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Knowledge Repository

A Study of Hospital Inpatient Unit Design Factors Impacting Direct Patient Care Time, Documentation Time, and Patient Safety

Author(s): Clark, T., Combs, S.
Architects have experimented with numerous inpatient care unit (IPU) designs, such as racetracks, “T-shapes,”, “L-shapes,”, triangular forms, and many others. There is no clear consensus on how the designs of these spaces and other physical features within IPUs influence healthcare provider productivity, safety, and overall effectiveness.
Key Point Summary

Therapeutic Influences of Plants in Hospital Rooms on Surgical Recovery

Author(s): Park, S.-H., Mattson, R. H.
Surgical procedures can instill a sizeable amount of anxiety in patients from all different backgrounds. Previous studies have thoroughly explored how increased stress and anxiety can adversely influence the recovery process following a surgical procedure.  
Key Point Summary

A Multidimensional Framework for Assessing Patient Room Configurations

Author(s): Pati, D., Harvey, T. E., Reyers, E., Evans, J., Waggener, L., Serrano, M., Saucier, R., Nagle, T.
The location of the bathroom in a patient’s room affects everyone involved—patients, caregivers, and family. Yet little research exists about the effects of room variations. 
Key Point Summary

Unit-Related Factors That Affect Nursing Time With Patients: Spatial Analysis of the Time and Motion Study

Author(s): Hendrich, A. L., Chow, M., Bafna, S., Choudhary, R., Heo, Y.
​Nurses spend many hours at hospitals caring for patients. There was a link established by previous studies between the amount of time spent in patient rooms and health outcomes.
Key Point Summary

Using Task Analysis in Healthcare Design To Improve Clinical Efficiency

Author(s): Lu, J. W., Hignett, S.
In the United Kingdom, one of the most intensively used ancillary rooms in an acute ward is the soiled workroom (dirty utility room) which “provides for storage of single use containers used for collection of human waste, its subsequent disposal and other associated activities, and the temporary holding of used equipment, materials and refuse prior to transfer to the disposal point to await collection.” A hospital planning team requested a review of a proposed standardized soiled workroom to establish whether a proposed design would provide an optimal layout for efficient and safe clinical activities.
Key Point Summary

Exploring the Impact of the Physical Environment on Patient Outcomes in Ambulatory Care Settings

Author(s): Gulwadi, G., Joseph, A., Keller, A.
Recent trends in healthcare have seen a shift in treating episodic care within acute care environments to ambulatory care centers (ACCs).  These facilities distribute care based upon prevention and wellness to combat chronic disease and provide care management. Ambulatory care environments consist of a broad platform of care settings and deliver many types of care to a wide range of populations. Due to these and other complexities, research linking the impact of the physical design of ACCs on patient health outcomes has yet to be documented.
Key Point Summary

Environmental Issues Related to Medication Errors in Long-Term Care: Lessons From the Literature

Author(s): Mahmood, A., Chaudhury, H., Gaumont, A.
Medication errors contribute significantly to patient illness and mortality and are costly to the healthcare system. This is especially true for elderly patients in long-term care facilities. While the specific definition of medication error often varies from study to study, these errors typically occur when a physician's orders, the manufacturer's guidelines, or professional best practices in drug, dose, route, or timing are not properly followed. They can arise during ordering, dispensing, or administering medication.
Key Point Summary

Consultation room design and the clinical encounter: The space and interaction randomized trial

Author(s): Almquist, J., Kelly, C., Bromberg, J., Bryant, S., Christianson, T., Montori, V.
Although computers are now often located in consultation rooms, their screens are generally oriented so that patients and those that accompany them to appointments can’t see them, but physicians can. This study investigated how changing the design of the consultation room so that patients, the people accompanying them to appointments, and the physician present could all see a computer screen in use and potentially all make modifications to the information displayed would influence patient-clinician interactions.
Key Point Summary

The Influence of Neonatal Intensive Care Unit Design on Sound Level

Author(s): Chen, H.-L., Chen, C.-H., Wu, C.-C., Huang, H.-J., Wang, T.-M., Hsu, C.-C.
Preterm infants receiving care in neonatal intensive care units (NICUs) are especially susceptible to adverse effects caused by excessive noise. Previous studies indicate that the physical designs of NICUs themselves hold a large influence over the overall noise level.
Key Point Summary

Perceived barriers to physical activity among older adults residing in long-term care institutions

Author(s): Chen, Y. M.
It is well documented by the World Health Organization (WHO), Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), and other worldwide healthcare organizations that regular physical activity has several benefits, particularly for the elderly. The detriments to their physical and mental health are also well documented. Yet it is seen that a substantial proportion of the elderly do not pursue physical activity on a regular basis. 
Key Point Summary