Examining Efficiency in Open-Bay and Single-Family Room NICU Designs
2023
Advances in Neonatal Care
Journal Article
Issue 4
Volume 23
Pages 355-364
Author(s): Fay, L., Real, K., Haynes, S., Daneshvar, Z., Dowling, D., Newberry, D. M., Parker, L.
Added August 2023
Lean design of the pediatric intensive care unit patient room for efficient and safe care delivery
2022
HERD: Health Environments Research & Design Journal
Journal Article
Issue 4
Volume 15
Pages 369-390
Author(s): Lu, Y., Bishop, N. B., Zadeh, R. S.
Pediatric intensive care units (PICUs) are often operated by specially trained registered nurses (RNs). Due to the high stress and sensitivity of these environments, optimizing RN workflows and safety protocols is important.
Added August 2022
The healthcare workspace: Understanding the role of decentralized nursing stations, corridors, and huddle spaces as locations for teamwork in a neonatal intensive care unit
2022
HERD: Health Environments Research & Design Journal
Journal Article
Issue 4
Volume 15
Pages 270-282
Author(s): Fay, L., Real, K., Haynes, S.
Neonatal intensive care units (NICUs) host fragile and vulnerable patients. Research studies on NICUs with a single-family room (SFR) layout demonstrate benefits to both neonates and their parents but the impact on staff remains unclear. The decentralization associated with SFRs may impair teamwork.
Added June 2022
Efficiency and teamwork in emergency departments: Perception of staff on design interventions
2021
HERD: Health Environments Research & Design Journal
Journal Article
Issue 4
Volume 14
Pages 310-323
Author(s): Ahmadpour, S., Bayramzadeh, S., Aghaei, P.
The authors build on previous research regarding emergency department (ED) layout and teamwork. When clinicians can move efficiently in a space that allows for collaboration, both staff and patients benefit.
Added July 2021
Designing for efficiency: Examining the impact of centralized and decentralized nurse stations on interdisciplinary care processes
2020
JONA: The Journal of Nursing Administration
Journal Article
Issue 6
Volume 50
Pages 335–342
Author(s): Fay, L., Santiago, J. E., Real, K., Isaacs, K.
Between 1980 and 2008, adult inpatient units increased in size by 118%. Size increases on this scale may negatively impact operational efficiency, waste reduction efforts, and workplace safety.
Added June 2020
The effect of vertical split-flow patient management on emergency department throughput and efficiency
2018
The American Journal of Emergency Medicine
Journal Article
Issue 9
Volume 36
Pages 1581-1584
Author(s): Garrett, J. S., Berry, C., Wong, H., Qin, H., Kline, J. A.
In some emergency departments (EDs), the severity of a patient’s condition is rated on a 5-point scale during admission using the Emergency Service Index (ESI). Under the “split-flow” model of patient triaging, patients with less-severe conditions (rated an ESI 4 or 5) are “fast tracked” so that they can be separated from patients with higher ESI scores, allowing for more efficient resource allocation for all patient treatment procedures.
Added December 2018
Introduction of a horizontal and vertical split flow model of emergency department patients as a response to overcrowding
2018
Journal of Emergency Nursing
Journal Article
Issue 4
Volume 44
Pages 345-352
Author(s): Wallingford, G., Joshi, N., Callagy, P., Stone, J., Brown, I., Shen, S.
Hospital emergency departments (EDs) strive to optimally organize patient flow so that optimal care can be delivered while patient length of stay is minimized. The emergency severity index (ESI) is a 5-point scale used to help medical staff discern the severity of patient conditions; higher ESI scores indicate less-severe medical conditions.
Added December 2018
Horseshoe, Cockpit, and Dragonfly: Nurse Movement in Headwall Patient Rooms
2019
Critical Care Nursing Quarterly
Journal Article
Issue 1
Volume 42
Pages 47-52
Author(s): Hamilton, D. K.
Added December 2018
Key Players in Key Roles: The Baystate Patient Progress Initiative to Improve Emergency Department Efficiency and Productivity
2018
Journal of Emergency Nursing
Journal Article
Issue 2
Volume 44
Pages 123-131
Author(s): Rathlev, N. K., Anderson, J., Schmidt, J., Hettler, J., Garreffi, L., Gray, M., Neal, D., Visintainer, P.
