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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 167

The impact of sensory stimuli on healthcare workers and outcomes in trauma rooms: A focus group study

Author(s): Bayramzadeh, S., Ahmadpour, S.
Research demonstrates that excessive sensory stimuli in healthcare settings can negatively impact patient, staff, and organizational outcomes. Because emergency department (ED) trauma areas can be especially chaotic, understanding issues related to noise, lighting, and temperature is the first step toward addressing the problem.
Key Point Summary
Added December 2023

How Visibility May Reduce Security Issues in Community Hospitals’ Emergency Departments

Author(s): Gharaveis, A., Hamilton, D. K., Pati, D., Shepley, M. M., Rodiek, S., McCall, D.
Research shows that many environmental factors have been employed to improve emergency department (ED) safety. Visibility as a design factor, an operational factor, and a layout characteristic can be leveraged to improve both safety and care efficiency.
Key Point Summary
Added August 2023

Designing well-being: A qualitative investigation of young patients’ perspectives on the material hospital environment

Author(s): Payam, S., Hossaini, J., Zaschka, K., Friedmann, A., Mall, V.
Healthcare design research often includes user perspectives, but typically focuses on adult input. Young patients can provide useful insights into the remodel of pediatric facilities to better meet their unique needs. Environments tailored to a variety of developmental stages and physical abilities are more welcoming and engaging for young patients.
Key Point Summary
Added May 2023

Effects of the physical environment on children and families in hospital-based emergency departments: A systematic literature review

Author(s): Gripko, M., Joseph, A., MohammadiGorji, S.
The emergency department (ED) environment is often a very stressful place, especially for young children and their families. Previous studies show that highly stimulating environments may increase anxiety. There are many complex relationships among the physical environment and healthcare outcomes in the emergency department, and themes in this study include control, positive distractions, family and social supports, and designing for a safe and comfortable experience.
Key Point Summary
Added February 2023

Aesthetics and dementia: exploring the role of everyday aesthetics in dementia care settings

Author(s): Fleetwood-Smith, R., Tischler, V., Robson, D.
Research shows that dementia, an umbrella term for diseases that affect the brain, is characterized as a condition that causes problems with memory, cognition, and function with activities of daily living. In the United Kingdom, approximately 70% of the population identifying with a form of dementia are residing in a care home environment.
Key Point Summary
Added January 2023

The psychological impact of the workplace environment in critical care A qualitative exploration

Author(s): Grailey, K., Leon-Villapalos, C., Murray, E., Brett, S. J.
Researchers acknowledge the intersection of cultural and environmental elements of intensive care units and resulting staff perceptions of those elements. Single patient rooms, varying levels of visibility, and workflow issues are just a few of the environmental conditions that have an impact on clinical staff.
Key Point Summary
Added January 2023

The impact of the healthcare environment on patient experience in the emergency department: A systematic review to understand the implications for patient-centered design

Author(s): Rowe, A, Knox, M.
Research shows that emergency departments (EDs) continue to be undersized, understaffed, and challenged with operational issues that cause decreased patient and provider satisfaction. The ED is at times the initial point of contact for a patient with the healthcare system and may be their first hospital experience
Key Point Summary
Added December 2022

An exploratory study testing environmental wayfinding aids as an intervention for children with autism

Author(s): Irish, J. E. N.
Previous research has found that some people with autism spectrum disorder (ASD) have difficulties navigating complex physical environments, such as hospitals. Previous research has also indicated that due to the hypersensitive nature of some people living with ASD, sensitive environmental designs may be especially important for them.
Key Point Summary
Added July 2022

The healthcare workspace: Understanding the role of decentralized nursing stations, corridors, and huddle spaces as locations for teamwork in a neonatal intensive care unit

Author(s): Fay, L., Real, K., Haynes, S.
Neonatal intensive care units (NICUs) host fragile and vulnerable patients. Research studies on NICUs with a single-family room (SFR) layout demonstrate benefits to both neonates and their parents but the impact on staff remains unclear. The decentralization associated with SFRs may impair teamwork.
Key Point Summary
Added June 2022

Placing users at the center: Evaluating exam room design for improved user experience

Author(s): Matić, Z., Oh, Y., Lim, L., Zimring, C.
While outpatient exam rooms have remained largely unchanged for the past few decades, limited research suggests that design configurations can influence the quality of care. The relationship of the door, exam table, EHR, and sink can support patient privacy, patient-provider communication, and provider efficiency.
Key Point Summary
Added June 2022

The demand for specialization and its influence on the design of inpatient nursing units: Can standardized design be done once and for all?

