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Knowledge Repository

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

Understanding Green Building Design and Healthcare Outcomes: Evidence-Based Design Analysis of an Oncology Unit

Author(s): Campion, N., Thiel, C. L., Focareta, J., Bilec, M. M.
The United States healthcare industry is a major part of the economy as well as a significant contributor to carbon dioxide emissions and other environmental issues. Green building design (GBD) attempts to offset environmental impacts of buildings, and recently designers have been combining GBD with evidence-based design (EBD) in order to create facilities that positively impact both the external and internal environment.
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

An Assessment of Levels of Safety in Psychiatric Units

Author(s): Bayramzadeh, S.
As mental treatment facilities see increases in the number of patients seeking care, facilities face mounting pressure in their attempts to promote patient well-being and safety. The author suggests that there is a lack of systematic empirical studies that examine how the design of mental healthcare facilities contributes to patient care and safety.
Key Point Summary

Security Implications of Physical Design Attributes in the Emergency Department

Author(s): Pati, D., Pati, S., Harvey, T. E.
In this paper, the authors consider “security” a subset of “safety,” and note that security is imperative for providing efficient patient care, especially in emergency departments (EDs). Security is defined as the protection of people and property, while safety is defined as the broader concept of delivering patient care.
Key Point Summary

Older Adults’ Outdoor Walking: Inequalities in Neighbourhood Safety, Pedestrian Infrastructure and Aesthetics

Author(s): Zandieh, R., Martinez, J., Flacke, J., Jones, P., van Maarseveen, M.

Airflow patterns through single hinged and sliding doors in hospital isolation rooms – Effect of ventilation, flow differential and passage

Author(s): Kalliomäki, p., Saarinen, P., Tang, J. W., Koskela, h.
Patients with highly contagious diseases are often housed in negative pressure isolation rooms. These rooms attempt to reduce cross-infections within the hospital. However, airflows produced by healthcare worker movements and door opening motions pose the risk of spreading pathogen-laden air from negative pressure isolation rooms into other spaces. A significant number of previous studies have examined the impact of single-hinged door-generated airflows, but few have compared hinged doors with sliding doors.
Key Point Summary

A hierarchical facility layout planning approach for large and complex hospitals

Author(s): Helber, S., Böhme, D., Oucherif, F., Lagershausen, S., Kasper, S.

Guidelines for the design of a healing garden for the rehabilitation of psychiatric patients

Author(s): Erbino, C., Toccolini, A., Vagge, I., Ferrario, P. S.
Healing gardens can be defined as plant-populated areas designed to support and improve patient health and well-being. Previous studies have indicated that healing gardens are effective tools for improving physical and mental health in patients, families, and staff, ultimately leading to reduced care costs and general quality of life. 
Key Point Summary

Energy Efficiency in Hospitals: Historical Development, Trends and Perspectives

Author(s): Papadopoulos, A. M., Boemi, S.-N., Irulegi, O., Santamouris, M.