Making the Case for Evidence-Based Design in Healthcare: A Descriptive Case Study of Organizational Decision Making
2010
Health Environments Research & Design Journal
Journal Article
Issue 1
Volume 4
Pages 56-88
Author(s): Shoemaker, L.K., Kazley, A.S., White, A.
It is reported that an approximately 98,000 people die each year in the United States as a result of medical errors (IOM, 1999). This is unacceptable in a country that prides itself on the best medical institutions and access to the highest-end technology. It is believed that the need to renew currently standing hospitals is due to a combination of aging buildings, aging populations, and introduction of new technologies (Ulrich, 2004). This has led to a large patient safety movement and the largest hospital construction boom in U.S. history (Jones, 2004).
Added January 2016
Adapting to Family-Centered Hospital Design: Changes in Providers’ Attitudes over a Two-Year Period
2009
Health Environments Research & Design Journal
Journal Article
Issue 1
Volume 3
Pages 79-96
Author(s): France, D., Throop, P., Joers, B., Allen, L., Parekh, A., Rickard, D., Deshpande, J.
Although hospitals are being designed based on evidence-based design principles, it’s unclear how working in such an environment influences providers’ attitudes and professional performance.
Added January 2016
Making acuity-adaptable units work: lessons from the field
2012
Health Environments Research & Design Journal
Journal Article
Issue 3
Volume 5
Pages 115-128
Author(s): Zimring, C., Seo, H.
Acuity-Adaptable Units (AAUs) are rooms with a treatment model that allows all stages of patient care to come to the patient’s unit from the time of admission to discharge. Minimizing the amount of patient transfers helps decrease medication errors, infection rates, and medical complications. This helps avoid injuries and infections connected with patient transfers from unit to unit through transitions in stages of care.
Added January 2016
Leading Change During an Inpatient Critical Care Unit Expansion
2008
Journal of Nursing Administration
Journal Article
Issue 11
Volume 38
Pages 461-467
Author(s): Braungardt, T. & Fought, S. G.
Acute care hospitals are changing rapidly to address economic and technologic advancements and meet community needs. The authors describe one medical center’s use of Kotter’s work on leading change to expand the neuroscience intensive care unit from 10 to 30 beds to meet community needs, improve hospital efficiencies, and increase bed capacity.
Added January 2016
A Conceptual Model for Healthcare Facility Design
2014
Journal of Nursing Administration
Journal Article
Issue 6
Volume 44
Pages 321-325
Author(s): Stichler, J. F.
This study article presents a conceptual model to explain the interrelationships among healthcare design elements.
Added January 2016
Increased Daylight Availability Reduces Length of Hospitalization in Depressive Patients
2015
European Archives of Psychiatry and Clinical Neuroscience
Journal Article
Author(s): Canellas, F., Mestre, L., Belber, M., & Frontera, G.
Research studies have documented the efficacy of bright light on people with Seasonal Affective Disorder (SAD). Bright light has been documented to have a therapeutic efficiency equivalent to most antidepressant medications.
Added January 2016
Measuring the Use of Examination Room Time in Oncology Clinics: A Novel Approach to Assessing Clinic Efficiency and Patient Flow
2014
Journal of Oncology Practice
Journal Article
Author(s): Hamel, L. M., Chapman, R., Eggly, S., Penner, L. A., Tkatch, R., Vichich, J., Albrecht, T. L.
Inefficient use of time can drain resources and impede effective clinic flow. Long wait times in oncology units often result in higher costs for both caregivers and patients, while patients also tend to experience increased stress and reduced overall satisfaction with their treatment. Long wait times have also been shown to directly and indirectly reduce patient adherence to recommended treatments.
Added December 2015
Intensive care unit design and mortality in trauma patients
2014
Journal of Surgical Research
Journal Article
Issue 2
Volume 190
Pages 640-646
Author(s): Pettit, N. R., Wood, T., Lieber, M., O'Mara, M. S.
A primary concern for many patient care units is the question of where to place more seriously ill patients within the space that is available. Questions regarding the impact of architectural features, such as the availability of natural lighting, or adjacency to nurse stations on patient health outcomes should be further explored so that increasingly effective healthcare environments can be established. Currently, no data exist demonstrating whether trauma patients receiving treatment in intensive care unit (ICU) beds with poor visibility from a central nursing station experience health outcomes different from those in rooms that may be more visible from the nursing station.
Added December 2015
Review article: Systematic review of three key strategies designed to improve patient flow through the emergency department
2015
Emergency medicine Australasia: EMA
Journal Article
Issue 5
Volume 27
Pages 394-404
Author(s): Elder, E., Johnston, A. N., Crilly, J.
