A Recovery-Oriented Care Approach: Weighing the Pros and Cons of a Newly Built Mental Health Facility
2016
Journal of Psychosocial Nursing and Mental Health Services
Journal Article
Issue 2
Volume 54
Pages 39–48
Author(s): Ahern, C. C., Bieling, P., McKinnon, M. C., McNeely, H. E., Langstaff, K.
An inpatient mental health hospital was renovated with a newly built environment that incorporated patient-centered, clinically informed designs in an attempt to improve overall safety and quality of care. The new designs were considerably expensive and had extensive design implications for other parts of the hospital outside of the mental health facility.
Added June 2016
Healthcare Staffs’ Experiences and Perceptions of Caring for People with Dementia in the Acute Setting: Qualitative Evidence Synthesis
2016
International Journal of Nursing Studies
Journal Article
Author(s): Houghton, C., Murphy, K., Brooker, D., Casey, D.
Dementia is an international health issue that greatly impacts healthcare delivery systems. Individuals with dementia have specific needs when it comes to healthcare, and it seems that, generally, acute care environments aren’t suitable for these individuals. Considering how previous studies have shown that as much as a quarter of individuals utilizing acute hospital services are likely to have dementia, the authors posit that there needs to be a shift in ethos, organization, and environment in which more appropriate care is provided to patients with dementia in acute care settings.
Added June 2016
Understanding Green Building Design and Healthcare Outcomes: Evidence-Based Design Analysis of an Oncology Unit
2016
Journal of Architectural Engineering
Journal Article
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.
Added June 2016
Route complexity and simulated physical ageing negatively influence wayfinding
2016
Applied Ergonomics
Journal Article
Author(s): Zijlstra, E., Hagedoorn, M., Krijnen, W. P., van der Schans, C. P., Mobach, M. P.
In this study, “wayfinding” is defined as determining and following a path or route between an origin and a destination. Wayfinding can be particularly difficult in complex and sometimes stressful environments like hospitals, and as hospitals continue to expand to meet increasing healthcare demands, their layouts face the possibility of becoming more difficult to navigate. Wayfinding is particularly difficult for the elderly, who may have memory issues and weakened physical abilities. Support from the environment is necessary to help elderly people function at their best, so it is important to understand what elements of the designed environment either benefit or confuse them.
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
Measuring the Use of Examination Room Time in Oncology Clinics: A Novel Approach to Assessing Clinic Efficiency and Patient Flow
2014
Journal of Oncology Practice
Journal Article
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.
Added December 2015
Intensive care unit design and mortality in trauma patients
2014
Journal of Surgical Research
Journal Article
Issue 2
Volume 190
Pages 640-646
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.
Added December 2015
Ready-JET-Go: Split Flow Accelerates ED Throughput
2015
Journal of Emergency Nursing
Journal Article
Issue 2
Volume 42
Pages 114-119
Author(s): Bish, P. A., McCormick, M. A., Otegbeye, M.
Emergency departments (ED) in America have seen large increases in demand for emergency services over the last decade. This increased demand for ED services has resulted in delayed treatment for patients, increased rates of patients leaving the ED without receiving treatment, and decreases in satisfactory ED visit experiences.
Added December 2015
Initiatives to reduce overcrowding and access block in Australian emergency departments: A literature review
2014
Collegian
Journal Article
Issue 4
Volume 21
Pages 359-366
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...
Added December 2015
Using Lean-Based Systems Engineering to Increase Capacity in the Emergency Department
2014
Western Journal of Emergency Medicine
Journal Article
Issue 7
Volume 15
Pages 770-776
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.
Added December 2015
Emergency department observation units: A clinical and financial benefit for hospitals
2011
Health Care Management Review
Journal Article
Issue 1
Volume 36
Pages 28-37
Author(s): Baugh, C.W., Venkatesh, A. K., Bohan, J. S.
