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
Designing for efficiency: Examining the impact of centralized and decentralized nurse stations on interdisciplinary care processes
2020
JONA: The Journal of Nursing Administration
Journal Article
Issue 6
Volume 50
Pages 335–342
Author(s): Fay, L., Santiago, J. E., Real, K., Isaacs, K.
Between 1980 and 2008, adult inpatient units increased in size by 118%. Size increases on this scale may negatively impact operational efficiency, waste reduction efforts, and workplace safety.
Added June 2020
Quality of Lighting in Hospital Environments: A Wide Survey Through in Situ Measurements
2017
Journal of Light & Visual Environment
Journal Article
Author(s): Leccese, F., Montagnani, C., Iaia, S., Rocca, M., Salvadori, G.
Added July 2016
Shifting Landscapes: The Impact of Centralized and Decentralized Nursing Station Models on the Efficiency of Care
2017
HERD: Health Environments Research & Design Journal
Journal Article
Issue 5
Volume 10
Pages 80-84
Author(s): Fay, L., Carll-White, A., Schadler, A., Isaacs, K., Real, K.
As healthcare facilities continue to implement evidence-based designs and increase in overall size, there is a lack of research examining how these changes affect the efficiency of patient care processes. Along with the physical growth of modern healthcare environments, advances in medical technology have increased the amount of multitasking required of nurses and other healthcare workers.
Added May 2017
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
Environmental factors and their association with emergency department hand hygiene compliance: an observational study
2016
BMJ Quality & Safety
Journal Article
Issue 5
Volume 25
Pages 372-378
Author(s): Carter, E. J., Wyer, P., Giglio, J., Jia, H., Nelson, G., Kauari, V. E., Larson, E. L.
Adherence to proper hand hygiene procedures has been repeatedly shown to help prevent healthcare-associated infections (HAIs). Emergency departments (EDs) often experience environmental conditions such as crowding and subsequently end up using non-traditional patient care areas such as hallways to administer treatment. It is possible that the use of non-traditional patient care areas contributes to lower levels of hand hygiene compliance.
Added March 2016
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.
Added June 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
An Assessment of Levels of Safety in Psychiatric Units
2016
HERD: Health Environments Research & Design Journal
Journal Article
Issue 2
Volume 10
Pages 66-80
Author(s): Bayramzadeh, S.
As mental treatment facilities see increases in the number of patients seeking care, facilities face mounting pressure in their attempts to promote patient well-being and safety. The author suggests that there is a lack of systematic empirical studies that examine how the design of mental healthcare facilities contributes to patient care and safety.
Added September 2016
Security Implications of Physical Design Attributes in the Emergency Department
2016
HERD: Health Environments Research & Design Journal
Journal Article
Issue 4
Volume 9
Pages 50-63
Author(s): Pati, D., Pati, S., Harvey, T. E.
In this paper, the authors consider “security” a subset of “safety,” and note that security is imperative for providing efficient patient care, especially in emergency departments (EDs). Security is defined as the protection of people and property, while safety is defined as the broader concept of delivering patient care.
Added September 2016
Designing Health Care Facilities to Maximize Productivity and Patient Outcomes
2016
Proceedings of the International Symposium on Human Factors and Ergonomics in Health Care
Journal Article
Issue 1
Volume 5
Pages 38-43
Author(s): Miller, K., Kowalski, R., Arnold, R., Coffey-Zern, S., Monson, S.
Added September 2016
Light at Night and Measures of Alertness and Performance: Implications for Shift Workers
2016
Biological Research For Nursing
Journal Article
Issue 1
Volume 18
Pages 90-100
Author(s): Figueiro, M. G., Sahin, L., Wood, B., Plitnick, B.
