Promising Practices in Safety-Net Clinic Design: An Overview
2011
California HealthCare Foundation
Report
Author(s): Keller, A., Joseph, A., Taylor, E., Quan, X.
Added December 2016
Designing Safety-Net Clinics for Innovative Care Delivery Models
2011
California HealthCare Foundation
Report
Author(s): Quan, X., Joseph, A., Keller, A., Taylor, E.
Added March 2016
Designing Safety-Net Clinics for Cultural Sensitivity
2011
California HealthCare Foundation
Report
Author(s): Joseph, A., Keller, A., Taylor, E., Quan, X.
Added March 2016
Converting Medical/Surgical Units for Safe Use by Psychiatric Patients: The Physical and Fiscal Risks
2011
American Society for Healthcare Engineering
Monograph
Author(s): Hunt, J. M., Sine, D. M.
When repurposing medical/surgical units as behavioral health units, there are a significant number of elements within the physical environment that must be modified to support the specialized needs of the patients and reduce the risk of self-harm and harm to others. While intention for self-harm cannot be reliably assessed, suicide is a major concern on psychiatric units, and therefore there is a need to design the unit as if all patients may be at risk for self-harm.
Added March 2014
Living Environment and Mobility of Older Adults
2011
Gerontologist
Journal Article
Issue 3
Volume 57
Pages 698–703
Author(s): Cress, M. E., Orini, S., Kinsler, L.
Older adults often decide to live in smaller environments. Smaller living space and the addition of services provided by a retirement community (RC) may make living easier for the individual, but it may also reduce the amount of daily physical activity and ultimately reduce functional ability.
Added May 2014
Quality improvement project eliminates falls in recovery area of high-volume endoscopy unit.
2011
BMJ Quality & Safety
Journal Article
Issue 2
Volume 20
Pages 170-173
Author(s): Francis, D. L., Prabhakar, S., Bryant-Sendek, D. M., Larson, M. V.
Patient falls associated with healthcare delivery are frequent, undesirable, and largely preventable events. Patients who receive conscious sedation for endoscopic procedures are especially vulnerable to falls because of the cognitive effects of the sedation, relative hypotension that may be induced by the most common sedatives used (fentanyl and midazolam), the prolonged fasting state, and the frequent practice of withholding regular daily medications prior to procedures. There is a need to evaluate patient falls after sedated endoscopic procedures.
Added November 2014
Furniture Design Features and Healthcare Outcomes
Author(s): Malone, E., Dellinger, B.
Added October 2012
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
Healthcare Environments Baseline Assessment for Safety & Quality, Chapter 8: Falls
2011
Noblis/Gerorgia Tech, TRICARE
Report
Author(s): Choi, Y. S., Noblis, Georgia Tech
Added November 2014
Designing Safety-Net Clinics for Flexibility
2011
California HealthCare Foundation
Report
Author(s): Taylor, E., Joseph, A., Keller, A., Quan, X.
Added October 2014
Environmental Congruence and Work-Related Stress in Acute Care Hospital Medical-Surgical Units: A Descriptive, Correlational Study
2011
Health Environments Research & Design Journal
Journal Article
Issue 1
Volume 5
Pages 23-42
Author(s): Dendaas, N.
Nursing is known to be a particularly stressful job, and this often has direct ties to nursing shortages in the United States. Research attempting to better understand hospital nursing work environments has typically focused on social and organizational aspects of the work experience. Yet, the physical environment, which is known to impact work and organizational outcomes, has been studied to a much lesser extent.
Added January 2016
Ergonomics in Healthcare Facility Design, Part 1: Patient Care Areas
2011
Journal of Nursing Administration
Journal Article
Issue 2
Volume 41
Pages 49-51
Author(s): Stichler, J. F., Feiler, J. L.
Added December 2015
Ergonomics in Healthcare Facility Design, Part 2: Support Areas
2011
Journal of Nursing Administration
Journal Article
Issue 3
Volume 41
Pages 97-99
Author(s): Feiler, J. L., Stichler, J. F.
Added December 2015
Examination of wireless technology to improve nurse communication, response time to bed alarms, and patient safety
2011
HERD: Health Environments Research & Design Journal
Journal Article
Issue 2
Volume 4
Pages 109–120
Author(s): Guarascio-Howard, Linda
Patient safety programs, such as fall-prevention programs, are greatly impacted by communication within the care team. The ability to communicate effectively with other care team members is essential for achieving quick caregiver responses to changing patient conditions. While the majority of research has focused on the implementation of fall-prevention programs as a primary method for reducing patient falls within healthcare environments, this research looks to assess the interconnection between wireless technology, bed alarms, caregiver response, communication, and collaboration on fall-prevention.
Added April 2016
Evaluation of the Built Environment: Staff and Family Satisfaction Pre- and Post-Occupancy of The Children's Hospital
2011
HERD: Health Environments Research & Design Journal
Journal Article
Issue 4
Volume 4
Pages 60-78
Author(s): Kotzer, A. M., Zacharakis, S. K., Raynolds, M., Buenning, F.
As healthcare organizations begin to address the issues of quality and safety, patient-centered care, and emerging technologies through the replacement of old and outdated facilities, understanding the impact of the built environment on patient and staff health outcomes becomes increasingly necessary to make valued decisions throughout the process.
Added September 2014
Color-Coding and Human Factors Engineering To Improve Patient Safety Characteristics of Paper-Based Emergency Department Clinical Documentation
2011
HERD: Health Environments Research & Design Journal
Journal Article
Issue 4
Volume 4
Pages 79-88
Author(s): Kobayashi, L., Boss, R. M., Gibbs, F. J., Goldlust, E., Hennedy, M. M., Monti, J. E., Siegel, N. A.
Added September 2014
Hospital Room Design and Health Outcomes of the Aging Adult
2011
HERD: Health Environments Research & Design Journal
Journal Article
Issue 2
Volume 4
Pages 23-35
Author(s): Lorenz, S. G., Dreher, H. M.
Private patient rooms have become the industry standard since the American Institute of Architects (AIA) recommended including private patient rooms in the design of all new acute care hospital construction projects. This recommendation was made due to research suggesting that private patient rooms help reduce infection, increase caregiver efficiency, provide greater privacy, and offer greater opportunity for families to participate in the healing process of their loved ones. Private patient rooms also have been linked to reductions in medication errors, noise levels, and potential for falls. However, evidence has yet to document if private patient rooms are advantageous to all patient populations, nor has it established the actual relationship between room type and health outcomes.
Added September 2014
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
Finishes and Furnishings: Considerations for Critical Care Environments
2011
Critical Care Nursing Quarterly
Journal Article
Issue 4
Volume 34
Pages 317-331
Author(s): Chambers, M., Bowman, K. L.
Finishes and furnishings play an important role in the healing environment and do affect patient health outcomes, staff satisfaction, operational efficiency, and costs. It is important to create properly designed critical care units. Involving healthcare providers in the design process is necessary to highlight the user’s perspective, preferences, choices, and comfort versus safety.
Added May 2015
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
