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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 1 - 20 of 43

Review: The impact of art, design and environment in mental healthcare: A systematic review of the literature

Author(s): Daykin, N., Byrne, E., Soteriou, T., O'Connor, S.
There is increasing evidence that attractive environments can enhance the experiences of healthcare users. What creates attractive environments may be relative to the country where that healthcare is provided. This paper was written in the UK and was an attempt to find research that supports the use of art to create healing environments along with the role of art in encouraging civic pride. It was part of a two-year evaluation of a commissioned arts program in a UK mental health trust.
Key Point Summary
Added January 2016

Inpatient suicide and suicide attempts in Veterans Affairs hospitals

Author(s): Mills, P. D., DeRosier, J. M., Ballot, B. A., Shepherd, M., Bagian, J. P.
Added November 2014

Heights of occupied patient beds: a possible risk factor for inpatient falls.

Author(s): Tzeng, H. M., Yin, C. Y.
The height of occupied patient beds can be an overlooked contributor to inpatient falls. Hospital bed frames are still eight–12 inches higher than those of home bedframes. The difference in heights may contribute to inpatient falls related to getting in and out of bed and to the severity of fall-related injuries. Better physical design of hospital equipment such as patient beds may reduce patient falls and injuries.
Key Point Summary
Added November 2014

Cluster randomised trial of a targeted multifactorial intervention to prevent falls among older people in hospital.

Author(s): Cumming, R. G., Sherrington, C., Lord, S. R., Simpson, J. M., Vogler, C., Cameron, I. D., Naganathan, V.
Falls often occur among older people in hospitals, resulting in injuries, increased lengths of stay, and greater costs to the health center. Evidence on the best way to prevent falls in hospitals is limited.
Key Point Summary
Added November 2014

Reducing Falls in a Definitive Observation Unit: An Evidence-Based Practice Institute Consortium Project

Author(s): Gutierrez, F., Smith, K.
A Definitive Observation Unit (DOU) in a hospital in California maintains high standards of nursing and follows an evidence-based practice of fall prevention. Yet the facility’s fall rates continue to be higher than the benchmark for similar hospitals.
Key Point Summary
Added September 2014

Influence of pavement design parameters in safety perception in the elderly

Author(s): Zamora, T., Alcantara, E., Artacho, M. A., Cloquell, V.
Added September 2014

Bed and Toilet Height as Potential Environmental Risk Factors.

Author(s): Capezuti, E., Wagner, L., Brush, B. L., Boltz, M., Renz, S., Secic, M.
Approximately 60 percent of all nursing home residents have difficulty transferring out of bed independently. The ability to safely rise to a standing position is an important determinant of independence among older adults. The ability to transfer out of bed from a sit to stand position is dependent on several general patient characteristics such as age, functional status, and disease state.
Key Point Summary
Added August 2014

Evaluation of a comprehensive slip, trip and fall prevention programme for hospital employees

Author(s): Bell, J.L., Collins, J.W., Wolf, L., Grönqvist, R., Chiou, S., Chang, W.R., Sorock, G.S., Courtney, T.K., Lombardi, D.A., Evanoff, B.
Recent Bureau of Labor Statistics data indicate that total slips, trips, and fall-related injuries account for the second greatest proportion (30 percent) of all work-related emergency department visits requiring hospitalization. Since slips, trips, and falls result from a wide variety of circumstances, there are a number of countermeasures with the potential to reduce slips, trips, and fall injury incidents. These include slip-resistant shoes floor surfaces, mats, and waxes, prompt cleaning of spillage and debris, keeping stairs and walkways clear, improving lighting, adding handrails, and clearing ice and snow.
Key Point Summary
Added August 2014

Physical Restraint Initiation in Nursing Homes and Subsequent Resident Health

Author(s): Engberg, J., Castle, N. G., McCaffrey, D.
Previous studies have shown that restraint use may be associated with mental health problems, including increased social isolation and decreased cognitive function. Social isolation negatively affects the health of elders. Facilities with restrained residents also have poor restraint-management practices. Two other well-known consequences of immobility are pressure ulcers and contractures. Pressure ulcers affect both the comfort and the medical outcomes of nursing home residents with impaired mobility.
Key Point Summary
Added May 2014

