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Knowledge Repository

The role played by contaminated surfaces in the transmission of nosocomial pathogens

Author(s): Otter, J. A., Yezli, S., French, G. L.

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 In reality, many healthcare facilities are outdated before they are built and fully occupied.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

Physical Environment: The Major Determinant Towards the Creation of a Healing Environment?

Author(s): Abbas, M. Y., Ghazali, R.,
Prior research suggests that the pediatric population’s heightened perception of the quality of the physical environment can have an impact on the creation of a healing environment.
Key Point Summary

Converting Medical/Surgical Units for Safe Use by Psychiatric Patients: The Physical and Fiscal Risks

Author(s): Hunt, J. M., Sine, D. M.
When repurposing medical/surgical units as behavioral health units, there are a significant number of elements within the physical environment that must be modified to support the specialized needs of the patients and reduce the risk of self-harm and harm to others. While intention for self-harm cannot be reliably assessed, suicide is a major concern on psychiatric units, and therefore there is a need to design the unit as if all patients may be at risk for self-harm. 
Key Point Summary

Nurses’ Perceptions of How physical Environment Affects Medication Errors in Acute Care Settings

Author(s): Mahmood, A., Chaudhury, H., Valente, M.
Medication errors in hospitals occur for a number of reasons, stemming from staff and organizational issues to aspects of the physical environment. Errors include omissions, giving the wrong type or amount of medication, and giving the wrong patient unneeded medication. Research has indicated that a significant amount of these errors are avoidable.   
Key Point Summary

The sickening rug: A repeating static pattern that leads to motion-sickness like symptoms

Author(s): Bonato, F., Bubka, A., Graveline, V.
Flooring is a prominent component of hospital design, with surprisingly little research on the subject. An issue that has not been researched is the impact of patterns on health and perception related issues. This paper undertakes a simulated exercise on the impact of viewing specific patterns on motion-sickness like symptons. Although there is some research on the impact of visual patterns on epilepsy patients, the effect on people without neurological disorders has not been explored.
Key Point Summary

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

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

Developing the Birth Unit Design Spatial Evaluation Tool (BUDSET) in Australia: A Qualitative Study

Author(s): Foureur, M., Leap, N., Davis, D., Forbes, I., & Homer, C.
To develop a tool to assess the “optimality” of birth unit design.  This is important because “Optimal birth spaces are likely to enable women to have physiologically normal labor and birth.”
Key Point Summary

Noise in the Operating Room—What Do We Know? A Review of the Literature

Author(s): Hasfeldt, D., Laerkner, E., Birkelund, R.
Noise is a general stressor and should be avoided in the operating room (OR). However, over the last 10 years, while the focus has been on preventing air pollution and maximizing sterility in the OR, very little attention has gone toward preventing noise pollution. Meanwhile, there is more and more noisy technological equipment in the OR, and it can be assumed that problems with noise in the OR have not decreased.
Key Point Summary

Adapting to Family-Centered Hospital Design: Changes in Providers’ Attitudes over a Two-Year Period

Author(s): France, D., Throop, P., Joers, B., Allen, L., Parekh, A., Rickard, D., Deshpande, J.
Although hospitals are being designed based on evidence-based design principles, it’s unclear how working in such an environment influences providers’ attitudes and professional performance.  
Key Point Summary