Author(s): Xuan, X., Duan, X., Feng, Z.
Research shows that specialized units, such as psychiatry and intensive care, require built environments that are specific to their patient populations. Medical-surgical units within the same facility typically have similar physical layouts even though they often serve distinct patient populations.
Key Point Summary
Added April 2022

Clinic design for safety during the pandemic: Safety or teamwork, can we only pick one?

Author(s): Lim, L., Zimring, C. M., DuBose, J. R., Fischer, G. M., Stroebel, R.
Research shows that teamwork improves patient and staff outcomes, reduces medical errors, and enhances quality of care. Teams are more effective when team members work in close proximity, are visually connected, and cross paths throughout the work day, but these practices can be detrimental during a pandemic.
Key Point Summary
Added April 2022

The hospital of the future: Rethinking architectural design to enable new patient-centered treatment concepts

Author(s): Amato, C., McCanne, L., Yang, C., Ostler, D., Ratib, O., Wilhelm, D., Bernhard, L.
The current hospital designs that employ segregated specialty approaches create limitations in involving and communicating between clinical disciplines. In addition, these approaches require the movement of patients between places, which impacts the delivered care and increases the cost and stay durations.
Key Point Summary
Added January 2022

Impact of distance on stroke inpatients’ mobility in rehabilitation clinics: a shadowing study

Author(s): Kevdzija, M., Marquardt, G.
Failure to rehabilitate after experiencing a stroke frequently results in a patient’s admission to long-term care. There is a need to understand how size and spatial configuration of rehabilitation settings can support wayfinding and help patients overcome mobility barriers.
Key Point Summary
Added December 2021

Experiences of sensory overload and communication barriers by autistic adults in health care settings

Author(s): Strömberg, M., Liman, L., Bang, P., Igelström, K.
Autistic adults have an elevated risk for health problems that can be further exacerbated by stressful and inefficient healthcare experiences. The goal of this study was to identify problematic patterns of sensory and communication experiences for autistic adults. Intense, unpredictable, and uncontrollable environments present barriers to communication and contribute to overstimulation.
Key Point Summary
Added October 2021

Influences of physical layout and space on patient safety and communication in ambulatory oncology practices: A multisite, mixed method investigation

Author(s): Fauer, A., Wright, N., Lafferty, M., Harrod, M., Manojlovich, M., Friese, C. R.
Data from 2016 to 2020 indicate that the market for ambulatory oncology services is expanding, presenting a need for a deeper understanding of how the physical space of these environments influences clinician work processes and patient safety.
Key Point Summary
Added July 2021

Efficiency and teamwork in emergency departments: Perception of staff on design interventions

Author(s): Ahmadpour, S., Bayramzadeh, S., Aghaei, P.
The authors build on previous research regarding emergency department (ED) layout and teamwork. When clinicians can move efficiently in a space that allows for collaboration, both staff and patients benefit.
Key Point Summary
Added July 2021

Technology integration in complex healthcare environments: A systematic literature review

Author(s): Bayramzadeh, S., Aghaei, P.
Previous research shows that the way in which information displays and imaging technology are integrated into healthcare environments can impact staff workflows, patient safety, and perceptions of care. Caregivers working in trauma rooms, intensive care units (ICUs), and operating rooms (ORs) require frequent access to imaging technology; when these resources are located far away from patients, issues may arise with communication, coordination, and interruptions.
Key Point Summary
Added May 2021

Emergency physicians’ workstation design: An observational study of interruptions and perception of collaboration during shift-end handoffs

Author(s): Joshi, R., Joseph, A., Ossmann, M., Taaffe, K., Pirrallo, R., Allison, D., Perino, L. C.
Findings from previous studies show that emergency department (ED) workstations do not adequately support teamwork during end-of-shift handoffs, specifically in terms of communication and collaboration. The typical open-plan design in EDs may be good for collaboration in general, but can lead to frequent interruptions during physician handoffs, which puts patient safety at risk.
Key Point Summary
Added April 2021

Staff perspectives on the role of physical environment in long-term care facilities on dementia care in Canada and Sweden

Author(s): Lee, S. Y., Hung, L., Chaudhury, H., Morelli, A.
Physical environment design interventions are used to benefit people with dementia living in care settings, but the influences on those providing care is unknown. Care settings that support care practices for people living with dementia have both positive and negative effects on social interaction and care practice.
Key Point Summary
Added April 2021