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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 1 - 12 of 12

Fall and injury prevention in residential care: effects in residents with higher and lower levels of cognition.

Author(s): Jensen, J., Nyberg, L., Gustafson, Y., Lundin-Olsson, L.
The prevention of falls and injuries in older people with cognitive impairment is an important concern in public health. It is of vital interest to investigate whether older people with significant cognitive impairment would benefit from fall prevention strategies.
Key Point Summary
Added November 2014

Influence of Role Models and Hospital Design on the Hand Hygiene of Health-Care Workers

Author(s): Lankford, M. G., Zembower, T. R., Trick, W. E., Hacek, D. M., Noskin, G. A., Peterson, L. R.
One of the key components for limiting spread of healthcare–associated infectious disease is the practice of adequate infection control. A cornerstone of infection control is ensuring that healthcare workers wash their hands at appropriate times. Some reports suggest that role models, group behavior, and the level of managerial support influence reported levels of compliance. However, few studies have prospectively evaluated the association between hand-hygiene compliance and building design.
Key Point Summary
Added July 2014

Decreasing the incidence of falls in the nursing home in a cost-conscious environment: a pilot study

Author(s): Hofmann, M. T., Bankes, P. F., Javed, A., Selhat, M.
About 30% of seniors living in the community fall per year, but that figure jumps to 60% in the nursing home elderly, with 4% of those resulting in a fracture. In addition to the pain and suffering these individuals endure, these falls increase healthcare costs. Research shows that incurring one or more falls with injury increases nursing home costs $5,325 per year. Several strategies have been used to reduce falls and their complications, however, they have mixed results.
Key Point Summary
Added May 2014

BedSAFE. A bed safety project for frail older adults

Author(s): Choi, Y. S., Hoffman, S. B., Powell-Cope, G. , MacClellan, L. , Bero, K.
Bed rails may cause significant injury and death from entrapments. Systematic interventions are needed to guide practices that reduce bed-rail use while addressing related clinical issues.
Key Point Summary
Added May 2014

Reduction in Injury Rates in Nursing Personnel Through Introduction of Mechanical Lifts in the Workplace

Author(s): Evanoff, B., Wolf, L., Aton, E., Canos, J., Collins, J.
Many studies have reported a high rate of back injuries and other musculoskeletal disorders among healthcare workers. Back pain has been identified as a major factor in causing nurses to leave the profession. Patient care requires many lifting and transfer tasks that pose a demonstrated risk of injury to workers. Mechanical assistive devices such as patient hoists offer an engineering solution to reducing potentially harmful physical exposure to nurses.
Key Point Summary
Added May 2014

Effectiveness of a multifaceted intervention on falls in nursing home residents

Author(s): Becker, C., Kron, M., Lindemann, U., Sturm, E., Eichner, B., Walter-Jung, B., Nikolaus, T.
Older people are particularly susceptible to falls and fractures due to mobility limitations and physical instability. Falls and fractures commonly result in functional deterioration, increased medical costs, and increased burden for all involved in the care setting. Attempts to prevent falls and reduce fall and fracture incidence rates both at home and in long-term care facilities span from educational interventions to adjustments of medication intake to environmental adaptations.
Key Point Summary
Added March 2014

Distraction therapy with nature sights and sounds reduces pain during flexible bronchoscopy: A complementary approach to routine analgesia

Author(s): Diette, G.B., Lechtzin, N, Haponik, E, Devrotes, A, Rubin, H
The demand for better healthcare includes the demand for proper treatment of pain. Joint commission standards for maintaining accreditation also apply to chronic medical conditions and the management of pain. Non-pharmacological methods of managing pain have gained popularity because patients can continue to experience pain despite the use of premedication analgesics and sedatives. Besides there are often side-effects associated with any use of medication. This is of particular concern for invasive procedures such as Flexible Bronchoscopy (FB) that can be frightening and painful for patients.
Key Point Summary
Added October 2012

Outcomes of environmental appraisal of different hospital waiting areas

Author(s): Leather, P., Beale, D., Santos, A., Watts, J., Lee, L.
Hospitals can be unfamliar environments and can create negative feelings and stress. The physical environmentcan be a source of stress or haved an effect on coping resources. Past research identifies disparities and hierarchical differences between the way environmental needs and desires are prioritized for clinical and medical staff; inpatients; outpatients; and visitors. Few studies evaluate ambulatory care environments.
Key Point Summary
Added October 2012

Do appealing hospital rooms increase patient evaluations of physicians, nurses, and hospital services?

Author(s): Swan, JE, Richardson, LD, Hutton, JD
There is a trend to move healthcare towards hospitality, and create more appealing and less institutional environments. A key driver, not exclusive to the healthcare industry, is that physical surroundings can influence customer judgments of service performance including customer satisfaction, loyalty, favorable word of mouth, recommendations and service quality perceptions. In the context of healthcare although various studies have addressed the importance of the physical environment with respect to favorable health outcomes, few have established a correlation between physical appeal and perception of service quality.
Key Point Summary
Added October 2012

Surface contamination in the dental operatory: a comparison over two decades

Author(s): Williams, H.N., Singh, R., Romberg, E.
Infection prevention is a major concern in dental healthcare settings. Patients and dental healthcare professionals may be exposed to pathogenic bacteria and viruses (e.g. cytomegalovirus, herpes simplex virus types 1 and 2, HIV, staphylococci) that colonize or infect the respiratory tract or the oral cavity. These pathogens can be transmitted through direct contact, indirect contact with contaminated surfaces, droplets, and airborne microorganisms.
Key Point Summary
Added October 2012

The Effect of a Wall Mural on Decreasing Four Types of Door-Testing Behaviors.

Author(s): Kincaid, C., Peacock, J.R.
This study examined the effect that a wall mural painted over an exit door had on decreasing door-testing behaviors of residents with dementia. 12 residents (mean age 78 yrs) who tested the doors regularly were observed over a 12-week period. The frequency of 4 types of door-testing behaviors before and after the wall mural installation was explored.
Key Point Summary
Added October 2012

Factors associated with hand hygiene practices in two neonatal intensive care units

Author(s): Cohen, B., Saiman, L., Cimiotti, J., Larson, E.
It has been recognized that observing hand hygiene practices in intensive care environments is crucial to the prevention and management of the spread of healthcare associated infections (HCAIs). NICU infants are at a higher risk given their varying stages of underdeveloped immune systems, varying degrees of dependence on instruments, invasive procedures, and contact with healthcare providers.
Key Point Summary
Added October 2012