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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 101

Efficacy of violet–blue light to inactive microbial growth

Author(s): Amodeo, D., Lucarelli, V., De Palma, I., Puccio, A., Nante, N., Cevenini, G., Messina, G.
Research demonstrates that certain lights have antimicrobial properties. Violet-blue light at 405 nm (VBL405) has a broad-spectrum effect on organisms that frequently cause hospital-acquired infections including Clostridium difficile, Escherichia coli, Staphylococcus epidermidis, Pseudomonas aeruginosa, Klebsiella pneumoniae, Streptococcus pyogenes, and various Mycobacterium.
Key Point Summary
Added November 2022

Lean design of the pediatric intensive care unit patient room for efficient and safe care delivery

Author(s): Lu, Y., Bishop, N. B., Zadeh, R. S.
Pediatric intensive care units (PICUs) are often operated by specially trained registered nurses (RNs). Due to the high stress and sensitivity of these environments, optimizing RN workflows and safety protocols is important.
Key Point Summary
Added August 2022

Responsiveness and adaptability of healthcare facilities in emergency scenarios: COVID-19 experience

Author(s): Łukasik, M., Porębska, A.
COVID-19 exposed shortcomings in hospitals’ abilities to accommodate emergency scenarios with efficiency and preparedness. Prior research evaluates strategies for resilient hospitals, such as the use of architectural methods to reduce bacterial infection.
Key Point Summary
Added January 2022

Investigations of Staphylococcal contamination on environmental surfaces of a neonatal intensive care unit of a children's hospital

Author(s): Keilman, R., Harding, S., Rowin, M., Reade, E., Klingborg, P., Levine, D., Spratt, H.
Staphylococcal, particularly methicillin-resistant S. aureus (MRSA), infections are pervasive in intensive care units (ICUs). However, little research focuses on areas of contamination within neonatal intensive care units (NICUs), even though Staphylococci can cause severe infection in infants.
Key Point Summary
Added July 2021

Preventing SARS-CoV-2 transmission in the emergency department by implementing a separate pathway for patients with respiratory conditions

Author(s): Alqahtani, F., Alanazi, M., Alassaf, W., Aleanizy, F. S., Aljahany, M., Joseph, M., AlRaye, M.
Since the beginning of the coronavirus disease 2019 (COVID-19) pandemic, healthcare facilities have provided services to patients with suspected or confirmed cases of this and other highly contagious respiratory illnesses. In some areas, emergency departments (EDs) have become important resources for patient populations without other ways to access medical care.
Key Point Summary
Added June 2021

Evaluation of nosocomial infection control measures to minimize the risk of aspergillus dispersion during major demolition work: A case study of a Japanese university hospital

Author(s): Nakanishi, Y., Kasahara, K., Koizumi, A., Tokutani, J., Yoshihara, S., Mikasa, K., Imamura, T.
Aspergillus species (spp), can be dispersed during activities such as construction, renovation, and demolition. The infection control risk assessment (ICRA) tool was developed in part to counteract the spread of infection in these situations.
Key Point Summary
Added May 2021

Intensive care unit built environments: A comprehensive literature review (2005–2020)

Author(s): Verderber, S., Gray, S., Suresh-Kumar, S., Kercz, D., Parshuram, C.
ICUs have been extensively studied regarding the role of the built environment in issues of patient safety and infection control, patient-staff outcomes, and the interventional role of the physical environment. The results of this comprehensive literature review (2005-2020) demonstrate an increase in design of single-bed ICUs, increase in the engagement of families in the ICU experience, acknowledgement of improving caregiver well-being, performance through designing staff amenities, increased attention to the therapeutic role of exposure to nature and lighting, and increased pandemic concerns related to containment of the COVID-19 virus.
Key Point Summary
Added May 2021

SARS-CoV-2 viability on 16 common indoor surface finish materials

Author(s): Ronca, S. E., Sturdivant, R. X., Barr, K. L., Harris, D.
During the coronavirus pandemic, studies identified the contaminated environmental surface materials as potential pathways for viral transmission of the disease through contact. To understand the role of surfaces, 16 materials were contaminated with the virus and the stability of the virus on each material was examined.
Key Point Summary
Added March 2021

Air Care: an ‘aerography’ of breath, buildings and bugs in the cystic fibrosis clinic

Author(s): Brown, N., Buse, C., Lewis, A., Martin, D., Nettleton, S.
Research in medical humanities works on hospital architecture demonstrates the historical significance of spatial design for airflow and air exchange from the pre-antibiotic period until the present. The spatial and atmospheric design of hospitals is conceived while paying attention to the prevention of the spread of airborne infections, e.g., cystic fibrosis (CF).
Key Point Summary
Added April 2020

An assessment of a hybrid lighting system that employs ultraviolet-A for mitigating healthcare-associated infections in a newborn intensive care unit

Author(s): Brons, J. A., Bierman, A., White, R., Benner, K., Deng, L., Rea, M. S.
Healthcare-associated infections (HAIs) affect approximately one in 25 patients in the US. One study found that an average of fewer than 50% of patient room surfaces are properly cleaned, making infection spread more easily. This study explores the use of a no-touch decontamination method that employs hybrid lighting technology with both white light and UV-A optical radiation.
Key Point Summary
Added February 2020

