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Knowledge Repository

    Sustainable healthcare design: Existing challenges and future directions for an environmental, economic, and social approach to sustainability

    2016
    Facilities
    Journal Article

    Issue 5/6, Volume 34, Pages 264-288
    Author(s)
    Zadeh, R. S./Xuan, X./Shepley, M. M.

    Performance Evaluation of 32 LEED Hospitals on Operation Costs

    2016
    Conference Paper

    Volume 145, Pages 1234-1241
    Author(s)
    Sadatsafavi, H./Shepley, M. M.
    As healthcare needs increase, providers strive to reduce operational costs while simultaneously increasing healthcare facility construction and renovation efforts. At the same time, certification programs such as Leadership in Energy and Environmental Design (LEED) are examples of the emerging concerns regarding the environmental impact of healthcare facilities. The authors note that the number of studies documenting the benefits of more “green” facilities is limited; however, they hypothesize that upon comparing LEED-certified hospitals with uncertified ones, the LEED facilities will prove to have lower-than-average maintenance costs.
    Environmental hygiene
    Building location/site optimization
    Environmental impact
    Hospitals

    Analysis of Credits Earned by LEED Healthcare Certified Facilities

    2016
    Conference Paper

    Volume 145, Pages 203-210
    Author(s)
    Golbazi, M./Aktas, C. B.
    Green buildings have garnered widespread public support due to the positive impacts they are perceived to have on the environment, the economy, and society as a whole. The concept of green building design appeals to institutions because of its potential benefit for the indoor and outdoor environment as well as its potential for improving public image. As a result, there may be hospitals that become certified by the Leadership in Energy and Environmental Design (LEED) rating system but aren’t actually providing a green healthcare environment that positively influences patients and their periods of recovery. This is an important distinction since the core purpose of healthcare facilities is to improve the conditions of the sick and vulnerable, as well as society overall.
    Environmental hygiene
    Building location/site optimization
    Environmental impact|Patient health outcomes|Patient satisfaction and comfort
    Hospitals

    Understanding Green Building Design and Healthcare Outcomes: Evidence-Based Design Analysis of an Oncology Unit

    2016
    Journal of Architectural Engineering
    Journal Article

    Author(s)
    Campion, N./Thiel, C. L./Focareta, J./Bilec, M. M.
    The United States healthcare industry is a major part of the economy as well as a significant contributor to carbon dioxide emissions and other environmental issues. Green building design (GBD) attempts to offset environmental impacts of buildings, and recently designers have been combining GBD with evidence-based design (EBD) in order to create facilities that positively impact both the external and internal environment. 
    Attractiveness of physical environment|Environmental hygiene|Lighting|Patient Satisfaction and Comfort|Sound|Thermal condition
    Acoustic Environment|Building location/site optimization|Furniture, Fixtures & Equipment (FF&E)|Lighting (artificial and natural)|Unit configuration and layout|Ventilation and air-conditioning system
    Environmental impact|Patient satisfaction and comfort|Staff health outcomes|Staff productivity / efficiency|Staff satisfaction
    Hospitals

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

    2016
    HERD: Health Environments Research & Design Journal
    Journal Article

    Issue 1, Volume 10, Pages 23-44
    Author(s)
    Trzpuc, S. J./Wendt, K. A./Heitzman, S. C./Skemp, S./Thomas, D./Dahl, R.

    Design to Improve Visibility: Impact of Corridor Width and Unit Shape

    2016
    HERD: Health Environments Research & Design Journal
    Journal Article

    Issue 4, Volume 9, Pages 35-49
    Author(s)
    Hadi, K./Zimring, C.

    Ergonomical aspects of anaesthetic practice

    2016
    Indian Journal of Anaesthesia
    Journal Article

    Issue 5, Volume 60, Pages 306
    Author(s)
    Raghavendra, R.S.
    Anesthesiologists typically act as data analyzers, investigators, and planners for forthcoming surgical events, but only after patients and their families have been convinced that the procedure is appropriate. With the field of anesthesiology rapidly developing, it is imperative that workstations are optimized so that procedures can be conducted efficiently and safely. Ergonomics is defined as a discipline that explores and applies information regarding human characteristics, requirements, limitations, and abilities to the development, design, engineering, and testing of equipment, systems, and occupations. 
    Lighting|Physical proximity/density
    Furniture, Fixtures & Equipment (FF&E)|Interior Material|Lighting (artificial and natural)
    Staff productivity / efficiency
    Hospitals

    Are Split Flow and Provider in Triage Models in the Emergency Department Effective in Reducing Discharge Length of Stay?

    2016
    Journal of Emergency Nursing
    Journal Article

    Issue 6, Volume 42, Pages 487-491
    Author(s)
    Pierce, B. A./Gormley, D.
    This paper presents a quality improvement (QI) project by comparing the performance of two different emergency departments (EDs). The idea behind the split flow model is to allow for a second flow stream of patients through the ED, parallel to the regular acute/critical care flow stream, that is ultimately intended for patients with problems that are not considered complex. The role of the provider in the triage (PIT) model is to enhance patient triage assessment by providing patients with an upfront evaluation upon entering the ED. 
    Building location/site optimization|Unit configuration and layout
    Patient health outcomes|Staff productivity / efficiency
    Hospitals

    Ebola Holding Units at government hospitals in Sierra Leone: evidence for a flexible and effective model for safe isolation, early treatment initiation, hospital safety and health system functioning

    2016
    BMJ Global Health
    Journal Article

    Issue 1, Volume 1, Pages 1-8
    Author(s)
    Johnson, O./Youkee, D./Brown, C. S./Lado, M./Wurie, A./Bash-Taqi, D./Hall, A./Hanciles, E./Kamara, I./Kamara, C./Kamboz, A./Seedat, A./Thomas, S./Kamara, T. B./Leather, A. J. M./Kargbo, B.
    The outbreak of Ebola Virus Disease (EVD) in West Africa during 2014-2015 was an unprecedented modern crisis that required novel approaches to outbreak containment and management. In response, the Ministry of Health and Sanitation (MOHS) and the King’s Sierra Leone Partnership (KSLP) in Freetown, Sierra Leone, worked to develop and implement five new Ebola Holding Units (EHUs) in government hospitals, which successfully isolated 37% of the 3,097 confirmed EVD cases within the country’s Western Urban and Rural district.
    Physical proximity/density
    Building location/site optimization|Unit configuration and layout
    HAI related outcomes|Organizational outcomes|Patient health outcomes
    Hospitals|Other healthcare facilities

    Healthcare Staffs’ Experiences and Perceptions of Caring for People with Dementia in the Acute Setting: Qualitative Evidence Synthesis

    2016
    International Journal of Nursing Studies
    Journal Article

    Volume 61, Pages 104-116
    Author(s)
    Houghton, C./Murphy, K./Brooker, D./Casey, D.
    Dementia is an international health issue that greatly impacts healthcare delivery systems. Individuals with dementia have specific needs when it comes to healthcare, and it seems that, generally, acute care environments aren’t suitable for these individuals. Considering how previous studies have shown that as much as a quarter of individuals utilizing acute hospital services are likely to have dementia, the authors posit that there needs to be a shift in ethos, organization, and environment in which more appropriate care is provided to patients with dementia in acute care settings. 
    Distraction/interruption|Patient Satisfaction and Comfort
    Organizational outcomes|Patient health outcomes|Patient satisfaction and comfort|Staff productivity / efficiency
    Hospitals