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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 101 - 120 of 226

Inpatient fall prevention: Use of in-room Webcams

Author(s): Hardin, S. R., Dienemann, J., Rudisill, P., Mills, K. K.
The National Database for Nursing Quality Indicators (NDNQI) maintains data on patient falls nationally. Reported fall rates have ranged from 2.2 to 7 per 1000 admissions; 10% to 25% of falls result in an injury, depending on patient population. Falls adversely impact hospital costs as well as patient costs and overall well-being. The California HealthCare Foundation reported that technological innovations in the field of fall prevention, such as wireless patient monitoring systems, resulted in faster nurse response times and increased satisfaction for both patients and staff.
Key Point Summary
Added December 2014

Accessibility for mental healthcare

Author(s): Chrysikou, E.
Mental health facilities, according to the author, are designed and built to limit the mobility of patients, whether or not they are limited by physical disability. While physical mobility may be a consequence of the illness, in other cases the potential flight risk of a patient may require the facility policy to be restrictive regarding patient access to open spaces.
Key Point Summary
Added December 2014

Including patients, staff and visitors in the design of the psychiatric milieu

Author(s): Perkins, N. H.
Most research addressing environmental design for healthcare facilities focuses on expert-determined and expert-driven outcomes. Little attention has been given to the perspectives offered by those who are ultimately using the facilities, namely the patients, staff, and visitors. Participatory design and planning (PDP) is a method that takes these non-expert opinions into consideration while operating under three assumptions. First, healthcare facilities are complex environments that require a team of people who can understand and maintain structured information necessary for optimum design.
Key Point Summary
Added December 2014

Effect of an Emergency Department Fast Track on Press-Ganey Patient Satisfaction Scores

Author(s): Hwang, C. E., Lipman, G. S., Kane, M.
On the lines of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) patient experience surveys, the Centers for Medicare and Medicaid Services have announced a similar survey for Emergency Departments (EDs). This study examined Press-Ganey scores of patient satisfaction in an academic hospital that recently implemented an ED Fast Track program and found a clear association between the program and higher patient satisfaction.
Key Point Summary
Added December 2014

Space to care and treat safely in acute hospitals: Recommendations from 1866 to 2008

Author(s): Hignett, S., Lu, J.
Bed space, defined in this study as the area around an individual bed offering privacy either as a curtained or screened cubicle or a single room in a ward holding multiple occupants, is the most frequently repeated design envelope in an acute care hospital. Since patients, staff, visitors, and other people will occupy this space at one point or another for a variety of different purposes, a complex design challenge exists. In 1893, Florence Nightingale successfully argued for less cramped bedrooms and overall improvements in hospital designs.
Key Point Summary
Added December 2014

Ambulatory infusion suite: pre- and post-occupancy evaluation

Author(s): Shepley, M.M., Rybkowski, Z., Aliber, J., Lange, C.
The authors refer to the lack of research on the design of cancer facilities while emphasizing the need to study the impact of the physical environment of infusion suites on patient experience. This study evaluates the perceptions of patients and staff of two infusion suites – old and new, specifically in connection with social interaction, privacy, and access to nature.
Key Point Summary
Added December 2014

Exploring positive hospital ward soundscape interventions

Author(s): Mackrill, J., Jennings, P., Cain, R.
Research has repeatedly shown strong relationships between human health and the characteristics of physical environments, such as a given environment’s soundscape. A soundscape encompasses all the sounds generated within an environment, rather than a single sound source like an air vent. While there have been negative health effects associated with the excessive sound often produced in hospital soundscapes, there potentially could be beneficial outcomes in maintaining and thoroughly understanding the soundscapes of certain hospital areas.
Key Point Summary
Added December 2014

The relationship between birth unit design and safe, satisfying birth: Developing a hypothetical model

Author(s): Foureur, M., Davis, D., Fenwick, J., Leap, N., Iedema, R., Forbes, I., Homer, C. S. E.
The authors assert that just as the designed environment can impact health outcomes by disrupting effective communication and increasing patient and staff stress, it can also impact the experiences and outcomes for birthing women.
Key Point Summary
Added December 2014

Outdoor Wandering Parks for Persons with Dementia

Author(s): Cohen-Mansfield, J., Rodiek, S., Schwarz, B.
Outdoor spaces in nursing homes are documented to be beneficial to residents. The author alludes to literature to highlight the specific advantages exposure to different types of outdoor spaces brings to the daily lives of people suffering from dementia.
Key Point Summary
Added December 2014

Space, Choice and Control, and Quality of Life in Care Settings for Older People

Author(s): Barnes, S.
In Britain, residential care and nursing homes for elderly patients have been subject to changing design regulations over several decades. These regulations take into account the “gradations of space” allotted to patients, meaning the extent to which the buildings themselves provide public, semiprivate, and private spaces for the patients.
Key Point Summary
Added December 2014

Impact of place of residence on relationship between quality of life and cognitive decline in dementia.

Author(s): Missotten, P., Thomas, P., Squelard, G., Di Notte, D., Fontaine, O., Paquay, L., Ylieff, M.
In patients with dementia and their family members and caregivers, quality of life (QOL) is an important parameter; much attention is given to its improvement. However, the theory of improved QOL at home compared with that at institutional residences for dementia patients has not been tested by a comparison of two groups of people according to their place of residence. Furthermore, there are few studies of populations of people with dementia, living at home or in an institution, distributed across all different stages of cognitive decline.
Key Point Summary
Added November 2014

Are call light use and response time correlated with inpatient falls and inpatient dissatisfaction?

