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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 23

The energy saving potential of wide windows in hospital patient rooms, optimizing the type of glazing and lighting control strategy under different climatic conditions

Author(s): Cesari, S., Valdiserri, P., Coccagna, M., Mazzacane, S.
The heating and cooling of patient rooms creates extremely high energy demands, especially since these rooms typically are located around building perimeters to provide natural daylight, and therefore are most affected by the condition of the building’s envelope.
Key Point Summary
Added October 2020

The impact of windows on the outcomes of medical intensive care unit patients

Author(s): Chiu, W.-C., Chang, P.-S., Hsieh, C.-F., Chao, C.-M., Lai, C.-C.
Numerous studies have demonstrated the positive impact that natural lighting can have on patient experiences, both in terms of overall mood and even overall recovery time. Exposure to regular rhythms of natural lighting can positively influence human sleeping patterns, which can play a large role in supporting positive moods and timely recoveries.
Key Point Summary
Added July 2018

Door locking and exit security measures on acute psychiatric admission wards: Door locking on admission wards

Author(s): Nijman, H., Bowers, L., Haglund, K., Muir-Cochrane, E., Simpson, A., Van Der Merwe, M.
Locked exit doors exist in psychiatric wards for various reasons. Sometimes regional legislation requires locked exits in these wards. At other times, these security measures are put in place in order to prevent patients from escaping a facility, to prevent unwelcome visits, to enhance the staff’s sense of control, or to improve overall patient and staff safety.
Key Point Summary
Added June 2017

Different Types of Door-Opening Motions as Contributing Factors to Containment Failures in Hospital Isolation Rooms

Author(s): Tang, J. W., Nicolle, A., Pantelic, J., Klettner, C. A., Su, R., Kalliomaki, P., Saarinen, P., Koskela, H., Reijula, K., Mustakallio, P., Cheong, D. K. W., Sekhar, C., Tham, K. W., Costa, C.
When under negative pressure, hospital isolation rooms are essential for both the containment of patients emitting airborne infectious agents as well as the protection of other patients from these agents. A plethora of different doors are used in the construction of these rooms, but relatively few studies have analyzed how certain door-opening motions and the passage of healthcare workers through these doors can affect the overall performance of isolation rooms.
Key Point Summary
Added December 2016

Analysis of circadian stimulus allowed by daylighting in hospital rooms

Author(s): Acosta, I, Leslie, R. P., Figueiro, M. G.
Light is the major synchronizer of circadian rhythms to the 24-hour solar day. Compared to the visual system, the circadian system requires more light to be activated and is more sensitive to short-wavelength light. For those confined indoors, such as patients or residents in care facilities, the lack of access to daylight, or electric lighting providing a comparable amount, spectrum, distribution, duration, and timing, may compromise their human health and well-being.
Key Point Summary
Added November 2016

A Recovery-Oriented Care Approach: Weighing the Pros and Cons of a Newly Built Mental Health Facility

Author(s): Ahern, C. C., Bieling, P., McKinnon, M. C., McNeely, H. E., Langstaff, K.
An inpatient mental health hospital was renovated with a newly built environment that incorporated patient-centered, clinically informed designs in an attempt to improve overall safety and quality of care. The new designs were considerably expensive and had extensive design implications for other parts of the hospital outside of the mental health facility.
Key Point Summary
Added June 2016

Performance Evaluation of 32 LEED Hospitals on Operation Costs

Author(s): Sadatsafavi, H., Shepley, M. M.
As healthcare needs increase, providers strive to reduce operational costs while simultaneously increasing healthcare facility construction and renovation efforts. At the same time, certification programs such as Leadership in Energy and Environmental Design (LEED) are examples of the emerging concerns regarding the environmental impact of healthcare facilities. The authors note that the number of studies documenting the benefits of more “green” facilities is limited; however, they hypothesize that upon comparing LEED-certified hospitals with uncertified ones, the LEED facilities will prove to have lower-than-average maintenance costs.
Key Point Summary
Added June 2016

Impact of the Physical Environment of Residential Health, Care, and Support Facilities (RHCSF) on Staff and Residents A Systematic Review of the Literature

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.
Key Point Summary
Added May 2016

Comparative Analysis of Hospital Energy Use: Pacific Northwest and Scandinavia

Author(s): Burpee, H., McDade, E.
Today, operational hospitals in the United States consume an enormous amount of energy. This study is an outgrowth of previous research evaluating high-quality, low-energy hos pitals that serve as examples for new high-performance hospital design, construction, and operation.
Key Point Summary
Added May 2015

Energy Efficient Hospital Patient Room Design: Effect of Room Shape on Window-to-Wall Ratio in a Desert Climate

Author(s): Sherif, A., Sabry, H., Arafa, R., Wagby, A.
Windows are significant to the healing process in hospitals because of their ability to provide access to daylight and external views. However, in desert climates windows also contribute to increased hospital energy consumption because of the increased cooling load.
Key Point Summary
Added March 2015