Airflow patterns through a sliding door during opening and foot traffic in operating rooms

Author(s): Villafruela, J. M., San José, J. F., Castro, F., Zarzuelo, A.
Operating rooms (ORs) often have higher air pressure than nearby rooms to prevent potentially contaminated air from entering the OR and causing infection. Opening the door during an operation may cause a change in pressure; further change in pressure may occur if a person moves through the door.
Key Point Summary
Added February 2020

Particle control reduces fine and ultrafine particles greater than HEPA filtration in live operating rooms and kills biologic warfare surrogate

Author(s): Ereth, M. H., Hess, D. H., Driscoll, A., Hernandez, M., Stamatatos, F.
Modern buildings tend to feature more insulation and tighter building envelopes, which can increase concentrations of indoor pathogens, particles, and pollutants. This can lead to higher rates of hospital-acquired infections (HAIs), making the control of indoor air quality critically important.
Key Point Summary
Added January 2020

Use of an automated hand hygiene compliance system by emergency room nurses and technicians is associated with decreased employee absenteeism

Author(s): Strauch, J., Braun, T. M., Short, H.
The relationship between hand hygiene intervention and absenteeism has been studied in other contexts besides healthcare. Researchers examined how improving hand hygiene practices among emergency room (ER) nurses and technicians affected their absenteeism and overtime hours worked by substitute staff.
Key Point Summary
Added December 2019

Impact of sink location on hand hygiene compliance for Clostridium difficile infection

Author(s): Zellmer, C., Blakney, R., Van Hoof, S., Safdar, N.
Clostridium difficile infection (CDI) is a common health complication arising within medical environments that can place noticeable strain on healthcare systems. The Centers for Disease Control (CDC) has provided hand hygiene guidelines for mitigating these infections following contact during an outbreak situation; however, various barriers may prevent compliance with these hand hygiene guidelines.
Key Point Summary
Added November 2019

The influence of spatial configuration on the frequency of use of hand sanitizing stations in health care environments

Author(s): Neo, J. R. J., Zadeh, R.
Healthcare-associated infections (HAIs) affect over 1.7 million people each year, and subsequently cost the U.S. economy approximately $8.2 billion each year. Hand hygiene compliance (HHC), which involves washing hands thoroughly with alcohol-based rubs or soap and water, is widely regarded as a major prevention measure against the transmission of pathogens that cause HAIs.
Key Point Summary
Added December 2018

Human factors considerations in designing for infection prevention and control in neonatal care – findings from a pre-design inquiry

Author(s): Trudel, C., Cobb, S., Momtahan, K., Brintnell, J., Mitchell, A.
As healthcare environments are being more frequently redesigned to improve patient experiences and provider operations, it becomes increasingly important that healthcare providers themselves understand how these new designs are intended to be utilized. Giving healthcare providers a deeper understanding of the functions and purposes underlying important healthcare design decisions could help reduce potential operational errors or staff frustrations.
Key Point Summary
Added December 2018

The role of the built environment and private rooms for reducing central line-associated bloodstream infections

Author(s): O’Neill, L., Park, S.-H., Rosinia, F.
Private patient rooms in hospital environments are widely considered a helpful defense against healthcare-associated infections (HAIs). However, the ways in which private rooms might help mitigate specific kinds of HAIs, such as central line-associated bloodstream infections (CLABSIs), remain unclear and relatively unexplored.
Key Point Summary
Added August 2018

Hesitation and error: Does product placement in an emergency department influence hand hygiene performance?

Author(s): Stackelroth, J., Sinnott, M., Shaban, R. Z.
Previous research has thoroughly established the important role proper hand hygiene plays in reducing and controlling healthcare-associated infections (HAIs). Nonetheless, previous studies also show that poor hand hygiene practices remain common in both public and private hospitals. In order to promote effective hand hygiene habits within healthcare environments, designers focus on ensuring that hand hygiene products are easily available and accessible.
Key Point Summary
Added July 2017

Relationship between Environmental Conditions and Nosocomial Infection Rates in Intensive Care Unit

Author(s): Şimşek, E. M., Grassie, S. S., Emre, C., Gevrek, S. Ç.
Due to the highly vulnerable state of the patients populating intensive care units (ICUs) and the health risks posed to healthcare providers working in ICUs, special attention must be given to the causes and effects of nosocomial infections within these areas.
Key Point Summary
Added June 2017

Reduction of Environmental Contamination With Multidrug-Resistant Bacteria by Copper-Alloy Coating of Surfaces in a Highly Endemic Setting

Author(s): Souli, M., Antoniadou, A., Katsarolis, I., Mavrou, I., Paramythiotou, E., Papadomichelakis, E., Drogari-Apiranthitou, M., Panagea, T., Giamarellou, H., Petrikkos, G., Armaganidis, Apostolos
Healthcare-associated infections (HAIs) are often caused by multidrug-resistant organisms (MDROs). This is especially problematic in intensive care units (ICUs) due to the vulnerable nature of both patients and staff in these environments.
Key Point Summary
Added June 2017