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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 318

Effectiveness of indoor environment quality in LEED-certified healthcare settings

Author(s): Xuan, X.
Added June 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

Does effective designing of operation theaters contribute towards staff satisfaction: A cross-sectional study

Author(s): Rinkoo, A. V., Singh, S. P., Mishra, S., Vashishta, G., Chandra, H., Singh, P. K.
Design has an impact on staff satisfaction. Operation theaters (OTs) are a primary source of revenue for the study hospital. The operation theaters of the hospital recently underwent renovation. Determining the staff satisfaction with the new work environment was crucial, as literature indicated that staff satisfaction was tied to patient satisfaction and higher financial returns.
Key Point Summary
Added June 2015

Part 1: Evidence-Based Facility Design Using Transforming Care at the Bedside Principles

Author(s): Devine, D. A., Wenger, B., Krugman, M., Zwink, J. E., Shiskowsky, K., Hagman, J., Limon, S., Sanders, C., Reeves, C.
A western academic hospital reexamined its design strategy when after three years of building a new facility they had to plan for a new facility to meet their patient capacity. Using a combination of the principles of Transforming Care at the Bedside (TCAB) and Evidence-Based Design (EBD), an interdisciplinary team presented design recommendations.
Key Point Summary
Added April 2015

Realizing improved patient care through human-centered operating room design: A human factors methodology for observing flow disruptions in the cardiothoracic operating room

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.
Key Point Summary
Added March 2015

Patient Safety in the Cardiac Operating Room: Human Factors and Teamwork A Scientific Statement From the American Heart Association

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.
Key Point Summary
Added March 2015

Including patients, staff and visitors in the design of the psychiatric milieu

Author(s): Perkins, N. H.
Most research addressing environmental design for healthcare facilities focuses on expert-determined and expert-driven outcomes. Little attention has been given to the perspectives offered by those who are ultimately using the facilities, namely the patients, staff, and visitors. Participatory design and planning (PDP) is a method that takes these non-expert opinions into consideration while operating under three assumptions. First, healthcare facilities are complex environments that require a team of people who can understand and maintain structured information necessary for optimum design.
Key Point Summary
Added December 2014

The Impact of Windows and Daylight on Acute-Care Nurses' Physiological, Psychological, and Behavioral Health

Author(s): Zadeh, R. S., Shepley, M. M., Williams, G., Chung, S. S..
Added December 2014

Ambulatory infusion suite: pre- and post-occupancy evaluation

Author(s): Shepley, M.M., Rybkowski, Z., Aliber, J., Lange, C.
The authors refer to the lack of research on the design of cancer facilities while emphasizing the need to study the impact of the physical environment of infusion suites on patient experience. This study evaluates the perceptions of patients and staff of two infusion suites – old and new, specifically in connection with social interaction, privacy, and access to nature.
Key Point Summary
Added December 2014

The relationship between birth unit design and safe, satisfying birth: Developing a hypothetical model

Author(s): Foureur, M., Davis, D., Fenwick, J., Leap, N., Iedema, R., Forbes, I., Homer, C. S. E.
The authors assert that just as the designed environment can impact health outcomes by disrupting effective communication and increasing patient and staff stress, it can also impact the experiences and outcomes for birthing women.
Key Point Summary
Added December 2014

Job Satisfaction and Intention to Quit Among Nursing Home Nursing Staff: Do Special Care Units Make a Difference?

Author(s): Robison, J., Pillemer, K.
Research regarding the impact of special care units (SCUs) on the experience of staff provides a somewhat inconsistent picture. Several studies have examined the effect on staff of working in a facility that has an SCU without including a comparison with staff who work on conventional units. These studies have found generally positive results, including lower turnover among nurses. Despite the promise of SCUs, the degree to which they differ in important outcomes from conventional nursing home care has not been firmly established. Some comparative studies have found no clear differences in resident outcomes for SCUs.
Key Point Summary
Added November 2014

Conveniently located “napping rooms” provide opportunity for night- and extended-shift providers to rest, leading to less fatigue and better performance.

Author(s):
Healthcare providers are known for working unacceptably long hours and being chronically sleep deprived. Often, physicians and nurses work 24+ hour shifts, leading to fatigue and avoidable errors that put both caregivers and patients at risk of serious injury or death. Acute and chronic sleep deprivation can mimic the effects of drunkenness.
Key Point Summary
Added November 2014

Effectiveness of installing overhead ceiling lifts: Reducing musculoskeletal injuries in an extended care hospital unit.

Author(s): Ronald, L. A., Yassi, A., Spiegel, J., Tate, R. B., Tait, D., Mozel, M. R.
High rate of musculoskeletal injuries (MSI) among healthcare workers is well documented. Lifetime prevalence rates of back pain greater than 70 percent have been reported and higher incidence rates of MSI have been observed in healthcare workers compared to the general population and two other occupation groups. Mechanical lifting equipment has been recommended as an effective tool for decreasing the rate and severity of MSI in healthcare workers.
Key Point Summary
Added November 2014

NICU redesign from open ward to private room: A longitudinal study of parent and staff perceptions

Author(s): Swanson, J. R., Peters, C., Lee, B. H.
For the past 20 years, floor plans incorporating single-patient room designs have been growing in popularity, especially in the context of neonatal intensive care units (NICUs). The differences between private-room (PR) floor plans and open-ward (OW) floor plans have been thoroughly studied, with previous research showing how OW NICUs can limit privacy and generate other negative environmental effects for patients and family members.
Key Point Summary
Added November 2014

Factors influencing evaluation of patient areas, work spaces, and staff areas by healthcare professionals

Author(s): Sadatsafavi, H., Walewski, J., Shepley, M. M.
One important element of high-quality healthcare delivery is a motivated and satisfied staff. Healthcare executives should regularly examine the factors that influence clinicians’ perceptions of satisfaction and quality so that necessary changes can be addressed.
Key Point Summary
Added November 2014

A better physical environment in the workplace means higher well-being? A study with healthcare professionals

Author(s): Campos-Andrade, C., Hernández-Fernaud, E., Lima, M.-L.
Referring to literature that points to the physical and psychological demands of healthcare work, the authors note that a negative physical environment can add to stress, burnout, and the possibility of error in addition to having repercussions for the health and well-being of the workers. Noise levels, unit configuration, and patient room type (single or multi-bed) are some of the environmental factors that have been studied and found to affect the experience and well-being of nurses.
Key Point Summary
Added November 2014

The effects of physical environments in medical wards on medication communication processes affecting patient safety

Author(s): Liu, W., Manias, E., Gerdtz, M.
The physical environment of a hospital has a wide range of effects on the quality of care administered to patients. In the context of medication distribution, seamless communication among healthcare professionals of different backgrounds is imperative, and in many cases the physical environment itself can have positive or negative effects on this complex process.
Key Point Summary
Added November 2014

To provide care and be cared for in a multiple-bed hospital room

Author(s): Persson, E., Määttä, S.
Added November 2014

An exploration of the meanings of space and place in acute psychiatric care

Author(s): Andes, M., Shattell, M. M.
The effectiveness of acute psychiatric care (or short-term psychiatric care) owes much to the design of the physical space inhabited by both patients and mental health professionals. The structure of psychiatric care centers and the barriers they either create or remove between patients and healthcare practitioners can potentially influence patient recovery and employee well-being. Some argue that private, physically exclusionary spaces designed specifically for nurses are necessary in order to protect sensitive information and provide psychological solace for the nurses themselves.
Key Point Summary
Added November 2014