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Knowledge Repository

Bringing the single versus multi-patient room debate to vulnerable patient populations: A systematic review of the impact of room types on hospitalized older people and people with neurological disorders

Author(s): Shannon, M. M., Lipson-Smith, R., Elf, M., Olver, J., Kramer, S., Bernhardt, J.

Hospital-acquired infection in public hospital buildings in the Philippines: Is the type of ventilation increasing the risk?

Author(s): Vergeire-Dalmacion, G. R., Itable, J. R., Baja, E. S.

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

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

Environmental factors and their association with emergency department hand hygiene compliance: an observational study

Author(s): Carter, E. J., Wyer, P., Giglio, J., Jia, H., Nelson, G., Kauari, V. E., Larson, E. L.
Adherence to proper hand hygiene procedures has been repeatedly shown to help prevent healthcare-associated infections (HAIs). Emergency departments (EDs) often experience environmental conditions such as crowding and subsequently end up using non-traditional patient care areas such as hallways to administer treatment. It is possible that the use of non-traditional patient care areas contributes to lower levels of hand hygiene compliance.
Key Point Summary

Visitor characteristics and alcohol-based hand sanitizer dispenser locations at the hospital entrance: Effect on visitor use rates

Author(s): Hobbs, M. A., Robinson, S., Neyens, D. M., Steed, C.
Proper hand hygiene is one of the most effective measures in the effort to prevent transmission of nosocomial pathogens in clinical settings. Previous studies have shown how healthcare-associated infections (HAIs) could be traced back to the spread of germs from hospital employees, patients, and visitors. While there is a large body of research on improving hand hygiene compliance among healthcare workers, there is a lack of similar studies aimed towards compliance among hospital visitors.
Key Point Summary

Risk factors associated with interfacility transfers among patients with Clostridium difficile infection

Author(s): Awali, R. A., Kandipalli, D., Pervaiz, A., Narukonda, S., Qazi, U., Trehan, N., Chopra, T.

Ebola Holding Units at government hospitals in Sierra Leone: evidence for a flexible and effective model for safe isolation, early treatment initiation, hospital safety and health system functioning

Author(s): Johnson, O., Youkee, D., Brown, C. S., Lado, M., Wurie, A., Bash-Taqi, D., Hall, A., Hanciles, E., Kamara, I., Kamara, C., Kamboz, A., Seedat, A., Thomas, S., Kamara, T. B., Leather, A. J. M., Kargbo, B.
The outbreak of Ebola Virus Disease (EVD) in West Africa during 2014-2015 was an unprecedented modern crisis that required novel approaches to outbreak containment and management. In response, the Ministry of Health and Sanitation (MOHS) and the King’s Sierra Leone Partnership (KSLP) in Freetown, Sierra Leone, worked to develop and implement five new Ebola Holding Units (EHUs) in government hospitals, which successfully isolated 37% of the 3,097 confirmed EVD cases within the country’s Western Urban and Rural district.
Key Point Summary

Impact of a Comprehensive Workplace Hand Hygiene Program on Employer Health Care Insurance Claims and Costs, Absenteeism, and Employee Perceptions and Practices:

Author(s): Arbogast, J. W., Moore-Schiltz, L., Jarvis, W. R., Harpster-Hagen, A., Hughes, J., Parker, A.

Secondary exposure risks to patients in an airborne isolation room: Implications for anteroom design

Author(s): Mousavi, E. S., Grosskopf, K. R.
Previous research has shown that negatively pressurized Airborne Infectious Isolation Rooms (AIIRs) can protect hospitals from fatal airborne pathogens such as tuberculosis. But this use of negative pressurization can simultaneously increase the chances of isolated patients contracting secondary infections, or healthcare-acquired infections (HAIs), caused by air blowing in from adjacent spaces. Research is needed to better assess the actual likelihood of secondary infections occurring in these scenarios so that steps can be taken to mitigate these risks.
Key Point Summary