The Implementation of a dedicated newborn examination room: A quality improvement project
2023
Joint Commission Journal on Quality and Patient Safety
Journal Article
Issue 2
Volume 9
Pages 123-125
Author(s): Thornhill, L., Tiwari, M., Garsia, K., Joerck, C., Mowry, C., Bhurawala, H., Liu, A.
Added November 2022
Operating room design using agent-based simulation to reduce room obstructions
2023
Health Care Management Science
Journal Article
Issue 2
Volume 26
Pages 261-278
Author(s): Taaffe, K., Ferrand, Y. B., Khoshkenar, A., Fredendall, L., San, D., Rosopa, P., Joseph, A.
Research shows that the operating room layout and design can play an integral role in how a procedure is carried out and how flow disruptions can be minimized to optimize outcomes. Despite past research aimed toward improving room layout and providing recommendations to minimize surgical site infections, there remains a lack of evidence demonstrating how these physical environment factors affect safety and efficiency performance.
Added December 2022
Lean design of the pediatric intensive care unit patient room for efficient and safe care delivery
2022
HERD: Health Environments Research & Design Journal
Journal Article
Issue 4
Volume 15
Pages 369-390
Author(s): Lu, Y., Bishop, N. B., Zadeh, R. S.
Pediatric intensive care units (PICUs) are often operated by specially trained registered nurses (RNs). Due to the high stress and sensitivity of these environments, optimizing RN workflows and safety protocols is important.
Added August 2022
The Effectiveness of the Anteroom (Vestibule) Area on Hospital Infection Control and Health Staff Safety: A Systematic Review
2022
Frontiers in Public Health
Journal Article
Author(s): Andalib, E., Faghani, M., Zia Ziabari, S. M., Shenagari, M., Salehiniya, H., Keivanlou, M. H., Rafat, Z.
Added August 2022
Using architectural mapping to understand behavior and space utilization in a surgical waiting room of a safety net hospital
2022
International Journal of Environmental Research and Public Health
Journal Article
Issue 21
Volume 19
Pages 13870
Author(s): Liao, E. N., Chehab, L. Z., Ossmann, M., Alpers, B., Patel, D., Sammann, A.
Added December 2022
The impact of the built environment on patient falls in hospital rooms: An integrative review
2021
Journal of Patient Safety
Journal Article
Issue 4
Volume 17
Pages 273-281
Author(s): Pati, D., Valipoor, S., Lorusso, L., Mihandoust, S., Jamshidi, S., Rane, A., Kazem-Zadeh, M.
Added June 2019
Augmenting patient safety through participation by design – An assessment of dual monitors for patients in the outpatient clinic
2021
International Journal of Medical Informatics
Journal Article
Author(s): Asan, O., Choudhury, A., Somai, M. M., Crotty, B. H.
Added December 2022
Physical design factors contributing to patient falls
2021
Journal of Patient Safety
Journal Article
Issue 3
Volume 17
Pages e135-e142
Author(s): Pati, D., Valipoor, S., Cloutier, A., Yang, J., Freier, P., Harvey, T. E., Lee, J.
Previous studies show that patient falls in hospitals are not only a leading cause of disability, injury, and mortality, but that they also affect the family members of patients, the caregivers, and the overall healthcare system.
Added February 2017
Influence of bedspacing on outcomes of hospitalised medicine service patients: A retrospective cohort study
2020
BMJ Quality & Safety
Journal Article
Author(s): Kohn, R., Harhay, M. O., Bayes, B., Song, H., Halpern, S. D., Kerlin, M. P., Greysen, S. R.
Added April 2020
A regional survey on residents’ preferences on patient-centered medical home design in rural areas
2019
HERD: Health Environments Research & Design Journal
Journal Article
Issue 3
Volume 12
Pages 187-205
Author(s): Cai, H., Spreckelmeyer, K., Mendenhall, A., Li, D., Holmes, C., Levy, M.
The patient-centered medical home (PCMH) is a delivery model for primary care that is characterized by the recognition of unique patient needs while providing accessible services, a focus on safety and quality, comprehensive care, and coordinated care.
Added December 2018
Understanding Design Vulnerabilities in the Physical Environment Relating to Patient Fall Patterns in a Psychiatric Hospital: Seven Years of Sentinel Events
2019
Journal of the American Psychiatric Nurses Association
Journal Article
Issue 2
Volume 25
Pages 134-145
Author(s): Bayramzadeh, S., Portillo, M., Carmel-Gilfilen, C.
Finding effective ways to prevent patient falls and fall-related injuries has been an ongoing struggle and debate for many modern medical practitioners. Previous studies have shown that nearly 30% of falls that occur in hospital settings result in injuries and, subsequently, additional treatments.
Added June 2018
The Architecture Of Safety: An Emerging Priority For Improving Patient Safety
2018
Health Affairs
Journal Article
Issue 11
Volume 37
Pages 1884-1891
Author(s): Joseph, A., Henriksen, K., Malone, E.
