The Effect of a Safe Zone on Nurse Distractions, Interruptions, and Medication Administration Errors
2012
Western Journal of Nursing Research
Journal Article
Issue 8
Volume 34
Pages 1068-1069
Author(s): Yoder, M., Schadewald, D.
Added May 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
The Business Case for Building Better Neonatal Intensive Care Units
Journal of Perinatology
2014
Journal Article
Issue 11
Volume 34
Pages 811-815
Author(s): Shepley, M., Smith, J.A., Sadler, B.L. & White, R.D.
There is increasing evidence that the physical environment of the Neonatal Intensive Care Unit (NICU) has a tangible effect on the vulnerable infants who spend the first crucial weeks or months of their life there.
Added January 2016
Destination Bedside
2012
The Journal of Nursing Administration
Journal Article
Issue 5
Volume 42
Pages 256-265
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.
Added January 2016
Planning an MR suite: What can be done to enhance safety?
2015
Journal of Magnetic Resonance Imaging
Journal Article
Issue 3
Volume 42
Pages 566-571
Author(s): Gilk, T., Kanal, E.
Added April 2015
Healing environment: A review of the impact of physical environmental factors on users
2012
Building and Environment
Journal Article
Author(s): Huisman, E. R. C. M., Morales, E., van Hoof, J., Kort, H. S. M.
According to the authors, research that examines the physical environment and its impact on the healing and well-being of human beings has been growing in the last several years. There is increasing availability of literature on evidence-based design.
Added March 2015
Realizing improved patient care through human-centered operating room design: A human factors methodology for observing flow disruptions in the cardiothoracic operating room
2013
Anesthesiology
Journal Article
Issue 5
Volume 119
Pages 1066-1077
Author(s): Palmer, G., Abernathy, J. H., Swinton, G., Allison, D., Greenstein, J., Shappell, S., Juang, K., Reeves, S. T.
The authors indicate that disruptions in the workflow of surgeries can extend surgery times and contribute to the escalation of healthcare costs.
Added March 2015
Patient Safety in the Cardiac Operating Room: Human Factors and Teamwork A Scientific Statement From the American Heart Association
2013
Circulation
Journal Article
Issue 10
Volume 128
Pages 1139-1169
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.
Added March 2015
Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station
2012
BMJ Quality & Safety
Journal Article
Issue 11
Volume 21
Pages 939-947
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.
Added December 2014
Flexibility in hospital building and application by means of standardized medical room types
Author(s): Kamp, P. G., Kooistra, R. L., Ankersmid, H. A. H. G., Bonnema, G. M.
Added November 2014
ACR guidance document on MR safe practices: 2013
2013
Journal of Magnetic Resonance Imaging
Journal Article
Issue 3
Volume 37
Pages 501-530
Author(s): Kanal, E., Barkovich, A. J., Bell, C., Borgstede, J. P., Bradley, W. G., Froelich, J. W., Gimbel, J. R., Gosbee, J. W., Kuhni-Kaminski, E., Larson, P. A., Lester, J. W., Nyenhuis, J., Schaefer, D. Joe, Sebek, E. A., Weinreb, J., Wilkoff, B. L., Woods, T. O., Lucey, L., Hernandez, D.
Added November 2014
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
Applying human factors in improving medication-use safety
2002
American Journal of Health-System Pharmacy
Journal Article
Issue 12
Volume 59
Pages 1155-1159
Author(s): Schneider,PJ.
In this descriptive study the author summarizes the highlights of an interactive conference on human factors (HF) and t applications to improve medication safety. The author describes the various human factors concepts and tools and their applications in reducing human errors, thus improving medication safety.
Added May 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
Medication Errors Observed in 36 Healthcare Facilities
2002
Archives of Internal Medicine
Journal Article
Issue 16
Volume 162
Pages 1897-1903
Author(s): Barker, K. N., Flynn, E. A., Pepper, G. A., Bates, D. W., Mikeal, R. L.
The authors in this study aimed to measure and compare the medication error rates at 36 healthcare facilities in Georgia and Colorado. Three different facility types were randomly stratified and included in the study; Joint Commission accredited hospitals, Joint Commission non-accredited hospitals and skilled nursing facilities. The main aim was to observe if the medication error rates in these healthcare settings differ by facility type (by bed size) or by State.
Added April 2014
No Interruptions Please: Impact of a No Interruption Zone on Medication Safety in Intensive Care Units
2010
Critical Care Nurse
Journal Article
Issue 3
Volume 30
Pages 21-29
Author(s): Anthony, K., Wiencek, C., Bauer, C., Daly, B., Anthony, M. K.
The authors conducted a quasi-experimental study to study the impact of a No Interruption Zone (NIZ)
Added April 2014
Incidents relating to the intra-hospital transfer of critically ill patients
2004
Intensive Care Medicine
Journal Article
Issue 8
Volume 30
Pages 1579-1585
Author(s): Beckmann, U., Gillies, D. M., Berenholtz, S. M., Wu, A. W., Pronovost, P.
Transportation of critically ill patients between hospitals can increase complications. Intrahospital transportation poses many of the same risks. Examining these incidents could uncover ways to improve patient safety during transportation.
Added April 2014
Review of the Literature: Acuity-Adaptable Patient Room
2013
Critical Care Nursing Quarterly
Journal Article
Issue 2
Volume 36
Pages 251–271
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.
Added March 2014
Same-Handed and Mirrored Unit Configurations: Is There a Difference in Patient and Nurse Outcomes?
2011
Journal of Nursing Administration
Journal Article
Issue 6
Volume 41
Pages 273-279
Author(s): Watkins, N., Kennedy, M., Ducharme, M., Padula, C.
Awareness of the impact of healthcare facility design on a number of diverse patient and staff outcomes is growing. From patient recovery time, satisfaction, and comfort to nursing staff efficiency, error rates, and distraction, varied outcomes are being linked to environmental conditions and design attributes in hospital settings. Inpatient unit configurations, specifically same-handed configurations vs. mirrored units, are a particular area of interest for researchers, with implications for practitioners and patient care. Same-handed configurations, which standardize all rooms within a unit such that they are all identical, may allow for reduced noise as headwalls are no longer shared.
Added February 2014
Impact of Medication Storage Cabinets on Efficient Delivery of Medication and Employee Frustration
2010
Journal of Nursing Care Quality
Journal Article
Issue 4
Volume 25
Pages 352-357
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.
Added January 2014