Added December 2015
Minimizing ED Waiting Times and Improving Patient Flow and Experience of Care
2014
Emergency Medicine International
Journal Article
Volume 2014
Pages e981472
Author(s): Sayah, A., Rogers, L., Devarajan, K., Kingsley-Rocker, L., Lobon, L. F.
Added December 2015
The Impact of a Flexible Care Area on Throughput Measures in an Academic Emergency Department
2015
Journal of Emergency Nursing
Journal Article
Issue 6
Volume 41
Pages 503-509
Author(s): McGrath, J., LeGare, A., Hermanson, L., Repplinger, M. D.
This paper explores the implementation of a novel strategy which involved the creation of a “flexible care area” (FCA), a space designed for initiating patient evaluations and treatments at the beginning of a patient’s visit.
Added December 2015
Does an ED Flow Coordinator Improve Patient Throughput?
2014
Journal of Emergency Nursing
Journal Article
Issue 6
Volume 40
Pages 605-612
Author(s): Murphy, S. O., Barth, B. E., Carlton, E. F., Gleason, M., Cannon, C. M.
Added December 2015
Ready-JET-Go: Split Flow Accelerates ED Throughput
2015
Journal of Emergency Nursing
Journal Article
Issue 2
Volume 42
Pages 114-119
Author(s): Bish, P. A., McCormick, M. A., Otegbeye, M.
Emergency departments (ED) in America have seen large increases in demand for emergency services over the last decade. This increased demand for ED services has resulted in delayed treatment for patients, increased rates of patients leaving the ED without receiving treatment, and decreases in satisfactory ED visit experiences.
Added December 2015
Solving the worldwide emergency department crowding problem – what can we learn from an Israeli ED?
2015
Israel Journal of Health Policy Research
Journal Article
Issue 52
Volume 4
Pages 1-4
Author(s): Pines, J. M., Bernstein, S. L.
Added December 2015
Initiatives to reduce overcrowding and access block in Australian emergency departments: A literature review
2014
Collegian
Journal Article
Issue 4
Volume 21
Pages 359-366
Author(s): Crawford, K., Morphet, J., Jones, T., Innes, K., Griffiths, D., Williams, Allison
Australian emergency departments are experiencing an increasing demand for their services. Patient throughput continues to expand resulting in overcrowding and access block where patients cannot gain entry to appropriate hospital beds. This is despite both state and federal governments implementing numerous schemes to address the complex causes of stress on emergency departments. This paper...
Added December 2015
Using Lean-Based Systems Engineering to Increase Capacity in the Emergency Department
2014
Western Journal of Emergency Medicine
Journal Article
Issue 7
Volume 15
Pages 770-776
Author(s): White, B., Chang, Y., Grabowski, B., Brown, D.
Emergency department (ED) crowding is a widespread issue that causes a multitude of negative effects on patient care quality, safety, and efficiency. Lean-based systems engineering, which is often used for industrial manufacturing, is a method for eliminating all forms of waste (including wasted time and other resources) to optimize productivity. Recent studies have begun to demonstrate the use of systems engineering and improvement science on streamlining processes and improving throughput in different medical capacities, but an opportunity remains to refine the application of these tools within EDs in particular.
Added December 2015
Measuring hand hygiene compliance rates at hospital entrances
2015
American Journal of Infection Control
Journal Article
Issue 7
Volume 43
Pages 694-696
Author(s): Vaidotas, M., Yokota, P. K. O., Marra, A. R., Sampaio Camargo, T. Z., Victor, E. da S., Gysi, D. M., Leal, F., dos Santos, O. F. P., Edmond, M. B.
Added December 2015
Energy Efficiency in Hospitals: Historical Development, Trends and Perspectives
2015
Energy Performance of Buildings: Energy Efficiency and Built Environment in Temperate Climates
Book Section
Author(s): Papadopoulos, A. M., Boemi, S.-N., Irulegi, O., Santamouris, M.
Added December 2015
Integrating clinic process flow, space syntax and space adjacency analysis: Formalization of computational method in building programming
Author(s): Pramanik, A., Haymaker, J., Swarts, M., Zimring, C.
Added December 2015
Shared decision making in designing new healthcare environments—time to begin improving quality
2015
BMC Health Services Research
Journal Article
Issue 1
Volume 15
Pages 1-7
Author(s): Elf, M., Fröst, P., Lindahl, G., Wijk, H.
Added November 2015
