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Knowledge Repository

Part 1: Evidence-Based Facility Design Using Transforming Care at the Bedside Principles

Author(s): Devine, D. A., Wenger, B., Krugman, M., Zwink, J. E., Shiskowsky, K., Hagman, J., Limon, S., Sanders, C., Reeves, C.
A western academic hospital reexamined its design strategy when after three years of building a new facility they had to plan for a new facility to meet their patient capacity. Using a combination of the principles of Transforming Care at the Bedside (TCAB) and Evidence-Based Design (EBD), an interdisciplinary team presented design recommendations.
Key Point Summary

Young children's perspectives of ideal physical design features for hospital-built environments

Author(s): Lambert, V., Coad, J., Hicks, P., Glacken, M.
Current research has sought to understand pediatric hospital environments through studies designed to gain insight into the hospital experience from a child’s perspective. While this research has provided insight into a child’s emotional response to being in a hospital environment, little has been done to gain insight into the physical design from a child’s perspective.
Key Point Summary

The Geriatric ED: Structure, Patient Care, and Considerations for the Emergency Department Geriatric Unit

Author(s): Burton, J. H., Young, J., Bernier, C. A.
Older patients who visit the emergency department in developed countries are more likely to require a more specialized nature of treatment in comparison to younger patients. The authors believe that current-day emergency departments are not equipped to adequately treat these patients in terms of design and staff training for assessments and evaluations unique to this age group. The authors recommend a geriatric-specific approach to designing patient treatment spaces, medical evaluations, neurocognitive assessments, and post-ED visit support.
Key Point Summary

Home Modification and Prevention of Frailty Progression in Older Adults: A Japanese Prospective Cohort Study

Author(s): Mitoku, K., Shimanouchi, S.
In a study involving 574 Japanese adults 65 years or older who required a low or moderate level of care, 34% modified their homes over the course of the study.  Modification of these older adults’ homes prevented the progression of frailty (requiring higher level of care).
Key Point Summary

Post-Occupancy Evaluation of a Transformed Nursing Home: The First Four Green House Settings

Author(s): Cutler, L. J., Kane, R. A.
To study how well the physical environments of four Green Houses® served the residents, staff, and visitors and to develop recommendations for similar small-house nursing home projects. Longitudinal post-occupancy evaluation of four houses using mixed-methods, including behavioral mapping, checklist ratings of individual bedrooms and bathrooms, place-centered time scans, environmental tracers,...
Key Point Summary

Designing a “Think-Along Dwelling” for People with Dementia: A Co-Creation Project Between Health Care and the Building Services Sector

Author(s): Van Hoof, J., Blom, M. M., Post, H. N. A., & Bastein, W. L
Many of the elderly prefer to age-in-place. However, if one of the elderly developments dementia, particular challenges may be posed when designing, constructing, or retrofitting an existing home environment. In the Netherlands about two-thirds of the people with dementia live at home. This is the setting for this study.
Key Point Summary

Life Safety Code Comparison

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

Quality Physical Environment in Paediatric Wards: Designer’s Creation Versus Users’ Satisfaction

Author(s): Ghazali, R., Abbas, M. Y.
Prior research has revealed that an optimal healing environment can enhance a child’s quality of life by supporting the healing process. However, little has been done to identify specific design features within an optimal healing environment that either impede or aid the healing process. 
Key Point Summary

Developing a multi-systemic fall prevention model, incorporating the physical environment, the care process and technology: A systematic review

Author(s): Choi, Y.-S., Lawler, E., Boenecke, C. A., Ponatoski, E. R., Zimring, C. M.
Falls are the most frequently reported negative events in hospitals in the United States and other countries, and about one-third of them result in injury of some type. Injury from falls can result in increased hospital stays, increased costs and litigation, among other problems. The authors reviewed the literature on falls, fall injuries, fall risk factors, and interventions to better understand the effectiveness of different methods for fall prevention in hospital settings.
Key Point Summary

Flexibility: beyond the buzzword-practical findings from a systematic literature review

Author(s): Carthy, J., Chow, V., Jung, Y-M., Mills, S.
While many healthcare facilities claim to have incorporated flexibility and adaptability into their new design, few have documented the outcomes of such claims. In reality, many healthcare facilities are outdated before they are built and fully occupied. These facilities then require extensive renovation and replacement during their life cycle to respond to changing demands of demographics, technology, and care delivery models. 
Key Point Summary