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Knowledge Repository

Quality of life and building design in residential and nursing homes for older people

Author(s): Parker, C., Barnes, S., McKee, K., Morgan, K., Torrington, J., Tregenza, P.
Older people living in residential and nursing care homes spend a large proportion of their time within the boundaries of the home, and may depend on the environment to compensate for their physical or cognitive frailties. Regulations and guidelines on the design of care buildings have accumulated over time with little knowledge of their impact on the quality of life of building users. The Design...
Key Point Summary

Can flooring and underlay materials reduce hip fractures in older people?

Author(s): Minns, J.
Falls resulting in fracture of the hip in older people are a major health problem worldwide. Flooring that is slippery and unsuitable footwear are other major factors contributing to the onset of fractures in the home. Building design should incorporate measures to minimize the risk of falls.
Key Point Summary

Why the elderly fall in residential care facilities,and suggested remedies

Author(s): Kallin, K., Jensen, J., Olsson, L. L., Nyberg, L., Gustafson, Y.
Falls and their consequences—such as fractures and other injuries, fear of falling, impaired functions, and dependency—are serious health problems in the older population. Older people living in residential care facilities and those receiving long-term institutional care seem particularly prone to falling and fractures caused by falls. Almost half of all patients with hip fractures in Umea, Sweden, during the 1980s and the 1990s lived in residential care facilities, although fewer than 10 percent of the elderly population lived in such accommodations.  Falls among people aged 60 and older have been estimated to account for one-third of the total cost of medical treatment for all injuries in the Swedish population.
Key Point Summary

Evidence-based design for infants and staff in the neonatal intensive care unit

Author(s): Shepley, M. M.
There has been a marked increase in evidence-based studies relating to neonatal intensive care units in pediatric healthcare literature. While it is acknowledged that clinical, operational, and social dimensions play the most significant role in healing, the physical environment has also been universally identified as a critical factor. Conscientious architects are becoming increasingly aware of the impact of design decisions on the sensory environment of the neonatal intensive care unit.
Key Point Summary

Objective evaluation of the effect of noise on the performance of a complex laparoscopic task

Author(s): Moorthy, K., Munz, Y., Undre, S., Darzi A.
Noise in operating rooms has been found to be as much as two times higher than the recommended level of 45 dB. Music is played in some operating rooms to reduce patient anxiety, increase the surgeon’s concentration, and mask noise in the operating theater. While some studies have shown the detrimental effect of noise and the beneficial effects of music on patients in the OR, few studies have covered the effects of these factors on the performance of medical staff.
Key Point Summary

Use of Mechanical Patient Lifts Decreased Musculoskeletal Symptoms and Injuries Among Health Care Workers

Author(s): Li, J., Wolf, L., Evanoff, B.
Healthcare workers experience high rates of work-related musculoskeletal injuries, which are often the result of the frequent patient lifting and transferring required of healthcare workers. Studies suggest that mechanical patient lifts can help reduce musculoskeletal injury rates.
Key Point Summary

Violence In Healthcare Facilities: Lessons From the Veterans Health Administration

Author(s): Hodgson, M.J. , Reed, R., Craig,T., Murphy, F., Lehmann, L., Belton, L., Warren, N.
The authors examined assault frequency and risk factors in healthcare.
Key Point Summary

Effects of Acuity-Adaptable Rooms on Flow of Patients and Delivery of Care

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.
Key Point Summary

Work Stressors and the Quality of Life in Long-Term Care Units

Author(s): Pekkarinen, L., Sinervo, T., Perala, M. L., Elovainio, M.
Research suggests that work stress adversely affects healthcare staff job performance. And this in turn can influence patients’ quality of care or quality of life. 
Key Point Summary

Incidents relating to the intra-hospital transfer of critically ill patients

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. 
Key Point Summary