The Role of the Physical Environment in the Hospital of the 21st Century: A Once-in-a-Lifetime Opportunity (Abstracts Table Supplement)
2005
The Center for Health Design
Report
Author(s): Ulrich, R. S., Zimring, C., Quan, X., Joseph, A., Choudhary, R.
Added December 2022
The Role of the Physical Environment in the Hospital of the 21st Century: A Once-in-a-Lifetime Opportunity
2004
The Center for Health Design
Report
Author(s): Ulrich, R. S., Zimring, C., Quan, X., Joseph, A., Choudhary, R.
Added December 2022
Exploring older adults’ nighttime trips to the bathroom under different lighting conditions: An exploratory field study
2022
HERD: Health Environments Research & Design Journal
Journal Article
Issue 4
Volume 15
Pages 167-182
Author(s): Lu, X., Luo, Y., Hu, B.
Added July 2022
Impact of the Physical Environment of Residential Health, Care, and Support Facilities (RHCSF) on Staff and Residents A Systematic Review of the Literature
2015
Environment and Behavior
Journal Article
Issue 10
Volume 48
Pages 1203-1241
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.
Added May 2016
Destination Bedside
2012
The Journal of Nursing Administration
Journal Article
Issue 5
Volume 42
Pages 256-265
Author(s): Watkins, N., Kennedy, M., Lee, N., O’Neill, M., Peavey, E., DuCharme, M., & Padula, C.
Patient-centered care (PCC) has been at the core of healthcare reform. Improvements and advancements in Healthcare Information Technology (HIT), Electronic Health Records and inpatient unit layout have been some means that aim to achieve PCC. Also key to PCC is the alleviation of medical errors, which HIT and related technology can help achieve.
Added January 2016
Exploring Perceptions of Designers and Medical Staff in South Korea about Design Elements for the Elder-Friendly Hospital
2014
Journal of Interior Design
Journal Article
Issue 4
Volume 39
Pages 15-32
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.
Added August 2015
Healing environment: A review of the impact of physical environmental factors on users
2012
Building and Environment
Journal Article
Author(s): Huisman, E. R. C. M., Morales, E., van Hoof, J., Kort, H. S. M.
According to the authors, research that examines the physical environment and its impact on the healing and well-being of human beings has been growing in the last several years. There is increasing availability of literature on evidence-based design.
Added March 2015
Patient falls: An outcome indicator.
1991
Journal of Nursing Care Quality
Journal Article
Issue 1
Volume 6
Pages 25-29
Author(s): Ruckstuhl, M. C., Marchionda, E. E., Salmons, J., Larrabee, J. H.
While a patient is in the hospital, that institution is responsible for his or her well-being. Patient falls are detrimental to patient safety and frequently represent the largest category of incident reports submitted to risk management. Thus, hospitals today are strongly motivated to reduce patient falls because quality care is of utmost importance to both the patient and the institution. However, today's climate of cost containment and litigious actions provides additional incentives for assuring quality of care by preventing patient falls.
Added November 2014
Fall and injury prevention in residential care: effects in residents with higher and lower levels of cognition.
2003
Journal of the American Geriatrics Society
Journal Article
Issue 5
Volume 51
Pages 627-635
Author(s): Jensen, J., Nyberg, L., Gustafson, Y., Lundin-Olsson, L.
The prevention of falls and injuries in older people with cognitive impairment is an important concern in public health. It is of vital interest to investigate whether older people with significant cognitive impairment would benefit from fall prevention strategies.
Added November 2014
Targeting environmental factors to reduce elderly in-patient falls.
2010
Proceedings of the 1st International Conference on Human Factors and Ergonomics in Healthcare/ 3rd International Conference on Applied Human Factors and Ergonomics [AHFE], 17-20 July 2010, Miami, USA.
Journal Article
Author(s): Hignett, S., Sands, G., Youde, J., Griffiths, P.
Inpatient falls have consistently been the biggest single category of reported incidents since the 1940s; they are a significant cause of morbidity and mortality and have a high prevalence after admission to hospital. The incident rate for falls is approximately three times higher in hospitals and nursing homes than in community-dwelling older people. It has been suggested that this may be due to a combination of extrinsic risk factors (relating to the environment), for example, unfamiliar environment and wheeled furniture, combined with intrinsic risk factors (relating to the patient) such as confusion, acute illness, and balance-affecting medication.
