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Knowledge Repository

A complete, user-friendly database of healthcare design research references MoreLess about the Knowledge Repository

The Knowledge Repository is a complete, user-friendly database of healthcare design research references that continues to grow with the latest peer-reviewed publications. Start with our Knowledge Repository for all of your searches for articles and research citations on healthcare design topics. Access full texts through the source link, read key point summaries, or watch slidecasts. Expand your search and find project briefs, interviews, and other relevant resources by visiting our Insights & Solutions page.

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Displaying 1 - 20 of 957

The Efficacy of Visual Cues to Improve Hand Hygiene Compliance

Author(s): Nevo, Igal, Fitzpatrick, Maureen, Thomas, Ruth-Everett, Gluck, Paul A., Lenchus, Joshua D., Arheart, Kristopher L., Birnbach, David J.
Healthcare-associated infections (HAI) affect patients at hospitals and other facilities. Hand hygiene compliance (HHC) among healthcare workers is important and was called upon by the World Health Organization (WHO) in 2009 for improvement and sustainability.
Key Point Summary
Added June 2016

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.
Key Point Summary
Added June 2016

Are Split Flow and Provider in Triage Models in the Emergency Department Effective in Reducing Discharge Length of Stay?

Author(s): Pierce, B. A., Gormley, D.
This paper presents a quality improvement (QI) project by comparing the performance of two different emergency departments (EDs). The idea behind the split flow model is to allow for a second flow stream of patients through the ED, parallel to the regular acute/critical care flow stream, that is ultimately intended for patients with problems that are not considered complex. The role of the provider in the triage (PIT) model is to enhance patient triage assessment by providing patients with an upfront evaluation upon entering the ED.
Key Point Summary
Added June 2016

Considerations for choosing appropriate healthcare waste management treatment technologies: a case study from an East Midlands NHS Trust, in England

Author(s): Lee, S., Vaccari, M., Tudor, T.
Hospitals have the potential to significantly improve their socioeconomic and environmental conditions through the implementation of sound policies that are backed by solid research. Developing a strong evidence base for such policy decisions is therefore imperative. The National Health Service (NHS) is among the largest organizations in the United Kingdom, and is also very energy intensive and a prolific producer of waste
Key Point Summary
Added June 2016

A Recovery-Oriented Care Approach: Weighing the Pros and Cons of a Newly Built Mental Health Facility

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.
Key Point Summary
Added June 2016

The ability of environmental healthcare design strategies to impact event related anxiety in pediatric patients: A comprehensive systematic review

Author(s): Norton-Westwood, D.
Healthcare settings such as hospitals or dentists’ offices have been known to contribute to the anxiety often experienced by patients receiving treatment. Anxiety has been linked to various health concerns, manifesting both physiologically and psychologically, that can result in prolonged hospital stays and other complications.
Key Point Summary
Added June 2016

Objective acoustical quality in healthcare office facilities

Author(s): Hodgson, M.
In this relatively brief study, the author chooses to survey a number of different healthcare offices in different locations in order to describe their acoustical nature and identify how certain design elements affect acoustical properties. Many different aspects of the offices’ physical design are taken into account in order to produce a comprehensive analysis of what exactly affects a given environment’s acoustical characteristics, and what could potentially be done to improve these characteristics.
Key Point Summary
Added September 2016

Separate Medication Preparation Rooms Reduce Interruptions and Medication Errors in the Hospital Setting: A Prospective Observational Study

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.
Key Point Summary
Added December 2016

Healing gardens for the elderly: A review of design guidelines and the comparisons with the existing Senior Outdoor Survey (SOS) tool

Author(s): Chong, Y. E., Shukor, A., Faris, S.
As the demand increases for senior living facilities, it will be important for designers and healthcare providers to remember that incorporating access to specially designed outdoor spaces can have a positive influence on the psychosocial and physical health of patients.
Key Point Summary
Added February 2017

The Value Analysis of Lean Processes in Target Value Design and Integrated Project Delivery

Author(s): Nanda, U., Rybkowski, Z., Pati, S., Ai, D., Kalyanaraman, N., Nejati, A.
Integrated project delivery (IPD) is a project delivery method that integrates systems, people, business models, and practices in order to optimize project results and maximize efficiency. IPD is also characterized by early involvement of key participants, collaborative decision-making, and liability waivers.
Key Point Summary
Added April 2017

