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
Sleep disorder in cardiac care units: A special look at noise and light effects
2014
International Journal of Bioassays
Journal Article
Issue 01
Volume 4
Pages 3680-3685
Author(s): Sheihki, M. A., Ebadi, A., Rahmani, H.
Patients in hospitals sometimes experience disturbed sleep because of environmental factors. The lack of adequate sleep has many adverse effects, and these effects are particularly critical in the case of patients in intensive care units (ICUs).
Added March 2015
Changes in patient satisfaction related to hospital renovation: Experience with a new clinical building
2015
Journal of Hospital Medicine
Journal Article
Issue 3
Volume 10
Pages 165-171
Author(s): Siddiqui, Z. K., Zuccarelli, R, Durkin, N., Wu, A. W., Brotman, D. J.
As hospitals increasingly implement novel designs geared towards patient satisfaction and improved care, further research into the details of patient satisfaction levels is needed. By understanding patient perceptions of these new, patient-centered built environments and the care provided within them, healthcare providers and designers could more accurately project which design decisions will provide improved levels of patient satisfaction within a variety of contexts.
Added March 2015
Using Music to Reduce Noise Stress for Patients in the Emergency Department A Pilot Study
2010
Music and Medicine
Journal Article
Issue 4
Volume 2
Pages 201-207
Author(s): Short, A. E., Ahern, N., Holdgate, A., Morris, J., Sidhu, B.
High levels of noise within emergency departments (EDs) have been associated with higher levels of patient stress. Noise and the stress it causes have been observed as a contributing factor to slower recovery rates and overall lower rates of satisfaction among patients.
Added March 2015
The Physical Attributes of Healing Garden for A Century Old Healthcare Premises
2015
International Transaction Journal of Engineering, Management, & Applied Sciences & Technologies
Journal Article
Issue 2
Volume 6
Pages 47-59
Author(s): Ibrahim, F., Harun, W. M. W., Samad, M. H. A., Kamaruddin, W. N. W
The authors refer to previous research that examined the positive effect of gardens on the health of hospitalized patients. Two hospitals in Malaysia that were built in the late 19th century had designed gardens in the premises.
Added February 2015
Does patient-centered design guarantee patient safety?: Using human factors engineering to find a balance between provider and patient needs
2005
Journal of Patient Safety
Journal Article
Issue 3
Volume 1
Pages 145-153
Author(s): France, D. J., Throop, P., Walczyk, B., Allen, L., Parekh, A. D., Parsons, A., Rickard, D., Deshpande, J. K.
According to the authors, “human factors engineering is the study of human beings and their interaction with products, environment, and equipment”, and that over the years it has evolved from systems- centered to user-centered to socially-centered care.
Added December 2014
Space to care and treat safely in acute hospitals: Recommendations from 1866 to 2008
2010
Applied Ergonomics
Journal Article
Issue 5
Volume 41
Pages 666-673
Author(s): Hignett, S., Lu, J.
Bed space, defined in this study as the area around an individual bed offering privacy either as a curtained or screened cubicle or a single room in a ward holding multiple occupants, is the most frequently repeated design envelope in an acute care hospital. Since patients, staff, visitors, and other people will occupy this space at one point or another for a variety of different purposes, a complex design challenge exists. In 1893, Florence Nightingale successfully argued for less cramped bedrooms and overall improvements in hospital designs.
Added December 2014
Ambulatory infusion suite: pre- and post-occupancy evaluation
2012
Building Research & Information
Journal Article
Issue 6
Volume 40
Pages 700-712
Author(s): Shepley, M.M., Rybkowski, Z., Aliber, J., Lange, C.
The authors refer to the lack of research on the design of cancer facilities while emphasizing the need to study the impact of the physical environment of infusion suites on patient experience. This study evaluates the perceptions of patients and staff of two infusion suites – old and new, specifically in connection with social interaction, privacy, and access to nature.
Added December 2014
Exploring positive hospital ward soundscape interventions
2014
Applied Ergonomics
Journal Article
Issue 6
Volume 45
Pages 1454-1460
Author(s): Mackrill, J., Jennings, P., Cain, R.
Research has repeatedly shown strong relationships between human health and the characteristics of physical environments, such as a given environment’s soundscape. A soundscape encompasses all the sounds generated within an environment, rather than a single sound source like an air vent. While there have been negative health effects associated with the excessive sound often produced in hospital soundscapes, there potentially could be beneficial outcomes in maintaining and thoroughly understanding the soundscapes of certain hospital areas.
Added December 2014
Can flooring and underlay materials reduce hip fractures in older people?
2004
Nursing Older People
Journal Article
Issue 5
Volume 16
Pages 16-20
Author(s): Minns, J.
Falls resulting in fracture of the hip in older people are a major health problem worldwide. Flooring that is slippery and unsuitable footwear are other major factors contributing to the onset of fractures in the home. Building design should incorporate measures to minimize the risk of falls.
