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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 - 20 of 49

Airflow patterns through single hinged and sliding doors in hospital isolation rooms – Effect of ventilation, flow differential and passage

Author(s): Kalliomäki, p., Saarinen, P., Tang, J. W., Koskela, h.
Patients with highly contagious diseases are often housed in negative pressure isolation rooms. These rooms attempt to reduce cross-infections within the hospital. However, airflows produced by healthcare worker movements and door opening motions pose the risk of spreading pathogen-laden air from negative pressure isolation rooms into other spaces. A significant number of previous studies have examined the impact of single-hinged door-generated airflows, but few have compared hinged doors with sliding doors.
Key Point Summary
Added December 2016

Low stimulus environments: reducing noise levels in continuing care

Author(s): Brown, J., Fawzi, W., Shah, A., Joyce, M., Holt, G., McCarthy, C., Stevenson, C., Marange, R., Shakes, J., Solomon-Ayeh, K.
This article highlights a project that aimed to reduce levels of intrinsic background noise on an adult mental health ward. Following intervention, the ward was able to decrease the background noise decibel level from 60dB to 53dB (on average).
Key Point Summary
Added November 2016

Surface Finish Materials: Considerations for the Neonatal Intensive Care Unit (NICU)

Author(s): Harris, D.
In this literature review, it is shown that a growing body of research has been focusing on how surface material finishes within neonatal intensive care units (NICUs) can contribute to the operational, clinical, and social aspects of health outcomes.
Key Point Summary
Added September 2016

Role of Bed Design and Head-of-Bed Articulation on Patient Migration

Author(s): Davis, K. G., & Kotowski, S. E.
Patients often migrate towards the foot of the bed. Two reasons are cited for this occurrence: gravity over time and bed design. Patients are exposed to friction from sliding on the mattress.
Key Point Summary
Added January 2016

Preparing an ICU room to welcome a critically ill patient with Ebola virus disease

Author(s): Pasquier, P., Ficko, C., Mérens, A., Dubost, C.
Ebola virus disease is a viral hemorrhagic fever that spreads through direct contact with the body fluids of an infected animal or human. Contamination may also occur through contact with items that were recently contacted by infected bodily fluids. No spread of the disease through the air has been documented. As no specific treatment or vaccine for the virus is currently available, specially coordinated medical services are necessary to control outbreaks.
Key Point Summary
Added December 2015

Benefits from wood interior in a hospital room: a preference study

Author(s): Nyrud, A. Q., Bringslimark, T., Bysheim, K.
New design strategies, focusing on implementing the psychologically beneficial effects of nature in the built environment, are increasingly being implemented in building design. The design of built settings is of particular importance in environments intended for healing, such as hospitals. Preferences for a setting are thought to be indicators of factors in the environment that can enhance...
Key Point Summary
Added December 2015

Exploring Safety and Quality In a Hemodialysis Environment With Participatory Photographic Methods: A Restorative Approach.

Author(s): Marck, P., Molzahn, A., Berry-Hauf, R., Hutchings, L. G., Hughes, S.
The authors indicate that hemodialysis units can be fraught with numerous safety issues related to medication errors, lapses in communication, patient falls, equipment issues, infection control, etc. These issues can be critical in high-acuity units. This study used qualitative methods to identify existing and potential safety issues in a hemodialysis unit in a tertiary care hospital in Canada.
Key Point Summary
Added September 2015

Patient Safety in the Cardiac Operating Room: Human Factors and Teamwork A Scientific Statement From the American Heart Association

Author(s): Wahr, J. A., Prager, R. L., Abernathy, J. H., Martinez, E. A., Salas, E., Seifert, P. C., Groom, R. C., Spiess, B. D., Searles, B. E., Sundt, T. M., Sanchez, J. A., Shappell, S. A., Culig, M. H., Lazzara, E. H., Fitzgerald, D. C., Thourani, V. H., Eghtesady, P., Ikonomidis, J. S., England, M. R., Sellke, F. W., Nussmeier, N. A.
The cardiac surgical operating room is a complex environment, where patient lives are saved or considerably improved with the help of sophisticated equipment and skilled personnel. Although outcomes are improving, adverse events still occur, many of which are preventable. This statement is the result of a review of literature that presented evidence on patient safety and interventions that worked in enhancing patient safety in the cardiac OR.
Key Point Summary
Added March 2015