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.
Key Point Summary
Added April 2017

Designing Team Rooms for Collaboration In The Outpatient Clinics

Author(s): DuBose, J., Lim, L., Westlake, R.
Healthcare systems in the U.S. are gradually shifting from “episodic” care delivered in silos to more team-oriented and coordinated approaches. Ambulatory care environments in particular are adopting the Patient Centered Medical Home (PCMH) model, which is an integrated, team-based model designed to optimize treatment and management of patients.
Key Point Summary
Added April 2017

The Impact of Environmental Factors on Nursing Stress, Job Satisfaction, and Turnover Intention

Author(s): Applebaum, Diane, Fowler, Susan, Fiedler, Nancy, Osinubi, Omowunmi, Robson, Mark
Key concepts include the impact of environmental factors on perceived stress levels of staff nurses.
Key Point Summary
Added October 2014

Relationship of Hospital Architecture to Nursing Staff Caring for Self, Caring for Patients, and Job Satisfaction

Author(s): Hozak, Mary Ann, Nelson, John, Gregory, Debbie
Key concepts include caring factors and caring for self.
Key Point Summary
Added December 2016

How Strongly Programmed is a Strong Programme Building? A Comparative Analysis of Outpatient Clinics in Two Hospitals

Author(s): Sailer, K., Pachilova, R., Kostopoulou, E., Pradinuk, R., MacKinnon, D., Hoofwijk, T.
The spatial configuration of a given building can be classified into one of two popular theoretical categories: weakly programmed or strongly programmed. These terms have become increasingly more commonly used when analyzing the spatial syntax of buildings; however, the authors suggest that their definitions and criteria are not clearly defined.
Key Point Summary
Added May 2017

Human Factors Evaluation of an Interventional Trauma Operating Room Mock-up

Author(s): Biesbroek, S., Shultz, J., Kirkpatrick, A., Kortbeek, J.
Trauma operating rooms and angiography procedure rooms are separate entities in hospitals. An Interventional Trauma Operating Room (ITOR) with scope for both traditional surgery and interventional radiological procedures was designed to reduce the risk involved in moving unstable patients between the two treatment areas.
Key Point Summary
Added December 2014

Environmental Correlates of Safety and Efficiency in Emergency Departments

Author(s): Pati, D., Harvey, T. E., Vincent, D., Evans, J., Pati, S., Bazuin, D., Derr, M. A.
Whether from professional or governmental institutions or from the popular press, stories abound of the challenges EDs (emergency departments) face (Berger, 2006). Every day, EDs have to treat an ever-rising number of patients coming through their doors, many of whom have highly complex conditions.
Key Point Summary
Added April 2018

Analysis of Departmental Area in Contemporary Hospitals: Calculation Methodologies & Design Factors in Major Patient Care Departments

Author(s): Allison, D., Hamilton, D. K.
Ratios used to calculate proposed departmental gross square footage constitute key information used in the process of programming, planning, and design. The ratio of net [usable] square footage to departmental gross square footage is commonly called the “net-to-gross ratio.” It is used by programmers, planners, and consultants to project the total area of proposed departments based on programmed net square feet required to perform the proposed workload of the department.
Key Point Summary
Added April 2018

An investigation of noncompliant toilet room designs for assisted toileting

Author(s): Sanford, J., Bosch, S. J.
The American Disability Association created the Accessibility Guidelines (ADAAG) in 1991 to address the needs of the physically disabled population. A large percentage of the U.S. population requires assistance for daily routine activities, whether it be the aging population or those with conditions that limit mobility, such as arthritis, stroke, or poor balance.
Key Point Summary
Added September 2014

Healthcare Leadership White Paper Series - Maximizing The Impact of Nursing Care Quality: A Closer Look at the Hospital Work Environment and the Nurse’s Impact on Patient-Care Quality

Author(s): Hendrich, A.L., Chow, M.
Current hospital work environments have inefficient work processes, physical designs, technology infrastructure, and organizational cultures that cause inefficiencies and nursing stressors that compromise direct patient care.
Key Point Summary
Added September 2014