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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 59

The Role of the Physical Environment in the Hospital of the 21st Century: A Once-in-a-Lifetime Opportunity (Abstracts Table Supplement)

Author(s): Ulrich, R. S., Zimring, C., Quan, X., Joseph, A., Choudhary, R.
Added December 2022

The Role of the Physical Environment in the Hospital of the 21st Century: A Once-in-a-Lifetime Opportunity

Author(s): Ulrich, R. S., Zimring, C., Quan, X., Joseph, A., Choudhary, R.
Added December 2022

Light at Night and Measures of Alertness and Performance: Implications for Shift Workers

Author(s): Figueiro, M. G., Sahin, L., Wood, B., Plitnick, B.
Rotating-shift workers, particularly those working at night, are likely to experience sleepiness, decreased productivity, and impaired safety while on the job. Light at night has been shown to have acute alerting effects, reduce sleepiness, and improve performance. However, light at night can also suppress melatonin and induce circadian disruption, both of which have been linked to increased health risks. Previous studies have shown that long-wavelength (red) light exposure increases objective and subjective measures of alertness at night, without suppressing nocturnal melatonin.
Key Point Summary
Added November 2016

Shift work: health, performance and safety problems, traditional countermeasures, and innovative management strategies to reduce circadian misalignment

Author(s): Eastman, C. I., Smith, M. R.
This paper is a review of the literature related to health, performance, and safety problems associated with night shift work. The review of articles and research papers focused on circadian misalignment between the individual’s internal circadian clock and activities such as work, sleep, and eating. There is also discussion about chronic partial sleep deprivation and melatonin suppression at night. The articles reviewed include theory papers and research papers.
Key Point Summary
Added November 2016

Objective and subjective assessments of lighting in a hospital setting: implications for health, safety and performance

Author(s): Dianat, I., Sedghi, A., Bagherzade, J., Jafarabadi, M. A., Stedmon, A. W.
Poor lighting conditions in workplaces, particularly healthcare environments, can cause discomfort for both patients and staff members, while also negatively affecting the performance of standard tasks. Ailments such as eyestrain, headaches, and indigestion may evolve from low lighting levels, high amounts of glare, and even flickering light sources.
Key Point Summary
Added October 2016

Quality of Lighting in Hospital Environments: A Wide Survey Through in Situ Measurements

Author(s): Leccese, F., Montagnani, C., Iaia, S., Rocca, M., Salvadori, G.
Added July 2016

Understanding Green Building Design and Healthcare Outcomes: Evidence-Based Design Analysis of an Oncology Unit

Author(s): Campion, N., Thiel, C. L., Focareta, J., Bilec, M. M.
The United States healthcare industry is a major part of the economy as well as a significant contributor to carbon dioxide emissions and other environmental issues. Green building design (GBD) attempts to offset environmental impacts of buildings, and recently designers have been combining GBD with evidence-based design (EBD) in order to create facilities that positively impact both the external and internal environment.
Key Point Summary
Added June 2016

Ergonomical aspects of anaesthetic practice

Author(s): Raghavendra, R.S.
Anesthesiologists typically act as data analyzers, investigators, and planners for forthcoming surgical events, but only after patients and their families have been convinced that the procedure is appropriate. With the field of anesthesiology rapidly developing, it is imperative that workstations are optimized so that procedures can be conducted efficiently and safely. Ergonomics is defined as a discipline that explores and applies information regarding human characteristics, requirements, limitations, and abilities to the development, design, engineering, and testing of equipment, systems, and occupations.
Key Point Summary
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

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.
Key Point Summary
Added May 2016

Lighting and Nurses at Medical–Surgical Units: Impact of Lighting Conditions on Nurses’ Performance and Satisfaction

Author(s): Hadi, K., DuBose, J. R., Ryherd, E.
Added April 2016

Adapting to Family-Centered Hospital Design: Changes in Providers’ Attitudes over a Two-Year Period

Author(s): France, D., Throop, P., Joers, B., Allen, L., Parekh, A., Rickard, D., Deshpande, J.
Although hospitals are being designed based on evidence-based design principles, it’s unclear how working in such an environment influences providers’ attitudes and professional performance.
Key Point Summary
Added January 2016

Destination Bedside

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.
Key Point Summary
Added January 2016

A fast genetic algorithm for solving architectural design optimization problems

Author(s): Su, Z., Yan, W.
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

Improving Pediatric Radiography Patient Stress, Mood, and Parental Satisfaction Through Positive Environmental Distractions: A Randomized Control Trial

Author(s): Quan, X., Joseph, A., Nanda, U., Moyano-Smith, O., Kanakri, S., Ancheta, C, Loveless, E. A.
To evaluate how a positive environmental distraction intervention impacted pediatric radiography patient behavioral stress-responses, mood states, and parental satisfaction.
Key Point Summary
Added September 2015

Environmental Designs for Reading from Imaging Workstations: Ergonomic and Architectural Features

Author(s): Horii, S. C., Horii, H. N., Mun, S. K., Benson, H. R., Zeman, R. K.
Added September 2015

From “Baby Barn” to the “Single Family Room Designed NICU”: A Report of Staff Perceptions One Year Post Occupancy

Author(s): Cone, S. K., Short, S., Gutcher, G.
Single Family Rooms (SFRs) are becoming an increasingly popular design model in the care of critically ill preterm infants. The advantages of this physical environment to the infant, family and care providers is well documented.
Key Point Summary
Added July 2015

Lighting for Today's Neonatal Intensive Care Unit

Author(s): Rizzo, P., Rea, M., White, R.
Lighting is a design feature in NICUs that needs to cater to and support all users of the NICU – the infant, the staff, and the family. The authors surmise that lighting should be quiet, reliable, efficient, maintenance- free, and flexible in accordance with the diverse and changing requirements of the NICU users.
Key Point Summary
Added July 2015

Luminous environment in healthcare buildings for user satisfaction and comfort: an objective and subjective field study

Author(s): Lo Verso, V. R.M., Caffaro, F., Aghemo, C.
Lighting is important in healthcare, and the authors indicate its relevance to patient recovery and staff satisfaction. According to the authors, luminous environmental quality affects visual comfort, which is related to both natural and artificial lighting.
Key Point Summary
Added June 2015

Part 2: Evaluation and Outcomes of an Evidence-Based Facility Design Project

Author(s): Krugman, M., Sanders, C., Kinney, L. J.
After a western academic hospital implemented the recommendations of an interdisciplinary team that combined the principles of Transforming Care at the Bedside (TCAB) and Evidence-Based Design (EBD), an evaluation was necessary. This article (Part 2) presents the evaluation of the project.
Key Point Summary
Added June 2015