Hospital bathroom ergonomics: Safety, usability and accessibility issues

Author(s): Capodaglio, E. M.
The design of a hospital bathroom is important in terms of its usability and accessibility and crucial for patient and staff safety. A bathroom’s design and layout becomes more important in a rehabilitation unit, where patient mobility is restricted for various reasons.
Key Point Summary
Added November 2014

Reduction of healthcare-associated infections in a long-term care brain injury ward by replacing regular linens with biocidal copper oxide impregnated linens

Author(s): Lazary, A., Weinberg, I., Vatine, J.-J., Jefidoff, A., Bardenstein, R., Borkow, G., Ohana, N.
Due to its antibacterial, antiviral, and fungicidal properties, copper has been widely used for centuries as a biocide. Microorganisms resistant to copper are extremely rare. Recently, methods have been developed for embedding copper oxide particles into textile products, thereby giving them antimicrobial and anti-mite properties, and in some cases, advanced wound-healing abilities. Consumer products featuring copper oxide such as sheets, diapers, and pillowcases have been proven completely safe to humans through numerous studies, with no adverse health reactions on record.
Key Point Summary
Added November 2014

A decade of adult intensive care unit design: a study of the physical design features of the best-practice examples

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.
Key Point Summary
Added July 2014

Life Safety Code Comparison

Author(s): Crowley, M. A., Harper, J. E.
Added May 2014

Environmental evaluation for workplace violence in healthcare and social services

Author(s): McPhaul, K.M. , Murrett, K., Flannery, K. , Rosen, J., Lipscomb, J., London, M.
The purpose of this project was to contribute specific, evidence–based guidance to the healthcare and social services employer communities regarding the use of environmental design to prevent violence.
Key Point Summary
Added April 2014

Medical Gas Cylinder and Bulk Tank Storage

Author(s): McLaughlin, S., Dagenais, D.
There are particular requirements for storing medical gas cylinders as well as requirements for bulk tank storage in healthcare settings; these regulatory requirements exist specifically for cylinders that are not in use. In use refers to cylinders being used by a patient, or attached to equipment and ready for immediate use, or located in patient rooms about to be used. Requirements vary depending on the total amount of cubic feet of gas needing to be stored, with the most stringent regulations for more than 3,000 cubic feet of gas, less stringent requirements for 300-3,000 cubic feet of gas, and the least stringent requirements for less than 300 cubic feet of gas. These requirements are in place to reduce the risk of accident and injury.
Key Point Summary
Added March 2014

Converting Medical/Surgical Units for Safe Use by Psychiatric Patients: The Physical and Fiscal Risks

Author(s): Hunt, J. M., Sine, D. M.
When repurposing medical/surgical units as behavioral health units, there are a significant number of elements within the physical environment that must be modified to support the specialized needs of the patients and reduce the risk of self-harm and harm to others. While intention for self-harm cannot be reliably assessed, suicide is a major concern on psychiatric units, and therefore there is a need to design the unit as if all patients may be at risk for self-harm.
Key Point Summary
Added March 2014

Impact of Medication Storage Cabinets on Efficient Delivery of Medication and Employee Frustration

Author(s): Hull, T., Czirr, L. , Wilson, M.
Safe medication administration is essential to ensuring positive patient outcomes and is a priority in healthcare institutions. Recent innovations in technology and automation are designed to eliminate errors as well as move activities closer to the patient’s bedside to improve nursing workflow. It has been postulated that moving medications and supplies closer to the point of care reduces nurses’ traveling time and makes it easier to administer medication.
Key Point Summary
Added January 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

Role of the Physical and Social Environment in Promoting Health, Safety, and Effectiveness in the Healthcare Workplace

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

Health Promotion by Design in Long-Term Care Settings

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

Reducing workload and increasing patient safety through work and workspace design.

Author(s): Carayon, P., Alvarado, C.J., Hundt, A.S.
Added October 2012