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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 115

Effects of the physical environment on children and families in hospital-based emergency departments: A systematic literature review

Author(s): Gripko, M., Joseph, A., MohammadiGorji, S.
The emergency department (ED) environment is often a very stressful place, especially for young children and their families. Previous studies show that highly stimulating environments may increase anxiety. There are many complex relationships among the physical environment and healthcare outcomes in the emergency department, and themes in this study include control, positive distractions, family and social supports, and designing for a safe and comfortable experience.
Key Point Summary
Added February 2023

Efficacy of violet–blue light to inactive microbial growth

Author(s): Amodeo, D., Lucarelli, V., De Palma, I., Puccio, A., Nante, N., Cevenini, G., Messina, G.
Research demonstrates that certain lights have antimicrobial properties. Violet-blue light at 405 nm (VBL405) has a broad-spectrum effect on organisms that frequently cause hospital-acquired infections including Clostridium difficile, Escherichia coli, Staphylococcus epidermidis, Pseudomonas aeruginosa, Klebsiella pneumoniae, Streptococcus pyogenes, and various Mycobacterium.
Key Point Summary
Added November 2022

Ventilation performance evaluation of a negative-pressurized isolation room for emergency departments

Author(s): Wang, F., Permana, I., Chaerasari, C., Lee, K., Chang, T., Rakshit, D.
Since the emergence of COVID-19, healthcare facilities are expected to be well equipped and flexible in their efforts to both treat patients and protect staff. Emergency Department (ED) isolation rooms are considered a potentially effective way to protect both staff and infected patients; however, further research is needed to understand how best to design an isolation room for an ED.
Key Point Summary
Added August 2022

Designing palliative care facilities to better support patient and family care: A staff perspective

Author(s): McLaughlan, R., Richards, K., Lipson-Smith, R., Collins, A., Philip, J.
There are several factors that make palliative care unique, including longer lengths of stay, the number of visitors, and considerations around end-of-life care. Staff perceive that privacy, a homelike environment, and safety are important for their ability to provide comfort and support to both patients and families.
Key Point Summary
Added February 2022

Impact of distance on stroke inpatients’ mobility in rehabilitation clinics: a shadowing study

Author(s): Kevdzija, M., Marquardt, G.
Failure to rehabilitate after experiencing a stroke frequently results in a patient’s admission to long-term care. There is a need to understand how size and spatial configuration of rehabilitation settings can support wayfinding and help patients overcome mobility barriers.
Key Point Summary
Added December 2021

Investigations of Staphylococcal contamination on environmental surfaces of a neonatal intensive care unit of a children's hospital

Author(s): Keilman, R., Harding, S., Rowin, M., Reade, E., Klingborg, P., Levine, D., Spratt, H.
Staphylococcal, particularly methicillin-resistant S. aureus (MRSA), infections are pervasive in intensive care units (ICUs). However, little research focuses on areas of contamination within neonatal intensive care units (NICUs), even though Staphylococci can cause severe infection in infants.
Key Point Summary
Added July 2021

Preventing SARS-CoV-2 transmission in the emergency department by implementing a separate pathway for patients with respiratory conditions

Author(s): Alqahtani, F., Alanazi, M., Alassaf, W., Aleanizy, F. S., Aljahany, M., Joseph, M., AlRaye, M.
Since the beginning of the coronavirus disease 2019 (COVID-19) pandemic, healthcare facilities have provided services to patients with suspected or confirmed cases of this and other highly contagious respiratory illnesses. In some areas, emergency departments (EDs) have become important resources for patient populations without other ways to access medical care.
Key Point Summary
Added June 2021

Evaluation of nosocomial infection control measures to minimize the risk of aspergillus dispersion during major demolition work: A case study of a Japanese university hospital

Author(s): Nakanishi, Y., Kasahara, K., Koizumi, A., Tokutani, J., Yoshihara, S., Mikasa, K., Imamura, T.
Aspergillus species (spp), can be dispersed during activities such as construction, renovation, and demolition. The infection control risk assessment (ICRA) tool was developed in part to counteract the spread of infection in these situations.
Key Point Summary
Added May 2021

Intensive care unit built environments: A comprehensive literature review (2005–2020)

Author(s): Verderber, S., Gray, S., Suresh-Kumar, S., Kercz, D., Parshuram, C.
ICUs have been extensively studied regarding the role of the built environment in issues of patient safety and infection control, patient-staff outcomes, and the interventional role of the physical environment. The results of this comprehensive literature review (2005-2020) demonstrate an increase in design of single-bed ICUs, increase in the engagement of families in the ICU experience, acknowledgement of improving caregiver well-being, performance through designing staff amenities, increased attention to the therapeutic role of exposure to nature and lighting, and increased pandemic concerns related to containment of the COVID-19 virus.
Key Point Summary
Added May 2021

Air Care: an ‘aerography’ of breath, buildings and bugs in the cystic fibrosis clinic

Author(s): Brown, N., Buse, C., Lewis, A., Martin, D., Nettleton, S.
Research in medical humanities works on hospital architecture demonstrates the historical significance of spatial design for airflow and air exchange from the pre-antibiotic period until the present. The spatial and atmospheric design of hospitals is conceived while paying attention to the prevention of the spread of airborne infections, e.g., cystic fibrosis (CF).
Key Point Summary
Added April 2020

