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Knowledge Repository

The Architecture Of Safety: An Emerging Priority For Improving Patient Safety

Author(s): Joseph, A., Henriksen, K., Malone, E.

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

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

Healthcare Environmental Terms and Outcome Measures: An Evidence-based Design Glossary

Author(s): Quan, X., Malone, E., Joseph, A., Pati, D.

Symposium looks into healthy designs

Author(s): Bennett, S.

Transforming care in children's hospitals through environmental design: Literature Review

Author(s): Joseph, A., Keller, A., Kronick, K.

The Road Ahead: The Need to Clarify and Re-Conceptualize Healing Environments

Author(s): Kuo, N., Hui, C.

The healing environment in our communities and healthcare settings: research excellence into practice

Author(s): Craft, N.

Characteristics and circumstances of falls in a hospital setting

Author(s): Hitcho, E., Krauss, M., Birge, S., Dunagan, W., Fischer, I., Johnson, S., Nast, P. A., Costantinou, E., Fraser, V. J.
Patient falls refer to patients’ unplanned descent to the floor with or without injuries to the patients. Patient falls are common for inpatients, averaging 2.3 to 7 falls per 1,000 patient days. About 30% of the falls lead to injuries, which contribute to higher healthcare cost. In order to prevent falls, it is very important to understand the epidemiology of patient falls, including the characteristics of fallers, the distribution and patterns of falls, contributing factors, and fall-related injuries.
Key Point Summary