Impact of single room design on the spread of multi-drug resistant bacteria in an intensive care unit
2017
Antimicrobial Resistance & Infection Control
Journal Article
Author(s): Halaby, T., al Naiemi, N., Beishuizen, B., Verkooijen, R., Ferreira, J. A., Klont, R., vandenbroucke-Grauls, C.
Previous studies have explored how intensive care units (ICUs) can foster cross-contamination of hospital-borne pathogens, and how isolating contaminated patients, coupled with the promotion of hand hygiene procedures, can mitigate the frequency of these contaminations. Various environmental factors, frequent invasive procedures, and instances of under-staffing have been identified as causes for higher levels of cross-contamination in ICUs. Further research is needed to explore whether or not the use of single-patient rooms themselves can help mitigate cross-contamination in an ICU. Through a retrospective study, the authors of this paper explore the long-term persistence of multi-drug-resistant gram-negative (MDR-GN) organisms within an ICU, even while extensive infection control precautions were place.
Added November 2017
Impact of a novel interventional platform and hospital design on the door-to-balloon time in patients presenting with ST-segment elevation myocardial infarction.
2015
Critical Pathways In Cardiology
Journal Article
Issue 1
Volume 14
Pages 39-43
Author(s): Poulin, M.-F., Appis, A., Purim-Shem-Tov, Y., Schaer, G. L., Snell, J.
A “heart attack” is usually identified among cardiologists as an “ST-segment elevation myocardial infarction”. Fast and effective care is a necessity when treating patients suffering from heart attacks, and the unit of measurement used by hospital administrators and cardiologists to gauge how long a patient has been inside the hospital before receiving heart attack treatment with a catheter guidewire or “balloon” is called “door-to-balloon” or DTB time.
Added December 2017
Ambient light levels and critical care outcomes
2013
Journal of Critical Care
Journal Article
Issue 1
Volume 28
Pages 110.e1-110.e8
Author(s): Verceles, A. C., Liu, X., Terrin, M. L., Scharf, S. M., Shanholtz, C., Harris, A., Ayanleye, B, Parker, A., Netzer, G.
Several U.S. healthcare agencies endorse a guideline that requires the construction of windows in patient care rooms so that naturally regulated sunlight can contribute to interior ambient lighting. This recommendation has been adopted by agencies in 46 U.S. states. Few studies have analyzed the association between light levels and intensive care unit (ICU) outcomes. No previous studies have quantitatively measured light levels or assessed intermediate factors such as analgesic use.
Added March 2015
Lighting and perceptual cues: Effects on gait measures of older adults at high and low risk for falls
2011
BMC Geriatrics
Journal Article
Issue 49
Volume 11
Pages 1471-2318
Author(s): Figueiro, M., Plitnik, B., Rea, M., Gras, L., Rea, M. S.
The visual system plays an important role in maintaining balance while navigating the environment. Older adults often depend heavily on visual information to maintain balance and orientation due to age related changes that affect their vestibular system (contributes to balance and spatial orientation) and somatosensory system (that moderates sensations of touch, smell etc.). Even small reductions in visibility could severely impact their gait and balance and potentially result in a fall. Even in healthy older adults, gait becomes slower and step lengths become shorter under dim lighting conditions.
Added November 2012
Enhancing a primary care environment: a case study of effects on patients and staff in a single general practice
2008
British Journal of General Practice
Journal Article
Issue 552
Volume 58
Pages 465-470
Author(s): Rice, G., Ingram, J., Mizan, J.
The stress and satisfaction of patients and staff are important healthcare outcomes. Patient satisfaction and stress strongly impacts patient health, the images of healthcare organizations, patient loyalty, patient retention and attraction, operating revenue, and profit margin. Staff stress and job satisfaction directly impacts the quality of patient care, work efficiency, and staff turnover intent.
Added November 2012
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
Predesign and Post-occupancy Analysis of Staff Behavior in a Neonatal Intensive Care Unit
2002
Children’s Health Care
Journal Article
Issue 3
Volume 31
Pages 237-253
Author(s): Shepley, M.M.
Advances in technology have resulted in an increase in the neonatal intensive care unit (NICU) population; allowing care for newborn babies who might have died in the absence of advanced medical care. The design of NICUs has therefore become an important concern in healthcare, and an ongoing debate is the merit of open bays over closed bays. s. Changes in design have a direct impact on staff experience, and potentially staff behavior, which in turn can impact patient care.
Added October 2012
Does music influence stress in mechanically ventilated patients?
2013
Intensive and Critical Care Nursing
Journal Article
Issue 3
Volume 29
Pages 121-127
Author(s): Chlan, L.L., Engeland, W.C., Savik, K.
