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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 24

The influence of spatial configuration on the frequency of use of hand sanitizing stations in health care environments

Author(s): Neo, J. R. J., Zadeh, R.
Healthcare-associated infections (HAIs) affect over 1.7 million people each year, and subsequently cost the U.S. economy approximately $8.2 billion each year. Hand hygiene compliance (HHC), which involves washing hands thoroughly with alcohol-based rubs or soap and water, is widely regarded as a major prevention measure against the transmission of pathogens that cause HAIs.
Key Point Summary
Added December 2018

Using Lean to Rapidly and Sustainably Transform a Behavioral Health Crisis Program: Impact on Throughput and Safety

Author(s): Balfour, M. E., Tanner, K., Jurica, P. J., Llewellyn, D., Williamson, R. G., Carson, C. A.
Added August 2018

Alert Workplace From Healthcare Workers’ Perspective: Behavioral and Environmental Strategies to Improve Vigilance and Alertness in Healthcare Settings

Author(s): Zadeh, R. S., Shepley, M., Sadatsafavi, H., Owora, A. H., Krieger, A. C.
Added February 2018

Developing an evidence base of best practices for integrating computerized systems into the exam room: A systematic review.

Author(s): Patel, M. R., Vichich, J., Lang, I., Lin, J., Zheng, Kai
The use of electronic health records (EHR) is increasing at medical facilities across the US. Computerized systems provide a better infrastructure for healthcare delivery.
Key Point Summary
Added December 2017

Clinic Design as Placebo-Using Design to Promote Healing and Support Treatments

Author(s): Rehn, J., Schuster, K.
In this study the authors propose that not unlike a medical placebo effect, the built environment can impact individual judgments and behavior, especially in healthcare environment. The authors refer to this as a design placebo effect.
Key Point Summary
Added December 2017

A Diagnostic Post-Occupancy Evaluation of the Nacadia® Therapy Garden

Author(s): Sidenius, U., Karlsson Nyed, P., Lygum, V. L., Stigsdotter, U. K.
The Nacadia® therapy garden was built based on the evidence-based health design in landscape architecture (EBHDL) model developed by the University of Copenhagen.
Key Point Summary
Added December 2017

Building Situation Awareness on the Move: Staff Monitoring Behavior in Clinic Corridors

Author(s): González-Martínez, E., Bangerter, A., Lê Van, K.
Hospital staff members are responsible for remaining continuously aware of a care unit’s functioning while simultaneously performing individualized tasks in a deeply interconnected and unpredictable environment.
Key Point Summary
Added December 2017

Structuring the Environmental Experience Design Research Framework through Selected Aged Care Facility Data Analyses in Victoria

Author(s): Ma, N., Chau, H.-W., Zhou, J., Noguchi, M.
There is a strong relationship between the behavior of building occupants and the spaces they use. The design of such spaces affects their psychological well-being in ways that are not fully understood.
Key Point Summary
Added December 2017

Bright Light Delights: Effects of Daily Light Exposure on Emotions, Restactivity Cycles, Sleep and Melatonin Secretion in Severely Demented Patients

Author(s): Münch, M., Schmieder, M., Bieler, K., Goldbach, R., Fuhrmann, T., Zumstein, N., Vonmoos, P., Scartezzini, J.-L., Wirz-Justice, A., Cajochen, C.
Exposure to sufficient light on a daily basis is important for individuals to maintain their health. Studies have shown that light has an effect on heart rate, body temperature, human behavior, mood, body hormones, genes, and cognitive ability.
Key Point Summary
Added November 2017

The Influence of the Physical Environment on Residents With Dementia in Long-Term Care Settings: A Review of the Empirical Literature

Author(s): Chaudhury, H., Cooke, H. A., Cowie, H., Razaghi, L.
Several studies have shown that properly designed interior spaces have a positive effect on residents with dementia in long-term care facilities. Wayfinding and orientation can be enhanced through good planning of the facility as well as activities of daily living and autonomy.
Key Point Summary
Added November 2017

The effects of spectral tuning of evening ambient light on melatonin suppression, alertness and sleep

