title: Coming Full Cycle.
abstract: OBJECTIVE
  This article illustrates a collaborative, full cycle diagnostic postoccupancy evaluation (POE) conducted in an emergency department (ED) to demonstrate methods of planning a POE, conducting research to capture meaningful data, and applying outcomes through the use of a design charrette.
  
  
  BACKGROUND
  POEs often end with the reporting of findings rather than suggesting how this knowledge feeds forward. A design charrette presents an opportunity to engage with POE evidence and integrate research into practice.
  
  
  METHODS
  Planning for the POE resulted in a multiphased, multimethodological study. Data collection and analysis utilized objective and subjective measures yielding both qualitative and quantitative data. The design charrette then served as an interactive method to assist design practitioners in both understanding and applying the research findings in the redesign of the entry/triage sequence of the ED.
  
  
  RESULTS
  POE findings revealed four key issues impacting the ED experience. These include workflow, communication, privacy and confidentiality, and safety and security. In analyzing the use of the charrette to link POE findings to design application, it was determined that the charrette should include an all-inclusive, collaborative process, easily interpreted evidence, active participant engagement, and feasible outcomes grounded in research.
  
  
  CONCLUSIONS
  Taking the POE process full cycle is a critical component in bridging the gap between research and its application to design. The charrette process offers a positive mark of completion to the POE and helps participants gain sensitivity to the importance of evidence-based decision-making.
authors.affiliation: 1 University of Kentucky, Lexington, KY, USA.
authors.forename: Lindsey
authors.initials: L
authors.lastname: Fay
authors.affiliation: 1 University of Kentucky, Lexington, KY, USA.
authors.forename: Allison
authors.initials: A
authors.lastname: Carll-White
authors.affiliation: 2 PDT Architects, LLC, Cincinnati, OH, USA.|3 GBBN Architects, Cincinnati, OH, USA.
authors.forename: James
authors.initials: J
authors.lastname: Harrell
mesh_terms: D000328:Adult; D002648:Child; D003142:Communication; D003219:Confidentiality; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D006749:Hospital Design and Construction / Q000379:methods* / Q000592:standards; D006801:Humans; D007629:Kentucky; D061214:Patient Safety; D017060:Patient Satisfaction; D010361:Patients; D010549:Personal Satisfaction; D010564:Personnel, Hospital; D014193:Trauma Centers / Q000458:organization & administration; D014218:Triage / Q000379:methods; D014789:Visitors to Patients; D057188:Workflow
keywords: charrette; design process; emergency department; evidence-based design; postoccupancy evaluation