Using Lean-Based Systems Engineering to Increase Capacity in the Emergency Department
2014
Western Journal of Emergency Medicine
Journal Article
Issue 7
Volume 15
Pages 770-776
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.
Added December 2015
Analysis of the soundscape in an intensive care unit based on the annotation of an audio recording
2014
The Journal of the Acoustical Society of America
Journal Article
Issue 4
Volume 135
Pages 1875-1886
Author(s): Park, M., Kohlrausch, A., de Bruijn, W., de Jager, P., Simons, K.
Patients receiving treatment in intensive care units (ICUs) are often subjected to elevated noise levels that can complicate recovery by disturbing sleep patterns and causing stress, anxiety, and changes in cardiovascular response. Although previous research has thoroughly analyzed the various sources of noise in ICUs, the authors of this study believe that inadequate recording and sound analysis techniques, as well as the presence of human observers collecting data, have restricted the depth of previous findings.
Added November 2014
The Impact of Windows and Daylight on Acute-Care Nurses' Physiological, Psychological, and Behavioral Health
2014
HERD: Health Environments Research & Design Journal
Journal Article
Issue 4
Volume 7
Pages 35-61
Author(s): Zadeh, R. S., Shepley, M. M., Williams, G., Chung, S. S..
Added December 2014
Comparison between mixed and laminar airflow systems in operating rooms and the influence of human factors: Experiences from a Swedish orthopedic center
2014
American Journal of Infection Control
Journal Article
Issue 6
Volume 42
Pages 665-669
Author(s): Erichsen Andersson, A., Petzold, M., Bergh, I., Karlsson, J., Eriksson, B. I., Nilsson, K.
Added May 2016
Building spatial layout that supports healthier behavior of office workers: a new performance mandate for sustainable buildings
2014
Work
Journal Article
Issue 3
Volume 49
Pages 373-380
Author(s): Hua, Y., Yang, E.
Added May 2016
Person-Environment Interaction in a New Secure Forensic State Psychiatric Hospital: Person-Environment Interaction
2014
Behavioral Sciences & the Law
Journal Article
Issue 4
Volume 32
Pages 527-538
Author(s): Eggert, J. E., Kelly, S. P., Margiotta, D. T., Hegvik, D. K., Vaher, K. A., Kaya, R. T.
Added June 2016
Effective Use of the Built Environment to Manage Behavioural and Psychological Symptoms of Dementia: A Systematic Review
2014
PLOS ONE
Journal Article
Issue 12
Volume 9
Pages 1-12
Author(s): Soril, L. J. J., Leggett, L. E., Lorenzetti, D. L., Silvius, J., Robertson, D., Mansell, L., Holroyd-Leduc, J., Noseworthy, T. W., Clement, F. M., Laks, J.
There is a lack of valid and reliable research in the area of impact of built environment interventions in managing behavioral and psychological symptoms of dementia.
Added June 2016
Methodological challenges in studies of bright light therapy to treat sleep disorders in nursing home residents with dementia
2014
Psychiatry and Clinical Neurosciences
Journal Article
Issue 11
Volume 68
Pages 777-784
Author(s): van der Ploeg, E. S., O'Connor, D. W.
Research studies conducted in the past 20 years have failed to validate the effectiveness of bright white light treatment of sleep disorders in nursing home or long-stay hospital residents with dementia. This trend is documented in a Cochrane Collaboration meta-analysis of 10 selected studies where problems in the research methodologies were identified. The prevalence of sleep disorders among residents diagnosed with dementia varies from 40% to 70%.
Added November 2016
The effects of the indoor environment of residential care homes on dementia suffers in Hong Kong: A critical incident technique approach
2014
Building and Environment
Journal Article
Issue Supplement C
Volume 73
Pages 32-39
Author(s): Wong, J. K.-W., Skitmore, M., Buys, L., Wang, K.
The authors introduce their paper pointing to the increase, globally, in the number of individuals affected with dementia, and a growing need to improve the quality of life of such individuals. The behavioral and psychological challenges associated with this syndrome often necessitates the referral of the patient to be placed in residential care homes. Literature indicates that the physical environments of facilities designed for dementia patients impact their well-being and quality of life. However, there are few studies addressing all such indoor environmental (IE) factors potentially affecting the behavior of the residents of these facilities. This paper reports findings from research conducted in six residential care homes (RCH) in Hong Kong studying the impact of IE factors on the behavior of dementia residents. The study found lighting, acoustic, and thermal environments to be the main IE factors that impact the behavior of dementia patients.
