Analysis of functional layout in emergency departments (ED). Shedding light on the free standing emergency department (FSED) model
2022
Applied Sciences
Journal Article
Issue 10
Volume 12
Pages 5099
Author(s): Brambilla, A., Mangili, S., Das, M., Lal, S., Capolongo, S.
Research shows that emergency departments (EDs) are facing overcrowding, increasing patient acuity, and short staffing, which all are impacting wait times to be seen and patient satisfaction scores.
Added December 2022
The Role of the Physical Environment in the Hospital of the 21st Century: A Once-in-a-Lifetime Opportunity
2004
The Center for Health Design
Report
Author(s): Ulrich, R. S., Zimring, C., Quan, X., Joseph, A., Choudhary, R.
Added December 2022
Designing a cardiac intensive care unit by employing an evidence-based design approach
2022
The International Journal of Architectonic, Spatial, and Environmental Design
Journal Article
Issue 2
Volume 17
Pages 61-81
Author(s): Alansari, A., Quan, X.
Research shows that the design of the physical environment of cardiac intensive care units (CICUs) plays a significant role in patient outcomes, patient safety, and quality of care. Evidence-based design decisions further influence healthcare personnel well-being, such as reducing workplace injuries and workers’ compensation claims.
Added December 2022
Comfort equals nurturing: Young people talk about mental health ward design
2021
HERD: Health Environments Research & Design Journal
Journal Article
Issue 4
Volume 14
Pages 258-269
Author(s): Hutton, A., Wilson, R., Foureur, M.
Literature demonstrates that patient care outcomes and satisfaction can be significantly influenced by the healthcare environment. This research focuses on the design of mental health wards for adolescent patients and highlights understanding and implementing the viewpoints of adolescent patients in the design of mental health spaces.
Added July 2021
A regional survey on residents’ preferences on patient-centered medical home design in rural areas
2019
HERD: Health Environments Research & Design Journal
Journal Article
Issue 3
Volume 12
Pages 187-205
Author(s): Cai, H., Spreckelmeyer, K., Mendenhall, A., Li, D., Holmes, C., Levy, M.
The patient-centered medical home (PCMH) is a delivery model for primary care that is characterized by the recognition of unique patient needs while providing accessible services, a focus on safety and quality, comprehensive care, and coordinated care.
Added December 2018
The Architecture Of Safety: An Emerging Priority For Improving Patient Safety
2018
Health Affairs
Journal Article
Issue 11
Volume 37
Pages 1884-1891
Author(s): Joseph, A., Henriksen, K., Malone, E.
Added November 2018
Well-Being and Safety among Inpatient Psychiatric Staff: The Impact of Conflict, Assault, and Stress Reactivity
2016
Administration and policy in mental health
Journal Article
Issue 5
Volume 43
Pages 703-716
Author(s): Kelly, E. L., Fenwick, K., Brekke, J. S., Novaco, R. W.
Added August 2018
Suicide-specific Safety in the Inpatient Psychiatric Unit
2015
Issues in Mental Health Nursing
Journal Article
Issue 3
Volume 36
Pages 190-199
Author(s): de Santis, M. L., Myrick, H., Lamis, D. A., Pelic, C. P., Rhue, C., York, J.
Added August 2018
Does the redesign of a psychiatric inpatient unit change the treatment process and outcomes?
2013
Psychiatric Services
Journal Article
Issue 8
Volume 64
Pages 804-807
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.
Added August 2018
Understanding Design Vulnerabilities in the Physical Environment Relating to Patient Fall Patterns in a Psychiatric Hospital: Seven Years of Sentinel Events
2019
Journal of the American Psychiatric Nurses Association
Journal Article
Issue 2
Volume 25
Pages 134-145
Author(s): Bayramzadeh, S., Portillo, M., Carmel-Gilfilen, C.
Finding effective ways to prevent patient falls and fall-related injuries has been an ongoing struggle and debate for many modern medical practitioners. Previous studies have shown that nearly 30% of falls that occur in hospital settings result in injuries and, subsequently, additional treatments.
Added June 2018
Suicide risk and absconding in psychiatric hospitals with and without open door policies: A 15 year, observational study
2016
The Lancet Psychiatry
Journal Article
Issue 9
Volume 3
Pages 842-849
Author(s): Huber, C. G., Schneeberger, A. R., Kowalinski, E., Fröhlich, D., von Felten, S., Walter, M., Zinkler, M., Beine, K., Heinz, A., Borgwardt, S., Lang, U. E.
Suicides and absconding by inpatients are both situations that present serious challenges for medical institutions. For this reason, many psychiatric wards use permanently locked doors to help promote patient safety.
