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Knowledge Repository

A complete, user-friendly database of healthcare design research references MoreLess about the Knowledge Repository

The Knowledge Repository is a complete, user-friendly database of healthcare design research references that continues to grow with the latest peer-reviewed publications. Start with our Knowledge Repository for all of your searches for articles and research citations on healthcare design topics. Access full texts through the source link, read key point summaries, or watch slidecasts. Expand your search and find project briefs, interviews, and other relevant resources by visiting our Insights & Solutions page.

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Displaying 1 - 20 of 142

Airflow patterns through single hinged and sliding doors in hospital isolation rooms – Effect of ventilation, flow differential and passage

Author(s): Kalliomäki, p., Saarinen, P., Tang, J. W., Koskela, h.
Patients with highly contagious diseases are often housed in negative pressure isolation rooms. These rooms attempt to reduce cross-infections within the hospital. However, airflows produced by healthcare worker movements and door opening motions pose the risk of spreading pathogen-laden air from negative pressure isolation rooms into other spaces. A significant number of previous studies have examined the impact of single-hinged door-generated airflows, but few have compared hinged doors with sliding doors.
Key Point Summary
Added December 2016

Low stimulus environments: reducing noise levels in continuing care

Author(s): Brown, J., Fawzi, W., Shah, A., Joyce, M., Holt, G., McCarthy, C., Stevenson, C., Marange, R., Shakes, J., Solomon-Ayeh, K.
This article highlights a project that aimed to reduce levels of intrinsic background noise on an adult mental health ward. Following intervention, the ward was able to decrease the background noise decibel level from 60dB to 53dB (on average).
Key Point Summary
Added November 2016

Surface Finish Materials: Considerations for the Neonatal Intensive Care Unit (NICU)

Author(s): Harris, D.
In this literature review, it is shown that a growing body of research has been focusing on how surface material finishes within neonatal intensive care units (NICUs) can contribute to the operational, clinical, and social aspects of health outcomes.
Key Point Summary
Added September 2016

An Assessment of Levels of Safety in Psychiatric Units

Author(s): Bayramzadeh, S.
As mental treatment facilities see increases in the number of patients seeking care, facilities face mounting pressure in their attempts to promote patient well-being and safety. The author suggests that there is a lack of systematic empirical studies that examine how the design of mental healthcare facilities contributes to patient care and safety.
Key Point Summary
Added September 2016

Mental and Behavioral Health Environments: Critical Considerations for Facility Design

Author(s): Shepley, M. M., Watson, A., Pitts, F., Garrity, A., Spelman, E., Kelkar, J., Fronsman, A.
Mental and behavioral health (MBH) facilities are being built and renovated at an increasing rate, but research concerning best building practices has not kept pace with construction. Evidence-based design (EBD) involves the use of research to help multidisciplinary design teams create the most appropriate built environments.
Key Point Summary
Added July 2016

Design in mind: eliciting service user and frontline staff perspectives on psychiatric ward design through participatory methods

Author(s): Csipke, E., Papoulias, C., Vitoratou, S., Williams, P., Rose, D., Wykes, T.
Previous studies have shown repeatedly that the physical design of psychiatric wards has a significant impact on patient recovery and well-being. It has also been found that staff and patients often express conflicting expectations regarding the design of psychiatric wards. Therefore, it is important to better understand different stakeholder perceptions of the same environment so that the most effective design decisions can be made. One possible way of doing this would be using the “SURE model,” which is a participatory method involving collaborations with service users during all stages of the study.
Key Point Summary
Added June 2016

Impact of a Comprehensive Workplace Hand Hygiene Program on Employer Health Care Insurance Claims and Costs, Absenteeism, and Employee Perceptions and Practices:

Author(s): Arbogast, J. W., Moore-Schiltz, L., Jarvis, W. R., Harpster-Hagen, A., Hughes, J., Parker, A.
Added June 2016

Multisensory Installations in Residential Aged-Care Facilities: Increasing Novelty and Encouraging Social Engagement Through Modest Environmental Changes

Author(s): Scott, T. L., Masser, B. M., & Pachana, N. A.
When the environment of aged-care facilities is perceived as more aesthetically pleasing, it is positively related to improved mood and well-being for residents and staff. Unfortunately, most residential care environments for the elderly are planned around their physical needs.
Key Point Summary
Added January 2016

Role of Bed Design and Head-of-Bed Articulation on Patient Migration

Author(s): Davis, K. G., & Kotowski, S. E.
Patients often migrate towards the foot of the bed. Two reasons are cited for this occurrence: gravity over time and bed design. Patients are exposed to friction from sliding on the mattress.
Key Point Summary
Added January 2016

Preparing an ICU room to welcome a critically ill patient with Ebola virus disease

