Fable Hospital 2.0: The Business Case for Building Better Health Care Facilities
2011
Hastings Center Report
Journal Article
Issue 1
Volume 41
Pages 13-23
Author(s): Sadler, B. L., Berry, L., Guenther, R., Hamilton, D. K., Hessler, F., Merritt, C., Parker, D.
The Fable Hospital, an imaginary facility with the best design innovations, was proposed in 2004, and the authors indicate that many healthcare systems have consequently adapted the principles in the building of their hospitals.
Added April 2015
Integration of occupational health and safety in the facility layout planning, part II: design of the kitchen of a hospital
2015
International Journal of Production Research
Journal Article
Issue 11
Volume 53
Pages 3228-3242
Author(s): Moatari-Kazerouni, A., Chinniah, Y., Agard, B.
Occupational health and safety (OHS) is a term used for facility designs that factor transportation costs and overall safety into their designs. This article focuses largely on how OHS can be applied to manufacturing facilities; however it uses the redesigning process of a hospital’s kitchen as a launching point for a case study into applying OHS in a new facility layout.
Added April 2015
Planning an MR suite: What can be done to enhance safety?
2015
Journal of Magnetic Resonance Imaging
Journal Article
Issue 3
Volume 42
Pages 566-571
Author(s): Gilk, T., Kanal, E.
Added April 2015
Healing environment: A review of the impact of physical environmental factors on users
2012
Building and Environment
Journal Article
Author(s): Huisman, E. R. C. M., Morales, E., van Hoof, J., Kort, H. S. M.
According to the authors, research that examines the physical environment and its impact on the healing and well-being of human beings has been growing in the last several years. There is increasing availability of literature on evidence-based design.
Added March 2015
Cost-Effectiveness of Hospital Design: Options to Improve Patient Safety and Wellbeing
2011
York Health Economic Consortium
Report
Author(s): Lowson, K., Kelly, J., Bending, M., Whitehead, S., Wright, D., Duffy, S., Trueman, P., Saxby, R., West, P.
Added March 2015
Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms
Author(s): AHRQ
Added March 2015
Using human factors engineering to improve patient safety in the cardiovascular operating room
2012
Work: A Journal of Prevention, Assessment and Rehabilitation
Journal Article
Volume 41
Pages 1801-1804
Author(s): Gurses, A. P., Martinez, E. A., Bauer, L., Kim, G., Lubomski, L. H., Marsteller, J. A., Pennathur, P. R., Goeschel, C., Pronovost, P. J., Thompson, D.
Cardiac surgery, despite technological and medical advances, involves high risks related to adverse events and medical errors that occur in the operating room. The Systems Engineering Initiative for Patient Safety (SEIPS) model was used to guide the research – focusing on the different variables (providers, physical environment, tools and technologies, tasks, organization) in the care environment and the impact of their interaction on patient outcomes.
Added March 2015
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
A review of design recommendations for outdoor areas at healthcare facilities
2012
Journal of Therapeutic Horticulture
Journal Article
Issue 2
Volume 22
Pages 33-47
Author(s): Shukor, S. F. A, Stigsdotter, U. K., Nilsson, K.
The authors allude to the growing body of scientific literature that indicates the positive contribution of natural environments to human health. The stress caused by staying in a healthcare facility can be allayed by supportive outdoor natural environments.
Added March 2015
Emergency department observation units: A clinical and financial benefit for hospitals
2011
Health Care Management Review
Journal Article
Issue 1
Volume 36
Pages 28-37
Author(s): Baugh, C.W., Venkatesh, A. K., Bohan, J. S.
This article presents a review of literature to make a clinical and business case for establishing EDOUs. The literature was found to indicate that EDOU care contributes to more effective clinical decision-making and the generation of higher revenue than the same patients would if admitted and then discharged.
Added March 2015
Modern Healthcare's Hospital Quality & Safety databases
Author(s): Modern Healthcare
Added March 2015
Outdoor environments in healthcare settings: A quality evaluation tool for use in designing healthcare gardens
2014
Urban Forestry & Urban Greening
Journal Article
Issue 4
Volume 13
Pages 878-891
Author(s): Bengtsson, A., Grahn, P.
Post-occupancy evaluations (POEs) are the more common means of assessing the effectiveness of these environments. With the advent and growing trend of incorporating evidence-based design (EBD), the authors emphasize the need for an EBD tool.
Added December 2014
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
Inpatient fall prevention: Use of in-room Webcams
2013
Journal of Patient Safety
Journal Article
Issue 1
Volume 9
Pages 29-35
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.
Added December 2014
Accessibility for mental healthcare
2013
Facilities
Journal Article
Issue 9/10
Volume 31
Pages 418-426
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.
Added December 2014
Compassionate containment? Balancing technical safety and therapy in the design of psychiatric wards
2013
Social Science & Medicine
Journal Article
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.
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
A Comparitive Analysis of Centralised and Decentralised Nurse Station and Patient’s Satisfaction
2013
Nursing and Health
Journal Article
Issue 4
Volume 1
Pages 65-70
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.
Added December 2014
Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station
2012
BMJ Quality & Safety
Journal Article
Issue 11
Volume 21
Pages 939-947
Author(s): Colligan, L., Guerlain, S., Steck, S. E., Hoke, T. R.
According to the authors, literature indicates that interruptions during the administration of medication in healthcare settings can lead to errors, and that such errors are likely to cause more harm in pediatric settings. The medication station in the study hospital is centrally located with an open design targeted to reduce nurse walking and increase time with patients.
Added December 2014
Technologies in the wild (TiW): human factors implications for patient safety in the cardiovascular operating room
2013
Ergonomics
Journal Article
Issue 2
Volume 56
Pages 205-219
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
