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
Healthcare design to improve safe doffing of personal protective equipment for care of patients with COVID-19
2022
Infection Control & Hospital Epidemiology
Journal Article
Issue 12
Volume 43
Pages 1796–1805
Author(s): Machry, H., Matić, Z., Oh, Y., DuBose, J. R., Morgan, J. S., Love, K. L., Jacob, J. T., Zimring, C. M.
Added March 2022
Bringing the single versus multi-patient room debate to vulnerable patient populations: A systematic review of the impact of room types on hospitalized older people and people with neurological disorders
2020
Intelligent Buildings International
Journal Article
Issue 3
Volume 12
Pages 180-198
Author(s): Shannon, M. M., Lipson-Smith, R., Elf, M., Olver, J., Kramer, S., Bernhardt, J.
Added February 2019
The Architecture Of Safety: An Emerging Priority For Improving Patient Safety
2018
Health Affairs
Journal Article
Issue 11
Volume 37
Pages 1884-1891
Author(s): Joseph, A., Henriksen, K., Malone, E.
Added November 2018
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 Neonatal Intensive Care Bed Configuration on Rates of Late-Onset Bacterial Sepsis and Methicillin-Resistant Staphylococcus aureus Colonization
2015
Infection Control & Hospital Epidemiology
Journal Article
Issue 10
Volume 36
Pages 1173-1182
Author(s): Julian, S., Burnham, C.-A., Sellenriek, P., Shannon, W. D., Hamvas, A., Tarr, P. I., Warner, B. B.
Late-onset infections are a continuing issue, causing notable levels of morbidity and mortality in neonatal intensive care units (NICUs), while also increasing the length of patient stay and financial burdens on healthcare institutions. Few previous studies have tested the hypothesis that infants in single-patient rooms have a lower risk of methicillin-resistant Staphylococcus aureus (MRSA) colonization, late-onset sepsis, and death.
Added June 2016
Impact of sink location on hand hygiene compliance after care of patients with Clostridium difficile infection: a cross-sectional study
2016
BMC Infectious Diseases
Journal Article
Author(s): Deyneko, A., Cordeiro, F., Berlin, L., Ben-David, D., Perna, S., Longtin, Y.
Hand hygiene is typically identified as the most important infection control measure. Many healthcare settings have adopted alcohol-based hand rub solutions because they are extremely easy to use, are accessible, and are effective against microbes. One limitation of alcohol-based hand rubs, however, is their ineffectiveness against spore-forming organisms such as Clostridium difficile infection (CDI). Thus, hand washing in sinks rather than rubbing with solutions is highly recommended after caring for patients with CDI.
Added May 2016
Is single room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers or medication errors? A natural experiment with non-equivalent controls
2016
Journal of Health Services Research & Policy
Journal Article
Issue 3
Volume 21
Pages 147-155
Author(s): Simon, M., Maben, J., Murrells, T., Griffiths, P.
Previous studies have associated single-patient rooms with reduced infection rates, reduced medication errors, and faster patient recovery rates. In response, an increasing number of hospitals have been shifting towards an entirely single-patient room layout. Although there are plenty of studies from the U.K. providing empirical evidence for the efficacy of single-patient rooms, the United States lacks this foundation of published research, and could therefore benefit from an outcome analysis of single-patient rooms.
Added February 2016
Innovation Pilot Study: Acute Care for Elderly (ACE) Unit--Promoting Patient-Centric Care
2012
Health Environments Research & Design Journal
Journal Article
Author(s): Krall et al.
Older patients have different needs: cognitive impairment, chronic health issues, caregiver burden, and maintenance of functional level. These issues present challenges to healthcare organizations when caring for this population on a general medical-surgical unit.
Added January 2016
Do Cost Savings from Reductions in Nosocomial Infections Justify Additional Costs of Single-Bed Rooms in Intensive Care Units? A Simulation Case Study
2015
Journal of Critical Care
Journal Article
Issue 1
Volume 31
Pages 194-200
Author(s): Sadatsafavi, H., Niknejad, B., Zadeh, R., Sadatsafavi, M.
