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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 21 - 40 of 56

Person-Environment Fit and Functioning Among Older Adults in a Long-Term Care Setting

Author(s): Pomeroy, S. H., Scherer, Y., Runkawatt, V., Iamsumang, W., Lindemann, J., Resnick, B.
Research conducted in different nursing homes (NHs) shows that the main focus of care in nursing homes is to meet the physical and medical care needs of residents with emphasis on basic care such as bathing, dressing, medication administration, nutrition, providing wound care, and other types of medically driven procedures, not on maximizing the function and time spent in physical activity.
Key Point Summary
Added September 2014

Community-Based Versus Institutional Supportive Housing: Perceived Quality of Care, Quality of Life, Emotional Well-Being, and Social Interaction

Author(s): Robison, J., Shugrue, N., Reed, I., Thompson, N., Smith, P., Gruman, C.
Numerous options for residential supportive housing are available for people who need long-term care. Some options are categorized as institutional while others are designated community-based; the movement to rebalance the long-term care system emphasizes the latter category. This study examines the experiences of 150 residents of two types of community-based supportive housing-assisted living (...
Key Point Summary
Added September 2014

Flexibility: Beyond the Buzzword—Practical Findings from a Systematic Literature Beview

Author(s): Carthey, J., Chow, V., Jung, Y. M., Mills, S.
While many healthcare facilities claim to have incorporated flexibility and adaptability into their new design, few have documented the outcomes of such claims. In reality, many healthcare facilities are outdated before they are built and fully occupied. These facilities then require extensive renovation and replacement during their life cycle to respond to changing demands of demographics, technology, and care delivery models.
Key Point Summary
Added September 2014

Triangulating the extrinsic risk factors for inpatient falls from the fall incident reports and nurse's and patient's perspectives

Author(s): Tzeng, H. M.
The safety of patients in hospitals is paramount during their treatment period. Accidental falls account for the most dangerous of reported incidents for a number of reasons.
Key Point Summary
Added September 2014

Effect of visual art on patient anxiety and agitation in a mental health facility and implications for the business case

Author(s): Nanda, U., Eisen, S., Zadeh, R. S., Owen, D.
Previous research suggests that even small interior design changes can have positive effects on patients receiving treatment in a variety of healthcare environments. Many of these studies examine patient populations that were moved to completely renovated facilities that featured a multitude of new designs and installations, making it difficult to understand how each individual design change affects the patients.
Key Point Summary
Added September 2014

An Evaluation of Operating Room Safety and Efficiency: Pilot Utilization of a Structured Focus Group Format and Three-Dimensional Video Mock-Up To Inform Design Decision Making

Author(s): Watkins, N., Kobelja, M., Peavey, E., Thomas, S., Lyon, J.
While surgical and interventional procedures are the most profitable services within the hospital, the cost of building and maintaining an OR can quickly reduce the profitability of running an OR. Due to this precarious balance of revenue and cost, the planning and design of an OR should look to reduce injury to staff and prevent unnecessary costs, while increasing operational efficiencies.
Key Point Summary
Added September 2014

Evaluation of the Built Environment: Staff and Family Satisfaction Pre- and Post-Occupancy of The Children's Hospital

Author(s): Kotzer, A. M., Zacharakis, S. K., Raynolds, M., Buenning, F.
As healthcare organizations begin to address the issues of quality and safety, patient-centered care, and emerging technologies through the replacement of old and outdated facilities, understanding the impact of the built environment on patient and staff health outcomes becomes increasingly necessary to make valued decisions throughout the process.
Key Point Summary
Added September 2014

Wayfinding for People With Dementia: A Review of the Role of Architectural Design

Author(s): Marquardt, G.
Wayfinding in medical facilities is difficult without proper orientation and visual cues. It is especially more challenging for people with dementia who struggle to remember where they have been.
Key Point Summary
Added September 2014

Estimates of Crowding in Long-Term Care: Comparing Two Approaches

Author(s): Algase, D. L., Antonakos, C., Beattie, E., Beel-Bates, C., Song, J. A.
People’s psychological responses to the feeling or sense of being crowded (known as crowding) has been widely examined in the literature on health, disease, and housing regulation and can be associated with negative outcomes. For vulnerable groups where crowding has been studied (such as in low-income housing, prisons, daycare centers, schools, and refugee camps), these negative outcomes include...
Key Point Summary
Added September 2014

Hospital Room Design and Health Outcomes of the Aging Adult

Author(s): Lorenz, S. G., Dreher, H. M.
Private patient rooms have become the industry standard since the American Institute of Architects (AIA) recommended including private patient rooms in the design of all new acute care hospital construction projects. This recommendation was made due to research suggesting that private patient rooms help reduce infection, increase caregiver efficiency, provide greater privacy, and offer greater opportunity for families to participate in the healing process of their loved ones. Private patient rooms also have been linked to reductions in medication errors, noise levels, and potential for falls. However, evidence has yet to document if private patient rooms are advantageous to all patient populations, nor has it established the actual relationship between room type and health outcomes.
Key Point Summary
Added September 2014

