Different Types of Door-Opening Motions as Contributing Factors to Containment Failures in Hospital Isolation Rooms
2013
PLOS ONE
Journal Article
Issue 6
Volume 8
Pages e66663
Author(s): Tang, J. W., Nicolle, A., Pantelic, J., Klettner, C. A., Su, R., Kalliomaki, P., Saarinen, P., Koskela, H., Reijula, K., Mustakallio, P., Cheong, D. K. W., Sekhar, C., Tham, K. W., Costa, C.
When under negative pressure, hospital isolation rooms are essential for both the containment of patients emitting airborne infectious agents as well as the protection of other patients from these agents. A plethora of different doors are used in the construction of these rooms, but relatively few studies have analyzed how certain door-opening motions and the passage of healthcare workers through these doors can affect the overall performance of isolation rooms.
Added December 2016
Airflow patterns through single hinged and sliding doors in hospital isolation rooms – Effect of ventilation, flow differential and passage
2016
Building and Environment
Journal Article
Author(s): Kalliomäki, p., Saarinen, P., Tang, J. W., Koskela, h.
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.
Added December 2016
Secondary exposure risks to patients in an airborne isolation room: Implications for anteroom design
2016
Building and Environment
Journal Article
Author(s): Mousavi, E. S., Grosskopf, K. R.
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.
Added December 2016
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
The Creation of a Biocontainment Unit at a Tertiary Care Hospital: The Johns Hopkins Medicine Experience
2016
Annals of the American Thoracic Society
Journal Article
Issue 5
Volume 13
Pages 600-608
Author(s): Garibaldi, B. T., Kelen, G. D., Brower, R. G., Bova, G., Ernst, N., Reimers, M., Langlotz, R., Gimburg, A., Iati, M., Smith, C., MacConnell, S., James, H., Lewin, J. J., Trexler, P., Black, M. A., Lynch, C., Clarke, W., Marzinke, M. A., Sokoll, L. J., Carroll, K. C., Parish, N. M., Dionne, K., Biddison, E. L. D., Gwon, H. S., Sauer, L., Hill, P., Newton, S. M., Garrett, M. R., Miller, R. G., Perl, T. M., Maragakis, L. L.
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).
Added April 2016
Developing the Birth Unit Design Spatial Evaluation Tool (BUDSET) in Australia: A Qualitative Study
2010
Health Environments Research & Design Journal
Journal Article
Issue 4
Volume 3
Pages 43-57
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.”
Added January 2016
Non-Pharmacological Interventions in Long-term Care: Feasibility and Recent Trends
2014
Journal of Gerontological Nursing
Journal Article
Issue 5
Volume 40
Pages 10-14
Author(s): Fitzsimmons, S., Barba, B., Stump, M. & Bonner, E.
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.
Added January 2016
Impact of healthcare design on patients’ perception of a rheumatology outpatient infusion room: an interventional pilot study
2015
Clinical Rheumatology
Journal Article
Issue 7
Volume 34
Pages 1249-1254
Author(s): Bukh, G., Tommerup, A. M. M., Madsen, O. R.
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...
Added December 2015
Design of the environment of care for safety of patients and personnel: Does form follow function or vice versa in the intensive care unit?
2010
Critical Care Medicine
Journal Article
Issue 8 Supplement
Volume 38
Pages S388-S398
Author(s): Bartley, J., Streifel, A. J.
Added September 2015
Part 1: Evidence-Based Facility Design Using Transforming Care at the Bedside Principles
2015
Journal of Nursing Administration
Journal Article
Issue 2
Volume 45
Pages 74-83
Author(s): Devine, D. A., Wenger, B., Krugman, M., Zwink, J. E., Shiskowsky, K., Hagman, J., Limon, S., Sanders, C., Reeves, C.
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.
Added April 2015
A decade of adult intensive care unit design: a study of the physical design features of the best-practice examples
2006
Critical Care Nursing Quarterly
Journal Article
Issue 4
Volume 29
Pages 282-311
Author(s): Rashid, M., Abushousheh, A.
This article reports a study of the physical design characteristics of a set of adult intensive care units (ICUs), built between 1993 and 2003. These ICUs were recognized as the best-practice examples by the Society of Critical Care Medicine, the American Association of Critical Care Nurses, and the American Institute of Architects.
Added July 2014
Life Safety Code Comparison
2013
American Society for Healthcare Engineering
Journal Article
Author(s): Crowley, M. A., Harper, J. E.
Added May 2014
Physical Environment: The Major Determinant Towards the Creation of a Healing Environment?
2011
Procedia-Social and Behavioral Sciences
Journal Article
Volume 30
Pages 1951-1958
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.
Added April 2014
Quality Physical Environment in Paediatric Wards: Designer’s Creation Versus Users’ Satisfaction
2012
Procedia - Social and Behavioral Sciences
Journal Article
Author(s): Ghazali, R., Abbas, M. Y.
Prior research has revealed that an optimal healing environment can enhance a child’s quality of life by supporting the healing process. However, little has been done to identify specific design features within an optimal healing environment that either impede or aid the healing process.
Added April 2014
Nurses’ Perception of Single-Occupancy Versus Multioccupancy Rooms in Acute Care Environments: An Exploratory Comparative Assessment
2006
Applied Nursing Research
Journal Article
Issue 3
Volume 19
Pages 118-125
Author(s): Chaudhury, H., Mahmood, A., Valente, M.
As people are living longer and the baby boomers age, the demand for hospital beds will increase. As new facilities are built to handle this influx of patients, the challenge for hospital designers and administrators is to design patient rooms that promote therapeutic goals, foster positive patient outcomes, and function as intensive care rooms. Recent research suggests that single-occupancy rooms are more suitable for infection control and patient care than multioccupancy rooms. However, no research has been done about nursing staff members’ perception of single-occupancy and multioccupancy patient rooms in acute care settings as it relates to patient care.
Added April 2014
Medical Gas Cylinder and Bulk Tank Storage
2012
American Society for Healthcare Engineering
Monograph
Author(s): McLaughlin, S., Dagenais, D.
There are particular requirements for storing medical gas cylinders as well as requirements for bulk tank storage in healthcare settings; these regulatory requirements exist specifically for cylinders that are not in use. In use refers to cylinders being used by a patient, or attached to equipment and ready for immediate use, or located in patient rooms about to be used. Requirements vary depending on the total amount of cubic feet of gas needing to be stored, with the most stringent regulations for more than 3,000 cubic feet of gas, less stringent requirements for 300-3,000 cubic feet of gas, and the least stringent requirements for less than 300 cubic feet of gas. These requirements are in place to reduce the risk of accident and injury.
Added March 2014
Effect of Environmental Design on Reducing Nursing and Medication Errors in Acute Care Settings
Author(s): Mahmood, A. , Habib, C.
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
Critical Issues in Healthcare Environments
Author(s): Cohen, Uriel , Allison, David
Added October 2012
The Effect of Environmental Design on Reducing Nursing and Medication Errors in Acute Care Settings
2007
The Center for Health Design CHER
Report
Author(s): Chaudhury, H.P., Mahmood, A.P.
Added October 2012
