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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 101 - 120 of 771

From “Baby Barn” to the “Single Family Room Designed NICU”: A Report of Staff Perceptions One Year Post Occupancy

Author(s): Cone, S. K., Short, S., Gutcher, G.
Single Family Rooms (SFRs) are becoming an increasingly popular design model in the care of critically ill preterm infants. The advantages of this physical environment to the infant, family and care providers is well documented.
Key Point Summary
Added July 2015

The single-patient room in the NICU: maternal and family effects

Author(s): Pineda, R. G., Stransky, K. E., Rogers, C., Duncan, M. H., Smith, G. C., Neil, J., Inder, T.
The authors allude to the references in literature about the stress associated with being the parent of an infant in the Neonatal Intensive Care Unit (NICU). Indicating that the physical environment of a NICU may afford the possibility of alleviating such stress, the authors present the findings of this study which aimed to explore the relationship between the type of NICU room (single-patient versus open bay), parental practices and maternal health.
Key Point Summary
Added July 2015

Part 2: Evaluation and Outcomes of an Evidence-Based Facility Design Project

Author(s): Krugman, M., Sanders, C., Kinney, L. J.
After a western academic hospital implemented the recommendations of an interdisciplinary team that combined the principles of Transforming Care at the Bedside (TCAB) and Evidence-Based Design (EBD), an evaluation was necessary. This article (Part 2) presents the evaluation of the project.
Key Point Summary
Added June 2015

Innovative designs for the smart ICU: Part 2: The ICU

Author(s): Halpern, N. A.
Added June 2015

The Geriatric ED: Structure, Patient Care, and Considerations for the Emergency Department Geriatric Unit

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.
Key Point Summary
Added June 2015

Does effective designing of operation theaters contribute towards staff satisfaction: A cross-sectional study

Author(s): Rinkoo, A. V., Singh, S. P., Mishra, S., Vashishta, G., Chandra, H., Singh, P. K.
Design has an impact on staff satisfaction. Operation theaters (OTs) are a primary source of revenue for the study hospital. The operation theaters of the hospital recently underwent renovation. Determining the staff satisfaction with the new work environment was crucial, as literature indicated that staff satisfaction was tied to patient satisfaction and higher financial returns.
Key Point Summary
Added June 2015

The effect of changes in servicescape and service quality perceptions in a maternity unit

Author(s): Holder, M., Berndt, A.
Quality of service in healthcare is pertinent to patient experience and satisfaction, and can impact customer (patient) loyalty, cost savings, profits and market share of the healthcare facility. The authors indicate that the servicescape, or the physical environment of a facility, has an impact on a patient’s perception of the quality of service.
Key Point Summary
Added May 2015

Patients and Their Families Weigh in on Evidence-Based Hospital Design

Author(s): Trochelman, K., Albert, N., Spence, J., Murray, T., Slifcak, E.
Literature indicates that design of a healthcare facility impacts quality of care, patient safety, patient satisfaction, staff satisfaction, and outcomes. Evidence-based design (EBD) is increasingly becoming a guiding principle in the design of new healthcare facilities. As research on EBD evolves and more hospitals and architects use EBD recommendations, it becomes imperative to consider the perspectives of patients and families.
Key Point Summary
Added May 2015

Finishes and Furnishings: Considerations for Critical Care Environments

Author(s): Chambers, M., Bowman, K. L.
Finishes and furnishings play an important role in the healing environment and do affect patient health outcomes, staff satisfaction, operational efficiency, and costs. It is important to create properly designed critical care units. Involving healthcare providers in the design process is necessary to highlight the user’s perspective, preferences, choices, and comfort versus safety.
Key Point Summary
Added May 2015

A companionship between strangers – the hospital environment as a challenge in patient–patient interaction in oncology wards

Author(s): Larsen, L. S., Larsen, B. H., Birkelund, R.
The authors allude to existing literature indicating the healing and therapeutic effect of hospital environments and the increasing evidence between healthcare environments and patient outcomes. In this study the authors explore through observations and interviews of patients how the hospital environment impacts the interaction between hospitalized cancer patients.
Key Point Summary
Added May 2015

Part 1: Evidence-Based Facility Design Using Transforming Care at the Bedside Principles

