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Knowledge Repository

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

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

Impact of the Physical Environment of Residential Health, Care, and Support Facilities (RHCSF) on Staff and Residents A Systematic Review of the Literature

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.
Key Point Summary

One size fits all? Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience, safety and costs

Author(s): Maben, J., Griffiths, P., Penfold, C., Simon, M, Anderson, J. E., Robert, G., Pizzo, E., Hughes, J., Murrells, T., Barlow, J.
Authors indicate that despite the trend to adopt single-patient rooms, there is a dearth of strong evidence regarding its effect on healthcare quality and safety. When a hospital in England moved to a new building with 100% single rooms, a before-and-after move study was conducted on patient and staff experience, safety outcomes, and cost analysis. The study found that over two-thirds of the patients and one-fifth of the staff preferred single rooms.
Key Point Summary

The effects of physical environments in medical wards on medication communication processes affecting patient safety

Author(s): Liu, W., Manias, E., Gerdtz, M.
The physical environment of a hospital has a wide range of effects on the quality of care administered to patients. In the context of medication distribution, seamless communication among healthcare professionals of different backgrounds is imperative, and in many cases the physical environment itself can have positive or negative effects on this complex process.
Key Point Summary

Review of the Literature: Acuity-Adaptable Patient Room

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.
Key Point Summary

The Effect of Hospital Unit Layout on Nurse Walking Behavior

Author(s): Yi, L., Seo, H.-B.
Over the course of a typical shift, nurses spend a lot of time on their feet, walking back and forth on the unit to take care of patients' needs. The long distances that nurses walk is a topic of concern in the industry. Some believe it may potentially impact the amount of time spent with patients and also because of the physical toll on nurses, day after day. Researchers are attempting to understand whether unit layout and design might be revised to reduce walking distances and create efficiencies that enhance patient care.
Key Point Summary

Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station

Author(s): Colligan, L., Guerlain, S., Steck, S. E., Hoke, T. R.
According to the authors, literature indicates that interruptions during the administration of medication in healthcare settings can lead to errors, and that such errors are likely to cause more harm in pediatric settings. The medication station in the study hospital is centrally located with an open design targeted to reduce nurse walking and increase time with patients.
Key Point Summary

Destination Bedside

Author(s): Watkins, N., Kennedy, M., Lee, N., O’Neill, M., Peavey, E., DuCharme, M., & Padula, C.
Patient-centered care (PCC) has been at the core of healthcare reform. Improvements and advancements in Healthcare Information Technology (HIT), Electronic Health Records and inpatient unit layout have been some means that aim to achieve PCC. Also key to PCC is the alleviation of medical errors, which HIT and related technology can help achieve. 
Key Point Summary

Long-term care physical environments- effect on medication errors

Author(s): Mahmood, A., Chaudhury, H., Gaumont, A., Rust, T.
Medication errors contribute significantly to patient morbidity and mortality, and are associated with considerable healthcare costs, as well. The human and financial costs following preventable medical errors are high; data in the United States suggest an estimated 44,000 inpatients die each year from preventable medical errors. Nationally, preventable adverse event costs have been estimated at $17 billion.
Key Point Summary

Nurses’ Perceptions of How physical Environment Affects Medication Errors in Acute Care Settings

Author(s): Mahmood, A., Chaudhury, H., Valente, M.
Medication errors in hospitals occur for a number of reasons, stemming from staff and organizational issues to aspects of the physical environment. Errors include omissions, giving the wrong type or amount of medication, and giving the wrong patient unneeded medication. Research has indicated that a significant amount of these errors are avoidable.   
Key Point Summary