Impact of the Physical Environment of Residential Health, Care, and Support Facilities (RHCSF) on Staff and Residents A Systematic Review of the Literature
2015
Environment and Behavior
Journal Article
Issue 10
Volume 48
Pages 1203-1241
Author(s): Joseph, A., Choi, Y.-S., Quan, X.
Strategies related to the design of the built environment should be considered within the context of the culture of the organization and the resident population. This study of the physical environment of residential health, care, and support facilities addresses the range of settings and population, where other studies have been lacking. The literature review strongly suggests that the built environment is an important component of care provided in residential care settings.
Added May 2016
Facility Design and Healthcare-Acquired Infections
2014
Journal of Nursing Administration
Journal Article
Issue 3
Volume 44
Pages 129-132
Author(s): Stichler, J. F.
This article outlines the relationship between select design elements and the pervasive problem of healthcare-acquired infections.
Added January 2016
Destination Bedside
2012
The Journal of Nursing Administration
Journal Article
Issue 5
Volume 42
Pages 256-265
Author(s): Watkins, N., Kennedy, M., Lee, N., O’Neill, M., Peavey, E., DuCharme, M., & Padula, C.
Patient-centered care (PCC) has been at the core of healthcare reform. Improvements and advancements in Healthcare Information Technology (HIT), Electronic Health Records and inpatient unit layout have been some means that aim to achieve PCC. Also key to PCC is the alleviation of medical errors, which HIT and related technology can help achieve.
Added January 2016
Realizing improved patient care through human-centered operating room design: A human factors methodology for observing flow disruptions in the cardiothoracic operating room
2013
Anesthesiology
Journal Article
Issue 5
Volume 119
Pages 1066-1077
Author(s): Palmer, G., Abernathy, J. H., Swinton, G., Allison, D., Greenstein, J., Shappell, S., Juang, K., Reeves, S. T.
The authors indicate that disruptions in the workflow of surgeries can extend surgery times and contribute to the escalation of healthcare costs.
Added March 2015
Patient Safety in the Cardiac Operating Room: Human Factors and Teamwork A Scientific Statement From the American Heart Association
2013
Circulation
Journal Article
Issue 10
Volume 128
Pages 1139-1169
Author(s): Wahr, J. A., Prager, R. L., Abernathy, J. H., Martinez, E. A., Salas, E., Seifert, P. C., Groom, R. C., Spiess, B. D., Searles, B. E., Sundt, T. M., Sanchez, J. A., Shappell, S. A., Culig, M. H., Lazzara, E. H., Fitzgerald, D. C., Thourani, V. H., Eghtesady, P., Ikonomidis, J. S., England, M. R., Sellke, F. W., Nussmeier, N. A.
The cardiac surgical operating room is a complex environment, where patient lives are saved or considerably improved with the help of sophisticated equipment and skilled personnel. Although outcomes are improving, adverse events still occur, many of which are preventable. This statement is the result of a review of literature that presented evidence on patient safety and interventions that worked in enhancing patient safety in the cardiac OR.
Added March 2015
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
The effects of physical environments in medical wards on medication communication processes affecting patient safety
2014
Health & Place
Journal Article
Author(s): Liu, W., Manias, E., Gerdtz, M.
The physical environment of a hospital has a wide range of effects on the quality of care administered to patients. In the context of medication distribution, seamless communication among healthcare professionals of different backgrounds is imperative, and in many cases the physical environment itself can have positive or negative effects on this complex process.
Added November 2014
Medication Dispensing Errors and Potential Adverse Drug Events before and after Implementing Bar Code Technology in the Pharmacy
2006
Annals of Internal Medicine
Journal Article
Issue 6
Volume 145
Pages 426-434
Author(s): Poon, E. G., Cina, J. L., Churchill, W., Patel, N., Featherstone, E., Rothschild, J. M., Keohane, C. A., Whittemore, A. D., Bates, D. W., Gandhi, T. K.
Medication errors are errors that occur while ordering, transcribing, dispensing, administering, or monitoring medications. Medication dispensing errors refer to discrepancies between a prescription and the medication dispensed by a pharmacist.
Added November 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
2011
HERD: Health Environments Research & Design Journal
Journal Article
Issue 1
Volume 5
Pages 6-22
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.
Added September 2014
Influence of Role Models and Hospital Design on the Hand Hygiene of Health-Care Workers
2003
Emerging Infectious Diseases
Journal Article
Issue 2
Volume 9
Pages 217-223
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.
Added July 2014
Effects of Acuity-Adaptable Rooms on Flow of Patients and Delivery of Care
2004
American Journal of Critical Care
Journal Article
Author(s): Hendrich, A. L., Fay, J., Sorrells, A.
