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Knowledge Repository

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

Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomized clinical trials

Author(s): Chang, J.T., Morton, S.C, Rubenstein, L. Z., Mojica, W.A., Maglione, M., Suttorp, M.J., Shekelle, P. G.
Falls are a major health concern for older adults worldwide, not only because of the potential for fractures and head injuries, but also for the emotional toll—the fear and anxiety—that can develop as a result of an injury or close call. While the literature on fall interventions is vast, there is limited understanding about the best methods for preventing falls. The authors conducted an extensive review and analysis of relevant, rigorous research trials to assess the relative effectiveness of different types of fall interventions. Under comparison were falls risk assessment and management programs, exercise programs, environmental modification programs, and educational interventions.
Key Point Summary

Simple Additions to the Pharmacy Waiting Area May Increase Patient Satisfaction

Author(s): Cheng, C.
Simple changes to pharmacy waiting areas, such as hanging posters related to the prescription filling process, are linked to patient satisfaction with a pharmacy.
Key Point Summary

Wayfinding in an Unfamiliar Environment: Different Spatial Settings of Two Polyclinics

Author(s): Baskaya, A., Wilson, C., Ozcan, Y. Z.
People in healthcare facilities should be able to find their way easily through the structure. If they can’t, they experience stress. Symmetrical layouts, in which spaces with particular functions, for example waiting areas for a certain clinic, are distinguished in some way from other similar spaces, through the use of a landmark such as a particular color on the walls, are an effective design for a healthcare facility because they support accurate navigation through the building.
Key Point Summary

Are Pediatric Practice Settings Adolescent Friendly? An Exploration of Attitudes and Preferences

Author(s): Tivorsak, T., Britto, M., Klostermann, B., Nebrig, D., Slap, G.
Adolescents would like the treatment settings they experience to be designed to reflect their design preferences. This is a comprehensive, early study clearly delineating the details of those preferred environments.
Key Point Summary

Parental Views of the Social Environment of an Outpatient Bone Marrow Transplant Clinic

Author(s): Pritchett, J. K., Buckner, E. B.
Researchers learned that when the waiting room was eliminated and all patients and caregivers at a pediatric bone marrow transplant (BMT) clinic waited and received treatment in a single room with all the other patients and caregivers (except for in certain specific situations, as noted below), a social environment developed that was, the authors state, “complementary to the technical aspects of medical care.”
Key Point Summary

Does the type of flooring affect the risk of hip fracture?

Author(s): Simpson, A. H. R. W. , Lamb, S. , Roberts, P. J. , Gardner, T.N. , Grimley, E.J.
Hip fractures are a serious consequence of falls, especially for aging populations. Number of hip fractures occuring worldwide is estimated to reach 6.3 million worldwide, by the year 2050. Conventionally the issue of fractures has been looked at in terms of intrinsic factors related to the patient. Extrinsic factors that could affect the impact, such as the floor (or surface of the impact) have not been investigated in great details. This UK based study seeks to fill this gap in the research. 
Key Point Summary

Evaluation of the built environment at a Children's Convalescent Hospital: Development of the Pediatric Quality of Life Inventory (TM) parent and staff satisfaction measures for pediatric health care facilities

Author(s): Varni J. W., Burwinkle T. M., Dickinson P., Sherman S. A., Dixon P., Ervice J. A., Leyden P. A., Sadler B. L.
The expectation that the hospital built environment may affect the health and satisfaction of patients and their families continues to interest health care providers and hospital administrators as they differentiate and distinguish the quality and health outcomes of their services. In preparation for the design, construction, and postoccupancy evaluation of a new Children’s Convalescent Hospital, focus groups were conducted and measurement instruments were developed to quantify and characterize parent and staff satisfaction with the built environment of an existing pediatric health care facility, a 30-year-old, 59-bed, long-term, skilled nursing facility dedicated to the care of medically fragile children with complex chronic conditions. The measurement instruments were designed in close collaboration with parents, staff, and senior management involved with the existing and planned facility.
Key Point Summary

The use of single patient rooms versus multiple occupancy rooms in acute care environments

Author(s): Chaudhury, H, Mahmood, A , Valente, M