Improving the Patient Experience: Best Practices for Safety-Net Clinic Redesign
2009 March
California HealthCare Foundation
Report
Author(s): Gulwadi, G., Keller, A., Joseph, A.
Added September 2014
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
California's Safety-Net Clinics: A Primer
Author(s): Saviano, E.
Added October 2012
Connecting remote cardiac monitoring issues with care areas
2009
Pennsylvania Patient Safety Advisory
Journal Article
Issue 3
Volume 6
Pages 79-83
Author(s): Pennsylvania Patient Safety Authroity
Added October 2012
A comparison of patient and staff satisfaction with services after relocating to a new purpose-built mental health facility
2009
Australian Psychiatry
Journal Article
Issue 3
Volume 17
Pages 212-217
Author(s): Cleary, M., Hunt, G., Walter, G.
The physical environment of a hospital can support recovery from mental illness. Mental health patients are extremely vulnerable to changes in their environments. The paper reports on the impact on patients and staff of a relocation of Australia’s oldest and largest psychiatric hospitals, Sydney’s Rozelle Hospital. The new 174-bed purpose-built meant health facility provided patients with their own rooms within single story units. Further, patients were grouped in wards based on the phase of their illness and required treatment.
Added October 2012
Person-Environment Interactions Contributing to Nursing Home Resident Falls
2009
Research in Gerontological Nursing
Journal Article
Issue 1
Volume 2
Pages 287-294
Author(s): Hill, E. E., Nguyen, T. H., Shaha, M., Wenzel, J. A., DeForge, B. R., Spellbring, A. M.
Falls are common for older adults, with significant consequences, including injuries and even death as well as healthcare costs. However, few studies have looked at environmental factors, such as lighting, equipment, and slippery floor surfaces, as potential risk factors for falls by nursing home residents. This study explores the risk factors associated with resident falls in a nursing home using a focus group.
Added January 2014
Falls and Patient Mobility in Critical Care: Keeping Patients and Staff Safe
Issue 3
Volume 20
Pages 267-276
Author(s): Flanders, S. A., Harrington, L., Fowler, R. J.
A main priority in hospitals in the U.S. is ensuring both patient and staff safety throughout a patient’s stay. Falls are a major concern in hospitals, particularly in critical care units (ICUs), where nurses care for increasingly older populations that are prone to falls and injuries from falls. Another issue that arises in intensive care units is the decision of when it is safe to mobilize patients, a relevant consideration in relation to incidence of falls and durations of hospital stay.
Added March 2014
Are call light use and response time correlated with inpatient falls and inpatient dissatisfaction?
2009
Journal of Nursing Care Quality
Journal Article
Issue 3
Volume 24
Pages 232-242
Author(s): Tzeng, H. M., Yin, C. Y.
Inpatients use call lights to seek nurses’ assistance. Although implied in patient safety, no studies have analyzed data related to the use of or response time to call lights collected by existing tracking mechanisms monitoring nursing practice.
Added November 2014
The Effect of Environmental Design on Reducing Nursing Errors and Increasing Efficiency in Acute Care Settings: A Review and Analysis of the Literature
2009
Environment and Behavior
Journal Article
Issue 6
Volume 41
Pages 755-786
Author(s): Chaudhury, H., Mahmood, A., Valente, M.
In acute care settings, the physical environment plays an important role in staff efficiency and patient safety. Some research suggests that poor environments can result in staff stress, anxiety, and distractions due to noise; artificial lighting; improper or inadequate ventilation; and disorienting layouts of nursing units. There is less research on how environmental factors affect nursing staff health, effectiveness, errors, and job satisfaction.
Added April 2014
Viewing the taken-for-granted from under a different aspect: A video-based method in pursuit of patient safety
2009
International Journal for Multiple Research Approaches
Journal Article
Issue 3
Volume 3
Pages 290-301
Author(s): Iedema, R., Merrick, E. T., Rajbhandari, D,, Gardo, A,, Stirling, A., Herkes, R.
Added October 2012
Using evidence-based environmental design to enhance safety and quality.
2009
IHI Innovation Series white paper
Electronic Article
Author(s): Sadler, B., Joseph, A., Keller, A., Rostenberg, B.
Added October 2012
Using a Task Analysis to Describe Nursing Work in Acute Care Patient Environments
2009
Journal of Nursing Administration
Journal Article
Issue 12
Volume 39
Pages 537-547
Author(s): Battisto, D., Pak, R., Vander Wood, M. A., Pilcher, J. J.