Author(s): Rahman, S. A., St Hilaire, M. A., Lockley, S. W.
Added November 2017

Night-time activity forecast by season and weather in a longitudinal design - natural light effects on three years' rest-activity cycles in nursing home residents with dementia

Author(s): Wahnschaffe, A., Nowozin, C., Rath, A., Floessner, T., Appelhoff, S., Münch, M., Kunz, D.
Elderly nursing home residents with dementia suffer from night-time agitation due to the lack of adequate exposure to natural light. Short winter days and overcast skies have a strong effect on circadian rhythm and motor activities.
Key Point Summary
Added November 2017

Implementation of Dynamic Lighting in a Nursing Home: Impact on Agitation but not on Rest-Activity Patterns

Author(s): Wahnschaffe, A., Nowozin, C., Haedel, S., Rath, A., Appelhof, S., Münch, M., Kunz, D.
A common issue within different subtypes of dementia is nighttime agitation, which often manifests as confusion, aggressive behavior, aimless movement, and general disruption of sleep cycles. Nighttime agitation is the most common cause for nursing home admission, and many medical treatments for the condition only target specific symptoms, sometimes resulting in unwanted side effects for patients.
Key Point Summary
Added November 2017

Impact of Multisensory Environments on Behavior for People With Dementia: A Systematic Literature Review

Author(s): Lorusso, L. N., Bosch, S. J.
Added September 2017

A comparative study of patients’ activities and interactions in a stroke unit before and after reconstruction—The significance of the built environment

Author(s): Anåker, A., von Koch, L., Sjöstrand, C., Bernhardt, J., Elf, M.
Several previous studies have shown that effective care in a stroke unit requires early rehabilitation and mobilization among patients, as well as the presence of multidisciplinary stroke experts and comprehensive therapies. Though the concept of evidence-based design have been applied to a wide variety of specific medical environments and situations, its application to the physical environment surrounding patients who are recovering from strokes requires further investigation.
Key Point Summary
Added September 2017

Evaluation of hospital outdoor spaces through users’ participation analysis

Author(s): Djukanovic, Z., Maric, J., Giofrè, F.
Hospital outdoor spaces (HOS) have an important role in healthcare facilities that specifically impacts the healing process. Literature reviewed by the authors refers to HOS as left-over spaces for supporting other medical activities.
Key Point Summary
Added August 2017

Environmental audits and process flow mapping to assess management of solid waste and wastewater from a healthcare facility: an Italian case study

Author(s): Vaccari, M., Montasser, W., Tudor, T., Leone, L.
Despite the growing number of policies and legislative drivers aiming for more sustainable resource management approaches and general environmental improvements, there is still a need for more research focusing on the improvement of waste and wastewater management.
Key Point Summary
Added June 2017

Noise Reduction in the Neonatal Intensive Care Unit: A Quality Improvement Initiative

Author(s): Ahamed, M. F., Campbell, D., Horan, S., Rosen, O.
Elevated noise levels are regularly associated with adverse health effects among patients within healthcare environments. Infants are particularly vulnerable to elevated noise levels due to the immaturity of their auditory pathways, implying that neonatal intensive care units (NICUs) have an even greater responsibility for reducing noise levels.
Key Point Summary
Added June 2017

Nursing staff’s experiences of working in an evidence-based designed ICU patient room—An interview study

Author(s): Sundberg, F., Olausson, S., Fridh, I., Lindahl, B.
Intensive care unit nurses use technology and systems that may not have existed when their nursing units were constructed. Nurses often must work around machines and in narrow spaces to deliver complex care to critically ill patients.
Key Point Summary
Added June 2017

Balancing the Human Touch with the Need for Integrating Technology in Ambulatory Surgical Environments: Barriers and Facilitators to Nursing Work and Care Team Interactions

Author(s): Joseph, A., Wingler, D., Zamani, Z.
There is a lack of information to support the design of the rapidly growing number of ambulatory surgical centers (ASCs). These centers have become more popular as trends in reimbursement, technology, and services have evolved. Research is needed to inform how the built environment of ambulatory surgical environments impacts the critical interactions between people, supplies, and equipment.
Key Point Summary
Added February 2017