Acuity-adaptable rooms could reduce patient transfer times, decrease costs, and increase patient quality of care and satisfaction. Researchers conducted a pre/post study in an acute care setting to evaluate the impact of moving to acuity-adaptable rooms on patient flow, hospital capacity, patient and staff satisfaction, sentinel events, average length of stay, and nursing productivity.
Added May 2014
Incidents relating to the intra-hospital transfer of critically ill patients
2004
Intensive Care Medicine
Journal Article
Issue 8
Volume 30
Pages 1579-1585
Author(s): Beckmann, U., Gillies, D. M., Berenholtz, S. M., Wu, A. W., Pronovost, P.
Transportation of critically ill patients between hospitals can increase complications. Intrahospital transportation poses many of the same risks. Examining these incidents could uncover ways to improve patient safety during transportation.
Added April 2014
Using a Task Analysis to Describe Nursing Work in Acute Care Patient Environments
2009
Journal of Nursing Administration
Journal Article
Issue 12
Volume 39
Pages 537-547
Author(s): Battisto, D., Pak, R., Vander Wood, M. A., Pilcher, J. J.
A growing body of research demonstrates linkages between workplace design and processes in healthcare facilities with staff and patient safety, operational efficiency, staff satisfaction, and medical errors. There has been less emphasis on the role of the built environment in helping or hindering care delivery. Research is needed on the contextualized activities performed by nurses and how nurses spend their time to measure the effects of interventions aimed at redesigning care to improve safety or efficiency or to understand the implications of policy changes for nursing practice.
Added April 2014
Nurses’ Perceptions of How physical Environment Affects Medication Errors in Acute Care Settings
2011
Applied Nursing Research
Journal Article
Issue 4
Volume 24
Pages 229–237
Author(s): Mahmood, A., Chaudhury, H., Valente, M.
Medication errors in hospitals occur for a number of reasons, stemming from staff and organizational issues to aspects of the physical environment. Errors include omissions, giving the wrong type or amount of medication, and giving the wrong patient unneeded medication. Research has indicated that a significant amount of these errors are avoidable.
Added February 2014
Same-Handed and Mirrored Unit Configurations: Is There a Difference in Patient and Nurse Outcomes?
2011
Journal of Nursing Administration
Journal Article
Issue 6
Volume 41
Pages 273-279
Author(s): Watkins, N., Kennedy, M., Ducharme, M., Padula, C.
Awareness of the impact of healthcare facility design on a number of diverse patient and staff outcomes is growing. From patient recovery time, satisfaction, and comfort to nursing staff efficiency, error rates, and distraction, varied outcomes are being linked to environmental conditions and design attributes in hospital settings. Inpatient unit configurations, specifically same-handed configurations vs. mirrored units, are a particular area of interest for researchers, with implications for practitioners and patient care. Same-handed configurations, which standardize all rooms within a unit such that they are all identical, may allow for reduced noise as headwalls are no longer shared.
Added February 2014
Impact of Medication Storage Cabinets on Efficient Delivery of Medication and Employee Frustration
2010
Journal of Nursing Care Quality
Journal Article
Issue 4
Volume 25
Pages 352-357
Author(s): Hull, T., Czirr, L. , Wilson, M.
Safe medication administration is essential to ensuring positive patient outcomes and is a priority in healthcare institutions. Recent innovations in technology and automation are designed to eliminate errors as well as move activities closer to the patient’s bedside to improve nursing workflow. It has been postulated that moving medications and supplies closer to the point of care reduces nurses’ traveling time and makes it easier to administer medication.
Added January 2014
Direct cellular vs. indirect pager communication during orthopaedic surgical procedures: A prospective study
2009
Technology and Health Care
Journal Article
Issue 2
Volume 17
Pages 149-157
Author(s): Ortega, G. R., Taksali, S., Smart, R., Baumgaertner, M. R.
Staff-to-staff communication is critical to quality and efficient healthcare. Physicians, nurses, and other healthcare workers all use various methods of communication in their daily work. Difficulties in staff communication often lead to interruptions and delays in patient care, variation in response time, medical errors, violation of privacy, and dissatisfaction in patient and staff.
Added October 2012
Medication Dispensing Errors in Community Pharmacies: A Nationwide Study
2002
Proceedings of the Human Factors and Ergonomics Society Annual Meeting
Journal Article
Issue 16
Volume 46
Pages 1448-1451
Author(s): Flynn, E. A., Dorris, N. T., Holman, G. T., Camahan, B. J., Barker, K. N
The available literature concerning medication dispensing errors provides relatively few studies that focus on community-based pharmacies, as much of the available research regarding dispensing errors has been conducted in single pharmacies that are associated with hospitals and medical centers, largely due to convenience. Although the dispensing process may be essentially the same, the validity of extending these findings to community pharmacies has yet to be tested.
Added October 2012