Author(s): Devine, D. A., Wenger, B., Krugman, M., Zwink, J. E., Shiskowsky, K., Hagman, J., Limon, S., Sanders, C., Reeves, C.
A western academic hospital reexamined its design strategy when after three years of building a new facility they had to plan for a new facility to meet their patient capacity. Using a combination of the principles of Transforming Care at the Bedside (TCAB) and Evidence-Based Design (EBD), an interdisciplinary team presented design recommendations.
Key Point Summary
Added April 2015

Identification of EMR Hardware and Space Design Requirements using Human Factors Analyses

Author(s): Campbell, C., Kramer, C., Kelsey, S., King, W. J.
A successful Electronic Medical Records (EMR) implementation depends on factors that impact user experience, such as access, information management, documentation, patient privacy concerns, and potential interference. The authors allude to the significance of the selection of hardware and its placement as key to an efficient EMR workflow. Through this study user requirements were identified for the type of hardware required and how to place it in the existing clinic layout.
Key Point Summary
Added April 2015

Pre-versus post-occupancy evaluation of daylight quality in hospitals

Author(s): Alzoubi, H., Al-Rqaibat, S., Bataineh, R. F.
Studies show that most hospital occupants prefer natural daylight to electrical light. Daylight can be used to optimize patient comfort by creating a more attractive indoor setting. Daylight has been linked to higher levels of staff performance and productivity along with reduced energy use and hospital emissions. Comparisons of pre- and post-occupancy lighting levels evaluate how well a space being put to use matches the predicted situation.
Key Point Summary
Added March 2015

Impacts of indoor daylight environments on patient average length of stay (ALOS) in a healthcare facility

Author(s): Choi, J.-H., Beltran, L. O., Kim, H.-S.
One of the components that increases the quality of the indoor environment in hospitals is window views with access to daylight. The orientation of a window can be significant to the amount of daylight a room can get. This study examined the indoor environments of patient rooms located on different sides of a hospital building to investigate the impact of daylight on the length of stay.
Key Point Summary
Added March 2015

Realizing improved patient care through human-centered operating room design: A human factors methodology for observing flow disruptions in the cardiothoracic operating room

Author(s): Palmer, G., Abernathy, J. H., Swinton, G., Allison, D., Greenstein, J., Shappell, S., Juang, K., Reeves, S. T.
The authors indicate that disruptions in the workflow of surgeries can extend surgery times and contribute to the escalation of healthcare costs.
Key Point Summary
Added March 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

Tailored lighting intervention improves measures of sleep, depression, and agitation in persons with Alzheimer’s disease and related dementia living in long-term care facilities

Author(s): Figueiro, M. G., Plitnick, B. A., Lok, A., Jones, G. E., Higgins, P., Hornick, T. R., Rea, M. S.
In 2010, an estimated 5.1 million elderly Americans were affected by Alzheimer’s disease and related dementia (ADRD). Individuals with ADRD are often transferred into controlled environments due to common behavioral symptoms such as nocturnal wandering, disturbed sleep-wake patterns, agitation, and verbal or physical abuse.
Key Point Summary
Added March 2015

Optimizing Emergency Department Front-End Operations

Author(s): Wiler, J. L., Gentle, C., Halfpenny, J. M., Heins, A., Mehrotra, A., Mikhail, M. G., Fite, D.
Added March 2015

Developing a multi-systemic fall prevention model, incorporating the physical environment, the care process and technology: A systematic review

Author(s): Choi, Y.-S., Lawler, E., Boenecke, C. A., Ponatoski, E. R., Zimring, C. M.
Falls are the most frequently reported negative events in hospitals in the United States and other countries, and about one-third of them result in injury of some type. Injury from falls can result in increased hospital stays, increased costs and litigation, among other problems. The authors reviewed the literature on falls, fall injuries, fall risk factors, and interventions to better understand the effectiveness of different methods for fall prevention in hospital settings.
Key Point Summary
Added December 2014

Stress Reduction in the Hospital Room: Applying Ulrich’s Theory of Supportive Design

Author(s): Andrade, C. C., Devlin, A. S.
In this study the authors intended to empirically test Ulrich’s (1991) theory of supportive design. According to this, the physical-socio environment of a healthcare facility affects the well-being of patients, which is promoted through perception of control (PC), social support (SS), and positive distraction (PD). The authors point to literature that separately provides evidence for the relevance of each of the above aspects.
Key Point Summary
Added December 2014