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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 - 17 of 17

Heights of occupied patient beds: a possible risk factor for inpatient falls.

Author(s): Tzeng, H. M., Yin, C. Y.
The height of occupied patient beds can be an overlooked contributor to inpatient falls. Hospital bed frames are still eight–12 inches higher than those of home bedframes. The difference in heights may contribute to inpatient falls related to getting in and out of bed and to the severity of fall-related injuries. Better physical design of hospital equipment such as patient beds may reduce patient falls and injuries.
Key Point Summary
Added November 2014

Cluster randomised trial of a targeted multifactorial intervention to prevent falls among older people in hospital.

Author(s): Cumming, R. G., Sherrington, C., Lord, S. R., Simpson, J. M., Vogler, C., Cameron, I. D., Naganathan, V.
Falls often occur among older people in hospitals, resulting in injuries, increased lengths of stay, and greater costs to the health center. Evidence on the best way to prevent falls in hospitals is limited.
Key Point Summary
Added November 2014

Reducing Falls in a Definitive Observation Unit: An Evidence-Based Practice Institute Consortium Project

Author(s): Gutierrez, F., Smith, K.
A Definitive Observation Unit (DOU) in a hospital in California maintains high standards of nursing and follows an evidence-based practice of fall prevention. Yet the facility’s fall rates continue to be higher than the benchmark for similar hospitals.
Key Point Summary
Added September 2014

Influence of pavement design parameters in safety perception in the elderly

Author(s): Zamora, T., Alcantara, E., Artacho, M. A., Cloquell, V.
Added September 2014

The force attenuation provided by hip protectors depends on impact velocity, pelvic size, and soft tissue stiffness

Author(s): Laing, A. C., Robinovitch, S. N.
Added September 2014

Bed and Toilet Height as Potential Environmental Risk Factors.

Author(s): Capezuti, E., Wagner, L., Brush, B. L., Boltz, M., Renz, S., Secic, M.
Approximately 60 percent of all nursing home residents have difficulty transferring out of bed independently. The ability to safely rise to a standing position is an important determinant of independence among older adults. The ability to transfer out of bed from a sit to stand position is dependent on several general patient characteristics such as age, functional status, and disease state.
Key Point Summary
Added August 2014

Evaluation of a comprehensive slip, trip and fall prevention programme for hospital employees

Author(s): Bell, J.L., Collins, J.W., Wolf, L., Grönqvist, R., Chiou, S., Chang, W.R., Sorock, G.S., Courtney, T.K., Lombardi, D.A., Evanoff, B.
Recent Bureau of Labor Statistics data indicate that total slips, trips, and fall-related injuries account for the second greatest proportion (30 percent) of all work-related emergency department visits requiring hospitalization. Since slips, trips, and falls result from a wide variety of circumstances, there are a number of countermeasures with the potential to reduce slips, trips, and fall injury incidents. These include slip-resistant shoes floor surfaces, mats, and waxes, prompt cleaning of spillage and debris, keeping stairs and walkways clear, improving lighting, adding handrails, and clearing ice and snow.
Key Point Summary
Added August 2014

A novel night lighting system for postural control and stability in seniors

Author(s): Figueiro, M. G., Gras, L., Qi, R., Rizzo, P., Rea, M., Rea, M. S.
Age-related changes may result in impaired balance control, and thus can lead to increase risk of falls among the elderly. Visual information provides a spatial reference for self-position and location of obstacles within a person’s environment. Lack of this information results in increased body sway. In addition, low ambient light levels reduce postural control. Therefore, this study investigated the effectiveness of a novel self-luminous light emitting diode (LED) night-lighting system that provided linear spatial orientation cues plus low ambient lighting for enhancing postural control in healthy seniors.
Key Point Summary
Added April 2014

The Extrinsic Risk Factors for Inpatient Falls in Hospital Patient Rooms

Author(s): Tzeng, H., Yin, C.
A hospital can be a dangerous place for inpatients because of its unfamiliar physical environment and changes in patients’ medical conditions. Some research shows that a better physical facility design leads to better healthcare outcomes, such as fewer patient falls in acute-care hospitals. Eliminating the extrinsic risk factors for inpatient falls by improving hospital environment and design may decrease fall rates and fall-related injuries, although this link has not been examined systematically.
Key Point Summary
Added January 2014

Falls, Technology, and Stunt Actors: New Approaches to Fall Detection and Fall Risk Assessment

Author(s): Rantz, M. J., Aud, M. A., Alexander, G., Wakefield, B. J., Skubic, M., Luke, R. H., Anderson, D., Keller, J. M.
One in every 3 people aged 65 or older falls each year, making falls the most common cause of trauma-related injuries and hospitalizations in older adults and the leading cause of death due to injury. In addition, falls are often the prelude to rapid functional decline, costly hospitalization and rehabilitation services, loss of independence and physical function, and even death. Despite healthcare providers’ efforts at prevention, falls among older adults continue to be a critical and costly problem. Clearly, new methods are needed to address this issue.
Key Point Summary
Added January 2014

The effect of bedrails on falls and injury: a systematic review of clinical studies

Author(s): Healey, F., Oliver, D. , Milne, A., Connelly, J.B.
Falls and injury are a significant concern in healthcare and are linked to the never events. Around 1/4th of the falls in healthcare settings are from the bed. However, the literature on the role of bedrails in fall prevention is controversial and the prevailing opinion is that bedrails can be harmful and ineffective.
Key Point Summary
Added October 2012

Building the evidence base for evidence-based design: Editors' introduction

Author(s): Zimring, C., Bosch, S.
Added October 2012

Symposium looks into healthy designs

Author(s): Bennett, S.
Added October 2012

Strategies to reduce patient harm: understanding the role of design and the built environment

Author(s): Barach, P.
Added October 2012

Transforming care in children's hospitals through environmental design: Literature Review

Author(s): Joseph, A., Keller, A., Kronick, K.
Added October 2012

Using Root Cause Analysis to Reduce Falls in Rural Health Care Facilities

Author(s): Ruddick, P., Hannah, K., , Schade, C.P., Bellamy, G., Brehm, J., Lomely, D.
Added October 2012

Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care

Author(s): Hook, M.L.
Added October 2012