Analysis of functional layout in emergency departments (ED). Shedding light on the free standing emergency department (FSED) model
2022
Applied Sciences
Journal Article
Issue 10
Volume 12
Pages 5099
Author(s): Brambilla, A., Mangili, S., Das, M., Lal, S., Capolongo, S.
Research shows that emergency departments (EDs) are facing overcrowding, increasing patient acuity, and short staffing, which all are impacting wait times to be seen and patient satisfaction scores.
Added December 2022
Environmental transformations enhancing dignity in an acute psychiatric ward: Outcome of a user-driven service design project
2023
HERD: Health Environments Research & Design Journal
Journal Article
Issue 2
Volume 16
Pages 55-72
Author(s): Faerden, A., Rosenqvist, C., Håkansson, M., Strøm-Gundersen, E., Stav, Å., Svartsund, J., Røssæg, T., Davik, N., Kvarstein, E., Pedersen, G., Dieset, I., Nyrud, A. Q., Weedon-Fekjær, H., Kistorp, K. M.
Research shows that the concept of dignity within psychiatric health seclusion is reflected mainly in patient care delivery rather than the environmental components of a healthcare setting. Still common are sparsely furnished rooms, white paint, and limited access to natural light or views of the outdoors.
Added December 2022
Designing a cardiac intensive care unit by employing an evidence-based design approach
2022
The International Journal of Architectonic, Spatial, and Environmental Design
Journal Article
Issue 2
Volume 17
Pages 61-81
Author(s): Alansari, A., Quan, X.
Research shows that the design of the physical environment of cardiac intensive care units (CICUs) plays a significant role in patient outcomes, patient safety, and quality of care. Evidence-based design decisions further influence healthcare personnel well-being, such as reducing workplace injuries and workers’ compensation claims.
Added December 2022
An exploratory study testing environmental wayfinding aids as an intervention for children with autism
2022
HERD: Health Environments Research & Design Journal
Journal Article
Issue 4
Volume 15
Pages 114-130
Author(s): Irish, J. E. N.
Previous research has found that some people with autism spectrum disorder (ASD) have difficulties navigating complex physical environments, such as hospitals. Previous research has also indicated that due to the hypersensitive nature of some people living with ASD, sensitive environmental designs may be especially important for them.
Added July 2022
The healthcare workspace: Understanding the role of decentralized nursing stations, corridors, and huddle spaces as locations for teamwork in a neonatal intensive care unit
2022
HERD: Health Environments Research & Design Journal
Journal Article
Issue 4
Volume 15
Pages 270-282
Author(s): Fay, L., Real, K., Haynes, S.
Neonatal intensive care units (NICUs) host fragile and vulnerable patients. Research studies on NICUs with a single-family room (SFR) layout demonstrate benefits to both neonates and their parents but the impact on staff remains unclear. The decentralization associated with SFRs may impair teamwork.
Added June 2022
Operating room nurses’ experiences of limited access to daylight in the workplace – a qualitative interview study
2021
BMC Nursing
Journal Article
Issue 1
Volume 20
Pages 227
Author(s): Golvani, J., Roos, L., Henricson, M.
Artificial light can result in headaches, fatigue, and decreased eyesight. Lack of natural daylight can cause vitamin D deficiency, sleep difficulty, and mood and memory changes, including depression. Surgical nurses spend long hours in windowless environments, under artificial lights, with few opportunities to go outside during work.
Added November 2021
Comfort equals nurturing: Young people talk about mental health ward design
2021
HERD: Health Environments Research & Design Journal
Journal Article
Issue 4
Volume 14
Pages 258-269
Author(s): Hutton, A., Wilson, R., Foureur, M.
Literature demonstrates that patient care outcomes and satisfaction can be significantly influenced by the healthcare environment. This research focuses on the design of mental health wards for adolescent patients and highlights understanding and implementing the viewpoints of adolescent patients in the design of mental health spaces.
Added July 2021
Exploring the spatial arrangement of patient rooms for minimum nurse travel in hospital nursing units in Korea
2020
Frontiers of Architectural Research
Journal Article
Issue 4
Volume 9
Pages 711-725
Author(s): Lee, J., Lee, H., Shepley, M. M.
Studies have shown that when nurses have to walk long distances, time at the patient bedside is reduced and nursing fatigue and stress increase. The arrangement of patient rooms within a nursing unit can impact nurse well-being and optimize patient care.
Added September 2020
The influence of spatial configuration on the frequency of use of hand sanitizing stations in health care environments
2017
American Journal of Infection Control
Journal Article
Author(s): Neo, J. R. J., Zadeh, R.
Healthcare-associated infections (HAIs) affect over 1.7 million people each year, and subsequently cost the U.S. economy approximately $8.2 billion each year. Hand hygiene compliance (HHC), which involves washing hands thoroughly with alcohol-based rubs or soap and water, is widely regarded as a major prevention measure against the transmission of pathogens that cause HAIs.
Added December 2018
The effect of vertical split-flow patient management on emergency department throughput and efficiency
2018
The American Journal of Emergency Medicine
Journal Article
Issue 9
Volume 36
Pages 1581-1584
Author(s): Garrett, J. S., Berry, C., Wong, H., Qin, H., Kline, J. A.