Added June 2017
Towards Healing Environment for the Inpatient Unit in Psychiatric Hospital
Author(s): Ramadan, M. G.
Previous research shows that physical designs within healthcare environments play a key role in promoting patient well-being. The design of a given healthcare facility directly affects the efficiency with which care is delivered, as well as affecting the attitudes, beliefs, and behaviors of its staff members.
Added June 2017
Door locking and exit security measures on acute psychiatric admission wards: Door locking on admission wards
2011
Journal of Psychiatric and Mental Health Nursing
Journal Article
Issue 7
Volume 18
Pages 614-621
Author(s): Nijman, H., Bowers, L., Haglund, K., Muir-Cochrane, E., Simpson, A., Van Der Merwe, M.
Locked exit doors exist in psychiatric wards for various reasons. Sometimes regional legislation requires locked exits in these wards. At other times, these security measures are put in place in order to prevent patients from escaping a facility, to prevent unwelcome visits, to enhance the staff’s sense of control, or to improve overall patient and staff safety.
Added June 2017
Developing family rooms in mental health inpatient units: An exploratory descriptive study
2015
BMC Health Services Research
Journal Article
Author(s): Isobel, S., Foster, K., Edwards, C.
Adult inpatients receiving treatment at mental health facilities often wish to visit with family members. Indeed, previous research indicates that caregivers, consumers, and medical professionals agree that children of parents with mental illness (COPMI) should be able to spend time with their parents for the mutual benefit of both patients and families.
Added June 2017
Selecting a pharmacy layout design using a weighted scoring system
2012
American Journal of Health-System Pharmacy
Journal Article
Issue 9
Volume 69
Pages 796-804
Author(s): McDowell, A. L., Huang, Y.-L.
Previous studies have found that effectively planning the construction of a facility can reduce operational inefficiencies and lower costs by as much as 30%. Since pharmacies are focused on the distribution of supplies rather than interactions with patients, they could hypothetically benefit from process-improvement techniques that are often used in manufacturing industries for layout designs.
Added May 2017
Shifting Landscapes: The Impact of Centralized and Decentralized Nursing Station Models on the Efficiency of Care
2017
HERD: Health Environments Research & Design Journal
Journal Article
Issue 5
Volume 10
Pages 80-84
Author(s): Fay, L., Carll-White, A., Schadler, A., Isaacs, K., Real, K.
As healthcare facilities continue to implement evidence-based designs and increase in overall size, there is a lack of research examining how these changes affect the efficiency of patient care processes. Along with the physical growth of modern healthcare environments, advances in medical technology have increased the amount of multitasking required of nurses and other healthcare workers.
Added May 2017
A Study of Hospital Inpatient Unit Design Factors Impacting Direct Patient Care Time, Documentation Time, and Patient Safety
Author(s): Clark, T., Combs, S.
Architects have experimented with numerous inpatient care unit (IPU) designs, such as racetracks, “T-shapes,”, “L-shapes,”, triangular forms, and many others. There is no clear consensus on how the designs of these spaces and other physical features within IPUs influence healthcare provider productivity, safety, and overall effectiveness.
Added April 2017
Separate Medication Preparation Rooms Reduce Interruptions and Medication Errors in the Hospital Setting: A Prospective Observational Study
2016
Journal of Patient Safety
Journal Article
Issue 3
Volume 17
Pages e161-e168
Author(s): Huckels-Baumgart, S., Baumgart, A., Buschmann, U., Schüpfer, G., Manser, T.
Errors and interruptions are commonplace during medication preparation procedures in healthcare environments. One study found that one interruption occurred for every 3.2 drugs administered during nurses’ medication rounds.
Added December 2016
Key Spatial Factors Influencing the Perceived Privacy in Nursing Units: An Exploration Study With Eight Nursing Units in Hong Kong
2016
HERD: Health Environments Research & Design Journal
Journal Article
Issue 4
Volume 10
Pages 37-48
Author(s): Lu, Y., Cai, H., Bosch, S. J.
Healthcare designers are faced with a challenging task when trying to balance patient privacy with safety and well-being. While patients typically expect some degree of privacy during their treatment processes, it is also commonly understood that caregivers need appropriate access to them so that proper treatment can be administered.
Added October 2016
An Assessment of Levels of Safety in Psychiatric Units
2016
HERD: Health Environments Research & Design Journal
Journal Article
Issue 2
Volume 10
Pages 66-80
Author(s): Bayramzadeh, S.
As mental treatment facilities see increases in the number of patients seeking care, facilities face mounting pressure in their attempts to promote patient well-being and safety. The author suggests that there is a lack of systematic empirical studies that examine how the design of mental healthcare facilities contributes to patient care and safety.
Added September 2016
