Using architectural mapping to understand behavior and space utilization in a surgical waiting room of a safety net hospital
2022
International Journal of Environmental Research and Public Health
Journal Article
Issue 21
Volume 19
Pages 13870
Author(s): Liao, E. N., Chehab, L. Z., Ossmann, M., Alpers, B., Patel, D., Sammann, A.
Added December 2022
Lean design of the pediatric intensive care unit patient room for efficient and safe care delivery
2022
HERD: Health Environments Research & Design Journal
Journal Article
Issue 4
Volume 15
Pages 369-390
Author(s): Lu, Y., Bishop, N. B., Zadeh, R. S.
Pediatric intensive care units (PICUs) are often operated by specially trained registered nurses (RNs). Due to the high stress and sensitivity of these environments, optimizing RN workflows and safety protocols is important.
Added August 2022
Effectiveness of a Snoezelen Room on fear, anxiety, and satisfaction of nulliparous women: A randomized controlled trial
2020
Iranian Journal of Psychiatry and Behavioral Sciences
Journal Article
Issue 2
Volume 14
Pages e89168
Author(s): Momeni, M., Jamshidimanesh, M., Ranjbar, H.
Added July 2020
Exploring the Effects of Clinical Exam Room Design on Communication, Technology Interaction, and Satisfaction
2019
HERD: Health Environments Research & Design Journal
Journal Article
Issue 4
Volume 12
Pages 99-115
Author(s): Zamani, Z., Harper, E. C.
The use of electronic health records (EHRs) in exam rooms is common, but research assessing the impact of EHRs on the exam experience is mixed. Limited research for healthcare design suggests exam room layouts can influence patient-provider interactions through improved information sharing.
Added February 2019
Psychiatric ward design can reduce aggressive behavior
2018
Journal of Environmental Psychology
Journal Article
Author(s): Ulrich, R. S., Bogren, L., Gardiner, S. K., Lundin, S.
Added July 2018
Nursing staff’s experiences of working in an evidence-based designed ICU patient room—An interview study
2017
Intensive and Critical Care Nursing
Journal Article
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.
Added June 2017
Patient Needs and Environments for Cancer Infusion Treatment
2017
Journal of Interior Design
Journal Article
Issue 2
Volume 42
Pages 13-25
Author(s): Wang, Z., Pukszta, M.
Roughly 1.5 million Americans are diagnosed with cancer every year, and more than 50% of cancer patients receive chemotherapy for treatment. Chemotherapy is delivered through infusion, which uses an intravenous (IV) administration and support system to deliver treatment.
Added February 2017
Separate Medication Preparation Rooms Reduce Interruptions and Medication Errors in the Hospital Setting: A Prospective Observational Study
2016
Journal of Patient Safety
Journal Article
Issue 3
Volume 17
Pages e161-e168
Author(s): Huckels-Baumgart, S., Baumgart, A., Buschmann, U., Schüpfer, G., Manser, T.
Errors and interruptions are commonplace during medication preparation procedures in healthcare environments. One study found that one interruption occurred for every 3.2 drugs administered during nurses’ medication rounds.
Added December 2016
Secondary exposure risks to patients in an airborne isolation room: Implications for anteroom design
2016
Building and Environment
Journal Article
Author(s): Mousavi, E. S., Grosskopf, K. R.
Previous research has shown that negatively pressurized Airborne Infectious Isolation Rooms (AIIRs) can protect hospitals from fatal airborne pathogens such as tuberculosis. But this use of negative pressurization can simultaneously increase the chances of isolated patients contracting secondary infections, or healthcare-acquired infections (HAIs), caused by air blowing in from adjacent spaces. Research is needed to better assess the actual likelihood of secondary infections occurring in these scenarios so that steps can be taken to mitigate these risks.
Added December 2016
Security Implications of Physical Design Attributes in the Emergency Department
2016
HERD: Health Environments Research & Design Journal
Journal Article
Issue 4
Volume 9
Pages 50-63
Author(s): Pati, D., Pati, S., Harvey, T. E.
In this paper, the authors consider “security” a subset of “safety,” and note that security is imperative for providing efficient patient care, especially in emergency departments (EDs). Security is defined as the protection of people and property, while safety is defined as the broader concept of delivering patient care.