Author(s): Pasquier, P., Ficko, C., Mérens, A., Dubost, C.
Ebola virus disease is a viral hemorrhagic fever that spreads through direct contact with the body fluids of an infected animal or human. Contamination may also occur through contact with items that were recently contacted by infected bodily fluids. No spread of the disease through the air has been documented. As no specific treatment or vaccine for the virus is currently available, specially coordinated medical services are necessary to control outbreaks.
Key Point Summary
Added December 2015

Benefits from wood interior in a hospital room: a preference study

Author(s): Nyrud, A. Q., Bringslimark, T., Bysheim, K.
New design strategies, focusing on implementing the psychologically beneficial effects of nature in the built environment, are increasingly being implemented in building design. The design of built settings is of particular importance in environments intended for healing, such as hospitals. Preferences for a setting are thought to be indicators of factors in the environment that can enhance...
Key Point Summary
Added December 2015

Testing a Tool to Support Safety in Healthcare Facility Design

Author(s): Taylor, E., Quan, X., Joseph, A.
Added October 2015

The role of noise in clinical environments with particular reference to mental health care: A narrative review

Author(s): Brown, B., Rutherford, P., Crawford, P.
The problem of noise in healthcare environments has been discussed in a variety of contexts, including psychology, sociology, built environment studies, and nursing. It has been well documented that the element of noise within clinical settings can elevate stress, impede recovery, and disturb sleep. But despite the extensive literature discussing the effects of noise in clinical settings, scarcely any research has been done on the role noise plays in mental healthcare environments.
Key Point Summary
Added October 2015

Exploring Safety and Quality In a Hemodialysis Environment With Participatory Photographic Methods: A Restorative Approach.

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.
Key Point Summary
Added September 2015

Lighting for Today's Neonatal Intensive Care Unit

Author(s): Rizzo, P., Rea, M., White, R.
Lighting is a design feature in NICUs that needs to cater to and support all users of the NICU – the infant, the staff, and the family. The authors surmise that lighting should be quiet, reliable, efficient, maintenance- free, and flexible in accordance with the diverse and changing requirements of the NICU users.
Key Point Summary
Added July 2015

Patient Safety in the Cardiac Operating Room: Human Factors and Teamwork A Scientific Statement From the American Heart Association

Author(s): Wahr, J. A., Prager, R. L., Abernathy, J. H., Martinez, E. A., Salas, E., Seifert, P. C., Groom, R. C., Spiess, B. D., Searles, B. E., Sundt, T. M., Sanchez, J. A., Shappell, S. A., Culig, M. H., Lazzara, E. H., Fitzgerald, D. C., Thourani, V. H., Eghtesady, P., Ikonomidis, J. S., England, M. R., Sellke, F. W., Nussmeier, N. A.
The cardiac surgical operating room is a complex environment, where patient lives are saved or considerably improved with the help of sophisticated equipment and skilled personnel. Although outcomes are improving, adverse events still occur, many of which are preventable. This statement is the result of a review of literature that presented evidence on patient safety and interventions that worked in enhancing patient safety in the cardiac OR.
Key Point Summary
Added March 2015

The relationship between birth unit design and safe, satisfying birth: Developing a hypothetical model

Author(s): Foureur, M., Davis, D., Fenwick, J., Leap, N., Iedema, R., Forbes, I., Homer, C. S. E.
The authors assert that just as the designed environment can impact health outcomes by disrupting effective communication and increasing patient and staff stress, it can also impact the experiences and outcomes for birthing women.
Key Point Summary
Added December 2014

Hospital design and face-to-face interaction among clinicians: a theoretical model

Author(s): Rashid, M.
Current research focusing on collaboration between medical professionals has shown the importance of face-to-face interactions on patient and staff outcomes. However, most strategies for increasing these interactions among clinicians have focused on operational changes that are intended to facilitate a cultural change within the organization. This research looks to examine how the physical design of a healthcare facility can create opportunities for face-to-face interactions between clinicians through spatial programs and structure.
Key Point Summary
Added November 2014

Hospital bathroom ergonomics: Safety, usability and accessibility issues

Author(s): Capodaglio, E. M.
The design of a hospital bathroom is important in terms of its usability and accessibility and crucial for patient and staff safety. A bathroom’s design and layout becomes more important in a rehabilitation unit, where patient mobility is restricted for various reasons.
Key Point Summary
Added November 2014

Reduction of healthcare-associated infections in a long-term care brain injury ward by replacing regular linens with biocidal copper oxide impregnated linens

Author(s): Lazary, A., Weinberg, I., Vatine, J.-J., Jefidoff, A., Bardenstein, R., Borkow, G., Ohana, N.
Due to its antibacterial, antiviral, and fungicidal properties, copper has been widely used for centuries as a biocide. Microorganisms resistant to copper are extremely rare. Recently, methods have been developed for embedding copper oxide particles into textile products, thereby giving them antimicrobial and anti-mite properties, and in some cases, advanced wound-healing abilities. Consumer products featuring copper oxide such as sheets, diapers, and pillowcases have been proven completely safe to humans through numerous studies, with no adverse health reactions on record.
Key Point Summary
Added November 2014