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Knowledge Repository

Healthcare signage design: A review on recommendations for effective signing systems

Author(s): Rodrigues, R., Coelho, R., Tavares, J. M. R. S.
Studies have shown that designing “patient-centric” healthcare environments can alleviate stress for both patient populations as well as healthcare staff members. Patient-centric designs carefully consider how patients will interact with the built environment, and how the built environment itself can work to make their healing process easier. 
Key Point Summary

Understanding Wayfinding Experience of Hospital Visitor through Tours and Maps Analysis

Author(s): Mustikawati, T., Yatmo, Y. A., Atmodiwirjo, P.
Hospitals are complex environments full of many visitors, staff members, and patients. This kind of environment can make simple navigation difficult for visitors in particular.
Key Point Summary

Post-Occupancy Evaluation of a Mental Healthcare Facility Based on Staff Perceptions of Design Innovations

Author(s): Kalantari, S., Snell, R.
Post-occupancy evaluation (POE) is a research method for gathering information on the effectiveness of new architectural designs in healthcare environments. POE can help healthcare providers and designers gauge whether or not a given design is achieving its intended purpose. Since evidence-based designs are becoming more widely implemented in a variety of healthcare environments, POE could prove useful in many different departmental contexts. The authors note that the application of POE in research focusing on mental healthcare facilities is rare, signaling a need for exploration
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Separate Medication Preparation Rooms Reduce Interruptions and Medication Errors in the Hospital Setting: A Prospective Observational Study

Author(s): Huckels-Baumgart, S., Baumgart, A., Buschmann, U., Schüpfer, G., Manser, T.
Errors and interruptions are commonplace during medication preparation procedures in healthcare environments. One study found that one interruption occurred for every 3.2 drugs administered during nurses’ medication rounds.
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Route complexity and simulated physical ageing negatively influence wayfinding

Author(s): Zijlstra, E., Hagedoorn, M., Krijnen, W. P., van der Schans, C. P., Mobach, M. P.
In this study, “wayfinding” is defined as determining and following a path or route between an origin and a destination. Wayfinding can be particularly difficult in complex and sometimes stressful environments like hospitals, and as hospitals continue to expand to meet increasing healthcare demands, their layouts face the possibility of becoming more difficult to navigate. Wayfinding is particularly difficult for the elderly, who may have memory issues and weakened physical abilities. Support from the environment is necessary to help elderly people function at their best, so it is important to understand what elements of the designed environment either benefit or confuse them.
Key Point Summary

"Let's Sit Forward": Investigating Interprofessional Communication, Collaboration, Professional Roles, and Physical Space at EmergiCare

Author(s): Dean, M., Gill, R., Barbour, J. B.
Due to the fact that emergency department (ED) caregivers are constantly involved in interprofessional, knowledge-intensive conversations, effective modes of communication necessarily play a key role in promoting patient health and safety. Previous studies have explored how the physical environment directly affects modes of communication, and how these two dimensions of the healthcare environment constantly intersect with each other.
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Secondary exposure risks to patients in an airborne isolation room: Implications for anteroom design

Author(s): Mousavi, E. S., Grosskopf, K. R.
Previous research has shown that negatively pressurized Airborne Infectious Isolation Rooms (AIIRs) can protect hospitals from fatal airborne pathogens such as tuberculosis. But this use of negative pressurization can simultaneously increase the chances of isolated patients contracting secondary infections, or healthcare-acquired infections (HAIs), caused by air blowing in from adjacent spaces. Research is needed to better assess the actual likelihood of secondary infections occurring in these scenarios so that steps can be taken to mitigate these risks.
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Design, Operation, and Safety of Single-Room Interventional MRI Suites: Practical Experience From Two Centers

Author(s): White, M. J., Thornton, J. S., Hawkes, D. J., Hill, D. L .G., Kitchen, N., Mancini, L., McEvoy, A. W., Razavi, R., Wilson, S., Yousry, T., Keevil, S. F.
Designing and operating healthcare spaces to accommodate magnetic resonance imaging (MRI) scanners presents a variety of challenges. These spaces are often populated with larger amounts of sensitive equipment than typical patient care units, while receiving a nearly equal amount of foot traffic.  
Key Point Summary

Impact of the Physical Environment of Residential Health, Care, and Support Facilities (RHCSF) on Staff and Residents A Systematic Review of the Literature

Author(s): Joseph, A., Choi, Y.-S., Quan, X.
Strategies related to the design of the built environment should be considered within the context of the culture of the organization and the resident population. This study of the physical environment of residential health, care, and support facilities addresses the range of settings and population, where other studies have been lacking. The literature review strongly suggests that the built environment is an important component of care provided in residential care settings.
Key Point Summary

Part 2: Evaluation and Outcomes of an Evidence-Based Facility Design Project

Author(s): Krugman, M., Sanders, C., Kinney, L. J.
After a western academic hospital implemented the recommendations of an interdisciplinary team that combined the principles of Transforming Care at the Bedside (TCAB) and Evidence-Based Design (EBD), an evaluation was necessary. This article (Part 2) presents the evaluation of the project.
Key Point Summary