in your administration office or hung in the lobby.
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