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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 95

A regional survey on residents’ preferences on patient-centered medical home design in rural areas

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.
Key Point Summary
Added December 2018

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.
Key Point Summary
Added June 2017

Developing family rooms in mental health inpatient units: An exploratory descriptive study

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.
Key Point Summary
Added June 2017

Interventions to improve hospital patient satisfaction with healthcare providers and systems: A systematic review

Author(s): Davidson, K. W., Shaffer, J., Ye, S., Falzon, L., Emeruwa, I. O., Sundquist, K., Inneh, I. A., Mascitelli, S. L., Manzano, W. M., Vawdrey, D. K., Ting, H. H.
Added June 2017

Reducing hospital noise with sound acoustic panels and diffusion: a controlled study

Author(s): Farrehi, P. M., Nallamothu, B. K., Navvab, M.
Ambient noise is a well-known source of stress in healthcare environments. Hospitals have employed methods such as shielding patients with closed doors, altering staff behaviors, and moving equipment, but these approaches can disrupt workflows and do not address the realities of sound generation within hospitals.
Key Point Summary
Added March 2017

A Material World: A Comparative Study of Flooring Material Influence on Patient Safety, Satisfaction, and Quality of Care

Author(s): Harris, D.
Added February 2017

Key Spatial Factors Influencing the Perceived Privacy in Nursing Units: An Exploration Study With Eight Nursing Units in Hong Kong

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.
Key Point Summary
Added October 2016

Surface Finish Materials: Considerations for the Neonatal Intensive Care Unit (NICU)

Author(s): Harris, D.
In this literature review, it is shown that a growing body of research has been focusing on how surface material finishes within neonatal intensive care units (NICUs) can contribute to the operational, clinical, and social aspects of health outcomes.
Key Point Summary
Added September 2016

Security Implications of Physical Design Attributes in the Emergency Department

Author(s): Pati, D., Pati, S., Harvey, T. E.
In this paper, the authors consider “security” a subset of “safety,” and note that security is imperative for providing efficient patient care, especially in emergency departments (EDs). Security is defined as the protection of people and property, while safety is defined as the broader concept of delivering patient care.
Key Point Summary
Added September 2016

The associations between objectively-determined and self-reported urban form characteristics and neighborhood-based walking in adults

Author(s): Jack, E., McCormack, G. R.
Added August 2016

A Recovery-Oriented Care Approach: Weighing the Pros and Cons of a Newly Built Mental Health Facility

Author(s): Ahern, C. C., Bieling, P., McKinnon, M. C., McNeely, H. E., Langstaff, K.
An inpatient mental health hospital was renovated with a newly built environment that incorporated patient-centered, clinically informed designs in an attempt to improve overall safety and quality of care. The new designs were considerably expensive and had extensive design implications for other parts of the hospital outside of the mental health facility.
Key Point Summary
Added June 2016

Exploring Environmental Variation in Residential Care Facilities for Older People

Author(s): Nordin, S., McKee, K., Wijk, H., Elf, M.
Added June 2016

Does Space Matter? An Exploratory Study for a Child-Adolescent Mental Health Inpatient Unit

Author(s): Trzpuc, S. J., Wendt, K. A., Heitzman, S. C., Skemp, S., Thomas, D., Dahl, R.
Added June 2016

Managing Patient Falls in Psychiatric Inpatient Units: Part 1

Author(s): Abraham, S.
A significantly higher number of patient falls occur in hospital inpatient psychiatric units than in medical-surgical areas, resulting in issues with overall patient safety. The Centers for Disease Control and Prevention considers patient falls a concern to society due to the safety issues they pose and financial strains they can cause for institutions.
Key Point Summary
Added April 2016

To see or not to see: Investigating the links between patient visibility and potential moderators affecting the patient experience

Author(s): Bosch, S. J., Apple, M., Hiltonen, B., Worden, E., Lu, Yi, Nanda, U., Kim, D.
The amount of visibility between patients and nursing staff contributes significantly to the balance between feelings of security and autonomy. Hospitals in which patients are in constant view of the staff can create a sense of restricted freedom, but high visibility can also be associated with higher levels of patient safety. There has been ongoing debate within the medical community as to how a perfect balance between security and autonomy can be implemented. This study took place at a hospital with a radial nursing unit.
Key Point Summary
Added April 2016

Shaping the slats of hospital patient room window blinds for daylighting and external view under desert clear skies

Author(s): Sherif, A., Sabry, H., Wagdy, A., Mashaly, I, Arafa, R.
Many previous studies have shown how natural lighting can contribute to the healing nature of a hospital’s environment by reducing patient fatigue, stress, and length of stay. Desert locations are often characterized by continually clear skies, making control of the sunlight even more essential to patient satisfaction. It is therefore important to determine the optimal shape of window blind slats so that discomfort can be reduced without compromising levels of illumination.
Key Point Summary
Added April 2016

The Impact of an Acute Psychiatry Environment on Older Patients and Their Families

Author(s): Hung, L., Loewen, E., Bindley, B., McLaren, D., Feist, T., & Phinney, A.
There is a lack of research that examines impact of the designed environment on the experience of older adults and their families in healthcare settings.
Key Point Summary
Added January 2016

Intensive care unit design and mortality in trauma patients

Author(s): Pettit, N. R., Wood, T., Lieber, M., O'Mara, M. S.
A primary concern for many patient care units is the question of where to place more seriously ill patients within the space that is available. Questions regarding the impact of architectural features, such as the availability of natural lighting, or adjacency to nurse stations on patient health outcomes should be further explored so that increasingly effective healthcare environments can be established. Currently, no data exist demonstrating whether trauma patients receiving treatment in intensive care unit (ICU) beds with poor visibility from a central nursing station experience health outcomes different from those in rooms that may be more visible from the nursing station.
Key Point Summary
Added December 2015

Using Lean-Based Systems Engineering to Increase Capacity in the Emergency Department

Author(s): White, B., Chang, Y., Grabowski, B., Brown, D.
Emergency department (ED) crowding is a widespread issue that causes a multitude of negative effects on patient care quality, safety, and efficiency. Lean-based systems engineering, which is often used for industrial manufacturing, is a method for eliminating all forms of waste (including wasted time and other resources) to optimize productivity. Recent studies have begun to demonstrate the use of systems engineering and improvement science on streamlining processes and improving throughput in different medical capacities, but an opportunity remains to refine the application of these tools within EDs in particular.
Key Point Summary
Added December 2015

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