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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 81 - 100 of 453

A ‘paperless’ wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement

Author(s): Ong, A. P. C., Devcich, D. A., Hannam, J., Lee, T., Merry, A. F., Mitchell, S. J.
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

Measuring the Use of Examination Room Time in Oncology Clinics: A Novel Approach to Assessing Clinic Efficiency and Patient Flow

Author(s): Hamel, L. M., Chapman, R., Eggly, S., Penner, L. A., Tkatch, R., Vichich, J., Albrecht, T. L.
Inefficient use of time can drain resources and impede effective clinic flow. Long wait times in oncology units often result in higher costs for both caregivers and patients, while patients also tend to experience increased stress and reduced overall satisfaction with their treatment. Long wait times have also been shown to directly and indirectly reduce patient adherence to recommended treatments.
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

Finding privacy from a public death: A qualitative exploration of how a dedicated space for end-of-life care in an acute hospital impacts on dying patients and their families

Author(s): Slatyer, S., Pienaar, C., Williams, A. M., Proctor, K., Hewitt, L.
Seriously ill patients die in hospitals around the world, and previous studies have shown that the factors that constitute a “good death” from the perspective of patients include control, comfort, family inclusion, sensitive communication, and peace. The quality of care provided to dying patients affects not only the patients, but bereaved families as well. It is therefore important for hospital environments to carefully consider the resources they provide towards quality end-of-life care.
Key Point Summary
Added December 2015

The Impact of a Flexible Care Area on Throughput Measures in an Academic Emergency Department

Author(s): McGrath, J., LeGare, A., Hermanson, L., Repplinger, M. D.
This paper explores the implementation of a novel strategy which involved the creation of a “flexible care area” (FCA), a space designed for initiating patient evaluations and treatments at the beginning of a patient’s visit.
Key Point Summary
Added December 2015

Driving Efficient Flow: Three Best-Practice Models

Author(s): Baker, S. J., Shupe, R., Smith, D.
Added December 2015

Does an ED Flow Coordinator Improve Patient Throughput?

Author(s): Murphy, S. O., Barth, B. E., Carlton, E. F., Gleason, M., Cannon, C. M.
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

Ergonomics in Healthcare Facility Design, Part 1: Patient Care Areas

Author(s): Stichler, J. F., Feiler, J. L.
Added December 2015

The Green House Model of Nursing Home Care in Design and Implementation

Author(s): Cohen, L. W., Zimmerman, S., Reed, D., Brown, P., Bowers, B. J., Nolet, K., Hudak, S., Horn, S., the THRIVE Research Collaborative
The Green House (GH) model of nursing home (NH) care is a trademarked model created in 2012 that seeks to undo the social stigmas and inefficiencies commonly associated with NHs. GH homes are marked by smaller-sized homes (10-12 residents) located in community neighborhoods, personalized care procedures that are tailored to individual patient needs, and 24-hour nurse availability.
Key Point Summary
Added November 2015

A fast genetic algorithm for solving architectural design optimization problems

Author(s): Su, Z., Yan, W.
Added November 2015

Physical Design Correlates of Efficiency and Safety in Emergency Departments: A Qualitative Examination

Author(s): Pati, D., Harvey, T. E., Pati, S.
The objective of this study was to explore and identify physical design correlates of safety and efficiency in emergency department (ED) operations. This study adopted an exploratory, multimeasure approach to (1) examine the interactions between ED operations and physical design at 4 sites and (2) identify domains of physical design decision-making that potentially influence efficiency and safety. Multidisciplinary gaming and semistructured interviews were conducted with stakeholders at each site.
Key Point Summary
Added November 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

Centralized to hybrid nurse station: Communication and teamwork among nursing staff

Author(s): Zhang, Y., Soroken, L., Laccetti, M., Castillero, E. R. d., Konadu, A.
Nursing stations often act as the primary workspaces for various members of a healthcare team while patients aren’t being directly worked with. Centralized nursing stations can lead to higher rates of telephone and computer use and administrative tasks while decreasing time spent caring for patients. Conversely, decentralized nursing stations have been found to create feelings of isolation and poor communication among staff. To emphasize the positive aspects of both formats, the authors propose a hybrid nursing station design that features decentralized stations connected to centralized meeting spaces.
Key Point Summary
Added October 2015

Creating Nursing’s New Academic Spaces: Making Dreams Come True

Author(s): Bavier, A. R., Bavier, R. N.
Added October 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

The role of noise in clinical environments with particular reference to mental health care: A narrative review

Author(s): Brown, B., Rutherford, P., Crawford, P.
The problem of noise in healthcare environments has been discussed in a variety of contexts, including psychology, sociology, built environment studies, and nursing. It has been well documented that the element of noise within clinical settings can elevate stress, impede recovery, and disturb sleep. But despite the extensive literature discussing the effects of noise in clinical settings, scarcely any research has been done on the role noise plays in mental healthcare environments.
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