The effect of hospital layout on caregiver-patient communication patterns
Author(s): Pachilova, R., Sailer, K.
This article suggests that the field of evidence-based design (EBD), which considers information from case evaluations and credible research during design-related decision processes, has only marginally examined hospital layouts and their effects. As a result, this study attempts to build on the tradition of “Space Syntax” research, which is a theory that explores how space controls and generates encounters between inhabitants and visitors of certain spaces and how these two groups engage in communication.
Added June 2016
Impact of the Physical Environment of Residential Health, Care, and Support Facilities (RHCSF) on Staff and Residents A Systematic Review of the Literature
2015
Environment and Behavior
Journal Article
Issue 10
Volume 48
Pages 1203-1241
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.
Added May 2016
Using Lean-Based Systems Engineering to Increase Capacity in the Emergency Department
2014
Western Journal of Emergency Medicine
Journal Article
Issue 7
Volume 15
Pages 770-776
Author(s): White, B., Chang, Y., Grabowski, B., Brown, D.
Emergency department (ED) crowding is a widespread issue that causes a multitude of negative effects on patient care quality, safety, and efficiency. Lean-based systems engineering, which is often used for industrial manufacturing, is a method for eliminating all forms of waste (including wasted time and other resources) to optimize productivity. Recent studies have begun to demonstrate the use of systems engineering and improvement science on streamlining processes and improving throughput in different medical capacities, but an opportunity remains to refine the application of these tools within EDs in particular.
Added December 2015
Part 1: Evidence-Based Facility Design Using Transforming Care at the Bedside Principles
2015
Journal of Nursing Administration
Journal Article
Issue 2
Volume 45
Pages 74-83
Author(s): Devine, D. A., Wenger, B., Krugman, M., Zwink, J. E., Shiskowsky, K., Hagman, J., Limon, S., Sanders, C., Reeves, C.
A western academic hospital reexamined its design strategy when after three years of building a new facility they had to plan for a new facility to meet their patient capacity. Using a combination of the principles of Transforming Care at the Bedside (TCAB) and Evidence-Based Design (EBD), an interdisciplinary team presented design recommendations.
Added April 2015
An Evaluation of Operating Room Safety and Efficiency: Pilot Utilization of a Structured Focus Group Format and Three-Dimensional Video Mock-Up To Inform Design Decision Making
2011
HERD: Health Environments Research & Design Journal
Journal Article
Issue 1
Volume 5
Pages 6-22
Author(s): Watkins, N., Kobelja, M., Peavey, E., Thomas, S., Lyon, J.
While surgical and interventional procedures are the most profitable services within the hospital, the cost of building and maintaining an OR can quickly reduce the profitability of running an OR. Due to this precarious balance of revenue and cost, the planning and design of an OR should look to reduce injury to staff and prevent unnecessary costs, while increasing operational efficiencies.
Added September 2014
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
The Effect of Environmental Design on Reducing Nursing Errors and Increasing Efficiency in Acute Care Settings: A Review and Analysis of the Literature
2009
Environment and Behavior
Journal Article
Issue 6
Volume 41
Pages 755-786
Author(s): Chaudhury, H., Mahmood, A., Valente, M.
In acute care settings, the physical environment plays an important role in staff efficiency and patient safety. Some research suggests that poor environments can result in staff stress, anxiety, and distractions due to noise; artificial lighting; improper or inadequate ventilation; and disorienting layouts of nursing units. There is less research on how environmental factors affect nursing staff health, effectiveness, errors, and job satisfaction.
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
Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process
Author(s): Joseph, A., Taylor, E. M. , Quan, X., Jelen, M.
Added October 2012
ED located next to ICU to bolster patient safety: staff from both departments can lend a hand
2006
ED Management
Journal Article
Issue 6
Volume 18
Pages 67-69
Author(s): Thompson
Added October 2012
The healing environment in our communities and healthcare settings: research excellence into practice
2005
Clinical Medicine
Journal Article
Issue 3
Volume 5
Pages 296-8
Author(s): Craft, N.
Added October 2012
Traffic and noise in children's wards
1994
Medical Journal of Australia
Journal Article
Issue 6
Volume 160
Pages 338-41
Author(s): Couper, R.T., Hendy, K., Lloyd, N., Gray, N., Williams, S., Bates, D.J.
Added October 2012
Use of emergency observation and assessment wards: a systematic literature review
2003
Emergency Medicine Journal
Journal Article
Issue 2
Volume 20
Pages 138-42
Author(s): Cooke, M.W., Higgins, J., Kidd, P.
Added October 2012
New vistas. Evidence-based design projects look into the links between a facility's environment and its care
2002
Health Facilities Management
Journal Article
Issue 8
Volume 15
Pages 19-24
Author(s): Bilchik, G.S.
Added October 2012
The Business Case for Better Buildings
2004
Frontiers in Health Services Management
Journal Article
Issue 1
Volume 21
Pages 3-21
Author(s): Berry, L., Parker, D., Coile, R., Hamilton, D.K., O'Neill, D., Sadler, B.
Added October 2012
Physician-patient communication in the primary care office: A systematic review
2002
Journal of the American Board of Family Practice
Journal Article
Author(s): Beck, R., Daughtridge, R., Sloane, P.
Added October 2012
Patient density, nurse-to-patient ratio and nosocomial infection risk in a pediatric cardiac intensive care unit
1997
The Pediatric Infectious Disease Journal
Journal Article
Issue 11
Volume 16
Pages 1045-8
Author(s): Archibald, L.K., Manning, M.L., Bell, L.M., Banerjee, S., Jarvis, W.R.
Added October 2012
Center for Health Design Releases Findings on How Design Can Improve the Standards of Care in Healthcare Facilities
2005
Pebble Project-Published Articles
Journal Article
Issue February 2005
Volume AIA Architect Online
Author(s):
Added October 2012
Reconfiguring clinical teamwork for safety and effectiveness
2002
Focus on Patient Safety
Electronic Article
Issue 3
Volume 5
Pages 1-2
Author(s): Uhlig, P.
Added October 2012
The Road Ahead: The Need to Clarify and Re-Conceptualize Healing Environments
2007
Environmental Design Research Association
Conference Proceedings
Author(s): Kuo, N., Hui, C.
Added October 2012