Building design and performance: A comparative longitudinal assessment of a children's hospital

Author(s): Thiel, C. L., Needy, K. L., Ries, R., Hupp, D., Bilec, M. M.
The aesthetics and design of a medical treatment facility can influence energy consumption, staff performance, and patient recovery. Evidence-Based Design (EBD) has been cited in many studies as an effective way to improve healthcare outcomes and hospitals’ performance, but further investigation is needed. This is particularly true at a whole-building level, to reveal the relationship between building design and health, and to observe the performance of newer building designs, especially with regard to green healthcare buildings.
Key Point Summary
Added November 2014

Comparison of a sample of green hospitals with non-green hospitals with respect to operating expenses and patient revenue

Author(s): Sadatsafavai, H., Walewski, J., Taborn, M.
Leadership in Energy and Environmental Design (LEED) has been an influential program behind the design, construction, and operation of green healthcare facilities across the U.S. Generally, green hospitals are designed to provide long-term ecological and financial benefits by promoting more efficient use of water, energy, and materials.
Key Point Summary
Added November 2014

Project Coalitions in Healthcare Construction Projects and the Application of Real Options: An Exploratory Survey

Author(s): van Reedt Dortland, M., Dewulf, G., Voordijk, H.
To ensue easy adaptation to the increasingly complex and changing healthcare environment, flexibility in healthcare assets is necessary. However, minimal research has been conducted to gain insight into how health organizations currently integrate flexibility into their real estate projects.
Key Point Summary
Added September 2014

Functional Outcomes of Nursing Home Residents in Relation to Features of the Environment: Validity of the Professional Environmental Assessment Protocol

Author(s): Slaughter, S. E., Morgan, D. G.
Research conducted in different settings shows that specialized environments designed for people with dementia may reduce the rate of functional loss. Different measures have been developed to assess the nursing home environments focused on the features of specialized dementia units. Among them, the Professional Environmental Assessment Protocol (PEAP) was developed to assess the quality of dementia care environments on nine dimensions. Assessment involves subjective evaluation of the physical and social environment on a 5-point scale for each dimension.
Key Point Summary
Added September 2014

Radical Redesign of Nursing Homes: Applying the Green House Concept in Tupelo, Mississippi

Author(s): Rabig, J., Thomas, W., Kane, R. A., Cutler, L. J., McAlilly, S.
The Green House design should be considered as nursing home resident numbers are growing. Early experiences with the “pod-like” structure show positive effects on residents, families, and staff.
Key Point Summary
Added September 2014

Perceived hospital environment quality indicators: A study of orthopaedic units

Author(s): Fornara, F., Bonaiuto, M., Bonnes, M.
The field of healthcare design has increasingly recognized the need for building environments that are more ‘‘user-centered,’’ but spatial–physical features have not typically been included in assessment surveys on patient satisfaction.
Key Point Summary
Added July 2014

Enhancing the traditional hospital design process: a focus on patient safety

Author(s): Reiling, J.G., Knutzen, B.L., Wallen, T.K., McCullough, S. , Miller, R., Chernos, S.
The current study is an overview of innovative system engineering and patient safety factors, named as the Synergy model that a hospital system utilized to design their new facility.
Key Point Summary
Added April 2014

Natural Ventilation for the Prevention of Airborne Contagion

Author(s): Escombe, R.R., Oeser, C.I., Gilman, R.H., Navincopa, M., Martinez, C., Chacaltana, J., Rodriguez, R., Moore, D.J., Friedland, J.S., Evans, C.A.
Controlling the break of nosocomial infections is arguably the highest priority in hospitals. Institutional transmission of airborne infections, such as Tubercolosis (TB) are, additionally, a public health concern. This is particularly true for developing countries, or other resource-limited settings where protective measures such as negative-pressure isolation rooms, which have become the norm in more modern settings, are difficult to implement. The global statistics on TB are staggering at 1.8 million dealths a year.
Key Point Summary
Added October 2012

A Novel PACU Design for Noise Reduction

Author(s): Smykowski, L.
As redesign and renovation of patient care units occur, health care providers need to consider the importance of lowering environmental stressors. Noise in the hospital environment is one well documented problem, with detrimental effects to both patients and staff. The paper reviews the redesign of the organization's PACU that explored a unique floor plan to minimize noise and improve privacy.
Key Point Summary
Added October 2012

View Through a Window May Influence Recovery from Surgery

Author(s): Ulrich, R.S.
Examined records on recovery after cholecystectomy of 46 patients admitted to a suburban hospital between 1972 and 1981 to determine whether assignment to a room with a window view of a natural setting might have restorative influences. Ss were matched in pairs according to sex, age, smoking or nonsmoking status, obese or normal weight status, year of surgery, and floor level (2nd or 3rd). Data...
Key Point Summary
Added October 2012