Added November 2014
Sustained reduction in serious fall-related injuries in older people in hospital.
2006
The Medical journal of Australia
Journal Article
Issue 8
Volume 184
Pages 379-382
Author(s): Fonda, D., Cook, J., Sandler, V., Bailey, M.
Falls are the leading cause of injury in Australian hospitals, with 38 percent of all hospital incidents related to falls. In hospital settings, single interventions have not been proven successful in preventing or reducing falls, whereas multisystem or multi-strategy approaches have shown to be more effective.
Added November 2014
Applying root cause analysis to improve patient safety: decreasing falls in postpartum women.
2010
Quality & Safety in Health Care
Journal Article
Issue 2
Volume 19
Pages 138-143
Author(s): Chen, K. H., Chen, L. R., Su, S.
The objective of this study was to investigate the effectiveness of interventions to prevent falls designed through hazard analysis using root cause analysis.
Added November 2014
Lighting for improving balance in older adults with and without risk for falls
2012
Age & Ageing
Journal Article
Issue 3
Volume 41
Pages 392–395
Author(s): Figueiro, M. G., Gras, L. Z., Rea, M. S., Plitnick, B., Rea, M. S.
Sensory information about self-position and location of objects in the environment helps maintain balance, together with sensory input from the vestibular and somatosensory systems. The dependence on visual information for the maintenance of postural stability and control increases with age due to age-related changes that occur in the vestibular and somatosensory systems. Studies show that lighting enhances veridical visual information about the environment, and this could help older adults maintain better balance and be associated with less falls.
Added May 2014
A novel night lighting system for postural control and stability in seniors
2008
Lighting Research and Technology
Journal Article
Issue 2
Volume 40
Pages 111-126
Author(s): Figueiro, M. G., Gras, L., Qi, R., Rizzo, P., Rea, M., Rea, M. S.
Age-related changes may result in impaired balance control, and thus can lead to increase risk of falls among the elderly. Visual information provides a spatial reference for self-position and location of obstacles within a person’s environment. Lack of this information results in increased body sway. In addition, low ambient light levels reduce postural control. Therefore, this study investigated the effectiveness of a novel self-luminous light emitting diode (LED) night-lighting system that provided linear spatial orientation cues plus low ambient lighting for enhancing postural control in healthy seniors.
Added April 2014
Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomized clinical trials
Issue 7441
Volume 328
Pages 680-686
Author(s): Chang, J.T., Morton, S.C, Rubenstein, L. Z., Mojica, W.A., Maglione, M., Suttorp, M.J., Shekelle, P. G.
Falls are a major health concern for older adults worldwide, not only because of the potential for fractures and head injuries, but also for the emotional toll—the fear and anxiety—that can develop as a result of an injury or close call. While the literature on fall interventions is vast, there is limited understanding about the best methods for preventing falls. The authors conducted an extensive review and analysis of relevant, rigorous research trials to assess the relative effectiveness of different types of fall interventions. Under comparison were falls risk assessment and management programs, exercise programs, environmental modification programs, and educational interventions.
Added March 2014
Effectiveness of a multifaceted intervention on falls in nursing home residents
2003
Journal of the American Geriatrics Society
Journal Article
Issue 3
Volume 51
Pages 306–313
Author(s): Becker, C., Kron, M., Lindemann, U., Sturm, E., Eichner, B., Walter-Jung, B., Nikolaus, T.
Older people are particularly susceptible to falls and fractures due to mobility limitations and physical instability. Falls and fractures commonly result in functional deterioration, increased medical costs, and increased burden for all involved in the care setting. Attempts to prevent falls and reduce fall and fracture incidence rates both at home and in long-term care facilities span from educational interventions to adjustments of medication intake to environmental adaptations.
Added March 2014
Healthcare Environmental Terms and Outcome Measures: An Evidence-based Design Glossary
Author(s): Quan, X., Malone, E., Joseph, A., Pati, D.
Added October 2012
Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process
Author(s): Joseph, A., Taylor, E. M. , Quan, X., Jelen, M.
Added October 2012
Resident Safety Risk Assessment
Author(s):
Added October 2012
Critical Issues in Healthcare Environments
Author(s): Cohen, Uriel , Allison, David
Added October 2012
