Designing for efficiency: Examining the impact of centralized and decentralized nurse stations on interdisciplinary care processes
2020
JONA: The Journal of Nursing Administration
Journal Article
Issue 6
Volume 50
Pages 335–342
Author(s): Fay, L., Santiago, J. E., Real, K., Isaacs, K.
Between 1980 and 2008, adult inpatient units increased in size by 118%. Size increases on this scale may negatively impact operational efficiency, waste reduction efforts, and workplace safety.
Added June 2020
"Let's Sit Forward": Investigating Interprofessional Communication, Collaboration, Professional Roles, and Physical Space at EmergiCare
2016
Health Communication
Journal Article
Issue 12
Volume 31
Pages 1506-1516
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.
Added August 2016
Layout Planning Problems in Health Care
2015
Applications of Location Analysis
Book Section
Author(s): Arnolds, I., Nickel, S., Eiselt, A. H., Marianov, V.
Added May 2016
Adapting to Family-Centered Hospital Design: Changes in Providers’ Attitudes over a Two-Year Period
2009
Health Environments Research & Design Journal
Journal Article
Issue 1
Volume 3
Pages 79-96
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.
Added January 2016
Making acuity-adaptable units work: lessons from the field
2012
Health Environments Research & Design Journal
Journal Article
Issue 3
Volume 5
Pages 115-128
Author(s): Zimring, C., Seo, H.
Acuity-Adaptable Units (AAUs) are rooms with a treatment model that allows all stages of patient care to come to the patient’s unit from the time of admission to discharge. Minimizing the amount of patient transfers helps decrease medication errors, infection rates, and medical complications. This helps avoid injuries and infections connected with patient transfers from unit to unit through transitions in stages of care.
Added January 2016
Leading Change During an Inpatient Critical Care Unit Expansion
2008
Journal of Nursing Administration
Journal Article
Issue 11
Volume 38
Pages 461-467
Author(s): Braungardt, T. & Fought, S. G.
Acute care hospitals are changing rapidly to address economic and technologic advancements and meet community needs. The authors describe one medical center’s use of Kotter’s work on leading change to expand the neuroscience intensive care unit from 10 to 30 beds to meet community needs, improve hospital efficiencies, and increase bed capacity.
Added January 2016
Measuring the Use of Examination Room Time in Oncology Clinics: A Novel Approach to Assessing Clinic Efficiency and Patient Flow
2014
Journal of Oncology Practice
Journal Article
Author(s): Hamel, L. M., Chapman, R., Eggly, S., Penner, L. A., Tkatch, R., Vichich, J., Albrecht, T. L.
Inefficient use of time can drain resources and impede effective clinic flow. Long wait times in oncology units often result in higher costs for both caregivers and patients, while patients also tend to experience increased stress and reduced overall satisfaction with their treatment. Long wait times have also been shown to directly and indirectly reduce patient adherence to recommended treatments.
Added December 2015
Realizing improved patient care through human-centered operating room design: A human factors methodology for observing flow disruptions in the cardiothoracic operating room
2013
Anesthesiology
Journal Article
Issue 5
Volume 119
Pages 1066-1077
Author(s): Palmer, G., Abernathy, J. H., Swinton, G., Allison, D., Greenstein, J., Shappell, S., Juang, K., Reeves, S. T.
The authors indicate that disruptions in the workflow of surgeries can extend surgery times and contribute to the escalation of healthcare costs.
Added March 2015
Patient Safety in the Cardiac Operating Room: Human Factors and Teamwork A Scientific Statement From the American Heart Association
2013
Circulation
Journal Article
Issue 10
Volume 128
Pages 1139-1169
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.
Added March 2015
The effects of physical environments in medical wards on medication communication processes affecting patient safety
2014
Health & Place
Journal Article
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.
Added November 2014
Quality of life and building design in residential and nursing homes for older people
2004
Ageing and Society
Journal Article
Issue 6
Volume 24
Pages 941-962
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...
Added September 2014
Healthcare Leadership White Paper Series - Maximizing The Impact of Nursing Care Quality: A Closer Look at the Hospital Work Environment and the Nurse’s Impact on Patient-Care Quality
2008
The Center for Health Design
Report
Author(s): Hendrich, A.L., Chow, M.
Current hospital work environments have inefficient work processes, physical designs, technology infrastructure, and organizational cultures that cause inefficiencies and nursing stressors that compromise direct patient care.
Added September 2014
Lean Thinking in Emergency Departments: A Critical Review
2011
Annals of Emergency Medicine
Journal Article
Issue 3
Volume 57
Pages 265-278
Author(s): Holden, R. J.
Added May 2014
Challenges in Design and Transition to a Private Room Model in the Neonatal Intensive Care Unit
2006
Advances in Neonatal Care
Journal Article
Issue 5
Volume 6
Pages 271-280
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.
Added April 2014
Using a Task Analysis to Describe Nursing Work in Acute Care Patient Environments
2009
Journal of Nursing Administration
Journal Article
Issue 12
Volume 39
Pages 537-547
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.
Added April 2014
Role of the Physical and Social Environment in Promoting Health, Safety, and Effectiveness in the Healthcare Workplace
2006
The Center for Health Design
Report
Author(s): Joseph, A.
Added October 2012
Professional Perspectives On Family- Centered Care
2002
The Center for Health Design
Report
Author(s): Center, C.C.M.
Added October 2012
Designing with health in mind. Innovative design elements can make hospitals safer, more healing places
2004
Modern Healthcare
Journal Article
Issue 42
Volume 34
Pages 28-28
Author(s): Sadler, B.L.
Added October 2012
Use of a portable forced air system to convert existing hospital space into a mass casualty isolation area
2004
Annals Of Emergency Medicine
Journal Article
Issue 6
Volume 44
Pages 628-634
Author(s): Rosenbaum, R.A., Benyo, J.S., O'Connor, R.E., Passarello, B.A., Williams, D.R., Humphrey, B.D., Ross, R.W., Berry, J.M., Krebs, J.G.
Added October 2012
Team Communications in the Operating Room: Talk Patterns, Sites of Tension, and Implications for Novices
2002
Academic Medicine
Journal Article
Issue 3
Volume 77
Pages 232-7
Author(s): Lingard, L., Reznick, R., Espin, S., Regehr, G., DeVito, I.
Added October 2012
