Environmental Variables That Influence Patient Satisfaction: A Review of the Literature
2016
HERD: Health Environments Research & Design Journal
Journal Article
Issue 1
Volume 10
Pages 155-169
Author(s): MacAllister, L., Zimring, C., Ryherd, E.
This paper is a literature review that compiles a number of studies investigating the layouts and designs of hospitals and work settings, and the influences that these environments have on health and behavioral outcomes in patients. More specifically, this review seeks to identify possible links between physical and social environmental influences to self-reported patient outcomes. The authors wish to more fully understand the elements that influence patient satisfaction, and then begin a discussion over how physical and social environments can be further analyzed to enhance satisfaction.
Added September 2016
Impact of the Physical Environment of Residential Health, Care, and Support Facilities (RHCSF) on Staff and Residents A Systematic Review of the Literature
2015
Environment and Behavior
Journal Article
Issue 10
Volume 48
Pages 1203-1241
Author(s): Joseph, A., Choi, Y.-S., Quan, X.
Strategies related to the design of the built environment should be considered within the context of the culture of the organization and the resident population. This study of the physical environment of residential health, care, and support facilities addresses the range of settings and population, where other studies have been lacking. The literature review strongly suggests that the built environment is an important component of care provided in residential care settings.
Added May 2016
Profile of inpatient falls in patients with dementia: A prospective comparative study between 100% single rooms and traditional multibedded wards
2016
Journal of Clinical Gerontology and Geriatrics
Journal Article
Issue 3
Volume 7
Pages 87-92
Author(s): Knight, S., Singh, I.
A previous study estimates that the number of people with dementia in the U.K. could reach over 1 million by the year 2025. This possibility places added pressure on U.K. hospitals to develop safer methods for taking care of patients with dementia. Dementia is associated with impaired mobility, and previous studies have shown that individuals with dementia are two to three times more likely to fall. Inpatient falls (IFs) account for nearly two-fifths of the patient safety incidents reported to the National Reporting and Learning System, and the risk of IF is highest in single-patient rooms. There are very few studies that examine the impact of dementia and IF in single rooms as compared with traditional multi-bed wards.
Added May 2016
The design and initial evaluation of visual cues in carpets to assist walking
2016
The Journal of The Textile Institute
Journal Article
Issue 3
Volume 107
Pages 376-385
Author(s): McNeil, S. J., Tapp, L. S.
One way to reduce the occurrence of indoor falls for both elderly people and other individuals is to improve the design of floor coverings so that they can help create a safer walking environment. A growing number of studies are showing that the design of products such as carpets can specifically help older people lead more productive and independent lives by empowering them through safer opportunities for mobility.
Added May 2016
Managing Patient Falls in Psychiatric Inpatient Units: Part 1
2016
The Health Care Manager
Journal Article
Issue 1
Volume 35
Pages 21-27
Author(s): Abraham, S.
A significantly higher number of patient falls occur in hospital inpatient psychiatric units than in medical-surgical areas, resulting in issues with overall patient safety. The Centers for Disease Control and Prevention considers patient falls a concern to society due to the safety issues they pose and financial strains they can cause for institutions.
Added April 2016
Is single room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers or medication errors? A natural experiment with non-equivalent controls
2016
Journal of Health Services Research & Policy
Journal Article
Issue 3
Volume 21
Pages 147-155
Author(s): Simon, M., Maben, J., Murrells, T., Griffiths, P.
Previous studies have associated single-patient rooms with reduced infection rates, reduced medication errors, and faster patient recovery rates. In response, an increasing number of hospitals have been shifting towards an entirely single-patient room layout. Although there are plenty of studies from the U.K. providing empirical evidence for the efficacy of single-patient rooms, the United States lacks this foundation of published research, and could therefore benefit from an outcome analysis of single-patient rooms.
Added February 2016
Older Adult Inpatient Falls in Acute Care Hospitals
2015
Journal of Gerontological Nursing
Journal Article
Author(s): Zhao, Y. & Kim, H.
Traditional studies of patient falls have been focused on rehabilitation hospitals or nursing homes. This study seeks to add to the body of knowledge related to older adult patient falls by focusing on the acute care hospital setting.
Added January 2016
Home Modification and Prevention of Frailty Progression in Older Adults: A Japanese Prospective Cohort Study
2014
Journal of Gerontological Nursing
Journal Article
Issue 8
Volume 40
Pages 40-46
Author(s): Mitoku, K., Shimanouchi, S.
In a study involving 574 Japanese adults 65 years or older who required a low or moderate level of care, 34% modified their homes over the course of the study. Modification of these older adults’ homes prevented the progression of frailty (requiring higher level of care).
Added January 2016
Innovation Pilot Study: Acute Care for Elderly (ACE) Unit--Promoting Patient-Centric Care
2012
Health Environments Research & Design Journal
Journal Article
Author(s): Krall et al.
Older patients have different needs: cognitive impairment, chronic health issues, caregiver burden, and maintenance of functional level. These issues present challenges to healthcare organizations when caring for this population on a general medical-surgical unit.
Added January 2016
Destination Bedside
2012
The Journal of Nursing Administration
Journal Article
Issue 5
Volume 42
Pages 256-265
Author(s): Watkins, N., Kennedy, M., Lee, N., O’Neill, M., Peavey, E., DuCharme, M., & Padula, C.
Patient-centered care (PCC) has been at the core of healthcare reform. Improvements and advancements in Healthcare Information Technology (HIT), Electronic Health Records and inpatient unit layout have been some means that aim to achieve PCC. Also key to PCC is the alleviation of medical errors, which HIT and related technology can help achieve.
