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Knowledge Repository

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

From the nurses' station to the health team hub: How can design promote interprofessional collaboration?

Author(s): Gum, Lyn Frances, Prideaux, David, Sweet, Linda, Greenhill, Jennene
The nurses’ station serves a diverse array of purposes, one being that it acts as a space for communication and interprofessional collaboration. Previous studies have shown that the design of the nurses’ station alone can impact aspects of patient and staff privacy, walking distance, and access to resources. But no known studies prior to this paper have examined specifically the influence of nurse station design on the frequency and quality of interprofessional practice.
Key Point Summary

Health Care Wayfinding Integrates Four Aspects to Become Carefinding

Author(s): Cooper, R.
Carefinding is a term that refers to an evidence-based approach to designing wayfinding systems in healthcare settings, catering to the needs of the users of those spaces, particularly patients and their caregivers. Successful wayfinding in healthcare facilities requires consideration of the user experience, the wayfinding process, the wayfinding plan, and implementation of the plan. 
Key Point Summary

Why do patients in acute care hospitals fall? Can falls be prevented?

Author(s): Dykes, P. C., Carroll, D. L., Hurley, A. C., Benoit, A., Middleton, B.
Despite a large quantitative evidence base for guiding fall risk assessment and not needing highly technical, scarce, or expensive equipment to prevent falls, falls are serious problems in hospitals.
Key Point Summary

Centralized vs. Decentralized Nursing Stations: Effects on Nurses’ Functional Use of Space and Work Environment

Author(s): Zborowsky, T., Bunker Hellmich, L., Morelli, A., O’Neill, M.
Information technology enables nurses to move away from traditional centralized paper-charting stations to smaller decentralized work stations and charting substations located closer to, or inside of, patient rooms. Understanding the tradeoffs presented by centralized and decentralized nursing station design could provide useful information for future design and the nurse environment "fit."
Key Point Summary

Infection Prevention Promotion Program Based on the PRECEDE Model: Improving Hand Hygiene Behaviors Among Healthcare Personnel

Author(s): Aboumatar, H., Ristaino, P., Davis, R. O., Thompson, C. B., Maragakis, L., Cosgrove, S., Rosenstein, B., Perl, T. M.
Hand hygiene is critical to prevent transmission of multidrug-resistant organisms and the development of healthcare-associated infections, yet compliance with recommendations is poor.  
Key Point Summary

Applying root cause analysis to improve patient safety: decreasing falls in postpartum women.

Author(s): Chen, K. H., Chen, L. R., Su, S.
The objective of this study was to investigate the effectiveness of interventions to prevent falls designed through hazard analysis using root cause analysis.
Key Point Summary

Acoustic assessment of speech privacy curtains in two nursing units

Author(s): Pope, D. S., Miller-Klein, E. T.
Hospitals are environments with complex soundscapes, and some elements of these soundscapes can impede upon patient health and overall communication. Numerous sources of noise from equipment, movement, and increased speaking volumes combine with high reverberation rates, resulting in the need to speak increasingly louder.
Key Point Summary

Is your phone bugged? The incidence of bacteria known to cause nosocomial infection on healthcare workers' mobile phones

Author(s): Brady, R.R.W., Wasson, A., Stirling, I., McAllister, C., Damani, N.N.

Telepresence under exceptional circumstances: enriching the connection to school for sick children

Author(s): Fels, D.I., Waalen, J.K., Zhai, S., Weiss, P.L.