Nursing unit design, nursing staff communication networks, and patient falls: Are they related?
2018
HERD: Health Environments Research & Design Journal
Journal Article
Issue 4
Volume 11
Pages 82-94
Author(s): Brewer, B. B., Carley, K. M., Benham-Hutchins, M., Effken, J. A., Reminga, J.
Added August 2018
Innovation Pilot Study: Acute Care for Elderly (ACE) Unit--Promoting Patient-Centric Care
2012
Health Environments Research & Design Journal
Journal Article
Author(s): Krall et al.
Older patients have different needs: cognitive impairment, chronic health issues, caregiver burden, and maintenance of functional level. These issues present challenges to healthcare organizations when caring for this population on a general medical-surgical unit.
Added January 2016
Pod Nursing on a Medical/Surgical Unit
2014
Journal of Nursing Administration
Journal Article
Issue 4
Volume 44
Pages 207-211
Author(s): Friese, C. R., Grunawalt, J. C., Bhullar, S., Bihlmeyer, K., Chang, R., & Wood, W.
The project reported in this article uses a Pod Nursing (PN) care delivery model to enhance patient-nurse proximity and a team-based patient assignment to improve select nurse and patient outcomes.
Added January 2016
One size fits all? Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience, safety and costs
2015
BMJ Quality & Safety
Journal Article
Issue 4
Volume 25
Pages 241-256
Author(s): Maben, J., Griffiths, P., Penfold, C., Simon, M, Anderson, J. E., Robert, G., Pizzo, E., Hughes, J., Murrells, T., Barlow, J.
Authors indicate that despite the trend to adopt single-patient rooms, there is a dearth of strong evidence regarding its effect on healthcare quality and safety. When a hospital in England moved to a new building with 100% single rooms, a before-and-after move study was conducted on patient and staff experience, safety outcomes, and cost analysis. The study found that over two-thirds of the patients and one-fifth of the staff preferred single rooms.
Added September 2015
Fall prevention and bathroom safety in the epilepsy monitoring unit
2015
Epilepsy & Behavior
Journal Article
Author(s): Spritzer, S. D., Riordan, K. C., Berry, J., Corbett, B. M., Gerke, J. K., Hoerth, M. T., Crepeau, A. Z., Drazkowski, J. F., Sirven, J. I., Noe, K. H.
Injury-inducing falls are one of the most common harmful events that occur in epilepsy monitoring units (EMUs). Considering the risk provoked by epileptic symptoms such as spontaneous seizures, patients admitted to EMUs may be more likely to sustain falling injuries over patients in other areas of the hospital.
Added September 2015
Exploring Safety and Quality In a Hemodialysis Environment With Participatory Photographic Methods: A Restorative Approach.
2014
Nephrology Nursing Journal
Journal Article
Issue 1
Volume 41
Pages 25-36
Author(s): Marck, P., Molzahn, A., Berry-Hauf, R., Hutchings, L. G., Hughes, S.
The authors indicate that hemodialysis units can be fraught with numerous safety issues related to medication errors, lapses in communication, patient falls, equipment issues, infection control, etc. These issues can be critical in high-acuity units. This study used qualitative methods to identify existing and potential safety issues in a hemodialysis unit in a tertiary care hospital in Canada.
Added September 2015
Why do patients in acute care hospitals fall? Can falls be prevented?
2009
Journal of Nursing Administration
Journal Article
Issue 6
Volume 39
Pages 299-304
Author(s): Dykes, P. C., Carroll, D. L., Hurley, A. C., Benoit, A., Middleton, B.
Despite a large quantitative evidence base for guiding fall risk assessment and not needing highly technical, scarce, or expensive equipment to prevent falls, falls are serious problems in hospitals.
Added November 2014
Applying root cause analysis to improve patient safety: decreasing falls in postpartum women.
2010
Quality & Safety in Health Care
Journal Article
Issue 2
Volume 19
Pages 138-143
Author(s): Chen, K. H., Chen, L. R., Su, S.
The objective of this study was to investigate the effectiveness of interventions to prevent falls designed through hazard analysis using root cause analysis.
Added November 2014
Reducing Falls in a Definitive Observation Unit: An Evidence-Based Practice Institute Consortium Project
2008
Critical Care Nursing Quarterly
Journal Article
Issue 2
Volume 31
Pages 127-139
Author(s): Gutierrez, F., Smith, K.
A Definitive Observation Unit (DOU) in a hospital in California maintains high standards of nursing and follows an evidence-based practice of fall prevention. Yet the facility’s fall rates continue to be higher than the benchmark for similar hospitals.
Added September 2014
Adding additional grab bars as a possible strategy for safer hospital stays
2010
Applied Nursing Research
Journal Article
Issue 1
Volume 23
Pages 45-51
Author(s): Tzeng, H.-M., Yin, C.-Y., Schechtman,S.
Inpatient falls are the most commonly reported incidents in hospitals, yet they are largely avoidable and, therefore, an unsolved issue in patient care. It comes as no surprise that patient falls tend to occur most frequently in patient rooms, patient bathrooms, and hallways—the places in which patients spend the majority of their time during their hospital stay. Falls are attributed to breakdowns in communication between patients and caregivers, inadequate assistance, and also the design of the physical environment.
Added February 2014
Designing with health in mind. Innovative design elements can make hospitals safer, more healing places
2004
Modern Healthcare
Journal Article
Issue 42
Volume 34
Pages 28-28
Author(s): Sadler, B.L.
Added October 2012
Preventing falls in acute care: an innovative approach
2005
Journal of Gerontological Nursing
Journal Article
Issue 3
Volume 31
Pages 25-33
Author(s): McCarter-Bayer, A., Bayer, F., Hall, K.
Added October 2012
Communication: patient safety and the nursing work environment
2007
Nursing That Works
Journal Article
Issue 4
Volume 40
Pages 11-2
Author(s): Friesen, M.A., Hughes, R.G., Zorn, M.
Added October 2012