Added November 2018
Safety, Performance, and Satisfaction Outcomes in the Operating Room: A Literature Review
2018
HERD: Health Environments Research & Design Journal
Journal Article
Issue 2
Volume 11
Pages 137-150
Author(s): Joseph, A., Bayramzadeh, S., Zamani, Z., Rostenberg, B.
There are many operating rooms (ORs) constructed more than 30 years ago that remain operational today, and many of these spaces are inadequately designed to withstand the processes, equipment, and people needed for contemporary OR procedures. Even in developed countries, patients undergoing inpatient surgeries experience major complications 3-22% of the time.
Added February 2018
Subjective evaluation of speech privacy at consulting rooms in hospitals: Relationship between feeling evoked by overhearing speech and word intelligibility score
2017
Applied Acoustics
Journal Article
Author(s): Sato, H., Morimoto, M., Ohtani, S., Hoshino, Y., Sato, H.
Healthcare environments, particularly patient-doctor consulting rooms, are often filled with conversations of a sensitive nature that ideally should be kept private for the well-being of both patients and nearby individuals. Previous studies and relevant standards within healthcare environments have often used speech intelligibility as a subjective measure for assessing speech privacy.
Added June 2017
A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room
2017
Journal of Intensive Care Medicine
Journal Article
Issue 8
Volume 32
Pages 514-519
Author(s): Wessman, B. T., Sona, C., Schallom, M.
The Institute of Medicine has identified poor communication among the patient care team as one of the most common causes of serious errors in patient care. There was a desire in this organization to create a culture of team-oriented continuity of care by changing the mindset of handoff reporting to handover reporting communication among multidisciplinary care team members on key aspects of the patient’s daily plan of care. They developed a communication tool that included key areas of care (tests, care goals and progress toward those goals, treatments, and consultation recommendations) and printed the topic areas on the glass door of the patient room. The information was updated regularly throughout the day/night so that the most current information on patient status was available any time for rounding by various care providers, specialists, and consultants. The information was also available for viewing by the patient’s family.
Added November 2017
A Recovery-Oriented Care Approach: Weighing the Pros and Cons of a Newly Built Mental Health Facility
2016
Journal of Psychosocial Nursing and Mental Health Services
Journal Article
Issue 2
Volume 54
Pages 39–48
Author(s): Ahern, C. C., Bieling, P., McKinnon, M. C., McNeely, H. E., Langstaff, K.
An inpatient mental health hospital was renovated with a newly built environment that incorporated patient-centered, clinically informed designs in an attempt to improve overall safety and quality of care. The new designs were considerably expensive and had extensive design implications for other parts of the hospital outside of the mental health facility.
Added June 2016
Separate Medication Preparation Rooms Reduce Interruptions and Medication Errors in the Hospital Setting: A Prospective Observational Study
2016
Journal of Patient Safety
Journal Article
Issue 3
Volume 17
Pages e161-e168
Author(s): Huckels-Baumgart, S., Baumgart, A., Buschmann, U., Schüpfer, G., Manser, T.
Errors and interruptions are commonplace during medication preparation procedures in healthcare environments. One study found that one interruption occurred for every 3.2 drugs administered during nurses’ medication rounds.
Added December 2016
To see or not to see: Investigating the links between patient visibility and potential moderators affecting the patient experience
2016
Journal of Environmental Psychology
Journal Article
Author(s): Bosch, S. J., Apple, M., Hiltonen, B., Worden, E., Lu, Yi, Nanda, U., Kim, D.
The amount of visibility between patients and nursing staff contributes significantly to the balance between feelings of security and autonomy. Hospitals in which patients are in constant view of the staff can create a sense of restricted freedom, but high visibility can also be associated with higher levels of patient safety. There has been ongoing debate within the medical community as to how a perfect balance between security and autonomy can be implemented. This study took place at a hospital with a radial nursing unit.
Added April 2016
Is single room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers or medication errors? A natural experiment with non-equivalent controls
2016
Journal of Health Services Research & Policy
Journal Article
Issue 3
Volume 21
Pages 147-155
Author(s): Simon, M., Maben, J., Murrells, T., Griffiths, P.
Previous studies have associated single-patient rooms with reduced infection rates, reduced medication errors, and faster patient recovery rates. In response, an increasing number of hospitals have been shifting towards an entirely single-patient room layout. Although there are plenty of studies from the U.K. providing empirical evidence for the efficacy of single-patient rooms, the United States lacks this foundation of published research, and could therefore benefit from an outcome analysis of single-patient rooms.
Added February 2016
"Let's Sit Forward": Investigating Interprofessional Communication, Collaboration, Professional Roles, and Physical Space at EmergiCare
2016
Health Communication
Journal Article
Issue 12
Volume 31
Pages 1506-1516
Author(s): Dean, M., Gill, R., Barbour, J. B.
Due to the fact that emergency department (ED) caregivers are constantly involved in interprofessional, knowledge-intensive conversations, effective modes of communication necessarily play a key role in promoting patient health and safety. Previous studies have explored how the physical environment directly affects modes of communication, and how these two dimensions of the healthcare environment constantly intersect with each other.
Added August 2016
