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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 - 19 of 19

Systematic light exposure in the treatment of cancer-related fatigue: a preliminary study: Systematic light exposure in the treatment of cancer-related fatigue

Author(s): Redd, W. H., Valdimarsdottir, H., Wu, L. M., Winkel, G., Byrne, E. E., Beltre, M. A., Liebman, E. S., Erazo, T., Hayes, J. A., Isola, L., Scigliano, E., Meschian, Y., Lutgendorf, S., Ancoli-Israel, S.
Patients with cancer frequently report the side effect of fatigue, which is described as distressing, persistent, and related to physical, emotional, and cognitive tiredness or exhaustion. Patients report feeling tired after resting during their treatments and long after the treatment has ended.
Key Point Summary
Added November 2016

Effects of an Assisted Living Facility Specifically Designed for Individuals with Memory Disorders: A Pilot Study

Author(s): Springate, B. A., Talwar, A. K., Tremont, G.
A 2007 study estimated that 14% of individuals over the age of 71 have dementia, and many of those individuals require some level of support with daily life. Furthermore, many of these individuals eventually move to assisted living (AL) facilities or nursing homes as they begin to require more assistance. Many people choose AL facilities due to pricing or the desire to be assisted rather than nursed. Previous studies have indicated that the physical environment of nursing homes can influence the overall well-being of residents with dementia. However, relatively few studies have assessed the effects of AL facility environments on the well-being of dementia patients.
Key Point Summary
Added June 2016

The Impact of an Acute Psychiatry Environment on Older Patients and Their Families

Author(s): Hung, L., Loewen, E., Bindley, B., McLaren, D., Feist, T., & Phinney, A.
There is a lack of research that examines impact of the designed environment on the experience of older adults and their families in healthcare settings.
Key Point Summary
Added January 2016

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

Intensive care unit design and mortality in trauma patients

Author(s): Pettit, N. R., Wood, T., Lieber, M., O'Mara, M. S.
A primary concern for many patient care units is the question of where to place more seriously ill patients within the space that is available. Questions regarding the impact of architectural features, such as the availability of natural lighting, or adjacency to nurse stations on patient health outcomes should be further explored so that increasingly effective healthcare environments can be established. Currently, no data exist demonstrating whether trauma patients receiving treatment in intensive care unit (ICU) beds with poor visibility from a central nursing station experience health outcomes different from those in rooms that may be more visible from the nursing station.
Key Point Summary
Added December 2015

Initiatives to reduce overcrowding and access block in Australian emergency departments: A literature review

Author(s): Crawford, K., Morphet, J., Jones, T., Innes, K., Griffiths, D., Williams, Allison
Australian emergency departments are experiencing an increasing demand for their services. Patient throughput continues to expand resulting in overcrowding and access block where patients cannot gain entry to appropriate hospital beds. This is despite both state and federal governments implementing numerous schemes to address the complex causes of stress on emergency departments. This paper...
Key Point Summary
Added December 2015

Using Lean-Based Systems Engineering to Increase Capacity in the Emergency Department

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.
Key Point Summary
Added December 2015

Evaluation of factors and approaches affecting emergency department space planning

Author(s): Pascale, F., Achour, N., Price, A. D. F., Polverino, F.
Increasing demand for care in emergency departments (EDs) is a widespread issue that has provoked the development of different processes to help reduce the struggles faced by healthcare providers. By investigating the different methods healthcare designers have implemented to reduce the costs and complications associated with ED overcrowding and inefficiency, more resilient designs may be realized in the future.
Key Point Summary
Added November 2015

Implications of the emergency department triage environment on triage practice for clients with a mental illness at triage in an Australian context

Author(s): Broadbent, M., Moxham, L., Dwyer, T.
Emergency departments (EDs) in Australia have been seeing an increase in recent years in the number of patients presenting with mental illness. This study aims to determine if the triage environment of the ED influences the triage practice of ED nurses. Using an ethnographic approach, the research found that ED nurses felt that triaging mentally ill patients in an area that is very public, noisy, and lacks privacy can impact their ability to effectively conduct assessments and manage patients.
Key Point Summary
Added October 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