Suicide in Older Adults in Long-Term Care: 1990 to 2005

Author(s): Briana Mezuk, Marta R. Prescott, Kenneth Tardiff, David Vlahov, Sandro Galea
Few studies have examined the intersection between suicide risk and residency in long term care settings. This study attempts to describe the characteristics associated with suicide in older persons residing in long-term care (LTC) facilities, to compare the characteristics of suicide cases in LTC with those of cases in the community, and to evaluate trends in suicide in these settings over the past 15 years.
Key Point Summary
Added April 2014

Environmental evaluation for workplace violence in healthcare and social services

Author(s): McPhaul, K.M. , Murrett, K., Flannery, K. , Rosen, J., Lipscomb, J., London, M.
The purpose of this project was to contribute specific, evidence–based guidance to the healthcare and social services employer communities regarding the use of environmental design to prevent violence.
Key Point Summary
Added April 2014

Servicescape: Physical environment of hospital pharmacies and hospital pharmacists’ work outcomes

Author(s): Lin, B.Y.-J., Leu, W.-J., Breen, G.-M., Lin, W.-H.
Researchers have studied the healthcare work environment from a number of angles, from an organizational behavior perspective honing in on motivation and reward, to an occupational and environmental perspective concerned with comfort and ergonomics, to a pathogenic perspective interested in exposure to disease. The idea of a “servicescape” has arisen in healthcare marketing to investigate the impact of the physical environment of service settings on employees’ psychological states and perceptions.
Key Point Summary
Added February 2014

Randomised Controlled Trial of Music on State Anxiety and Physiological Indices in Patients Undergoing Root Canal Treatment

Author(s): Lai, H., Hwang, M., Chen, C., Chang, K., Peng, T., Chang, F.
People who were able to listen to soothing piano music on headphones during root canal procedures were less anxious than people who did not listen to the music during the same procedure.
Key Point Summary
Added February 2014

The Extrinsic Risk Factors for Inpatient Falls in Hospital Patient Rooms

Author(s): Tzeng, H., Yin, C.
A hospital can be a dangerous place for inpatients because of its unfamiliar physical environment and changes in patients’ medical conditions. Some research shows that a better physical facility design leads to better healthcare outcomes, such as fewer patient falls in acute-care hospitals. Eliminating the extrinsic risk factors for inpatient falls by improving hospital environment and design may decrease fall rates and fall-related injuries, although this link has not been examined systematically.
Key Point Summary
Added January 2014

Enhancing a primary care environment: a case study of effects on patients and staff in a single general practice

Author(s): Rice, G., Ingram, J., Mizan, J.
The stress and satisfaction of patients and staff are important healthcare outcomes. Patient satisfaction and stress strongly impacts patient health, the images of healthcare organizations, patient loyalty, patient retention and attraction, operating revenue, and profit margin. Staff stress and job satisfaction directly impacts the quality of patient care, work efficiency, and staff turnover intent.
Key Point Summary
Added November 2012

A Novel PACU Design for Noise Reduction

Author(s): Smykowski, L.
As redesign and renovation of patient care units occur, health care providers need to consider the importance of lowering environmental stressors. Noise in the hospital environment is one well documented problem, with detrimental effects to both patients and staff. The paper reviews the redesign of the organization's PACU that explored a unique floor plan to minimize noise and improve privacy.
Key Point Summary
Added October 2012

Cancer Patients' Satisfaction With Care in Traditional and Innovative Ambulatory Oncology Clinics

Author(s): Groff, S. L., Carlson, L. E., Tsang, K., Potter, B. J.
Recent advances in cancer care allow more cancer patients to be treated on an ambulatory care basis, whether chemotherapy, radiation therapy or follow-up care. Care can include physical, psychological, and emotional challenges. Ambulatory oncology clinics have the opportunity to create positive treatment experiences for patients.
Key Point Summary
Added October 2012

Impact of Emergency Department Built Environment on Timeliness of Physician Assessment of Patients With Chest Pain

Author(s): Hall, K. K., Kyriacou, D. N., Handler, J. A., Adams, J. G.
With millions of chest-pain related visits to the emergency department (ED) each year, this demographic one of the most frequently studied in the emergency medicine (ED) literature. As the timeliness of care can lead to significant decreases in both morbidity and mortality, the authors suggest that elements of the architectural design of an ED, specifically the location of the treatment rooms (distance from physician work areas), should be considered when evaluating factors related to quality of care.
Key Point Summary
Added October 2012

Guide to Evidence-Based Art

Author(s): Hathorn, K. , Nanda,U.
Added October 2012

Improve work flow and remove waste: standardize rooms, equipment, patient flow, and information flow

Author(s): Institute for Healthcare Improvement
Added October 2012