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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 181

Designing healing environments: A literature review on the benefits of healing gardens for children in healthcare facilities and the urgent need for policy implementation

Author(s): Din, S. K.-J., Russo, A., Liversedge, J.
Numerous studies have shown the benefits of nature in healthcare environments. Healing gardens have been of particular interest in healthcare design, but research on these settings tends to focus on outcomes for older adults. Healing gardens may support positive outcomes for children as well, including physical, mental, and emotional health.
Key Point Summary
Added May 2023

The impact of physical environments on outpatient mental health recovery: A design-oriented qualitative study of patient perspectives

Author(s): Sui, T. Y., McDermott, S., Harris, B., Hsin, h.
Patient-centered (or human-centered) design approaches have helped designers to better understand patient needs and expectations during mental health treatment. Previous studies show evidence that the physical environment has an impact on the human experience, and the importance of environments that support feelings all humans strive for, including normalcy, safety, control, and belonging.
Key Point Summary
Added May 2023

A qualitative study of hospital interior environments during the COVID-19 pandemic

Author(s): Bae, S.
There is a substantial body of research on the relationship between the physical environment and human health, and more recently, a growing understanding around how the healthcare environment impacts users, such as healthcare personnel.
Key Point Summary
Added February 2023

Coping and caregiving: Leveraging environmental design to moderate stress among healthcare workers in the emergency department setting

Author(s): Bosch, S. J., Valipoor, S., Alakshendra, A., De Portu, G., Mohammadigorji, S., Rittenbacher, D., Black, K., Calienes, E.
Research demonstrates that healthcare work is demanding and emergency departments (EDs) are known to be particularly stressful. There is a lack of information about relationships between the built environment and the behaviors clinicians use to cope with work-related stress.
Key Point Summary
Added February 2023

Effects of the physical environment on children and families in hospital-based emergency departments: A systematic literature review

Author(s): Gripko, M., Joseph, A., MohammadiGorji, S.
The emergency department (ED) environment is often a very stressful place, especially for young children and their families. Previous studies show that highly stimulating environments may increase anxiety. There are many complex relationships among the physical environment and healthcare outcomes in the emergency department, and themes in this study include control, positive distractions, family and social supports, and designing for a safe and comfortable experience.
Key Point Summary
Added February 2023

The psychological impact of the workplace environment in critical care A qualitative exploration

Author(s): Grailey, K., Leon-Villapalos, C., Murray, E., Brett, S. J.
Researchers acknowledge the intersection of cultural and environmental elements of intensive care units and resulting staff perceptions of those elements. Single patient rooms, varying levels of visibility, and workflow issues are just a few of the environmental conditions that have an impact on clinical staff.
Key Point Summary
Added January 2023

Analysis of functional layout in emergency departments (ED). Shedding light on the free standing emergency department (FSED) model

Author(s): Brambilla, A., Mangili, S., Das, M., Lal, S., Capolongo, S.
Research shows that emergency departments (EDs) are facing overcrowding, increasing patient acuity, and short staffing, which all are impacting wait times to be seen and patient satisfaction scores.
Key Point Summary
Added December 2022

Leveraging discrete event simulation modeling to evaluate design and process improvements of an emergency department

Author(s): Zamani, Z.
Research shows that emergency departments (EDs) are frequently challenged by high patient volumes, unpredictable surges, and emergency care providers who may be at increased risk for burnout and mental distress. Furthermore, longer wait times have been associated with an increased potential for adverse events and patient mortality.
Key Point Summary
Added December 2022

Operating room design using agent-based simulation to reduce room obstructions

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.
Key Point Summary
Added December 2022

Using an accessible room multisensory stimulation environment to reduce dementia associated behaviors

Author(s): Prince, D. M., Fogarty, K. J., VanGeest, J. B., Eberth, S. D.
A growing body of literature supports using multisensory stimulation environment (MSSE) rooms to improve Behavioral and Psychological Symptoms of Dementia (BPSD). While enclosed MSSE applications have been tested, due to restrictions for enclosed-room access and caregiver shortages there is a need to evaluate outcomes associated with open-access MSSE areas.
Key Point Summary
Added December 2022

The effect of sound in the dental office: Practices and recommendations for quality assurance: A narrative review

Author(s): Antoniadou, M., Tziovara, P., Antoniadou, C.
Research shows that the dental office environment exposes individuals to a high degree of sound during care. Sound can be perceived negatively, called noise, or can be considered positive, such as music therapy. The dental office can be an environment of high anxiety for patients.
Key Point Summary
Added December 2022