In some emergency departments (EDs), the severity of a patient’s condition is rated on a 5-point scale during admission using the Emergency Service Index (ESI). Under the “split-flow” model of patient triaging, patients with less-severe conditions (rated an ESI 4 or 5) are “fast tracked” so that they can be separated from patients with higher ESI scores, allowing for more efficient resource allocation for all patient treatment procedures.
Added December 2018
Introduction of a horizontal and vertical split flow model of emergency department patients as a response to overcrowding
2018
Journal of Emergency Nursing
Journal Article
Issue 4
Volume 44
Pages 345-352
Author(s): Wallingford, G., Joshi, N., Callagy, P., Stone, J., Brown, I., Shen, S.
Hospital emergency departments (EDs) strive to optimally organize patient flow so that optimal care can be delivered while patient length of stay is minimized. The emergency severity index (ESI) is a 5-point scale used to help medical staff discern the severity of patient conditions; higher ESI scores indicate less-severe medical conditions.
Added December 2018
Human factors considerations in designing for infection prevention and control in neonatal care – findings from a pre-design inquiry
2018
Ergonomics
Journal Article
Issue 1
Volume 61
Pages 169-184
Author(s): Trudel, C., Cobb, S., Momtahan, K., Brintnell, J., Mitchell, A.
As healthcare environments are being more frequently redesigned to improve patient experiences and provider operations, it becomes increasingly important that healthcare providers themselves understand how these new designs are intended to be utilized. Giving healthcare providers a deeper understanding of the functions and purposes underlying important healthcare design decisions could help reduce potential operational errors or staff frustrations.
Added December 2018
Understanding Wayfinding Experience of Hospital Visitor through Tours and Maps Analysis
Author(s): Mustikawati, T., Yatmo, Y. A., Atmodiwirjo, P.
Hospitals are complex environments full of many visitors, staff members, and patients. This kind of environment can make simple navigation difficult for visitors in particular.
Added December 2018
A regional survey on residents’ preferences on patient-centered medical home design in rural areas
2019
HERD: Health Environments Research & Design Journal
Journal Article
Issue 3
Volume 12
Pages 187-205
Author(s): Cai, H., Spreckelmeyer, K., Mendenhall, A., Li, D., Holmes, C., Levy, M.
The patient-centered medical home (PCMH) is a delivery model for primary care that is characterized by the recognition of unique patient needs while providing accessible services, a focus on safety and quality, comprehensive care, and coordinated care.
Added December 2018
Healthcare signage design: A review on recommendations for effective signing systems
2019
HERD: Health Environments Research & Design Journal
Journal Article
Issue 3
Volume 12
Pages 45-65
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.
Added December 2018
Deliberate Perioperative Systems Design Improves Operating Room Throughput
2005
Anesthesiology: The Journal of the American Society of Anesthesiologists
Journal Article
Issue 2
Volume 103
Pages 406-418
Author(s): Sandberg, W. S., Daily, B., Egan, M., Stahl, J. E., Goldman, J. M., Wiklund, R. A., Rattner, D.
Operating rooms (ORs) are complex and sensitive environments that are typically expensive to operate and maintain. Minimally invasive surgical procedures are becoming increasingly more prevalent in many OR environments, while the costs of operating and maintaining OR environments are simultaneously increasing.
Added November 2018
Design lessons from the analysis of nurse journeys in a hospital ward
2018
HERD: Health Environments Research & Design Journal
Journal Article
Issue 4
Volume 11
Pages 116-129
Author(s): Nazarian, M., Price, A., Demian, P., Malekzadeh, M.
This article outlines a method that was used to determine how nurses travel in the corridor and common spaces of a single nursing unit.
Added November 2018
Objective and subjective evaluation of psychiatric ward redesign
1984
The American Journal of Psychiatry
Journal Article
Issue 5
Volume 141
Pages 639-644
Author(s): Whitehead, C. C., Polsky, R. H., Crookshank, C., Fik, E.
At the time of this study, relatively little research had been done to explore the potential benefits of incorporating architectural designs geared specifically towards improved patient well-being in psychiatric treatment environments. A “psychoenvironmental” model incorporating therapeutic architectural designs into psychiatric healthcare environments was developed before the publication of this study; however, this particular model had not yet been examined empirically.
Added August 2018
Does the redesign of a psychiatric inpatient unit change the treatment process and outcomes?
2013
Psychiatric Services
Journal Article
Issue 8
Volume 64
Pages 804-807
Author(s): Urbanoski, K. A., Mulsant, B. H., Novotna, G., Ehtesham, S., Rush, B. R.
The overall “atmosphere” of a psychiatric treatment facility could be defined through the availability of patient autonomy and support from peers, the presence of aggressive behavior within the ward, and the general sense of ward organization and rule enforcement.
Added August 2018
Understanding Design Vulnerabilities in the Physical Environment Relating to Patient Fall Patterns in a Psychiatric Hospital: Seven Years of Sentinel Events
2019
Journal of the American Psychiatric Nurses Association
Journal Article
Issue 2
Volume 25
Pages 134-145
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.
Added June 2018