Added October 2017
Patients’ Interactions in an Intensive Care Unit and Their Memories of Intensive Care: A Mixed Method Study
2013
Intensive and Critical Care Nursing
Journal Article
Author(s): Meriläinen, M, Kyngäs, H, Ala-Kokko, T
The various equipment and devices in the intensive care unit (ICU) make it the most technologically sophisticated environment in any hospital. But, from a patient’s perspective, being connected to various devices; experiencing unsettling noises, smells, lighting, and uncomfortable temperatures; and enduring the perceptions of other patients as care objects can cause both physical and mental stress.
Added January 2014
Understanding the Role of Hospital Design on the Psychological Trauma of Hospitalization for Children
Author(s): Cartland, J.
The Ann & Robert H. Lurie Children’s Hospital of Chicago (formerly, Children’s Memorial Hospital) has gone through many transformations since its founding in a small North Side cottage 130 years ago. Lurie Children’s recently executed one of the most significant transformations in its history. It moved into a replacement facility, leaving its historic home in the Lincoln Park neighborhood of Chicago and moving near its academic partner, Northwestern Memorial Hospital, in the Streeterville neighborhood.
Added June 2014
The Work of Adult and Pediatric Intensive Care Unit Nurses
2013
Nursing Research
Journal Article
Issue 1
Volume 62
Pages 50-58
Author(s): Douglas,. S., Cartmill, T., Brown, R., Hoonakker, P., Slagle, J., Van Roy, K. S, Walker, J, M.
Over the years, researchers have employed a variety of methods to describe and quantify nursing work. However, much of this research looked at nursing in general care settings and not at the unique work nurses perform in intensive care units (ICUs). This study uses behavioral task analysis to observe activities performed by adult ICU (AICU) and pediatric ICU (PICU) nurses as well as to compare the time they spent on various tasks across four different ICUs.
Added January 2014
Research note: Physical Activity in Pediatric Healing Gardens
2013
Landscape and Urban Planning
Journal Article
Issue October
Volume 118
Pages 53-58
Author(s): Pasha, S., Shepley, M., M.
Research has shown that frequency and duration of garden use within urban and hospital settings can be hindered through barriers such as uncomfortable seating and lack of shade. However, once barriers like these are removed, it is unknown if an increase in frequency and duration of garden use has an impact on the level of physical activity during garden visitation.
Added May 2014
Impact of Music Therapy Interventions (Listening, Composition, Orff-Based) on the Physiological and Psychosocial Behaviors of Hospitalized Children: A Feasibility Study
2013
Journal of Pediatric Nursing
Journal Article
Issue 3
Volume 28
Pages 249-257
Author(s): Colwell, C. M., Edwards, R., Hernandez, E., Brees, K.
The hospital experience can impact the physical and mental health of a child. Prior research has shown that music therapy can have a positive effect on mood, anxiety, respiratory distress, and behavioral distress. And although listening to music is the most common form of music therapy, songwriting and physically making music have also been used as a positive coping strategy for children within a hospital environment.
Added April 2014
The effect of hospital layout on caregiver-patient communication patterns
Author(s): Pachilova, R., Sailer, K.
This article suggests that the field of evidence-based design (EBD), which considers information from case evaluations and credible research during design-related decision processes, has only marginally examined hospital layouts and their effects. As a result, this study attempts to build on the tradition of “Space Syntax” research, which is a theory that explores how space controls and generates encounters between inhabitants and visitors of certain spaces and how these two groups engage in communication.
Added June 2016
Design Research and Behavioral Health Facilities
2013
The Center for Health Design
Report
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.
Added November 2014
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
Including patients, staff and visitors in the design of the psychiatric milieu
2013
Facilities
Journal Article
Issue 9/10
Volume 31
Pages 379-390
Author(s): Perkins, N. H.
Most research addressing environmental design for healthcare facilities focuses on expert-determined and expert-driven outcomes. Little attention has been given to the perspectives offered by those who are ultimately using the facilities, namely the patients, staff, and visitors. Participatory design and planning (PDP) is a method that takes these non-expert opinions into consideration while operating under three assumptions. First, healthcare facilities are complex environments that require a team of people who can understand and maintain structured information necessary for optimum design.
Added December 2014
Translating Quality Care Factors to Quality Space: Design Criteria for Outpatient Facility
2013
Procedia - Social and Behavioral Sciences
Journal Article
Author(s): Samah, Z. A., Ibrahim, N., Amir, J. S.
Added December 2014
Post-Occupancy Evaluation of a Transformed Nursing Home: The First Four Green House Settings
2013
Journal of Housing For the Elderly
Journal Article
Issue 4
Volume 23
Pages 304-334
Author(s): Cutler, L. J., Kane, R. A.
To study how well the physical environments of four Green Houses® served the residents, staff, and visitors and to develop recommendations for similar small-house nursing home projects. Longitudinal post-occupancy evaluation of four houses using mixed-methods, including behavioral mapping, checklist ratings of individual bedrooms and bathrooms, place-centered time scans, environmental tracers,...
Added September 2014