Rotating-shift workers, particularly those working at night, are likely to experience sleepiness, decreased productivity, and impaired safety while on the job. Light at night has been shown to have acute alerting effects, reduce sleepiness, and improve performance. However, light at night can also suppress melatonin and induce circadian disruption, both of which have been linked to increased health risks. Previous studies have shown that long-wavelength (red) light exposure increases objective and subjective measures of alertness at night, without suppressing nocturnal melatonin.
Added November 2016
Use of Simulation to Test Systems and Prepare Staff for a New Hospital Transition.
2015
Journal of Patient Safety
Journal Article
Volume Publish Ahead of Print
Author(s): Adler, M. D., Mobley, B. L., Eppich, W. J., Lappe, M., Green, M., Mangold, Karen
Added June 2015
Applying Lean Six Sigma for Innovative Change to the Post-Anesthesia Care Unit
2015
Journal of Nursing Administration
Journal Article
Issue 4
Volume 45
Pages 185-187
Author(s): Haenke. R & Stichler, J. F.
This case study outlined the application of the Lean Six Sigma quality improvement framework to a post-anesthesia care unit redesign project.
Added January 2016
A ‘paperless’ wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement
2015
BMJ Quality & Safety
Journal Article
Issue 25
Volume 16
Pages 971-976
Author(s): Ong, A. P. C., Devcich, D. A., Hannam, J., Lee, T., Merry, A. F., Mitchell, S. J.
Added January 2016
One size fits all? Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience, safety and costs
2015
BMJ Quality & Safety
Journal Article
Issue 4
Volume 25
Pages 241-256
Author(s): Maben, J., Griffiths, P., Penfold, C., Simon, M, Anderson, J. E., Robert, G., Pizzo, E., Hughes, J., Murrells, T., Barlow, J.
Authors indicate that despite the trend to adopt single-patient rooms, there is a dearth of strong evidence regarding its effect on healthcare quality and safety. When a hospital in England moved to a new building with 100% single rooms, a before-and-after move study was conducted on patient and staff experience, safety outcomes, and cost analysis. The study found that over two-thirds of the patients and one-fifth of the staff preferred single rooms.
Added September 2015
Exploring Safety and Quality In a Hemodialysis Environment With Participatory Photographic Methods: A Restorative Approach.
2014
Nephrology Nursing Journal
Journal Article
Issue 1
Volume 41
Pages 25-36
Author(s): Marck, P., Molzahn, A., Berry-Hauf, R., Hutchings, L. G., Hughes, S.
The authors indicate that hemodialysis units can be fraught with numerous safety issues related to medication errors, lapses in communication, patient falls, equipment issues, infection control, etc. These issues can be critical in high-acuity units. This study used qualitative methods to identify existing and potential safety issues in a hemodialysis unit in a tertiary care hospital in Canada.
Added September 2015
Physical Design Correlates of Efficiency and Safety in Emergency Departments: A Qualitative Examination
2014
Critical Care Nursing Quarterly
Journal Article
Issue 3
Volume 37
Pages 299-316
Author(s): Pati, D., Harvey, T. E., Pati, S.
The objective of this study was to explore and identify physical design correlates of safety and efficiency in emergency department (ED) operations. This study adopted an exploratory, multimeasure approach to (1) examine the interactions between ED operations and physical design at 4 sites and (2) identify domains of physical design decision-making that potentially influence efficiency and safety. Multidisciplinary gaming and semistructured interviews were conducted with stakeholders at each site.
Added November 2015
Preparing an ICU room to welcome a critically ill patient with Ebola virus disease
2014
Intensive Care Medicine
Journal Article
Issue 1
Volume 41
Pages 118-119
Author(s): Pasquier, P., Ficko, C., Mérens, A., Dubost, C.
Ebola virus disease is a viral hemorrhagic fever that spreads through direct contact with the body fluids of an infected animal or human. Contamination may also occur through contact with items that were recently contacted by infected bodily fluids. No spread of the disease through the air has been documented. As no specific treatment or vaccine for the virus is currently available, specially coordinated medical services are necessary to control outbreaks.
Added December 2015