A growing body of research demonstrates linkages between workplace design and processes in healthcare facilities with staff and patient safety, operational efficiency, staff satisfaction, and medical errors. There has been less emphasis on the role of the built environment in helping or hindering care delivery. Research is needed on the contextualized activities performed by nurses and how nurses spend their time to measure the effects of interventions aimed at redesigning care to improve safety or efficiency or to understand the implications of policy changes for nursing practice.
Added April 2014
The effects of refurbishment on residents' quality of life and wellbeing in two Swedish residential care facilities
2009
Health & Place
Journal Article
Issue 3
Volume 15
Pages 717–724
Author(s): Falk, H., Wijk, H., Persson, L.-O
The prevalence of elderly people with cognitive impairment in Swedish residential care facilities has been estimated to be approximately 50%, usually resulting in integrated populations with both cognitively intact and impaired residents. The physical environment must respond to the changing characteristics of their residents and variations within individuals over time to be able to provide for more than a single stage of fragility.
Added May 2014
Pebbles Aim For Hospitals That Are Cleaner, Greener, And Safer
2009
Healthcare Design Magazine
Magazine Article
Issue 4
Volume 9
Pages 16-20
Author(s): Keller, A., Zensius, N.
Added March 2013
Interruptions and Geographic Challenges to Nurses' Cognitive Workload
2009
Journal of Nursing Care Quality
Journal Article
Issue 3
Volume 24
Pages 194–200
Author(s): Redding, D., Robinson, S.
Inpatient care is fast-paced and requires nurses to constantly shift their attention to make clinical decisions and care for patients in a constantly environment. Nurses integrate complex thinking with psychomotor and affective skills to deliver interventions. This thinking is continually disrupted by interruptions and distractions, which compete for their attention and can lead to errors or omissions and potentially pose a risk to patient safety.
Added January 2014
Falls Aren't Us: State of the Science
2009
Critical Care Nursing Quarterly
Journal Article
Issue 2
Volume 32
Pages 116-127
Author(s): Cozart, H. T., Cesario, S. K.
Falls among the elderly can cause serious injury and sometimes even be fatal. However, in healthcare settings, many of these accidents can be avoided with fall-prevention interventions. The ninth goal of The Joint Commission is environmental intervention and addresses safety features such as patients’ introduction to hospital surroundings, appropriate lighting and noise reduction, call alarms, as well as reachable and available grab rails.
Added January 2014
Access and care issues in urban urgent care clinic patients
2009
BMC Health Services Research
Journal Article
Author(s): Scott, D. , Batal, H. , Majeres, S, Adams, J. , Dale, R. , Mehler, P.
Patients generally seek care in urgent care settings because doing so is more convenient than alternative care options, and the care provided is timelier.
Added February 2014
Effect of Sacred Space Environment on Surgical Patient Outcomes: A Pilot Study
2009
International Journal for Human Caring
Journal Article
Issue 1
Volume 13
Pages 49-59
Author(s): Schmock, B. N., Breckenridge, D. M., Benedict, K.
With the growing trend to patient-centered care, nurses are often tasked to evaluate how care is delivered. The perioperative environment is highly technical in nature and is often perceived as cold, while creating a sense of fear in patients. This study's purpose was to create an alternative healing environment (termed a sacred space and comprised of both environmental and nurse behavioral factors) compared to the traditional environment for surgical patients in the operating room (OR).
Added October 2012
The impact of health facilities on healthcare workers’ well-being and performance
2009
International Journal of Nursing Studies
Journal Article
Issue 7
Volume 46
Pages 1025–1034
Author(s): Rechel, B., Buchan, J., McKee, M.
There is extensive research on the effect of healthcare environments on patients. But much less is known about health facilities’ impact the staff, even while there is growing recognition of the need for healthy working environments. Poor healthcare working environments can relate to the nature of the work—long and antisocial hours, little administrative support, physical labor, and, sometimes, violence.
Added February 2014
Post-Occupancy Evaluation of Negative-Pressure Isolation Rooms: Using the Balanced Scorecard Framework
2009
Journal of Architectural and Planning Research
Journal Article
Issue 1
Volume 26
Pages 1-13
Author(s): Wang, C.-H., Kuo, N.-W.
To combat the spread of severe acute respiratory syndrome (SARS) following an epidemic outbreak in Taiwan in early 2003, all hospitals were mandated by health authorities to convert their patient rooms into negative pressure isolation rooms. The authors believe that it is necessary to evaluate these rooms to ensure that they are functioning effectively.
Added September 2015