Nosocomial infections are infections that are acquired in healthcare facilities. They are a key factor in decisions to construct and maintain single-patient bedrooms in intensive care units (ICUs), since single-patient rooms have been shown to greatly reduce instances of nosocomial infections. However, no prior studies have investigated whether the resource savings incurred from reducing nosocomial infections are worth the construction and maintenance costs required for single-patient bedrooms in ICUs.
Added October 2015
Infection acquisition following intensive care unit room privatization
2011
Archives of Internal Medicine
Journal Article
Issue 1
Volume 171
Pages 32-38
Author(s): Teltsch, D. Y., Hanley, J., Loo, V., Goldberg, P., Gursahaney, A., Buckeridge, D. L.
The authors state that healthcare-associated infections (HAIs) affect about 30% of patients in intensive care units (ICUs), subsequently affecting patient outcomes. Although single-patient rooms are recommended by the Facilities Guidelines Institute, the American Institute of Architects Academy of Architecture for Health and the U.S. Department of Health and Human Services, the authors indicate that studies on the effect of the single-bed room on rates of infection have been inconclusive.
Added February 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
Utilizing Integrated Facility Design to Improve the Quality of a Pediatric Ambulatory Surgery Center
2013
Pediatric Anesthesia
Journal Article
Author(s): Pelly, N., Zeallear, B., B., Reed, M., Martin, L.
Integrated Facility Design (IFD) comes from the Toyota 3P (Production, Preparation, Process) program used to reduce initial cost, while accelerating development time.
Added May 2014
Life Safety Code Comparison
2013
American Society for Healthcare Engineering
Journal Article
Author(s): Crowley, M. A., Harper, J. E.
Added May 2014
Traffic Flow in the Operating Room: An Explorative and Descriptive Study on Air Quality During Orthopedic Trauma Implant Surgery
2012
Journal of Infection Control
Journal Article
Issue 8
Volume 40
Pages 750-755
Author(s): Andersson, A.E., Bergh, I., Karlsson, J., Eriksson, B.I. MD, Nilsson,K.
Three main strategies exist to prevent surgical site infections following surgery: 1) the patient, 2) the surgical technique, 3) the surgical environment. This study focuses on optimizing the effect of the surgical environment in preventing SSIs (surgical site infections). The authors attempt to understand that the protective potential of operating room (OR) ventilation under different conditions is crucial to optimizing the surgical environment.
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
Using a Task Analysis to Describe Nursing Work in Acute Care Patient Environments
2009
Journal of Nursing Administration
Journal Article
Issue 12
Volume 39
Pages 537-547
Author(s): Battisto, D., Pak, R., Vander Wood, M. A., Pilcher, J. J.
A growing body of research demonstrates linkages between workplace design and processes in healthcare facilities with staff and patient safety, operational efficiency, staff satisfaction, and medical errors. There has been less emphasis on the role of the built environment in helping or hindering care delivery. Research is needed on the contextualized activities performed by nurses and how nurses spend their time to measure the effects of interventions aimed at redesigning care to improve safety or efficiency or to understand the implications of policy changes for nursing practice.
Added April 2014
Review of the Literature: Acuity-Adaptable Patient Room
2013
Critical Care Nursing Quarterly
Journal Article
Issue 2
Volume 36
Pages 251–271
Author(s): Bonuel, N. , Cesario, S.
Acuity-adaptable rooms allow patients to stay in one room from the time they are admitted to when they leave, regardless of their acuity level. These specially equipped private rooms are staffed by nurses who have the skills and training to support the complete range of care for patients with similar conditions or disease processes. The rooms are larger in size than a regular hospital room to accommodate various patients’ needs as their condition changes, such as critical care equipment, additional staff, procedures, and family members.
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
