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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 21

A regional survey on residents’ preferences on patient-centered medical home design in rural areas

Author(s): Cai, H., Spreckelmeyer, K., Mendenhall, A., Li, D., Holmes, C., Levy, M.
The patient-centered medical home (PCMH) is a delivery model for primary care that is characterized by the recognition of unique patient needs while providing accessible services, a focus on safety and quality, comprehensive care, and coordinated care.
Key Point Summary
Added December 2018

"Let's Sit Forward": Investigating Interprofessional Communication, Collaboration, Professional Roles, and Physical Space at EmergiCare

Author(s): Dean, M., Gill, R., Barbour, J. B.
Due to the fact that emergency department (ED) caregivers are constantly involved in interprofessional, knowledge-intensive conversations, effective modes of communication necessarily play a key role in promoting patient health and safety. Previous studies have explored how the physical environment directly affects modes of communication, and how these two dimensions of the healthcare environment constantly intersect with each other.
Key Point Summary
Added August 2016

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
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.
Key Point Summary
Added June 2016

Adapting to Family-Centered Hospital Design: Changes in Providers’ Attitudes over a Two-Year Period

Author(s): France, D., Throop, P., Joers, B., Allen, L., Parekh, A., Rickard, D., Deshpande, J.
Although hospitals are being designed based on evidence-based design principles, it’s unclear how working in such an environment influences providers’ attitudes and professional performance.
Key Point Summary
Added January 2016

Innovation Pilot Study: Acute Care for Elderly (ACE) Unit--Promoting Patient-Centric Care

Author(s): Krall et al.
Older patients have different needs: cognitive impairment, chronic health issues, caregiver burden, and maintenance of functional level. These issues present challenges to healthcare organizations when caring for this population on a general medical-surgical unit.
Key Point Summary
Added January 2016

Centralized to hybrid nurse station: Communication and teamwork among nursing staff

Author(s): Zhang, Y., Soroken, L., Laccetti, M., Castillero, E. R. d., Konadu, A.
Nursing stations often act as the primary workspaces for various members of a healthcare team while patients aren’t being directly worked with. Centralized nursing stations can lead to higher rates of telephone and computer use and administrative tasks while decreasing time spent caring for patients. Conversely, decentralized nursing stations have been found to create feelings of isolation and poor communication among staff. To emphasize the positive aspects of both formats, the authors propose a hybrid nursing station design that features decentralized stations connected to centralized meeting spaces.
Key Point Summary
Added October 2015

Part 2: Evaluation and Outcomes of an Evidence-Based Facility Design Project

Author(s): Krugman, M., Sanders, C., Kinney, L. J.
After a western academic hospital implemented the recommendations of an interdisciplinary team that combined the principles of Transforming Care at the Bedside (TCAB) and Evidence-Based Design (EBD), an evaluation was necessary. This article (Part 2) presents the evaluation of the project.
Key Point Summary
Added June 2015

Part 1: Evidence-Based Facility Design Using Transforming Care at the Bedside Principles

Author(s): Devine, D. A., Wenger, B., Krugman, M., Zwink, J. E., Shiskowsky, K., Hagman, J., Limon, S., Sanders, C., Reeves, C.
A western academic hospital reexamined its design strategy when after three years of building a new facility they had to plan for a new facility to meet their patient capacity. Using a combination of the principles of Transforming Care at the Bedside (TCAB) and Evidence-Based Design (EBD), an interdisciplinary team presented design recommendations.
Key Point Summary
Added April 2015

The effects of physical environments in medical wards on medication communication processes affecting patient safety

Author(s): Liu, W., Manias, E., Gerdtz, M.
The physical environment of a hospital has a wide range of effects on the quality of care administered to patients. In the context of medication distribution, seamless communication among healthcare professionals of different backgrounds is imperative, and in many cases the physical environment itself can have positive or negative effects on this complex process.
Key Point Summary
Added November 2014

An exploration of the meanings of space and place in acute psychiatric care

Author(s): Andes, M., Shattell, M. M.
The effectiveness of acute psychiatric care (or short-term psychiatric care) owes much to the design of the physical space inhabited by both patients and mental health professionals. The structure of psychiatric care centers and the barriers they either create or remove between patients and healthcare practitioners can potentially influence patient recovery and employee well-being. Some argue that private, physically exclusionary spaces designed specifically for nurses are necessary in order to protect sensitive information and provide psychological solace for the nurses themselves.
Key Point Summary
Added November 2014

Quality of life and building design in residential and nursing homes for older people

Author(s): Parker, C., Barnes, S., McKee, K., Morgan, K., Torrington, J., Tregenza, P.
Older people living in residential and nursing care homes spend a large proportion of their time within the boundaries of the home, and may depend on the environment to compensate for their physical or cognitive frailties. Regulations and guidelines on the design of care buildings have accumulated over time with little knowledge of their impact on the quality of life of building users. The Design...
Key Point Summary
Added September 2014

Suicide Attempts and Completions in the Emergency Department in Veterans Affairs Hospitals

Author(s): Mills, P. D., Watts, B. V., DeRosier, J. M., Tomolo, A. M., Bagian, J. P.
Suicide is a leading cause of death in the United States, and approximately 1,500 suicides occur in inpatient hospital units in the United States each year, This study examines the specific environmental factors involved in suicide attempts and completions in an ED in a large, nationally represented hospital sample (VA).
Key Point Summary
Added May 2014

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
Added April 2014

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
Added April 2014

Using a Task Analysis to Describe Nursing Work in Acute Care Patient Environments

Author(s): Battisto, D., Pak, R., Vander Wood, M. A., Pilcher, J. J.
A growing body of research demonstrates linkages between workplace design and processes in healthcare facilities with staff and patient safety, operational efficiency, staff satisfaction, and medical errors. There has been less emphasis on the role of the built environment in helping or hindering care delivery. Research is needed on the contextualized activities performed by nurses and how nurses spend their time to measure the effects of interventions aimed at redesigning care to improve safety or efficiency or to understand the implications of policy changes for nursing practice.
Key Point Summary
Added April 2014

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

Author(s): Joseph, A.
Added October 2012

Tomorrow's Patient Room

Author(s): Moore, M.
Added October 2012

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

Author(s): Joseph, A.
Added October 2012

STARBRIGHT World: Psychological Adjustment in Children with Cancer: A clinical series

Author(s): Brokstein, R., Cohen, S., Walco, G.
Added October 2012