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The Australasian Health Facility Guidelines (AusHFG) project was initiated in 2005 by the Australian State and Territory Health Departments, and the New Zealand Ministry of Health to guide hospital development in the Australasian region. This paper shares the results of a 2010 survey of guidelines users in three of the health jurisdictions, conducted to understand whether the anticipated project benefits were being achieved and to seek suggestions for future improvements.

AusHFG users were surveyed using an electronic survey instrument. Data gathered included demographic information regarding the users and their projects, user views on the achievement of the anticipated benefits and their suggestions for future improvements to the AusHFG.

In total, 152 people commenced the survey, with fewer fully completing it. Responses were generally positive and supportive of the project. Useful commentary was received regarding possible improvements; some of this illustrated user confusion regarding the purpose and inherent limitations of guidelines of this type.

The survey was conducted in only three out of a possible nine health jurisdictions – it could be further extended to these other jurisdictions in the future.

The research illustrated the need to identify, and to communicate clearly, regularly and effectively with key project stakeholders to ensure user feedback and support for using health design guidelines.

This is the first survey to be conducted of Australian and New Zealand users of health design guidelines. It provides useful feedback to those developing and implementing health guidelines, especially regarding the format, content and delivery of guideline information.

The purpose of this paper is to discuss the current state of FM preparedness required to deal with the risks to healthcare delivery posed by climate change‐related extreme weather events.

Selected stakeholders were invited to participate in targeted focus groups that, using the ROMS methodology, explored the status of current knowledge and preparedness of the NSW health system to deal with the expected demands imposed by increasing incidences of extreme weather events. Findings are summarised and discussed in terms of the key stakeholder objectives identified. Further areas of required research are then discussed.

The key objectives of the stakeholders were readily agreed, however a lack of information regarding the quantifiable impacts forecast to be associated with climate change constrained the development of other than generic strategies for dealing with these impacts. Further areas of research included assessment of changing demand for health services, likely physical impacts on facilities and their adequacy in coping with these, implementation strategies for augmenting coping capacity and associated costs, plus the need for integrating disaster planning and management strategies to ensure the continuity of operation of health facilities during extreme weather events.

The paper outlines the status of current knowledge regarding the likely impact of climate change‐related extreme weather events on healthcare infrastructure. It explores key issues and determines where future work should be undertaken to ensure that rigorous FM responses are available to cope with a clear and identified threat to the health of the Australian, and similar communities.

The future of healthcare delivery will depend in part on the adaptive capacity of hospital infrastructure required to respond to the predicted physical and health‐related impacts of climate change. The purpose of this paper is to assess the vulnerabilities and opportunities of existing hospital facilities faced with climate‐related extreme weather events and to identify adaptive strategies that will enable existing hospital facilities to assist rather than hinder healthcare continuity and quality during these events.

Four major hospitals in Australia and New Zealand, significantly exposed to climate change‐associated extreme weather event risks, were selected as case studies. A risk management workshop was conducted for each case study using the risk and opportunity management system methodology.

The preliminary findings identified several key objectives associated with responding to the impact of extreme weather events on healthcare infrastructure. Assuming the overall aim of ensuring continuity of service delivery, the common objectives are: guaranteeing the availability of essential (building) services; maintaining the physical integrity of the hospital; supporting effective inter‐agency communication; and providing access to and from the hospital for staff and patients.

Given Australia's relatively high exposure to climate extremes, the social, economic and health benefits of developing hospital adaptation strategies to mitigate risks and maximize opportunities in responding are significant.

The outcomes of this research will contribute to a growing evidence base of design and facilities management adaptation strategies for hospitals susceptible to increasing risks of extreme weather events.

The paper presents the first assessment of climate vulnerabilities and opportunities for hospital facilities in Australia and New Zealand.

The purpose of this paper is to examine if customer care (CC) can be directly linked to patient safety through a human factors (HF) framework.

Data from an online questionnaire, completed by a convenience healthcare worker sample (n=373), was interrogated using thematic analysis within Vincent et al.’s (1998) HF theoretical framework. This proposes seven areas affecting patient safety: institutional context, organisation and management, work environment, team factors, individual, task and patient.

Analysis identified responses addressing all framework areas. Responses (597) principally focused on work environment 40.7 per cent (n=243), organisation and management 28.8 per cent (n=172). Nevertheless, reference to other framework areas were clearly visible within the data: teams 10.2 per cent (n=61), individual 6.7 per cent (n=40), patients 6.0 per cent (n=36), tasks 4.2 per cent (n=24) and institution 3.5 per cent (n=21). Findings demonstrate congruence between CC perceptions and patient safety within a HF framework.

The questionnaire requested participants to identify barriers to rather than CC enablers. Although this was at a single site complex organisation, it was similar to those throughout the NHS and other international health systems.

CC can be viewed as consonant with patient safety rather than the potentially dangerous consumerisation stance, which could ultimately compromise patient safety.

This work provides an original perspective on the link between CC and patient safety and has the potential to re-focus healthcare perceptions.