Quantifying the Relationship Among Hospital Design, Satisfaction, and Psychosocial Functioning in a Pediatric Hematology-Oncology Inpatient Unit

Author(s): Sherman-Bien, S. A., Malcarne, V. L., Roesch, S., Varni, J. W., Katz, E. R.
Prior research has shown that healthcare satisfaction and physical and psychological outcomes in adults are affected by the built environment. Research has also suggested that perceived built environment satisfaction acts as a mediator between the objective built environment and healthcare satisfaction and health-related quality of life in adults. However, minimal research has been conducted to understand these concepts within the pediatric population.
Key Point Summary
Added September 2014

Integrating Evidence-Based Design and Experience-Based Approaches in Healthcare Service Design

Author(s): Carr, V. L., Sangiorgi, D., Buscher, M, Junginger, S., Cooper, R.
“Evidence-based” implies the use of “scientific” evidence, often obtained through academic research such as RCTs, risk-benefit analysis, and meta-analyses of series of studies, particularly in the area of medicine. EBD, similar to EBM, is to use best-available evidence to inform design decisions.
Key Point Summary
Added September 2014

Influence of Positive Distractions on Children in Two Clinic Waiting Areas

Author(s): Pati, D., Nanda, U.
Studies show that the quality of waiting environments influences the perception of quality of care and caregivers, that perception of waiting time is a better indicator of patient satisfaction than actual waiting time, and that the waiting environment contributes to the perception of wait time.
Key Point Summary
Added September 2014

Lactation Space Design: Supporting Evidence-Based Practice and the Baby-Friendly Hospital Initiative

Author(s): Thompson, T. S., Heflin, L.
Many studies support the philosophy that breast-feeding is the best nutritional option for babies. There is a strong movement to go back to breast-feeding newborn children for their first six months of life because it has been shown that breast-feeding helps reduce the rate of illness for both mother and child. One study done by Simkin showed that infants fed breast milk exclusively for their first three months of life were nine times less likely to be hospitalized for infection.
Key Point Summary
Added September 2014

Evaluating the use of a targeted multiple intervention strategy in reducing patient falls in an acute care hospital: a randomized controlled trial

Author(s): Ang, E., Mordiffi, S. Z., Wong, H. B.
Prevention of patient falls remains a challenge that has eluded healthcare institutions. The effectiveness of targeted multiple fall prevention interventions in reducing the incidences of falling has not been established.
Key Point Summary
Added August 2014

Living Environment and Mobility of Older Adults

Author(s): Cress, M. E., Orini, S., Kinsler, L.
Older adults often decide to live in smaller environments. Smaller living space and the addition of services provided by a retirement community (RC) may make living easier for the individual, but it may also reduce the amount of daily physical activity and ultimately reduce functional ability.
Key Point Summary
Added May 2014

Physical Environment: The Major Determinant Towards the Creation of a Healing Environment?

Author(s): Abbas, M. Y., Ghazali, R.,
Prior research suggests that the pediatric population’s heightened perception of the quality of the physical environment can have an impact on the creation of a healing environment.
Key Point Summary
Added April 2014

How private is your consultation? Acoustic and audiological measures of speech privacy in the otolaryngology clinic

Author(s): Clamp, P. S., Grant, D. G., Zapala, D. A., Hawkins, D. B.
Although acoustic privacy is desirable during healthcare-related conversations, the authors show that patient-doctor conversations in clinic consultation rooms may not be acoustically private.
Key Point Summary
Added March 2014

Operating Room HVAC Setback Strategies

Author(s): Love, C.
Operating rooms (ORs) have significant HVAC (heating, ventilation, and air conditioning) standards and requirements, yet the rooms tend not to be in use upwards of 40% of the time. As a result, an excessive amount of energy is wasted to maintain air standards for no reason during that period of time. Hospitals have an opportunity to save a significant amount of energy by employing HVAC setback strategies, which minimize the amount of air supplied to the rooms when they are unoccupied. The decision of whether or not to employ a setback strategy for a hospital’s ORs requires an assessment of staff usage, existing conditions, and associated costs.
Key Point Summary
Added March 2014

Converting Medical/Surgical Units for Safe Use by Psychiatric Patients: The Physical and Fiscal Risks

Author(s): Hunt, J. M., Sine, D. M.
When repurposing medical/surgical units as behavioral health units, there are a significant number of elements within the physical environment that must be modified to support the specialized needs of the patients and reduce the risk of self-harm and harm to others. While intention for self-harm cannot be reliably assessed, suicide is a major concern on psychiatric units, and therefore there is a need to design the unit as if all patients may be at risk for self-harm.
Key Point Summary
Added March 2014