Efficacy of violet–blue light to inactive microbial growth

Author(s): Amodeo, D., Lucarelli, V., De Palma, I., Puccio, A., Nante, N., Cevenini, G., Messina, G.
Research demonstrates that certain lights have antimicrobial properties. Violet-blue light at 405 nm (VBL405) has a broad-spectrum effect on organisms that frequently cause hospital-acquired infections including Clostridium difficile, Escherichia coli, Staphylococcus epidermidis, Pseudomonas aeruginosa, Klebsiella pneumoniae, Streptococcus pyogenes, and various Mycobacterium.
Key Point Summary
Added November 2022

Research methods used in evidence-based design: An analysis of five years of research articles from the HERD Journal

Author(s): Battisto, D., Li, X., Dong, J., Hall, L., Blouin, J.
Few studies report on the current state of research in health environment studies. Understanding common research methods can help inform future studies and identify best practices.
Key Point Summary
Added November 2022

Noise exposure and quality of life among nurses

Author(s): McCullagh, M. C., Xu, J., Dickson, V. V., Tan, A., Lusk, S. L.
Research shows that the effects of high-noise environments extend beyond hearing damage. Excessive noise levels can negatively impact cardiovascular health, mental health, sleep, and lead to tinnitus. Healthcare work environments are inherently noisy due to paging systems, telephones, monitor alarms, treatment equipment, and ice machines.
Key Point Summary
Added November 2022

Implementation of a navigation system: Economic verification in a local hospital.

Author(s): Majerova, I., Michna, P., Lebiedzik, M., Nevima, J., Tureckova, K.
Wayfinding is a long-standing challenge in healthcare facilities. Multiple studies have evaluated the cost-benefit of traditional wayfinding systems with respect to cost (e.g., staff time spent direction giving) and benefits (e.g., improved patient experience).
Key Point Summary
Added November 2022

Ventilation performance evaluation of a negative-pressurized isolation room for emergency departments

Author(s): Wang, F., Permana, I., Chaerasari, C., Lee, K., Chang, T., Rakshit, D.
Since the emergence of COVID-19, healthcare facilities are expected to be well equipped and flexible in their efforts to both treat patients and protect staff. Emergency Department (ED) isolation rooms are considered a potentially effective way to protect both staff and infected patients; however, further research is needed to understand how best to design an isolation room for an ED.
Key Point Summary
Added August 2022

Energy analysis and forecast of a major modern hospital

Author(s): Liu, A., Ma, Y., Miller, W., Xia, B., Zedan, S., Bonney, B.
Globally, roughly 4.4% of all carbon dioxide (CO2) emissions come from the health sector. In some countries, the public health sector may regularly be the leading energy user and emitter. There is diverging evidence to suggest whether regional climate patterns or building occupancy have a greater impact on energy use within healthcare facilities.
Key Point Summary
Added August 2022

A comparison of floor surfaces for injury prevention in care settings: impact forces and horizontal pulling force required to move wheeled equipment

Author(s): Keenan, B. E., Hallas, K., Drahota, A. K., Evans, S. L.
Injury-inducing falls frequently occur in both care homes and hospitals. One way to prevent fall-related injuries is shock-absorbing flooring. The authors of this study note that at the time of writing, there are no established standards for what type of flooring is most effective for injury prevention.
Key Point Summary
Added July 2022

Emergency psychiatric assessment, treatment, and healing (EmPATH) unit decreases hospital admission for patients presenting with suicidal ideation in rural America

Author(s): Kim, A. K., Vakkalanka, J. P., Van Heukelom, P., Tate, J., Lee, S.
The number of patients in Emergency Departments (EDs) with mental health issues and suicide ideation has been on the rise, and studies outline the impact on outcomes such as delays in care and ED overcrowding and boarding. Emergency Psychiatric Assessment, Treatment, and Healing (EmPATH) units support increased access to mental healthcare with reduced burdens on EDs.
Key Point Summary
Added February 2022

Patient and clinician engagement with health information in the primary care waiting room: A mixed methods case study

Author(s): Penry Williams, C., Elliott, K., Gall, J., Woodward-Kron, R.
Health literacy (i.e., the ability to understand medical information) is a big part of how people make decisions about their health. The availability of health information in waiting rooms has the potential to provide education to people who may not otherwise have access.
Key Point Summary
Added February 2022