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Knowledge Repository

Effect of light treatment on sleep and circadian rhythms in demented nursing home patients

Author(s): Ancoli-Israel, S., Martin, J. L., Kripke, D. F., Marler, M., Klauber, M. R.
The disturbed sleep seen in nursing home residents may be due to changes in circadian rhythms. Human circadian rhythms are biological cycles of about 24 hours that include sleep/wake, body temperature, and melatonin secretion cycles. A second reason for sleep disturbances in this population may be decreased exposure to bright light. Bright light (≥ 2,000 lux) appears to be one of the most powerful synchronizers of circadian rhythms, directly influencing melatonin secretion, sleep/wake patterns, and other circadian rhythms. 
Key Point Summary

Medication Errors Observed in 36 Healthcare Facilities

Author(s): Barker, K. N., Flynn, E. A., Pepper, G. A., Bates, D. W., Mikeal, R. L.
The authors in this study aimed to measure and compare the medication error rates at 36 healthcare facilities in Georgia and Colorado. Three different facility types were randomly stratified and included in the study; Joint Commission accredited hospitals, Joint Commission non-accredited hospitals and skilled nursing facilities. The main aim was to observe if the medication error rates in these healthcare settings differ by facility type (by bed size) or by State.
Key Point Summary

Perceived Quality of Care: The Influence of the Waiting Room Environment

Author(s): Arneill, A., Devlin, A.
This study is a pioneering effort linking the physical experience of being in physician waiting rooms with perceptions of quality of care. Researchers found that the design/conditions in doctors’ waiting rooms influenced perceptions of the quality of care delivered by the doctors associated with those spaces.
Key Point Summary

Predesign and Post-occupancy Analysis of Staff Behavior in a Neonatal Intensive Care Unit

Author(s): Shepley, M.M.
Advances in technology  have resulted in an increase in the neonatal intensive care unit (NICU) population; allowing care for newborn babies who might have died in the absence of advanced medical care. The design of NICUs has therefore become an important concern in healthcare, and an ongoing debate is the merit of open bays over closed bays. s. Changes in design have a direct impact on staff experience, and potentially staff behavior, which in turn can impact patient care.
Key Point Summary

The impact of ward design on the behaviour, occupational satisfaction and well-being of psychiatric nurses

Author(s): Tyson, G. A. , Lambert, G., Beattie, L.
Studies have shown that modifications to the physical environment of psychiatric institutions are associated with positive changes in patient behavior, attitudes and perceptions, but less attention has been paid to the impact of these changes on the nursing staff. 
Key Point Summary

Handwashing patterns in two dermatology clinics

Author(s): Cohen, H.A., Kitai, E., Levy, I., Ben-Amitai, D.
Handwashing has been identified as one of the most critical elements of controlling risk of hopital acquired infections. Healthcare workers hands can be a source of nosocomial infections. Adherance to hand hygience protocols is important to prevent the spread of health care-associated infections. 
Key Point Summary

Factors Determining Inpatient Satisfaction With Care

Author(s): Thi, P. L.N. , Briancon,S., Empereur, F., Guillemin, F.
With the growing interest in patient-centered care, patient evaluations of their own experiences have been increasingly used to improve the quality of care. Factors associated with satisfaction are thought to include the structure, process and outcome of care as well as patient sociodemographic, physical and psychological status, and attitudes and expectations concerning medical care.  
Key Point Summary

Relaxation music decreases the dose of patient-controlled sedation during colonoscopy: a prospective randomized controlled trial

Author(s): Lee, D.W.H, Chan, K, Poon, C, Ko, C, Chan, K, Sin, K, Chan, A.C.W
Colonoscopy is an unpleasant and stressful procedure which often requires a high doseage of sedatives for the patients. Additionally patient noncompliance with recommendations for colonoscopy procedures can become a challenge in surveilance programs for screening cancer. This study explores the effectiveness of a non-pharmocological intervention, like relaxation music, on patient-controlled sedation. 
Key Point Summary

A place to heal: Environmental sources of satisfaction among hospital patients

Author(s): Harris, P. B., McBride, G., Ross, C., Curtis, L.
Visits to the hospital might be infrequent, but are often associated with strong emotions. Considering patient needs reflects the growing focus on service quality and patient satisfaction, which now join clinical quality as a holistic approach to health care delivery. This study identifies sources of environmental satisfaction and dissatisfaction among hospital inpatients and examines the relative contribution of environmental satisfaction to the overall hospital experience. 
Key Point Summary

Medication Dispensing Errors in Community Pharmacies: A Nationwide Study

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. 
Key Point Summary