× You are not currently logged in. To receive all the benefits our site has to offer, we encourage you to log in now.

Knowledge Repository

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

A Recovery-Oriented Care Approach: Weighing the Pros and Cons of a Newly Built Mental Health Facility

Author(s): Ahern, C. C., Bieling, P., McKinnon, M. C., McNeely, H. E., Langstaff, K.
An inpatient mental health hospital was renovated with a newly built environment that incorporated patient-centered, clinically informed designs in an attempt to improve overall safety and quality of care. The new designs were considerably expensive and had extensive design implications for other parts of the hospital outside of the mental health facility.
Key Point Summary

Analysis of Credits Earned by LEED Healthcare Certified Facilities

Author(s): Golbazi, M., Aktas, C. B.
Green buildings have garnered widespread public support due to the positive impacts they are perceived to have on the environment, the economy, and society as a whole. The concept of green building design appeals to institutions because of its potential benefit for the indoor and outdoor environment as well as its potential for improving public image. As a result, there may be hospitals that become certified by the Leadership in Energy and Environmental Design (LEED) rating system but aren’t actually providing a green healthcare environment that positively influences patients and their periods of recovery. This is an important distinction since the core purpose of healthcare facilities is to improve the conditions of the sick and vulnerable, as well as society overall.
Key Point Summary

The Creation of a Biocontainment Unit at a Tertiary Care Hospital: The Johns Hopkins Medicine Experience

Author(s): Garibaldi, B. T., Kelen, G. D., Brower, R. G., Bova, G., Ernst, N., Reimers, M., Langlotz, R., Gimburg, A., Iati, M., Smith, C., MacConnell, S., James, H., Lewin, J. J., Trexler, P., Black, M. A., Lynch, C., Clarke, W., Marzinke, M. A., Sokoll, L. J., Carroll, K. C., Parish, N. M., Dionne, K., Biddison, E. L. D., Gwon, H. S., Sauer, L., Hill, P., Newton, S. M., Garrett, M. R., Miller, R. G., Perl, T. M., Maragakis, L. L.
Prior to the 2014 Ebola virus disease (EVD) outbreak in West Africa, the United States had only one to three specialized biocontainment units. Once the EVD crisis began, a group of reputable American healthcare institutions worked together to renovate a deactivated clinical space into a functioning biocontainment unit (BCU).
Key Point Summary

Ebola Holding Units at government hospitals in Sierra Leone: evidence for a flexible and effective model for safe isolation, early treatment initiation, hospital safety and health system functioning

Author(s): Johnson, O., Youkee, D., Brown, C. S., Lado, M., Wurie, A., Bash-Taqi, D., Hall, A., Hanciles, E., Kamara, I., Kamara, C., Kamboz, A., Seedat, A., Thomas, S., Kamara, T. B., Leather, A. J. M., Kargbo, B.
The outbreak of Ebola Virus Disease (EVD) in West Africa during 2014-2015 was an unprecedented modern crisis that required novel approaches to outbreak containment and management. In response, the Ministry of Health and Sanitation (MOHS) and the King’s Sierra Leone Partnership (KSLP) in Freetown, Sierra Leone, worked to develop and implement five new Ebola Holding Units (EHUs) in government hospitals, which successfully isolated 37% of the 3,097 confirmed EVD cases within the country’s Western Urban and Rural district.
Key Point Summary

The Impact of a Flexible Care Area on Throughput Measures in an Academic Emergency Department

Author(s): McGrath, J., LeGare, A., Hermanson, L., Repplinger, M. D.
This paper explores the implementation of a novel strategy which involved the creation of a “flexible care area” (FCA), a space designed for initiating patient evaluations and treatments at the beginning of a patient’s visit.
Key Point Summary

Ready-JET-Go: Split Flow Accelerates ED Throughput

Author(s): Bish, P. A., McCormick, M. A., Otegbeye, M.
Emergency departments (ED) in America have seen large increases in demand for emergency services over the last decade. This increased demand for ED services has resulted in delayed treatment for patients, increased rates of patients leaving the ED without receiving treatment, and decreases in satisfactory ED visit experiences.
Key Point Summary

Using Lean-Based Systems Engineering to Increase Capacity in the Emergency Department

Author(s): White, B., Chang, Y., Grabowski, B., Brown, D.
Emergency department (ED) crowding is a widespread issue that causes a multitude of negative effects on patient care quality, safety, and efficiency. Lean-based systems engineering, which is often used for industrial manufacturing, is a method for eliminating all forms of waste (including wasted time and other resources) to optimize productivity. Recent studies have begun to demonstrate the use of systems engineering and improvement science on streamlining processes and improving throughput in different medical capacities, but an opportunity remains to refine the application of these tools within EDs in particular.
Key Point Summary

Life Safety Code Comparison

Author(s): Crowley, M. A., Harper, J. E.

Physical Environment: The Major Determinant Towards the Creation of a Healing Environment?

Author(s): Abbas, M. Y., Ghazali, R.,
Prior research suggests that the pediatric population’s heightened perception of the quality of the physical environment can have an impact on the creation of a healing environment.
Key Point Summary