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Knowledge Repository

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

Building design and performance: A comparative longitudinal assessment of a children's hospital

Author(s): Thiel, C. L., Needy, K. L., Ries, R., Hupp, D., Bilec, M. M.
The aesthetics and design of a medical treatment facility can influence energy consumption, staff performance, and patient recovery. Evidence-Based Design (EBD) has been cited in many studies as an effective way to improve healthcare outcomes and hospitals’ performance, but further investigation is needed. This is particularly true at a whole-building level, to reveal the relationship between building design and health, and to observe the performance of newer building designs, especially with regard to green healthcare buildings.
Key Point Summary

Effects of an Assisted Living Facility Specifically Designed for Individuals with Memory Disorders: A Pilot Study

Author(s): Springate, B. A., Talwar, A. K., Tremont, G.
A 2007 study estimated that 14% of individuals over the age of 71 have dementia, and many of those individuals require some level of support with daily life. Furthermore, many of these individuals eventually move to assisted living (AL) facilities or nursing homes as they begin to require more assistance. Many people choose AL facilities due to pricing or the desire to be assisted rather than nursed. Previous studies have indicated that the physical environment of nursing homes can influence the overall well-being of residents with dementia. However, relatively few studies have assessed the effects of AL facility environments on the well-being of dementia patients.
Key Point Summary

Preparing an ICU room to welcome a critically ill patient with Ebola virus disease

Author(s): Pasquier, P., Ficko, C., Mérens, A., Dubost, C.
Ebola virus disease is a viral hemorrhagic fever that spreads through direct contact with the body fluids of an infected animal or human. Contamination may also occur through contact with items that were recently contacted by infected bodily fluids. No spread of the disease through the air has been documented. As no specific treatment or vaccine for the virus is currently available, specially coordinated medical services are necessary to control outbreaks.
Key Point Summary

Provider Communication and Role Modeling Related to Patients' Perceptions and Use of a Federally Qualified Health Center-based Farmers' Market

Author(s): Friedman, D. B., Freedman, D. A., Choi, S. K., Anadu, E. C., Brandt, H. M., Carvalho, N., Hurley, T.G., Young, V. M., Hebert, J. R.

The associations between objectively-determined and self-reported urban form characteristics and neighborhood-based walking in adults

Author(s): Jack, E., McCormack, G. R.

Evaluation of factors and approaches affecting emergency department space planning

Author(s): Pascale, F., Achour, N., Price, A. D. F., Polverino, F.
Increasing demand for care in emergency departments (EDs) is a widespread issue that has provoked the development of different processes to help reduce the struggles faced by healthcare providers. By investigating the different methods healthcare designers have implemented to reduce the costs and complications associated with ED overcrowding and inefficiency, more resilient designs may be realized in the future.
Key Point Summary

The effect of hospital layout on caregiver-patient communication patterns

Author(s): Pachilova, R., Sailer, K.
This article suggests that the field of evidence-based design (EBD), which considers information from case evaluations and credible research during design-related decision processes, has only marginally examined hospital layouts and their effects. As a result, this study attempts to build on the tradition of “Space Syntax” research, which is a theory that explores how space controls and generates encounters between inhabitants and visitors of certain spaces and how these two groups engage in communication.
Key Point Summary

Social health and nutrition impacts of community kitchens: A systematic review

Author(s): Iacovou, M., Pattieson, D. C., Truby, H., Palermo, C.

A Framework for Understanding Grocery Purchasing in a Low-Income Urban Environment

Author(s): Zachary, D., Palmer, A., Beckham, S., Surkan, P.