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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 39

Family members´ experiences of the end-of-life care environments in acute care settings – a photo-elicitation study

Author(s): Hajradinovic, Y., Tishelman, C., Lindqvist, O., Goliath, I>
Research demonstrates that environmental features in varied healthcare settings can impact patient and staff outcomes. Room occupancy, acoustic environment, visual contact with nature, sound and lighting, ergonomics, and the work environment design are among the features with documented impacts on staff and patient health.
Key Point Summary
Added April 2020

Diagnostic Post-Occupancy Evaluation of the Landscape Environments in a Primary Care Clinic: Environmental and Social Performances

Author(s): Jiang, S., Staloch, K., Kaljevic, S.
Healthcare facilities around the world are increasingly employing evidence-based designs like therapeutic gardens to more positively affect the lives of patients as well as the general state of the natural environment itself.
Key Point Summary
Added December 2018

The experience of person-centred practice in a 100% single-room environment in acute care settings – a narrative literature review

Author(s): Kelly, R., Brown, D., McCance, T., Boomer, C.
The increasing number of single-patient rooms in healthcare facilities around the world indicates a heightened focus on person-centered practice (PcP). This practice considers how the workflows and physical designs within healthcare environments influence the overall experiences of patients and staff alike.
Key Point Summary
Added December 2018

The effect of vertical split-flow patient management on emergency department throughput and efficiency

Author(s): Garrett, J. S., Berry, C., Wong, H., Qin, H., Kline, J. A.
In some emergency departments (EDs), the severity of a patient’s condition is rated on a 5-point scale during admission using the Emergency Service Index (ESI). Under the “split-flow” model of patient triaging, patients with less-severe conditions (rated an ESI 4 or 5) are “fast tracked” so that they can be separated from patients with higher ESI scores, allowing for more efficient resource allocation for all patient treatment procedures.
Key Point Summary
Added December 2018

Introduction of a horizontal and vertical split flow model of emergency department patients as a response to overcrowding

Author(s): Wallingford, G., Joshi, N., Callagy, P., Stone, J., Brown, I., Shen, S.
Hospital emergency departments (EDs) strive to optimally organize patient flow so that optimal care can be delivered while patient length of stay is minimized. The emergency severity index (ESI) is a 5-point scale used to help medical staff discern the severity of patient conditions; higher ESI scores indicate less-severe medical conditions.
Key Point Summary
Added December 2018

Human factors considerations in designing for infection prevention and control in neonatal care – findings from a pre-design inquiry

Author(s): Trudel, C., Cobb, S., Momtahan, K., Brintnell, J., Mitchell, A.
As healthcare environments are being more frequently redesigned to improve patient experiences and provider operations, it becomes increasingly important that healthcare providers themselves understand how these new designs are intended to be utilized. Giving healthcare providers a deeper understanding of the functions and purposes underlying important healthcare design decisions could help reduce potential operational errors or staff frustrations.
Key Point Summary
Added December 2018

Influencing building design in care for older people

Author(s): Southey, S. R.
This article describes the author’s efforts to better understand aspects of design tailored to elderly patients seeking emergent care in the United Kingdom and Canada.
Key Point Summary
Added November 2018

Design lessons from the analysis of nurse journeys in a hospital ward

Author(s): Nazarian, M., Price, A., Demian, P., Malekzadeh, M.
This article outlines a method that was used to determine how nurses travel in the corridor and common spaces of a single nursing unit.
Key Point Summary
Added November 2018

Field investigation of ambulatory clinic exam room design with respect to computing devices: A pilot study

Author(s): Saleem, J. J., Weiler, D. T., Satterly, T., Nussbaum, M. A., Chumbler, N. R., Fischer, G. M., Rehman, S. U.
Previous studies have shown that electronic health record (EHR) systems can help enhance patient-staff interactions in ambulatory care environments. However, there is no clear method for how best to integrate EHR technology into these environments.
Key Point Summary
Added October 2018

The influence of spatial design on team communication in hospital emergency departments

Author(s): Naccarella, L., Raggatt, M., Redley, B.
Hospital emergency departments (EDs) are often high-intensity, busy, and complex environments treating especially sensitive patient populations in a time-sensitive manner. The nature of ED environments places added emphasis on the importance of clear communication between staff members and how the overall design of an ED might impact these interactions.
Key Point Summary
Added September 2018

Effects of Emergency Department Physical Design Elements on Security, Wayfinding, Visibility, Privacy, and Efficiency and its Implications on Staff Satisfaction and Performance

