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Knowledge Repository

A complete, user-friendly database of healthcare design research references MoreLess about the Knowledge Repository

The Knowledge Repository is a complete, user-friendly database of healthcare design research references that continues to grow with the latest peer-reviewed publications. Start with our Knowledge Repository for all of your searches for articles and research citations on healthcare design topics. Access full texts through the source link, read key point summaries, or watch slidecasts. Expand your search and find project briefs, interviews, and other relevant resources by visiting our Insights & Solutions page.

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Displaying 1 - 20 of 44

Shock-absorbing flooring for fall-related injury prevention in older adults and staff in hospitals and care homes: the SAFEST systematic review

Author(s): Drahota, A., Felix, L. M., Raftery, J., Keenan, B., Lachance, C. C., Mackey, D. C., Markham, C., Laing, A. C., Farrell-Savage, K., Okunribido, O.
Added July 2022

A comparison of floor surfaces for injury prevention in care settings: impact forces and horizontal pulling force required to move wheeled equipment

Author(s): Keenan, B. E., Hallas, K., Drahota, A. K., Evans, S. L.
Injury-inducing falls frequently occur in both care homes and hospitals. One way to prevent fall-related injuries is shock-absorbing flooring. The authors of this study note that at the time of writing, there are no established standards for what type of flooring is most effective for injury prevention.
Key Point Summary
Added July 2022

Low-impact flooring: Does it reduce fall-related injuries?

Author(s): Hanger, H. C.
Added October 2019

The Flooring for Injury Prevention (FLIP) Study of compliant flooring for the prevention of fall-related injuries in long-term care: A randomized trial

Author(s): Mackey, D. C., Lachance, C. C., Wang, P. T., Feldman, F., Laing, Andrew C., Leung, P. M., Hu, X. J., Robinovitch, S. N.
Added June 2019

A quasi-experimental evaluation of compliant flooring in a residential care setting

Author(s): Gustavsson, J., Bonander, C., Nilson, F.
Added November 2018

Effects of Compliant Flooring Systems and Resident Weight on Hand Forces When Pushing Floor-Based Lifts and Wheelchairs among Long-Term Care Staff

Author(s): Lachance, C. C., Korall, A. M. B., Russell, C. M., Johnson, S. I., Feldman, F., Robinovitch, S. N., Mackey, D. C.
Added November 2018

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

Author(s): Joseph, A., Henriksen, K., Malone, E.
Added November 2018

Effects of Impact-Absorbing Flooring in Residential Care from the Perspectives of Enrolled Nurses

Author(s): Gustavsson, J., Rahm, G., Jernbro, C., Nilson, F.
Despite the fact that patient falls happen on a daily basis, there are few effective solutions for reducing fall-related injuries.
Key Point Summary
Added April 2018

Perceptions about Compliant Flooring from Senior Managers in Long-Term Care

Author(s): Lachance, C. C., Zaborska, V. O., Leung, P.-M., Feldman, F., Robinovitch, S., Mackey, D. C.
Added April 2018

Compliant flooring to prevent fall-related injuries in older adults: A scoping review of biomechanical efficacy, clinical effectiveness, cost-effectiveness, and workplace safety

Author(s): Lachance, C. C., Jurkowski, M. P., Dymarz, A. C., Robinovitch, S. N., Feldman, F., Laing, A. C., Mackey, D. C., Tranah, G.
Compliant flooring may be broadly defined as any floor covering or flooring system with some degree of shock absorbency. Numerous previous studies have shown that different forms of compliant flooring can reduce the severity and incidence of fall-related injuries in older adult patients.
Key Point Summary
Added February 2017

Cost–utility analysis of a shock-absorbing floor intervention to prevent injuries from falls in hospital wards for older people

Author(s): Latimer, N., Dixon, S., Drahota, A. K., Severs, M.
Added June 2016

Impact of the Physical Environment of Residential Health, Care, and Support Facilities (RHCSF) on Staff and Residents A Systematic Review of the Literature

Author(s): Joseph, A., Choi, Y.-S., Quan, X.
Strategies related to the design of the built environment should be considered within the context of the culture of the organization and the resident population. This study of the physical environment of residential health, care, and support facilities addresses the range of settings and population, where other studies have been lacking. The literature review strongly suggests that the built environment is an important component of care provided in residential care settings.
Key Point Summary
Added May 2016

The design and initial evaluation of visual cues in carpets to assist walking

Author(s): McNeil, S. J., Tapp, L. S.
One way to reduce the occurrence of indoor falls for both elderly people and other individuals is to improve the design of floor coverings so that they can help create a safer walking environment. A growing number of studies are showing that the design of products such as carpets can specifically help older people lead more productive and independent lives by empowering them through safer opportunities for mobility.
Key Point Summary
Added May 2016

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
Added January 2016

Investigating the fall-injury reducing effect of impact absorbing flooring among female nursing home residents: initial results

Author(s): Gustavsson, J., Bonander, C., Andersson, R., Nilson, F.
Added October 2015

Exploring Perceptions of Designers and Medical Staff in South Korea about Design Elements for the Elder-Friendly Hospital

Author(s): Kim, D., Lee, J. H., Ha, M.
The elderly population is growing around the world and so is the geriatric patient population. The authors indicate that despite the fact that the elderly will soon be the primary users of healthcare services, healthcare facilities are not designed for the elderly. In this study, designers and medical staff were asked to rate the importance of 33 design elements in the context of an elder-friendly hospital.
Key Point Summary
Added August 2015

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
Added June 2015

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
Added December 2014

Can flooring and underlay materials reduce hip fractures in older people?

Author(s): Minns, J.
Falls resulting in fracture of the hip in older people are a major health problem worldwide. Flooring that is slippery and unsuitable footwear are other major factors contributing to the onset of fractures in the home. Building design should incorporate measures to minimize the risk of falls.
Key Point Summary
Added November 2014

Pilot cluster randomised controlled trial of flooring to reduce injuries from falls in wards for older people.

Author(s): Drahota, A. K., Ward, D., Udell, J. E., Soilemezi, D., Ogollah, R., Higgins, B., Dean, T. P., Severs, M.
Inpatient falls are a major issue for hospitals and are associated with mortality, morbidity and financial costs. Falls are particularly prevalent in elderly care environments, where patients have more risk factors for both falls and injury. With an aging society, this is an issue of increasing concern.
Key Point Summary
Added November 2014