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Knowledge Repository

Direct cellular vs. indirect pager communication during orthopaedic surgical procedures: A prospective study

Author(s): Ortega, G. R., Taksali, S., Smart, R., Baumgaertner, M. R.
Staff-to-staff communication is critical to quality and efficient healthcare. Physicians, nurses, and other healthcare workers all use various methods of communication in their daily work. Difficulties in staff communication often lead to interruptions and delays in patient care, variation in response time, medical errors, violation of privacy, and dissatisfaction in patient and staff.
Key Point Summary

Lumbar spine forces during manoeuvring of ceiling-based and floor-based patient transfer devices

Author(s): Marras, W.S., Knapik, G.G., Ferguson, S.
Patient handling is an important concern in healthcare facilities linked to patient falls, as well as staff injury. It continues to represent a high risk for low back pain among caregivers. Research shows that manual transfer of patients can impose unacceptable loads on the spine (even when the task is shared by two caregivers). Due to this, patient lift devices have gained popularity and are frequently used. However the merits and demerits between the different systems continues to be explored.
Key Point Summary

Factors influencing patient satisfaction when undergoing endoscopic procedures

Author(s): Ko, H. H., Zhang, H., Telford, J. J., Enns, R.
Patient satisfaction with endoscopic procedures helps establish performance standards, increases the accountability of physicians and staff, may facilitate patient compliance, and can lead to improvements in the quality of care.  Limited data are available regarding the best mechanism and timing for assessing patient satisfaction with endoscopy.
Key Point Summary

A comparison of patient and staff satisfaction with services after relocating to a new purpose-built mental health facility

Author(s): Cleary, M., Hunt, G., Walter, G.
The physical environment of a hospital can support recovery from mental illness. Mental health patients are extremely vulnerable to changes in their environments. The paper reports on the impact on patients and staff of a relocation of Australia’s oldest and largest psychiatric hospitals, Sydney’s Rozelle Hospital. The new 174-bed purpose-built meant health facility provided patients with their own rooms within single story units. Further, patients were grouped in wards based on the phase of their illness and required treatment. 
Key Point Summary

Person-Environment Interactions Contributing to Nursing Home Resident Falls

Author(s): Hill, E. E., Nguyen, T. H., Shaha, M., Wenzel, J. A., DeForge, B. R., Spellbring, A. M.
Falls are common for older adults, with significant consequences, including injuries and even death as well as healthcare costs. However, few studies have looked at environmental factors, such as lighting, equipment, and slippery floor surfaces, as potential risk factors for falls by nursing home residents. This study explores the risk factors associated with resident falls in a nursing home using a focus group.
Key Point Summary

Pediatric Art Preferences: Countering the "One-Size-Fits-All" Approach

Author(s): Nanda, U., Chanaud, C.M., Brown, L., Hart, R., Hathorn, K.
Viewing art has been shown to enhance the recovery process in adult patients by reducing stress and anxiety. Research also suggests that nature-themed visual images are preferred in high-stress adult healthcare environments. However, minimal research exists linking the viewing of art to outcomes and preferences in children.
Key Point Summary

Falls and Patient Mobility in Critical Care: Keeping Patients and Staff Safe

Author(s): Flanders, S. A., Harrington, L., Fowler, R. J.
A main priority in hospitals in the U.S. is ensuring both patient and staff safety throughout a patient’s stay. Falls are a major concern in hospitals, particularly in critical care units (ICUs), where nurses care for increasingly older populations that are prone to falls and injuries from falls. Another issue that arises in intensive care units is the decision of when it is safe to mobilize patients, a relevant consideration in relation to incidence of falls and durations of hospital stay. 
Key Point Summary

Scheduled Medications and Falls in Dementia Patients Utilizing a Wander Garden

Author(s): Detweiler, M. B., Murphy, P. F., Kim, K. , Myers, L. , Ashai, A.
Among dementia residents, fall risk is often compounded by the side effects of the medications routinely used to treat comorbid medical issues, in addition to treating concurrent depression, agitation, psychosis, anxiety, and insomnia. Of all the types of medications involved in increased fall risk, psychotropic medications have been identified as having the highest risk. Studies suggest that dementia patients using a wander garden may have decreased indices of agitation and reduced use of as-needed (pro re nata [PRN]) medications. In addition, the wander garden has been reported to be a positive environmental intervention to reduce falls in residents with dementia. 
Key Point Summary

Hospital design and face-to-face interaction among clinicians: a theoretical model

Author(s): Rashid, M.
Current research focusing on collaboration between medical professionals has shown the importance of face-to-face interactions on patient and staff outcomes. However, most strategies for increasing these interactions among clinicians have focused on operational changes that are intended to facilitate a cultural change within the organization. This research looks to examine how the physical design of a healthcare facility can create opportunities for face-to-face interactions between clinicians through spatial programs and structure.
Key Point Summary

Impact of place of residence on relationship between quality of life and cognitive decline in dementia.

Author(s): Missotten, P., Thomas, P., Squelard, G., Di Notte, D., Fontaine, O., Paquay, L., Ylieff, M.
In patients with dementia and their family members and caregivers, quality of life (QOL) is an important parameter; much attention is given to its improvement. However, the theory of improved QOL at home compared with that at institutional residences for dementia patients has not been tested by a comparison of two groups of people according to their place of residence. Furthermore, there are few studies of populations of people with dementia, living at home or in an institution, distributed across all different stages of cognitive decline.
Key Point Summary