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Knowledge Repository

Lighting and perceptual cues: Effects on gait measures of older adults at high and low risk for falls

Author(s): Figueiro, M., Plitnik, B., Rea, M., Gras, L., Rea, M. S.
The visual system plays an important role in maintaining balance while navigating the environment. Older adults often depend heavily on visual information to maintain balance and orientation due to age related changes that affect their vestibular system (contributes to balance and spatial orientation) and somatosensory system (that moderates sensations of touch, smell etc.). Even small reductions in visibility could severely impact their gait and balance and potentially result in a fall. Even in healthy older adults, gait becomes slower and step lengths become shorter under dim lighting conditions.  
Key Point Summary
Added November 2012

Designing a world-class children’s hospital by engaging a world-class city

Author(s): Komiske, B. K.
Added March 2013

Has it really been two years? A Pebble Project reflects on success

Author(s): Nash, J., Taylor, E.
Added April 2013

Applying evidence-based design at the new Parkland Hospital

Author(s): Harper, K., Adams, H., Thomas, D.
Added April 2013

A new design in Kentucky's emergency care

Author(s): Christmann, J.A.
Added April 2013

Patient-centered approach to pharmacy redesign and innovation: Potential for ripple effects

Author(s): Hankinson, M.T., Stanberry, E., Machinga, J., Drucker, J.P., Blose, J.F., Pirch, S.
Added April 2013

Fast-track treatment in the emergency room

Author(s): Haller, W., Hogue, V.
Added April 2013

Qualitative Analysis of Therapeutic Light Effects on Global Function in Alzheimer’s Disease

Author(s): Nowak, L., Davis, J.
The occurrence of Alzheimer’s disease (AD) is growing, with 68% of cases occurring in women. In addition to declines in global function, patients with AD experience reversal of day–night patterns, disturbed sleep–wake rhythms, and excessive daytime sleepiness, making managing AD difficult. Symptom management includes pharmacologic measures, environmental or milieu management, and behavioral interventions. 
Key Point Summary
Added January 2014

Same-Handed and Mirrored Unit Configurations: Is There a Difference in Patient and Nurse Outcomes?

Author(s): Watkins, N., Kennedy, M., Ducharme, M., Padula, C.
Awareness of the impact of healthcare facility design on a number of diverse patient and staff outcomes is growing. From patient recovery time, satisfaction, and comfort to nursing staff efficiency, error rates, and distraction, varied outcomes are being linked to environmental conditions and design attributes in hospital settings. Inpatient unit configurations, specifically same-handed configurations vs. mirrored units, are a particular area of interest for researchers, with implications for practitioners and patient care. Same-handed configurations, which standardize all rooms within a unit such that they are all identical, may allow for reduced noise as headwalls are no longer shared. 
Key Point Summary
Added February 2014

Converting Medical/Surgical Units for Safe Use by Psychiatric Patients: The Physical and Fiscal Risks

Author(s): Hunt, J. M., Sine, D. M.
When repurposing medical/surgical units as behavioral health units, there are a significant number of elements within the physical environment that must be modified to support the specialized needs of the patients and reduce the risk of self-harm and harm to others. While intention for self-harm cannot be reliably assessed, suicide is a major concern on psychiatric units, and therefore there is a need to design the unit as if all patients may be at risk for self-harm. 
Key Point Summary
Added March 2014