This article presents a review of literature to make a clinical and business case for establishing EDOUs. The literature was found to indicate that EDOU care contributes to more effective clinical decision-making and the generation of higher revenue than the same patients would if admitted and then discharged.
Added March 2015
Quality of life and building design in residential and nursing homes for older people
2004
Ageing and Society
Journal Article
Issue 6
Volume 24
Pages 941-962
Author(s): Parker, C., Barnes, S., McKee, K., Morgan, K., Torrington, J., Tregenza, P.
Older people living in residential and nursing care homes spend a large proportion of their time within the boundaries of the home, and may depend on the environment to compensate for their physical or cognitive frailties. Regulations and guidelines on the design of care buildings have accumulated over time with little knowledge of their impact on the quality of life of building users. The Design...
Added September 2014
Radical Redesign of Nursing Homes: Applying the Green House Concept in Tupelo, Mississippi
2006
The Gerontologist
Journal Article
Issue 4
Volume 46
Pages 533-539
Author(s): Rabig, J., Thomas, W., Kane, R. A., Cutler, L. J., McAlilly, S.
The Green House design should be considered as nursing home resident numbers are growing. Early experiences with the “pod-like” structure show positive effects on residents, families, and staff.
Added September 2014
Physical Environment: The Major Determinant Towards the Creation of a Healing Environment?
2011
Procedia-Social and Behavioral Sciences
Journal Article
Volume 30
Pages 1951-1958
Author(s): Abbas, M. Y., Ghazali, R.,
Prior research suggests that the pediatric population’s heightened perception of the quality of the physical environment can have an impact on the creation of a healing environment.
Added April 2014
Environmental evaluation for workplace violence in healthcare and social services
2008
Journal of Safety Research
Journal Article
Issue 2
Volume 39
Pages 237-50
Author(s): McPhaul, K.M. , Murrett, K., Flannery, K. , Rosen, J., Lipscomb, J., London, M.
The purpose of this project was to contribute specific, evidence–based guidance to the healthcare and social services employer communities regarding the use of environmental design to prevent violence.
Added April 2014
Challenges in Design and Transition to a Private Room Model in the Neonatal Intensive Care Unit
2006
Advances in Neonatal Care
Journal Article
Issue 5
Volume 6
Pages 271-280
Author(s): Carlson, B., Walsh, S., Wergin, T., Schwarzkopf, K., Ecklund, S.
The need for neonatal intensive care units (NICU) is increasing at a time when research suggests their designs need to change to provide a developmentally appropriate healing environment. One approach is a private room NICU model versus a large multibed ward. However, such a radical design change could be challenging to implement.
Added April 2014
Effect of a rapid assessment clinic on the waiting time to be seen by a doctor and the time spent in the department, for patients presenting to an urban emergency department: a controlled prospective trial
2002
The New Zealand Medical Journal
Journal Article
Issue 1157
Volume 115
Pages 1-7
Author(s): Ardagh, M. W. , Wells, J.E. , Cooper, K., Lyons, R., Patterson, R., O'Donovan, P.
Overcrowding in emergency departments is common in most healthcare organizations. Barriers to efficient patient flow in emergency departments (EDs) create bottlenecks through the system. Upon entry to an ED, the triage process determines how quickly someone might be seen, but this process does not take into account how quickly a patient's condition might be managed, but rather the urgency for care. By addressing an additional component of triage, it was hypothesized that ED throughout could be better managed, reducing wait times for all patients, and better utilizing limited ED resources.
Added October 2012
Effect of built-environment factors on healthcare: Satisfaction, operations, and outcomes
2006
Healthcare Design
Journal Article
Issue 3
Volume 6
Pages 8-10
Author(s): Etchegaray, J., Fischer, W., Sisolak, J., Lipka, S.
Reduced noise levels, pleasant distractions, safety features, wayfinding systems, support spaces, and patient/family/caregiver control reduces stress, errors, and pain, while at the same time increasing referrals and staff retention.
Added October 2012