Added November 2014
Healthcare providers' perception of design factors related to physical environments in hospitals
2012
Journal of Environmental Psychology
Journal Article
Issue 4
Volume 32
Pages 362-370
Author(s): Mourshed, M., Zhao, Y.
Most aspects of the physical environment having an impact on staff outcome are determined during early design stages of a building’s lifecycle. Subsequent modifications at later stages are expensive and sometimes difficult to achieve due to the multidisciplinary nature of design decision making.
Added November 2014
Factors influencing evaluation of patient areas, work spaces, and staff areas by healthcare professionals
2013
Indoor and Built Environment
Journal Article
Author(s): Sadatsafavi, H., Walewski, J., Shepley, M. M.
One important element of high-quality healthcare delivery is a motivated and satisfied staff. Healthcare executives should regularly examine the factors that influence clinicians’ perceptions of satisfaction and quality so that necessary changes can be addressed.
Added November 2014
A better physical environment in the workplace means higher well-being? A study with healthcare professionals
2013
Psyecology: Revista Bilingüe de Psicología Ambiental / Bilingual Journal of Environmental Psychology
Journal Article
Issue 1
Volume 4
Pages 89-110
Author(s): Campos-Andrade, C., Hernández-Fernaud, E., Lima, M.-L.
Referring to literature that points to the physical and psychological demands of healthcare work, the authors note that a negative physical environment can add to stress, burnout, and the possibility of error in addition to having repercussions for the health and well-being of the workers. Noise levels, unit configuration, and patient room type (single or multi-bed) are some of the environmental factors that have been studied and found to affect the experience and well-being of nurses.
Added November 2014
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
Analysis of the soundscape in an intensive care unit based on the annotation of an audio recording
2014
The Journal of the Acoustical Society of America
Journal Article
Issue 4
Volume 135
Pages 1875-1886
Author(s): Park, M., Kohlrausch, A., de Bruijn, W., de Jager, P., Simons, K.
Patients receiving treatment in intensive care units (ICUs) are often subjected to elevated noise levels that can complicate recovery by disturbing sleep patterns and causing stress, anxiety, and changes in cardiovascular response. Although previous research has thoroughly analyzed the various sources of noise in ICUs, the authors of this study believe that inadequate recording and sound analysis techniques, as well as the presence of human observers collecting data, have restricted the depth of previous findings.
Added November 2014
Noise stress for patients in hospitals - a literature survey
2013
The Journal of the Acoustical Society of America
Journal Article
Issue 5
Volume 133
Pages 3553
Author(s): Notbohm, G., Siegmann, S.
Added November 2014
Effect of intensive care environment on family and patient satisfaction: a before–after study
2013
Intensive Care Medicine
Journal Article
Issue 9
Volume 39
Pages 1626-1634
Author(s): Jongerden, I. P., Slooter, A. J., Peelen, L. M., Wessels, H., Ram, C. M., Kesecioglu, J., Schneider, M. M., van Dijk, D.
Intensive care units or ICUs are changing from multi-bed units to single-patient room units. According to the authors, these changes may have an impact on family satisfaction. With the patient often in a critical non-communicative position, it falls on family members to make decisions and evaluate satisfaction.
Added November 2014
Validating Acoustic Guidelines for Healthcare Facilities - Evidence-Based Design Meets Evidence-Based Medicine: The Sound Sleep Study
2010
The Center for Health Design
Report
Author(s): Solet, J. M., Buxton, O. M., Ellenbogen, J. M., Wang, W., Carballiera, A.
Added November 2014
The Impact of Environmental Factors on Nursing Stress, Job Satisfaction, and Turnover Intention
2010
Journal of Nursing Administration
Journal Article
Author(s): Applebaum, Diane, Fowler, Susan, Fiedler, Nancy, Osinubi, Omowunmi, Robson, Mark
Key concepts include the impact of environmental factors on perceived stress levels of staff nurses.
Added October 2014
The Environment of Inpatient Healthcare Delivery and Its Influence on the Outcome of Care
2012
HERD: Health Environments Research & Design Journal
Journal Article
Issue 1
Volume 6
Pages 104-116
Author(s): O'Connor, M., O'Brien, A., Bloomer, M., Morphett, J., Peters, L., Hall, H., Parry, A., Recoche, K., Lee, S., Munro, I.
There is a growing body of evidence demonstrating that in all healthcare settings, the design of discipline-specific space can influence patients and their health outcomes. The contribution of the physical environment to quality of life and well-being is also supported. Healthcare delivery has changed over the last three decades; however, the authors note that some ICUs and emergency departments have not fully adapted to these changes, whereas palliative care and women’s health have adapted to include more family involvement and patient-driven changes. Environments such as labor and delivery units have benefitted from active consumer involvement in design.
Added September 2014
