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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 27

Evaluating the Built Environment in Inpatient Psychiatric Wards

Author(s): Sheehan, B., Burton, E., Wood, S., Stride, C., Henderson, E., Wearn, E.
The authors allude to the dearth of research on the built environment in psychiatric wards and emphasize that the significance of the impact of the physical environment on the mental health and well-being of patients cannot be overlooked. This research involved examining the physical aspects of 98 psychiatric wards in urban and rural England and identifying those aspects associated with staff satisfaction.
Key Point Summary
Added October 2018

Using Lean to Improve Medication Administration Safety: In Search of the “Perfect Dose”

Author(s): Ching, J. M., Long, C., Williams, B. L., Blackmore, C. C.
Added August 2018

Does the redesign of a psychiatric inpatient unit change the treatment process and outcomes?

Author(s): Urbanoski, K. A., Mulsant, B. H., Novotna, G., Ehtesham, S., Rush, B. R.
The overall “atmosphere” of a psychiatric treatment facility could be defined through the availability of patient autonomy and support from peers, the presence of aggressive behavior within the ward, and the general sense of ward organization and rule enforcement.
Key Point Summary
Added August 2018

Objective and subjective assessments of lighting in a hospital setting: implications for health, safety and performance

Author(s): Dianat, I., Sedghi, A., Bagherzade, J., Jafarabadi, M. A., Stedmon, A. W.
Poor lighting conditions in workplaces, particularly healthcare environments, can cause discomfort for both patients and staff members, while also negatively affecting the performance of standard tasks. Ailments such as eyestrain, headaches, and indigestion may evolve from low lighting levels, high amounts of glare, and even flickering light sources.
Key Point Summary
Added October 2016

Health economic evaluation of an infection prevention and control program: Are quality and patient safety programs worth the investment?

Author(s): Raschka, S., Dempster, L., Bryce, E.
Added May 2016

Impact of the physical environment of psychiatric wards on the use of seclusion

Author(s): van der Schaaf, P. S., Dusseldorp, E., Keuning, F. M., Janssen, W. A., Noorthoorn, E. O.
Disturbed behavior and patient aggression within psychiatric wards can threaten both patient and staff safety. To manage these patients, psychiatric wards often will use coercive measures such as solitary confinement. Patient aggression arises from a complex interaction between patient characteristics, staff characteristics, and the characteristics of the physical environment of the psychiatric ward itself. Most studies have focused on the dynamics between patient and staff characteristics; little research has been done to investigate how the physical environment of psychiatric wards might influence patient aggression and subsequently the use of coercive measures.
Key Point Summary
Added October 2015

Patient Safety in the Cardiac Operating Room: Human Factors and Teamwork A Scientific Statement From the American Heart Association

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.
Key Point Summary
Added March 2015

Inpatient fall prevention: Use of in-room Webcams

Author(s): Hardin, S. R., Dienemann, J., Rudisill, P., Mills, K. K.
The National Database for Nursing Quality Indicators (NDNQI) maintains data on patient falls nationally. Reported fall rates have ranged from 2.2 to 7 per 1000 admissions; 10% to 25% of falls result in an injury, depending on patient population. Falls adversely impact hospital costs as well as patient costs and overall well-being. The California HealthCare Foundation reported that technological innovations in the field of fall prevention, such as wireless patient monitoring systems, resulted in faster nurse response times and increased satisfaction for both patients and staff.
Key Point Summary
Added December 2014

Accessibility for mental healthcare

Author(s): Chrysikou, E.
Mental health facilities, according to the author, are designed and built to limit the mobility of patients, whether or not they are limited by physical disability. While physical mobility may be a consequence of the illness, in other cases the potential flight risk of a patient may require the facility policy to be restrictive regarding patient access to open spaces.
Key Point Summary
Added December 2014

Compassionate containment? Balancing technical safety and therapy in the design of psychiatric wards

Author(s): Curtis, S., Gesler, W., Wood, V., Spencer, I., Mason, J., Close, H., Reilly, J.
The authors allude to the challenge of managing risk to the security of patients and staff in psychiatric wards and how design of psychiatric hospitals contributes to it. The authors conducted an evaluation of a mental health inpatient facility.
Key Point Summary
Added December 2014

A Comparitive Analysis of Centralised and Decentralised Nurse Station and Patient’s Satisfaction

Author(s): Manzoor, S. J.
A healing environment arises from careful design that demonstrates measurable improvements in the psychological and/or physical states of staff, patients, and/or visitors. When focusing on Evidence-Based Design, deliberate efforts based off of solid evidence should be made to construct the most effective possible ICU layout, thereby creating the best possible healing environment for patients and a suitable work environment for staff.
Key Point Summary
Added December 2014

Technologies in the wild (TiW): human factors implications for patient safety in the cardiovascular operating room

Author(s): Pennathur, P. R., Thompson, D., Abernathy, J. H., Martinez, E. A., Pronovost, P. J., Kim, G. R., Bauer, L. C., Lubomski, L. H., Marsteller, J. A., Gurses, A. P.
Added December 2014

Improved Efficiency and Safety for EVAR with Utilization of a Hybrid Room

Author(s): Varu, V. N., Greenberg, J. I., Lee, J. T.
The authors allude to technological advances like image-guided and catheter-based interventions in connection with contemporary vascular surgery in recent years. They indicate that with procedures becoming more complex, dedicated interventional suites with suitably trained and experienced staff were becoming a necessity.
Key Point Summary
Added December 2014

Outdoor Wandering Parks for Persons with Dementia

Author(s): Cohen-Mansfield, J., Rodiek, S., Schwarz, B.
Outdoor spaces in nursing homes are documented to be beneficial to residents. The author alludes to literature to highlight the specific advantages exposure to different types of outdoor spaces brings to the daily lives of people suffering from dementia.
Key Point Summary
Added December 2014

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
Added November 2014

Factors influencing evaluation of patient areas, work spaces, and staff areas by healthcare professionals

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.
Key Point Summary
Added November 2014

Patients' experience of important factors in the healthcare environment in oncology care

Author(s): Browall, M., Koinberg, I., Falk, H., Wijk, H.
Psychological stress can be caused by the healthcare system and especially for patients with cancer in oncology clinics. How patients perceive their healthcare environment was found to have an impact on their well-being.
Key Point Summary
Added November 2014

Design Research and Behavioral Health Facilities

Author(s): Shepley, M. M., Pasha, S.
In the interest of determining the state of knowledge on the relationship between behavioral health and the physical environment, the authors explored the literature on research, guidelines, and funding related to this topic.
Key Point Summary
Added November 2014

An investigation of noncompliant toilet room designs for assisted toileting

Author(s): Sanford, J., Bosch, S. J.
The American Disability Association created the Accessibility Guidelines (ADAAG) in 1991 to address the needs of the physically disabled population. A large percentage of the U.S. population requires assistance for daily routine activities, whether it be the aging population or those with conditions that limit mobility, such as arthritis, stroke, or poor balance.
Key Point Summary
Added September 2014

The Role of Flooring as a Design Element Affecting Patient and Healthcare Worker Safety

Author(s): Harris, D. D., Detke, L. A.
Added September 2014