Author(s): Zamani, Z.
While it is commonly known that emergency departments (EDs) are often challenging and stressful work environments, it is less understood how the physical design of the ED environment contributes to staff performance and satisfaction, especially in the context of five important subtopics: security, visibility, wayfinding, privacy, and efficiency.
Key Point Summary
Added September 2018

Pilot study to measure wheelchair users’ space requirements in the bathroom

Author(s): Morales, E., Gamache, S., Routhier, F., Rousseau, J., Doyle, O.
In healthcare facilities around the world, many construction codes pertaining to building accessibility standards for patients using mobility devices (such as wheelchairs) have remained unchanged despite the introduction of newer mobility devices and changing patient demographics.
Key Point Summary
Added September 2018

Sink-Related Outbreaks and Mitigation Strategies in Healthcare Facilities

Author(s): Parkes, L. O., Hota, S. S.
Hand hygiene activities, such as simple handwashing procedures within designated sinks, have been regarded as an effective way to prevent infections for over a century. As hospitals increase in size and are expected to provide treatment to increasingly large patient populations in the future, hand hygiene protocols and sink designs should be continually assessed so that rates of infection remain as minimal as possible.
Key Point Summary
Added August 2018

Designing interiors to mitigate physical and cognitive deficits related to aging and to promote longevity in older adults: A review

Author(s): Engineer, A., Sternberg, E. M., Najafi, B.
As the global population of elderly people increases, healthcare providers and designers alike are faced with the question of how to continually optimize the design of healthcare environments so that a high quality of life is upheld.
Key Point Summary
Added August 2018

Legibility of floor plans and wayfinding satisfaction of residents in Care and Attention homes in Hong Kong

Author(s): Tao, Y., Gou, Z., Lau, S. S.-Y., Lu, Y., Fu, J.
This study takes place in Hong Kong, where “Care and Attention” homes are defined as healthcare facilities treating patients with moderate mental and physical impairments. Hong Kong’s high population density directly affects healthcare infrastructure; accordingly, this study focuses on a high-density, high-population Care and Attention home.
Key Point Summary
Added August 2018

The role of the built environment and private rooms for reducing central line-associated bloodstream infections

Author(s): O’Neill, L., Park, S.-H., Rosinia, F.
Private patient rooms in hospital environments are widely considered a helpful defense against healthcare-associated infections (HAIs). However, the ways in which private rooms might help mitigate specific kinds of HAIs, such as central line-associated bloodstream infections (CLABSIs), remain unclear and relatively unexplored.
Key Point Summary
Added August 2018

The Role of Hospital Design in Reducing Anxiety for Pediatric Patients

Author(s): Cartland, J., Ruch-Ross, H. S., Carr, L., Hall, A., Olsen, R., Rosendale, E., Ruohonen, S.
Since the 1960s, researchers have been studying the psychological trauma experienced by children receiving treatment in hospitals. Previous studies have observed instances of post-traumatic stress disorder, increased aggression, separation anxiety, and disrupted patterns of sleep in children discharged from hospitals.
Key Point Summary
Added July 2018

The impact of windows on the outcomes of medical intensive care unit patients

Author(s): Chiu, W.-C., Chang, P.-S., Hsieh, C.-F., Chao, C.-M., Lai, C.-C.
Numerous studies have demonstrated the positive impact that natural lighting can have on patient experiences, both in terms of overall mood and even overall recovery time. Exposure to regular rhythms of natural lighting can positively influence human sleeping patterns, which can play a large role in supporting positive moods and timely recoveries.
Key Point Summary
Added July 2018

Door openings in the operating room are associated with increased environmental contamination

Author(s): Perez, P., Holloway, J., Ehrenfeld, L., Cohen, S., Cunningham, L., Miley, G. B., Hollenbeck, B. L.
Opening doors during surgical procedures, which occurs increasingly often when more staff members are occupying an operating room, can lead to higher amounts of bacteria that may pose health risks to patients and operational issues for institutions.
Key Point Summary
Added May 2018

The Influence of Traffic, Area Location, and Other Factors on Operating Room Microbial Load

Author(s): Taaffe, K., Lee, B., Ferrand, Y., Fredendall, L., San, D., Salgado, C., Shvorin, D., Khoshkenar, A., Reeves, S., Realizing Improved Patient Care through Human-Centered Design in the Operating Room (RIPCHD OR) Study Group
Traffic movement in hospitals causes disturbances and helps spread microbiota. Operating rooms (OR) can have surgical site infections (SSI) that are dangerous and can result in complications for patients.
Key Point Summary
Added April 2018