Many critically ill patients find that mechanical ventilator is stressful. Often, healthcare providers manage that stress with sedatives. However, as with most medications, the drugs may have side effects. For this and other reasons, many healthcare professionals prefer to try nonpharmacologic interventions first before administering sedative agents.
Added December 2013
Exploring staff perceptions on the role of physical environment in dementia care setting
2016
Dementia
Journal Article
Issue 4
Volume 15
Pages 743-755
Author(s): Lee, S. Y., Chaudhury, H., Hung, L.
Person-centered care is spreading into environments for the elderly population, particularly those with dementia. It is a philosophy of care recognizing that each person has an equal right to dignity, respect, and to participate in their environment (Alzheimer Society of Canada, 2011; Brooker & Surr, 2005). Recently, attention in the literature has been paid to studying the impact the built...
Added October 2017
Stressors in ICU: patients' evaluation
1997
Intensive Care Medicine
Journal Article
Issue 12
Volume 23
Pages 1282-5
Author(s): Novaes, M.A., Aronovich, A., Ferraz, M.B., Knobel, E.
Added October 2012
Sleep hygiene in physically dependent nursing home residents: behavioral and environmental intervention implications
1998
Sleep
Journal Article
Issue 5
Volume 21
Pages 515-23
Author(s): Schnelle, J.F., Cruise, P.A., Alessi, C.A., Ludlow, K., al-Samarrai, N.R., Ouslander, J.G.
Added October 2012
Effect of night and day on preterm infants in a newborn nursery
1986
British Medical Journal
Journal Article
Issue 6557
Volume 293
Pages 1265-7
Author(s): Mann, N., Haddow, R., Stokes, L., Goodley, S., Rutter, N.
Added October 2012
Patients' perception of sound levels in the surgical suite
2000
Journal of Clinical Anesthesia
Journal Article
Issue 4
Volume 12
Pages 298-302
Author(s): Liu, E.H., Tan, S.
Added October 2012
Music and the PACU environment
2001
Journal of Perianesthesia Nursing
Journal Article
Issue 2
Volume 16
Pages 90-102
Author(s): Shertzer, K.E., Keck, J.F.
Added October 2012
IV: Physical Ergonomics
2007
Carayon, Pascale (2007)
Book Section
Pages Handbook of human factors and ergonomics in health care and patient safety. (pp. 275-363). Mahwah, NJ, US: Lawrence Erlbaum Associates Publishers. xiv, 995
Author(s): Reiling, J., Chernos, S., Alvarado, C.J., Hignett, S., Nelson, A., Baptiste, A.S., Matz, M., Fragala, G., Buß, B., Friesdorf, W.
Added October 2012
Reducing occupational stress in intensive care
2000
Nursing In Critical Care
Journal Article
Issue 2
Volume 5
Pages 76-81
Author(s): Corr, M.
Added October 2012
Sleep and adverse environmental factors in sedated mechanically ventialted pediatric intensive care patients
2005
Pediatric Critical Care Medicine
Journal Article
Issue 5
Volume 6
Pages 562-567
Author(s): Al-Samsam, R., Cullen, O.
Added October 2012
The effect of ward design on the well-being of post-operative patients
1996
Journal of Advanced Nursing
Journal Article
Issue 4
Volume 23
Pages 820-6
Author(s): Pattison, H.M., Robertson, C.E.
Added October 2012
Room for improvement: nurses' perceptions of providing care in a single room newborn intensive care setting
2006
Advances in Neonatal Care
Journal Article
Issue 5
Volume 6
Pages 261-270
Author(s): Walsh, W.F., McCullough, K.L., White, R.D.
Added October 2012
Patient Safety in the Cardiac Operating Room: Human Factors and Teamwork A Scientific Statement From the American Heart Association
2013
Circulation
Journal Article
Issue 10
Volume 128
Pages 1139-1169
Author(s): Wahr, J. A., Prager, R. L., Abernathy, J. H., Martinez, E. A., Salas, E., Seifert, P. C., Groom, R. C., Spiess, B. D., Searles, B. E., Sundt, T. M., Sanchez, J. A., Shappell, S. A., Culig, M. H., Lazzara, E. H., Fitzgerald, D. C., Thourani, V. H., Eghtesady, P., Ikonomidis, J. S., England, M. R., Sellke, F. W., Nussmeier, N. A.
The cardiac surgical operating room is a complex environment, where patient lives are saved or considerably improved with the help of sophisticated equipment and skilled personnel. Although outcomes are improving, adverse events still occur, many of which are preventable. This statement is the result of a review of literature that presented evidence on patient safety and interventions that worked in enhancing patient safety in the cardiac OR.
Added March 2015