Added January 2016
Exploring Safety and Quality In a Hemodialysis Environment With Participatory Photographic Methods: A Restorative Approach.
2014
Nephrology Nursing Journal
Journal Article
Issue 1
Volume 41
Pages 25-36
Author(s): Marck, P., Molzahn, A., Berry-Hauf, R., Hutchings, L. G., Hughes, S.
The authors indicate that hemodialysis units can be fraught with numerous safety issues related to medication errors, lapses in communication, patient falls, equipment issues, infection control, etc. These issues can be critical in high-acuity units. This study used qualitative methods to identify existing and potential safety issues in a hemodialysis unit in a tertiary care hospital in Canada.
Added September 2015
Exploring Perceptions of Designers and Medical Staff in South Korea about Design Elements for the Elder-Friendly Hospital
2014
Journal of Interior Design
Journal Article
Issue 4
Volume 39
Pages 15-32
Author(s): Kim, D., Lee, J. H., Ha, M.
The elderly population is growing around the world and so is the geriatric patient population. The authors indicate that despite the fact that the elderly will soon be the primary users of healthcare services, healthcare facilities are not designed for the elderly. In this study, designers and medical staff were asked to rate the importance of 33 design elements in the context of an elder-friendly hospital.
Added August 2015
The Geriatric ED: Structure, Patient Care, and Considerations for the Emergency Department Geriatric Unit
2014
International Journal of Gerontology
Journal Article
Issue 2
Volume 8
Pages 56-59
Author(s): Burton, J. H., Young, J., Bernier, C. A.
Older patients who visit the emergency department in developed countries are more likely to require a more specialized nature of treatment in comparison to younger patients. The authors believe that current-day emergency departments are not equipped to adequately treat these patients in terms of design and staff training for assessments and evaluations unique to this age group. The authors recommend a geriatric-specific approach to designing patient treatment spaces, medical evaluations, neurocognitive assessments, and post-ED visit support.
Added June 2015
Healing environment: A review of the impact of physical environmental factors on users
2012
Building and Environment
Journal Article
Author(s): Huisman, E. R. C. M., Morales, E., van Hoof, J., Kort, H. S. M.
According to the authors, research that examines the physical environment and its impact on the healing and well-being of human beings has been growing in the last several years. There is increasing availability of literature on evidence-based design.
Added March 2015
Inpatient fall prevention: Use of in-room Webcams
2013
Journal of Patient Safety
Journal Article
Issue 1
Volume 9
Pages 29-35
Author(s): Hardin, S. R., Dienemann, J., Rudisill, P., Mills, K. K.
The National Database for Nursing Quality Indicators (NDNQI) maintains data on patient falls nationally. Reported fall rates have ranged from 2.2 to 7 per 1000 admissions; 10% to 25% of falls result in an injury, depending on patient population. Falls adversely impact hospital costs as well as patient costs and overall well-being. The California HealthCare Foundation reported that technological innovations in the field of fall prevention, such as wireless patient monitoring systems, resulted in faster nurse response times and increased satisfaction for both patients and staff.
Added December 2014
In-patient falls: What can we learn from incident reports?
2013
Age and Ageing
Journal Article
Issue 4
Volume 42
Pages 527-531
Author(s): Hignett, S., Sands, G., Griffiths, P.
Added December 2014
Pediatric inpatient falls and injuries: a descriptive analysis of risk factors.
2012
Journal for Specialists in Pediatric Nursing
Journal Article
Issue 1
Volume 17
Pages 10-18
Author(s): Schaffer, P. L., Daraiseh, N. M., Daum, L., Mendez, E., Lin, L., Huth, M. M.
Falls are the leading cause of nonfatal injuries treated in emergency departments in the United States. Children’s falls have the potential for injury and other negative patient outcomes (e.g., increased length of hospital stay and increased costs). To prevent these fall occurrences and injury outcomes, a comprehensive assessment of the factors surrounding falls in hospitalized children is essential to developing best-practice interventions.
Added November 2014
Pilot cluster randomised controlled trial of flooring to reduce injuries from falls in wards for older people.
2013
Age and Ageing
Journal Article
Issue 5
Volume 42
Pages 633-640
Author(s): Drahota, A. K., Ward, D., Udell, J. E., Soilemezi, D., Ogollah, R., Higgins, B., Dean, T. P., Severs, M.
Inpatient falls are a major issue for hospitals and are associated with mortality, morbidity and financial costs. Falls are particularly prevalent in elderly care environments, where patients have more risk factors for both falls and injury. With an aging society, this is an issue of increasing concern.
Added November 2014
Cluster randomised trial of a targeted multifactorial intervention to prevent falls among older people in hospital.
2008
British Medical Journal
Journal Article
Issue 7647
Volume 336
Pages 758-760
Author(s): Cumming, R. G., Sherrington, C., Lord, S. R., Simpson, J. M., Vogler, C., Cameron, I. D., Naganathan, V.
Falls often occur among older people in hospitals, resulting in injuries, increased lengths of stay, and greater costs to the health center. Evidence on the best way to prevent falls in hospitals is limited.
Added November 2014
Sustained reduction in serious fall-related injuries in older people in hospital.
2006
The Medical journal of Australia
Journal Article
Issue 8
Volume 184
Pages 379-382
Author(s): Fonda, D., Cook, J., Sandler, V., Bailey, M.
Falls are the leading cause of injury in Australian hospitals, with 38 percent of all hospital incidents related to falls. In hospital settings, single interventions have not been proven successful in preventing or reducing falls, whereas multisystem or multi-strategy approaches have shown to be more effective.
Added November 2014