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Knowledge Repository

Understanding Design Vulnerabilities in the Physical Environment Relating to Patient Fall Patterns in a Psychiatric Hospital: Seven Years of Sentinel Events

Author(s): Bayramzadeh, S., Portillo, M., Carmel-Gilfilen, C.
​Finding effective ways to prevent patient falls and fall-related injuries has been an ongoing struggle and debate for many modern medical practitioners. Previous studies have shown that nearly 30% of falls that occur in hospital settings result in injuries and, subsequently, additional treatments.
Key Point Summary

Optimal spaces for those living with dementia: Principles and evidence

Author(s): Barrett, P., Sharma, M., Zeisel, J.
​The World Health Organization (WHO) identifies dementia as a major cause of dependency among elderly populations around the world, with roughly 50 million people affected at the time of this writing.
Key Point Summary

Safety, Performance, and Satisfaction Outcomes in the Operating Room: A Literature Review

Author(s): Joseph, A., Bayramzadeh, S., Zamani, Z., Rostenberg, B.
There are many operating rooms (ORs) constructed more than 30 years ago that remain operational today, and many of these spaces are inadequately designed to withstand the processes, equipment, and people needed for contemporary OR procedures. Even in developed countries, patients undergoing inpatient surgeries experience major complications 3-22% of the time.
Key Point Summary

Post-Occupancy Evaluation of a Crisis Shelter Garden and Application of Findings Through the Use of a Participatory Design Process

Author(s): Lygum, V. L., Poulsen, D. V., Djernis, D., Djernis, H. G., Sidenius, U., Stigsdotter, U. K.
As an increasing number of designers and healthcare practitioners utilize nature-based therapy tools, there is a growing need to understand how certain elements within these natural spaces might contribute to heightened therapeutic effects for patients with specific conditions. Crisis shelters that provide healthcare resources to women and children exposed to domestic abuse could benefit from nature-based therapy tools, but a deeper understanding of how these environments should be built is needed.
Key Point Summary

Healthcare signage design: A review on recommendations for effective signing systems

Author(s): Rodrigues, R., Coelho, R., Tavares, J. M. R. S.
Studies have shown that designing “patient-centric” healthcare environments can alleviate stress for both patient populations as well as healthcare staff members. Patient-centric designs carefully consider how patients will interact with the built environment, and how the built environment itself can work to make their healing process easier. 
Key Point Summary

Does the design of settings where acute care is delivered meet the needs of older people? Perspectives of patients, family carers, and staff

Author(s): Haywood, A., Barnes, S., Marsh, H., Parker, S. G.
Acute care for older patients has special requirements but is seldom addressed in relation to the architecture of the facility. Improving the physical environment could result in better health outcomes for a growing number of patients.
Key Point Summary

Door openings in the operating room are associated with increased environmental contamination

Author(s): Perez, P., Holloway, J., Ehrenfeld, L., Cohen, S., Cunningham, L., Miley, G. B., Hollenbeck, B. L.
Opening doors during surgical procedures, which occurs increasingly often when more staff members are occupying an operating room, can lead to higher amounts of bacteria that may pose health risks to patients and operational issues for institutions.
Key Point Summary

The role of the built environment and private rooms for reducing central line-associated bloodstream infections

Author(s): O’Neill, L., Park, S.-H., Rosinia, F.
Private patient rooms in hospital environments are widely considered a helpful defense against healthcare-associated infections (HAIs). However, the ways in which private rooms might help mitigate specific kinds of HAIs, such as central line-associated bloodstream infections (CLABSIs), remain unclear and relatively unexplored.
Key Point Summary

Designing interiors to mitigate physical and cognitive deficits related to aging and to promote longevity in older adults: A review

Author(s): Engineer, A., Sternberg, E. M., Najafi, B.
As the global population of elderly people increases, healthcare providers and designers alike are faced with the question of how to continually optimize the design of healthcare environments so that a high quality of life is upheld. 
Key Point Summary

The influence of spatial design on team communication in hospital emergency departments

Author(s): Naccarella, L., Raggatt, M., Redley, B.
Hospital emergency departments (EDs) are often high-intensity, busy, and complex environments treating especially sensitive patient populations in a time-sensitive manner. The nature of ED environments places added emphasis on the importance of clear communication between staff members and how the overall design of an ED might impact these interactions. 
Key Point Summary