An assessment of a hybrid lighting system that employs ultraviolet-A for mitigating healthcare-associated infections in a newborn intensive care unit

Author(s): Brons, J. A., Bierman, A., White, R., Benner, K., Deng, L., Rea, M. S.
Healthcare-associated infections (HAIs) affect approximately one in 25 patients in the US. One study found that an average of fewer than 50% of patient room surfaces are properly cleaned, making infection spread more easily. This study explores the use of a no-touch decontamination method that employs hybrid lighting technology with both white light and UV-A optical radiation.
Key Point Summary
Added February 2020

Particle control reduces fine and ultrafine particles greater than HEPA filtration in live operating rooms and kills biologic warfare surrogate

Author(s): Ereth, M. H., Hess, D. H., Driscoll, A., Hernandez, M., Stamatatos, F.
Modern buildings tend to feature more insulation and tighter building envelopes, which can increase concentrations of indoor pathogens, particles, and pollutants. This can lead to higher rates of hospital-acquired infections (HAIs), making the control of indoor air quality critically important.
Key Point Summary
Added January 2020

Understanding nurses’ workflow: Batching care and potential opportunities for transmission of infectious organisms, a pilot study

Author(s): Gregory, L., Weston, L. E., Harrod, M., Meddings, J., Krein, S. L.
Hand hygiene and personal protective equipment (PPE) strategies are employed to prevent disease transmission in the contact precaution room. Studies revealed that precautionary measures perceived as overwhelming required more time in patient care and required changes in workflow.
Key Point Summary
Added December 2019

Use of an automated hand hygiene compliance system by emergency room nurses and technicians is associated with decreased employee absenteeism

Author(s): Strauch, J., Braun, T. M., Short, H.
The relationship between hand hygiene intervention and absenteeism has been studied in other contexts besides healthcare. Researchers examined how improving hand hygiene practices among emergency room (ER) nurses and technicians affected their absenteeism and overtime hours worked by substitute staff.
Key Point Summary
Added December 2019

Impact of sink location on hand hygiene compliance for Clostridium difficile infection

Author(s): Zellmer, C., Blakney, R., Van Hoof, S., Safdar, N.
Clostridium difficile infection (CDI) is a common health complication arising within medical environments that can place noticeable strain on healthcare systems. The Centers for Disease Control (CDC) has provided hand hygiene guidelines for mitigating these infections following contact during an outbreak situation; however, various barriers may prevent compliance with these hand hygiene guidelines.
Key Point Summary
Added November 2019

Hospitalization-associated disability: “She was probably able to ambulate, but I’m not sure”

Author(s): Covinsky, K. E., Pierluissi, Edgar, Johnston, C. B.
It is not uncommon for older patients who are hospitalized to acquire hospital-associated disabilities (HAD). An HAD is defined as losing the ability to complete one of the basic activities of daily living (ADL) needed to live independently without assistance: bathing, dressing, rising from bed or a chair, using the toilet, eating, or walking across a room.
Key Point Summary
Added April 2019

The influence of spatial configuration on the frequency of use of hand sanitizing stations in health care environments

Author(s): Neo, J. R. J., Zadeh, R.
Healthcare-associated infections (HAIs) affect over 1.7 million people each year, and subsequently cost the U.S. economy approximately $8.2 billion each year. Hand hygiene compliance (HHC), which involves washing hands thoroughly with alcohol-based rubs or soap and water, is widely regarded as a major prevention measure against the transmission of pathogens that cause HAIs.
Key Point Summary
Added December 2018

Human factors considerations in designing for infection prevention and control in neonatal care – findings from a pre-design inquiry

Author(s): Trudel, C., Cobb, S., Momtahan, K., Brintnell, J., Mitchell, A.
As healthcare environments are being more frequently redesigned to improve patient experiences and provider operations, it becomes increasingly important that healthcare providers themselves understand how these new designs are intended to be utilized. Giving healthcare providers a deeper understanding of the functions and purposes underlying important healthcare design decisions could help reduce potential operational errors or staff frustrations.
Key Point Summary
Added December 2018

Sink-Related Outbreaks and Mitigation Strategies in Healthcare Facilities

Author(s): Parkes, L. O., Hota, S. S.
Hand hygiene activities, such as simple handwashing procedures within designated sinks, have been regarded as an effective way to prevent infections for over a century. As hospitals increase in size and are expected to provide treatment to increasingly large patient populations in the future, hand hygiene protocols and sink designs should be continually assessed so that rates of infection remain as minimal as possible.
Key Point Summary
Added August 2018

Environment of care: Is it time to reassess microbial contamination of the operating room air as a risk factor for surgical site infection in total joint arthroplasty?

Author(s): Parvizi, J., Barnes, S., Shohat, N., Edmiston, C. E.
Operating rooms (ORs) typically are equipped with several layers of defense against the spread of airborne contaminants (also known as airborne microbial populations) that can lead to surgical site infections (SSIs) in patients undergoing surgical procedures that involve device implantation.
Key Point Summary
Added June 2018