The Importance of Specific Workplace Environment Characteristics for Maximum Health and Performance: Healthcare Workers’ Perspective
Journal of Occupational and Environmental Medicine
The Creation of a Biocontainment Unit at a Tertiary Care Hospital: The Johns Hopkins Medicine Experience
Annals of the American Thoracic Society
Prior to the 2014 Ebola virus disease (EVD) outbreak in West Africa, the United States had only one to three specialized biocontainment units. Once the EVD crisis began, a group of reputable American healthcare institutions worked together to renovate a deactivated clinical space into a functioning biocontainment unit (BCU).
Understanding Green Building Design and Healthcare Outcomes: Evidence-Based Design Analysis of an Oncology Unit
Journal of Architectural Engineering
The United States healthcare industry is a major part of the economy as well as a significant contributor to carbon dioxide emissions and other environmental issues. Green building design (GBD) attempts to offset environmental impacts of buildings, and recently designers have been combining GBD with evidence-based design (EBD) in order to create facilities that positively impact both the external and internal environment.
Secondary exposure risks to patients in an airborne isolation room: Implications for anteroom design
Building and Environment
Previous research has shown that negatively pressurized Airborne Infectious Isolation Rooms (AIIRs) can protect hospitals from fatal airborne pathogens such as tuberculosis. But this use of negative pressurization can simultaneously increase the chances of isolated patients contracting secondary infections, or healthcare-acquired infections (HAIs), caused by air blowing in from adjacent spaces. Research is needed to better assess the actual likelihood of secondary infections occurring in these scenarios so that steps can be taken to mitigate these risks.
Airflow patterns through single hinged and sliding doors in hospital isolation rooms – Effect of ventilation, flow differential and passage
Building and Environment
Patients with highly contagious diseases are often housed in negative pressure isolation rooms. These rooms attempt to reduce cross-infections within the hospital. However, airflows produced by healthcare worker movements and door opening motions pose the risk of spreading pathogen-laden air from negative pressure isolation rooms into other spaces. A significant number of previous studies have examined the impact of single-hinged door-generated airflows, but few have compared hinged doors with sliding doors.
Impact of the Physical Environment of Residential Health, Care, and Support Facilities (RHCSF) on Staff and Residents A Systematic Review of the Literature
Environment and Behavior
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.
The influence of hospital ward design on resilience to heat waves: An exploration using distributed lag models
Energy and Buildings
Prolonged periods of uncharacteristically high outdoor temperatures (often referred to as “heat waves”) are correlated with increases in localized mortality rates. Hospitals have a responsibility to protect patient populations from harmful weather conditions, especially chronically ill patients that are vulnerable during prolonged exposure to high temperatures.
Part 1: Evidence-Based Facility Design Using Transforming Care at the Bedside Principles
Journal of Nursing Administration
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.
Impact of healthcare design on patients’ perception of a rheumatology outpatient infusion room: an interventional pilot study
Evidence-based healthcare design is a concept aimed at reducing stress factors in the physical environment for the benefit of patients and the medical staff. The objective of this study was to examine the impact of room modifications on patients’ perception of an outpatient infusion room used for treating rheumatologic diseases. Patient and nurse interviews, a staff workshop and field...
Non-Pharmacological Interventions in Long-term Care: Feasibility and Recent Trends
Journal of Gerontological Nursing
This article discusses the use of non-pharmacological interventions as part of an effort to minimize the negative effects of antipsychotic drug use on patients with cognitive impairment or perceived behavioral issues. Aspects of the built environment were included.