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Knowledge Repository

Understanding Design Vulnerabilities in the Physical Environment Relating to Patient Fall Patterns in a Psychiatric Hospital: Seven Years of Sentinel Events

Author(s): Bayramzadeh, S., Portillo, M., Carmel-Gilfilen, C.
​Finding effective ways to prevent patient falls and fall-related injuries has been an ongoing struggle and debate for many modern medical practitioners. Previous studies have shown that nearly 30% of falls that occur in hospital settings result in injuries and, subsequently, additional treatments.
Key Point Summary

A quasi-experimental evaluation of compliant flooring in a residential care setting

Author(s): Gustavsson, J., Bonander, C., Nilson, F.

The Architecture Of Safety: An Emerging Priority For Improving Patient Safety

Author(s): Joseph, A., Henriksen, K., Malone, E.

Physical Design Factors Contributing to Patient Falls

Author(s): Pati, D., Valipoor, S., Cloutier, A., Yang, J., Freier, P., Harvey, T. E., Lee, J.
Previous studies show that patient falls in hospitals are not only a leading cause of disability, injury, and mortality, but that they also affect the family members of patients, the caregivers, and the overall healthcare system.
Key Point Summary

Compliant flooring to prevent fall-related injuries in older adults: A scoping review of biomechanical efficacy, clinical effectiveness, cost-effectiveness, and workplace safety

Author(s): Lachance, C. C., Jurkowski, M. P., Dymarz, A. C., Robinovitch, S. N., Feldman, F., Laing, A. C., Mackey, D. C., Tranah, G.
Compliant flooring may be broadly defined as any floor covering or flooring system with some degree of shock absorbency. Numerous previous studies have shown that different forms of compliant flooring can reduce the severity and incidence of fall-related injuries in older adult patients.
Key Point Summary

A comparative study of patient sitters with video monitoring versus in-room sitters

Author(s): Davis, J., Kutash, M., Iv, J. W.

Environmental Variables That Influence Patient Satisfaction: A Review of the Literature

Author(s): MacAllister, L., Zimring, C., Ryherd, E.
This paper is a literature review that compiles a number of studies investigating the layouts and designs of hospitals and work settings, and the influences that these environments have on health and behavioral outcomes in patients. More specifically, this review seeks to identify possible links between physical and social environmental influences to self-reported patient outcomes. The authors wish to more fully understand the elements that influence patient satisfaction, and then begin a discussion over how physical and social environments can be further analyzed to enhance satisfaction.
Key Point Summary

Experimental identification of potential falls in older adult hospital patients

Author(s): Cloutier, A., Yang, J., Pati, D., Valipoor, S.

Profile of inpatient falls in patients with dementia: A prospective comparative study between 100% single rooms and traditional multibedded wards

Author(s): Knight, S., Singh, I.
A previous study estimates that the number of people with dementia in the U.K. could reach over 1 million by the year 2025. This possibility places added pressure on U.K. hospitals to develop safer methods for taking care of patients with dementia. Dementia is associated with impaired mobility, and previous studies have shown that individuals with dementia are two to three times more likely to fall. Inpatient falls (IFs) account for nearly two-fifths of the patient safety incidents reported to the National Reporting and Learning System, and the risk of IF is highest in single-patient rooms. There are very few studies that examine the impact of dementia and IF in single rooms as compared with traditional multi-bed wards.
Key Point Summary

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

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.
Key Point Summary