Added September 2016
Effective Use of the Built Environment to Manage Behavioural and Psychological Symptoms of Dementia: A Systematic Review
2014
PLOS ONE
Journal Article
Issue 12
Volume 9
Pages 1-12
Author(s): Soril, L. J. J., Leggett, L. E., Lorenzetti, D. L., Silvius, J., Robertson, D., Mansell, L., Holroyd-Leduc, J., Noseworthy, T. W., Clement, F. M., Laks, J.
There is a lack of valid and reliable research in the area of impact of built environment interventions in managing behavioral and psychological symptoms of dementia.
Added June 2016
The effect of hospital layout on caregiver-patient communication patterns
Author(s): Pachilova, R., Sailer, K.
This article suggests that the field of evidence-based design (EBD), which considers information from case evaluations and credible research during design-related decision processes, has only marginally examined hospital layouts and their effects. As a result, this study attempts to build on the tradition of “Space Syntax” research, which is a theory that explores how space controls and generates encounters between inhabitants and visitors of certain spaces and how these two groups engage in communication.
Added June 2016
The Effects of Spatial Enclosure on Social Interaction Between Older Adults With Dementia and Young Children
2016
HERD: Health Environments Research & Design Journal
Journal Article
Issue 3
Volume 9
Pages 63-81
Author(s): Cerruti, M. S., Shepley, M. M.
Added April 2016
Delusions and Underlying Needs in Older Adults with Alzheimer’s Disease
2014
Journal of Gerontological Nursing
Journal Article
Issue 12
Volume 40
Pages 38-47
Author(s): Wang, J., Cheng, W., Lai, P., & Pai, M.
The purpose of this study was to understand the influences of earlier life experiences and the current environment on delusions, as well as the underlying needs of individuals with Alzheimer’s disease (AD) experiencing delusions.
Added January 2016
Destination Bedside
2012
The Journal of Nursing Administration
Journal Article
Issue 5
Volume 42
Pages 256-265
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.
Added January 2016
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
Network of Spaces and Interaction-Related Behaviors in Adult Intensive Care Units
2014
Behavioral Sciences
Journal Article
Issue 4
Volume 4
Pages 487-510
Author(s): Rashid, M., Boyle, D. K., Crosser, M.
Using three spatial network measures of “space syntax”, this correlational study describes four interaction-related behaviors among three groups of users in relation to visibility and accessibility of spaces in four adult intensive care units (ICUs) of different size, geometry, and specialty. Systematic field observations of interaction-related behaviors show significant differences in spatial distribution of interaction-related behaviors in the ICUs.
Added November 2015
Fall prevention and bathroom safety in the epilepsy monitoring unit
2015
Epilepsy & Behavior
Journal Article
Author(s): Spritzer, S. D., Riordan, K. C., Berry, J., Corbett, B. M., Gerke, J. K., Hoerth, M. T., Crepeau, A. Z., Drazkowski, J. F., Sirven, J. I., Noe, K. H.
Injury-inducing falls are one of the most common harmful events that occur in epilepsy monitoring units (EMUs). Considering the risk provoked by epileptic symptoms such as spontaneous seizures, patients admitted to EMUs may be more likely to sustain falling injuries over patients in other areas of the hospital.
Added September 2015
Space, Choice and Control, and Quality of Life in Care Settings for Older People
2006
Environment and Behavior
Journal Article
Issue 5
Volume 38
Pages 589-604
Author(s): Barnes, S.
In Britain, residential care and nursing homes for elderly patients have been subject to changing design regulations over several decades. These regulations take into account the “gradations of space” allotted to patients, meaning the extent to which the buildings themselves provide public, semiprivate, and private spaces for the patients.
Added December 2014
Physical Environment Provisions of USP “Pharmaceutical Compounding—Sterile Preparations”
2012
American Society for Healthcare Engineering
Journal Article
Author(s): Beebe, C.
USP <797> reports standards and policies for all physical environments in which compounded sterile preparations (CSPs) are prepared, packaged, and stored. The standards apply specifically to people who prepare CSPs and must take care to reduce the risk of contamination from their behaviors, hygiene, and clothing (i.e., garb). Clinical workers whose work lies within this realm must be individually trained and evaluated to maintain the standards and reduce microbial contamination that results from contact.
Added September 2014
