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
Implications of design on infection prevention and control practice in a novel hospital unit: the Medical Ward of the 21st Century
2015
Anthropology & Medicine
Journal Article
Author(s): VanSteelandt, A., Conly, J., Ghali, W., Mather, C.
The design of a hospital has an important role to play in the prevention and control of infections in hospitals, as does healthcare worker compliance with preventive measures of infection control. Evidence has shown that single-patient rooms are more effective in the control of infection than multi-patient rooms. This study examined the relationship between the design of a hospital unit and the practice of infection control.
Added June 2015
The Legacy of Florence Nightingale's Environmental Theory: Nursing Research Focusing on the Impact of Healthcare Environments
2014
HERD: Health Environments Research & Design Journal
Journal Article
Issue 4
Volume 7
Pages 19-34
Author(s): Zborowsky, T.
Added May 2015
The association of hospital prevention processes and patient risk factors with the risk of Clostridium difficile infection: a population-based cohort study
2015
BMJ Quality & Safety
Journal Article
Issue 7
Volume 24
Pages 435-443
Author(s): Daneman, N., Guttmann, A., Wang, X., Ma, X., Gibson, D., Stukel, T.
Added May 2015
Design for Safety in the Critical Care Environment: An Evidence-Based Approach
2014
Critical Care Nursing Quarterly
Journal Article
Issue 1
Volume 37
Pages 103-114
Author(s): Stroupe, J. M.
Added May 2015
Finishes and Furnishings: Considerations for Critical Care Environments
2011
Critical Care Nursing Quarterly
Journal Article
Issue 4
Volume 34
Pages 317-331
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.
Added May 2015
A companionship between strangers – the hospital environment as a challenge in patient–patient interaction in oncology wards
2014
Journal of Advanced Nursing
Journal Article
Issue 2
Volume 70
Pages 395-404
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.
Added May 2015
Development and initial testing of the Person-centered Care Assessment Tool (P-CAT)
2010
International Psychogeriatrics
Journal Article
Issue 01
Volume 22
Pages 101–108
Author(s): Edvardsson, D., Fetherstonhaugh, D., Nay, R., Gibson, S.
Added April 2015
A Lean Six Sigma Team Increases Hand Hygiene Compliance and Reduces Hospital-Acquired MRSA Infections by 51%
2010
Journal for Healthcare Quality
Journal Article
Issue 4
Volume 32
Pages 61-70
Author(s): Carboneau, C., Aizen, E., Jaco, M. T., Robinson, M.
Added April 2015
Salutogenic Effects of the Environment: Review of Health Protective Effects of Nature and Daylight
2014
Applied Psychology: Health and Well-Being
Journal Article
Issue 1
Volume 6
Pages 67-95
Author(s): Beute, F., de Kort, Y. A.W.
Added March 2015
Ambient light levels and critical care outcomes
2013
Journal of Critical Care
Journal Article
Issue 1
Volume 28
Pages 110.e1-110.e8
Author(s): Verceles, A. C., Liu, X., Terrin, M. L., Scharf, S. M., Shanholtz, C., Harris, A., Ayanleye, B, Parker, A., Netzer, G.
Several U.S. healthcare agencies endorse a guideline that requires the construction of windows in patient care rooms so that naturally regulated sunlight can contribute to interior ambient lighting. This recommendation has been adopted by agencies in 46 U.S. states. Few studies have analyzed the association between light levels and intensive care unit (ICU) outcomes. No previous studies have quantitatively measured light levels or assessed intermediate factors such as analgesic use.
Added March 2015
Impact of daylight illumination on reducing patient length of stay in hospital after coronary artery bypass graft surgery
2013
Lighting Research and Technology
Journal Article
Issue 4
Volume 45
Pages 435-449
Author(s): Joarder, A. R., Price, A. D. F.
Array
Added March 2015
The effect of hospital design on indoor daylight quality in children section in King Abdullah University Hospital, Jordan
2015
Sustainable Cities and Society
Journal Article
Author(s): Alzoubi, H. H., Al-Rqaibat, S. M.
Previous studies have shown that natural lighting in assisted-living homes and hospitals can help reduce heating costs while benefitting the physiological and psychological states of patients and staff. Exposure to sunlight has been associated with reduced mortality rates among cancer patients, with mood improvements, and with reduced lengths of hospitalization for patients receiving treatment for myocardial infarction.
Added March 2015
Pre-versus post-occupancy evaluation of daylight quality in hospitals
2010
Building and Environment
Journal Article
Issue 12
Volume 45
Pages 2652-2665
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.
Added March 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
Impacts of indoor daylight environments on patient average length of stay (ALOS) in a healthcare facility
2012
Building and Environment
Journal Article
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.
Added March 2015
Emergency department observation units: A clinical and financial benefit for hospitals
2011
Health Care Management Review
Journal Article
Issue 1
Volume 36
Pages 28-37
Author(s): Baugh, C.W., Venkatesh, A. K., Bohan, J. S.
This article presents a review of literature to make a clinical and business case for establishing EDOUs. The literature was found to indicate that EDOU care contributes to more effective clinical decision-making and the generation of higher revenue than the same patients would if admitted and then discharged.
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
Space to care and treat safely in acute hospitals: Recommendations from 1866 to 2008
2010
Applied Ergonomics
Journal Article
Issue 5
Volume 41
Pages 666-673
Author(s): Hignett, S., Lu, J.
Bed space, defined in this study as the area around an individual bed offering privacy either as a curtained or screened cubicle or a single room in a ward holding multiple occupants, is the most frequently repeated design envelope in an acute care hospital. Since patients, staff, visitors, and other people will occupy this space at one point or another for a variety of different purposes, a complex design challenge exists. In 1893, Florence Nightingale successfully argued for less cramped bedrooms and overall improvements in hospital designs.
Added December 2014
Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station
2012
BMJ Quality & Safety
Journal Article
Issue 11
Volume 21
Pages 939-947
Author(s): Colligan, L., Guerlain, S., Steck, S. E., Hoke, T. R.
According to the authors, literature indicates that interruptions during the administration of medication in healthcare settings can lead to errors, and that such errors are likely to cause more harm in pediatric settings. The medication station in the study hospital is centrally located with an open design targeted to reduce nurse walking and increase time with patients.
Added December 2014
