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Knowledge Repository

Exploring Safety and Quality In a Hemodialysis Environment With Participatory Photographic Methods: A Restorative Approach.

Author(s): Marck, P., Molzahn, A., Berry-Hauf, R., Hutchings, L. G., Hughes, S.
The authors indicate that hemodialysis units can be fraught with numerous safety issues related to medication errors, lapses in communication, patient falls, equipment issues, infection control, etc. These issues can be critical in high-acuity units. This study used qualitative methods to identify existing and potential safety issues in a hemodialysis unit in a tertiary care hospital in Canada.
Key Point Summary

Effects of music intervention on physiological stress response and anxiety level of mechanically ventilated patients in China: A randomised controlled trial

Author(s): Han, L., Li, J. P., Sit, J. W. H., Chung, L., Jiao, Z. Y., Ma, W. G.
 Mechanical ventilation (MV) is one of the most common treatments used in intensive care units (ICUs). MV is known for causing stress and anxiety in patients due to frequent instances of sleep deprivation, pain, fear, communication difficulties, loneliness, and lack of control. Heightened levels of anxiety can manifest in various detrimental physiological responses and ultimately lead to a sicker patient. 
Key Point Summary

Incidents relating to the intra-hospital transfer of critically ill patients

Author(s): Beckmann, U., Gillies, D. M., Berenholtz, S. M., Wu, A. W., Pronovost, P.
Transportation of critically ill patients between hospitals can increase complications. Intrahospital transportation poses many of the same risks. Examining these incidents could uncover ways to improve patient safety during transportation. 
Key Point Summary

Challenges in Design and Transition to a Private Room Model in the Neonatal Intensive Care Unit

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.
Key Point Summary

Adding additional grab bars as a possible strategy for safer hospital stays

Author(s): Tzeng, H.-M., Yin, C.-Y., Schechtman,S.
Inpatient falls are the most commonly reported incidents in hospitals, yet they are largely avoidable and, therefore, an unsolved issue in patient care. It comes as no surprise that patient falls tend to occur most frequently in patient rooms, patient bathrooms, and hallways—the places in which patients spend the majority of their time during their hospital stay. Falls are attributed to breakdowns in communication between patients and caregivers, inadequate assistance, and also the design of the physical environment.
Key Point Summary

Noise pollution in the operating theatre

Author(s): Hodge, B., Thompson, J.F.

Enhancing a primary care environment: a case study of effects on patients and staff in a single general practice

Author(s): Rice, G., Ingram, J., Mizan, J.
The stress and satisfaction of patients and staff are important healthcare outcomes. Patient satisfaction and stress strongly impacts patient health, the images of healthcare organizations, patient loyalty, patient retention and attraction, operating revenue, and profit margin. Staff stress and job satisfaction directly impacts the quality of patient care, work efficiency, and staff turnover intent.
Key Point Summary

Implementation of innovative pulsed xenon ultraviolet (PX-UV) environmental cleaning in an acute care hospital

Author(s): Fornwalt, L., Riddell, B.
Cleaning of the hospital environment is considered crucial to the prevention of hospital-acquired infections (HAIs) and overall patient safety. The authors note that many European and American hospitals use new technologies like ultraviolet (UV) light and hydrogen peroxide vapor to clean their facilities, and that these have been effective in reducing the HAI rates.
Key Point Summary

Reducing Falls in a Definitive Observation Unit: An Evidence-Based Practice Institute Consortium Project

Author(s): Gutierrez, F., Smith, K.
A Definitive Observation Unit (DOU) in a hospital in California maintains high standards of nursing and follows an evidence-based practice of fall prevention. Yet the facility’s fall rates continue to be higher than the benchmark for similar hospitals.
Key Point Summary

Role of the Physical and Social Environment in Promoting Health, Safety, and Effectiveness in the Healthcare Workplace

Author(s): Joseph, A.