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Knowledge Repository

NICU redesign from open ward to private room: A longitudinal study of parent and staff perceptions

Author(s): Swanson, J. R., Peters, C., Lee, B. H.
For the past 20 years, floor plans incorporating single-patient room designs have been growing in popularity, especially in the context of neonatal intensive care units (NICUs). The differences between private-room (PR) floor plans and open-ward (OW) floor plans have been thoroughly studied, with previous research showing how OW NICUs can limit privacy and generate other negative environmental effects for patients and family members.  
Key Point Summary

Building Situation Awareness on the Move: Staff Monitoring Behavior in Clinic Corridors

Author(s): González-Martínez, E., Bangerter, A., Lê Van, K.
Hospital staff members are responsible for remaining continuously aware of a care unit’s functioning while simultaneously performing individualized tasks in a deeply interconnected and unpredictable environment.
Key Point Summary

Lean Manufacturing Improves Emergency Department Throughput and Patient Satisfaction:

Author(s): Kane, M., Chui, K., Rimicci, J., Callagy, P., Hereford, J., Shen, S., Norris, R., Pickham, D.
The Emergency Department (ED) in the authors’ organization was facing overcrowding, which was placing a strain on ED resources and resulting in a decrease in patient satisfaction. It was decided to extend to the ED the implementation of a lean management strategy, Stanford Operating System (SOS), already in use for hospital operations.
Key Point Summary

Pod Nursing on a Medical/Surgical Unit

Author(s): Friese, C. R., Grunawalt, J. C., Bhullar, S., Bihlmeyer, K., Chang, R., & Wood, W.
The project reported in this article uses a Pod Nursing (PN) care delivery model to enhance patient-nurse proximity and a team-based patient assignment to improve select nurse and patient outcomes.
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

Attribute correlates of hospital outpatient satisfaction

Author(s): Krueckeberg, H. F., Hubbert, A.
Patient satisfaction with hospital outpatient or ambulatory services is an important factor in influencing patient patronage and loyalty. With the increasing growth of revenue associated with outpatient procedures, this area of practice has important opportunities for market-share development through employee behavior and the influence of management and marketing strategies.
Key Point Summary

Effect of noise on auditory processing in the operating room

Author(s): Way, T. J., Long, A., Weihing, J., Ritchie, R., Jones, R., Bush, M., Shinn, J. B.
Noise in operating rooms (ORs), defined as any unwanted sound impeding on normal hearing, can be grouped into two categories: equipment-related noise and staff-created noise. Equipment-related noise can come from anesthesia equipment and alarms, suction devices, or surgical instruments such as cautery devices, dissection tools, and drills. Staff-created noise can come from opening and closing doors, conversations, overhead pages, and music. All of these noise sources contribute to the average ambient noise in ORs, which is 65 dBA with peak levels reaching120 dBA.
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