Exploring Perceptions of Designers and Medical Staff in South Korea about Design Elements for the Elder-Friendly Hospital

Author(s): Kim, D., Lee, J. H., Ha, M.
The elderly population is growing around the world and so is the geriatric patient population. The authors indicate that despite the fact that the elderly will soon be the primary users of healthcare services, healthcare facilities are not designed for the elderly. In this study, designers and medical staff were asked to rate the importance of 33 design elements in the context of an elder-friendly hospital.
Key Point Summary
Added August 2015

The Geriatric ED: Structure, Patient Care, and Considerations for the Emergency Department Geriatric Unit

Author(s): Burton, J. H., Young, J., Bernier, C. A.
Older patients who visit the emergency department in developed countries are more likely to require a more specialized nature of treatment in comparison to younger patients. The authors believe that current-day emergency departments are not equipped to adequately treat these patients in terms of design and staff training for assessments and evaluations unique to this age group. The authors recommend a geriatric-specific approach to designing patient treatment spaces, medical evaluations, neurocognitive assessments, and post-ED visit support.
Key Point Summary
Added June 2015

A companionship between strangers – the hospital environment as a challenge in patient–patient interaction in oncology wards

Author(s): Larsen, L. S., Larsen, B. H., Birkelund, R.
The authors allude to existing literature indicating the healing and therapeutic effect of hospital environments and the increasing evidence between healthcare environments and patient outcomes. In this study the authors explore through observations and interviews of patients how the hospital environment impacts the interaction between hospitalized cancer patients.
Key Point Summary
Added May 2015

Tailored lighting intervention improves measures of sleep, depression, and agitation in persons with Alzheimer’s disease and related dementia living in long-term care facilities

Author(s): Figueiro, M. G., Plitnick, B. A., Lok, A., Jones, G. E., Higgins, P., Hornick, T. R., Rea, M. S.
In 2010, an estimated 5.1 million elderly Americans were affected by Alzheimer’s disease and related dementia (ADRD). Individuals with ADRD are often transferred into controlled environments due to common behavioral symptoms such as nocturnal wandering, disturbed sleep-wake patterns, agitation, and verbal or physical abuse.
Key Point Summary
Added March 2015

Exploring positive hospital ward soundscape interventions

Author(s): Mackrill, J., Jennings, P., Cain, R.
Research has repeatedly shown strong relationships between human health and the characteristics of physical environments, such as a given environment’s soundscape. A soundscape encompasses all the sounds generated within an environment, rather than a single sound source like an air vent. While there have been negative health effects associated with the excessive sound often produced in hospital soundscapes, there potentially could be beneficial outcomes in maintaining and thoroughly understanding the soundscapes of certain hospital areas.
Key Point Summary
Added December 2014

Does a mobile laminar airflow screen reduce bacterial contamination in the operating room? A numerical study using computational fluid dynamics technique

Author(s): Sadrizadeh, S., Tammelin, A., Nielsen, P. V., Holmberg, S.
Surgical-site infections (SSIs) can increase patient morbidity and mortality and extend hospitalization time. Operating room (OR) personnel are the main source of airborne bacteria; a person releases roughly 104 skin scales per minute while walking, 10% of which carry bacteria, although up to 12 times as many microorganisms may be discharged depending on the individual and situation. Bacteria in the OR might contaminate a surgical wound through contact with the air or through contaminated surgical instruments.
Key Point Summary
Added November 2014

The psychiatric ward as a therapeutic space: Systematic review

Author(s): Papoulias, C., Csipke, E., Rose, D., McKellar, S., Wykes, T.
Added November 2014

Analysis of the soundscape in an intensive care unit based on the annotation of an audio recording

Author(s): Park, M., Kohlrausch, A., de Bruijn, W., de Jager, P., Simons, K.
Patients receiving treatment in intensive care units (ICUs) are often subjected to elevated noise levels that can complicate recovery by disturbing sleep patterns and causing stress, anxiety, and changes in cardiovascular response. Although previous research has thoroughly analyzed the various sources of noise in ICUs, the authors of this study believe that inadequate recording and sound analysis techniques, as well as the presence of human observers collecting data, have restricted the depth of previous findings.
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