Added November 2018
How Patients and Nurses Experience an Open Versus an Enclosed Nursing Station on an Inpatient Psychiatric Unit
2015
Journal of the American Psychiatric Nurses Association
Journal Article
Issue 6
Volume 21
Pages 398-405
Author(s): Shattell, M., Bartlett, R., Beres, K., Southard, K., Bell, C., Judge, C. A., Duke, P.
Added September 2018
Sustainability of a person-centered ward atmosphere and possibility to provide person-centered forensic psychiatric care after facility relocation
2018
Journal of Forensic and Legal Medicine
Journal Article
Author(s): Alexiou, E., Wijk, H., Ahlquist, G., Kullgren, A., Degl’ Innocenti, A.
Added September 2018
Using Systems Theory to Examine Patient and Nurse Structures, Processes, and Outcomes in Centralized and Decentralized Units
2018
HERD: Health Environments Research & Design Journal
Journal Article
Issue 3
Volume 11
Pages 22-37
Author(s): Real, K., Fay, L., Isaacs, K., Carll-White, A., Schadler, A.
Added April 2018
New technical solution to minimise noise exposure for surgical staff: the ‘silent operating theatre optimisation system’
2017
BMJ Innovations
Journal Article
Author(s): Friedrich, M. G., Boos, M., Pagel, M., Thormann, T., Berakdar, A., Russo, S., Tirilomis, T.
Added September 2017
The Environmental Services Perspective on Hospital Room Design: A Mixed-Methods Approach
Author(s): Patterson, E. S., Sanders, E., Sommerich, C. M., Evans, K. D., Lavender, S. A., Li, J.
Added August 2017
An Ergonomic Evaluation of Preoperative and Postoperative Workspaces in Ambulatory Surgery Centers
Author(s): Wingler, D., Joseph, A., Joshi, R.
Added July 2017
Nursing staff’s experiences of working in an evidence-based designed ICU patient room—An interview study
2017
Intensive and Critical Care Nursing
Journal Article
Author(s): Sundberg, F., Olausson, S., Fridh, I., Lindahl, B.
Intensive care unit nurses use technology and systems that may not have existed when their nursing units were constructed. Nurses often must work around machines and in narrow spaces to deliver complex care to critically ill patients.
Added June 2017
Effects of Unit Design on Acute Care Nurses’ Walking Distances, Energy Expenditure, and Job Satisfaction: A Pre–Post Relocation Study
2016
HERD: Health Environments Research & Design Journal
Journal Article
Issue 4
Volume 10
Pages 22-36
Author(s): Copeland, D., Chambers, M.
Numerous previous studies have focused specifically on the relationship between nurses and patients. For instance, several studies have shown that patient outcomes are directly associated with the amount of time nurses spend with their patients.
Added May 2017
Shifting Landscapes: The Impact of Centralized and Decentralized Nursing Station Models on the Efficiency of Care
2017
HERD: Health Environments Research & Design Journal
Journal Article
Issue 5
Volume 10
Pages 80-84
Author(s): Fay, L., Carll-White, A., Schadler, A., Isaacs, K., Real, K.
As healthcare facilities continue to implement evidence-based designs and increase in overall size, there is a lack of research examining how these changes affect the efficiency of patient care processes. Along with the physical growth of modern healthcare environments, advances in medical technology have increased the amount of multitasking required of nurses and other healthcare workers.
Added May 2017
Balancing the Human Touch with the Need for Integrating Technology in Ambulatory Surgical Environments: Barriers and Facilitators to Nursing Work and Care Team Interactions
2017
Journal of Interior Design
Journal Article
Issue 1
Volume 42
Pages 39-65
Author(s): Joseph, A., Wingler, D., Zamani, Z.
There is a lack of information to support the design of the rapidly growing number of ambulatory surgical centers (ASCs). These centers have become more popular as trends in reimbursement, technology, and services have evolved. Research is needed to inform how the built environment of ambulatory surgical environments impacts the critical interactions between people, supplies, and equipment.
Added February 2017
Low stimulus environments: reducing noise levels in continuing care
2016
BMJ Quality Improvement Reports
Journal Article
Issue 1
Volume 5
Pages 1-4
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).
Added November 2016