Author(s): Tzeng, H. M., Yin, C. Y.
Inpatients use call lights to seek nurses’ assistance. Although implied in patient safety, no studies have analyzed data related to the use of or response time to call lights collected by existing tracking mechanisms monitoring nursing practice.
Key Point Summary
Added November 2014

Effectiveness of installing overhead ceiling lifts: Reducing musculoskeletal injuries in an extended care hospital unit.

Author(s): Ronald, L. A., Yassi, A., Spiegel, J., Tate, R. B., Tait, D., Mozel, M. R.
High rate of musculoskeletal injuries (MSI) among healthcare workers is well documented. Lifetime prevalence rates of back pain greater than 70 percent have been reported and higher incidence rates of MSI have been observed in healthcare workers compared to the general population and two other occupation groups. Mechanical lifting equipment has been recommended as an effective tool for decreasing the rate and severity of MSI in healthcare workers.
Key Point Summary
Added November 2014

Comprehensibility of universal healthcare symbols for wayfinding in healthcare facilities

Author(s): Lee, S., Dazkir, S. S., Paik, H. S., Coskun, A.
In today’s globalized medical industry, patients might travel to foreign countries to receive higher quality or more affordable forms of healthcare. This modern trend has emphasized the need to develop graphic symbols used in hospitals that allow people from different linguistic and cultural backgrounds to more easily navigate their way around foreign hospitals.
Key Point Summary
Added November 2014

Caring or uncaring – meanings of being in an oncology environment

Author(s): Edvardsson, D., Sandman, P. O., Rasmussen, B.
The idea that the physical environment impacts health and well-being has been explored throughout history. In modern contexts, studies have been conducted to show how hospital design features such as art and views of natural scenery can positively influence patient experience, and how environmental variables such as sound, architecture, and color can affect different biomedical responses in...
Key Point Summary
Added November 2014

NICU redesign from open ward to private room: A longitudinal study of parent and staff perceptions

Author(s): Swanson, J. R., Peters, C., Lee, B. H.
For the past 20 years, floor plans incorporating single-patient room designs have been growing in popularity, especially in the context of neonatal intensive care units (NICUs). The differences between private-room (PR) floor plans and open-ward (OW) floor plans have been thoroughly studied, with previous research showing how OW NICUs can limit privacy and generate other negative environmental effects for patients and family members.
Key Point Summary
Added November 2014

Does a mobile laminar airflow screen reduce bacterial contamination in the operating room? A numerical study using computational fluid dynamics technique

Author(s): Sadrizadeh, S., Tammelin, A., Nielsen, P. V., Holmberg, S.
Surgical-site infections (SSIs) can increase patient morbidity and mortality and extend hospitalization time. Operating room (OR) personnel are the main source of airborne bacteria; a person releases roughly 104 skin scales per minute while walking, 10% of which carry bacteria, although up to 12 times as many microorganisms may be discharged depending on the individual and situation. Bacteria in the OR might contaminate a surgical wound through contact with the air or through contaminated surgical instruments.
Key Point Summary
Added November 2014

An exploration of the meanings of space and place in acute psychiatric care

Author(s): Andes, M., Shattell, M. M.
The effectiveness of acute psychiatric care (or short-term psychiatric care) owes much to the design of the physical space inhabited by both patients and mental health professionals. The structure of psychiatric care centers and the barriers they either create or remove between patients and healthcare practitioners can potentially influence patient recovery and employee well-being. Some argue that private, physically exclusionary spaces designed specifically for nurses are necessary in order to protect sensitive information and provide psychological solace for the nurses themselves.
Key Point Summary
Added November 2014

Analysis of the soundscape in an intensive care unit based on the annotation of an audio recording

Author(s): Park, M., Kohlrausch, A., de Bruijn, W., de Jager, P., Simons, K.
Patients receiving treatment in intensive care units (ICUs) are often subjected to elevated noise levels that can complicate recovery by disturbing sleep patterns and causing stress, anxiety, and changes in cardiovascular response. Although previous research has thoroughly analyzed the various sources of noise in ICUs, the authors of this study believe that inadequate recording and sound analysis techniques, as well as the presence of human observers collecting data, have restricted the depth of previous findings.
Key Point Summary
Added November 2014

Reduction of healthcare-associated infections in a long-term care brain injury ward by replacing regular linens with biocidal copper oxide impregnated linens

Author(s): Lazary, A., Weinberg, I., Vatine, J.-J., Jefidoff, A., Bardenstein, R., Borkow, G., Ohana, N.
Due to its antibacterial, antiviral, and fungicidal properties, copper has been widely used for centuries as a biocide. Microorganisms resistant to copper are extremely rare. Recently, methods have been developed for embedding copper oxide particles into textile products, thereby giving them antimicrobial and anti-mite properties, and in some cases, advanced wound-healing abilities. Consumer products featuring copper oxide such as sheets, diapers, and pillowcases have been proven completely safe to humans through numerous studies, with no adverse health reactions on record.
Key Point Summary
Added November 2014