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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 133

Continuous room decontamination technologies

Author(s): Weber, D. J., Rutala, W. A., Sickbert-Bennett, E. E., Kanamori, H., Anderson, D.
Added August 2020

Tracking and controlling soft surface contamination in health care settings

Author(s): Sexton, J. D., Wilson, A. M., Sassi, H. P., Reynolds, K. A.
Added December 2018

Copper Surfaces Reduce the Rate of Healthcare-Acquired Infections in the Intensive Care Unit

Author(s): Salgado, C. D., Sepkowitz, K. A., John, J. F., Cantey, J. R., Attaway, H. H., Freeman, K. D., Sharpe, P. A., Michels, H. T., Schmidt, M. G.
Hospital-acquired infections (HAIs) have been known to substantially increase patient morbidity and mortality, while also creating considerable financial burdens on patients and healthcare providers. Patients in intensive care units (ICUs) are at higher risk for HAI due to the nature of the ICU environment. Metallic copper surfaces have been known to substantially reduce bacterial concentrations; however, the clinical efficacy of these surfaces in ICUs has not been previously measured.
Key Point Summary
Added October 2016

Surface Finish Materials: Considerations for the Neonatal Intensive Care Unit (NICU)

Author(s): Harris, D.
In this literature review, it is shown that a growing body of research has been focusing on how surface material finishes within neonatal intensive care units (NICUs) can contribute to the operational, clinical, and social aspects of health outcomes.
Key Point Summary
Added September 2016

Promoting Hand Hygiene With a Lighting Prompt

Author(s): Diegel-Vacek, L., Ryan, C.
Added June 2016

Impact of Neonatal Intensive Care Bed Configuration on Rates of Late-Onset Bacterial Sepsis and Methicillin-Resistant Staphylococcus aureus Colonization

Author(s): Julian, S., Burnham, C.-A., Sellenriek, P., Shannon, W. D., Hamvas, A., Tarr, P. I., Warner, B. B.
Late-onset infections are a continuing issue, causing notable levels of morbidity and mortality in neonatal intensive care units (NICUs), while also increasing the length of patient stay and financial burdens on healthcare institutions. Few previous studies have tested the hypothesis that infants in single-patient rooms have a lower risk of methicillin-resistant Staphylococcus aureus (MRSA) colonization, late-onset sepsis, and death.
Key Point Summary
Added June 2016

Relationships Among Cleaning, Environmental DNA, and Healthcare-Associated Infections in a New Evidence-Based Design Hospital

Author(s): Lesho, E., Carling, P., Hosford, E., Ong, A., Snesrud, E., Sparks, M., Onmus-Leone, F., Dzialowy, N., Fraser, S., Kwak, Y., Miller, S., Chukwuma, U., Julius, M., McGann, P., Clifford, R.
Added June 2016

Norovirus in the hospital setting: virus introduction and spread within the hospital environment

Author(s): Morter, S., Bennet, G., Fish, J., Richards, J., Allen, D.J., Nawaz, S., Iturriza-Gómara, M., Brolly, S., Gray, J.
Added May 2016

Impact of sink location on hand hygiene compliance after care of patients with Clostridium difficile infection: a cross-sectional study

Author(s): Deyneko, A., Cordeiro, F., Berlin, L., Ben-David, D., Perna, S., Longtin, Y.
Hand hygiene is typically identified as the most important infection control measure. Many healthcare settings have adopted alcohol-based hand rub solutions because they are extremely easy to use, are accessible, and are effective against microbes. One limitation of alcohol-based hand rubs, however, is their ineffectiveness against spore-forming organisms such as Clostridium difficile infection (CDI). Thus, hand washing in sinks rather than rubbing with solutions is highly recommended after caring for patients with CDI.
Key Point Summary
Added May 2016

Antimicrobials in Hospital Furnishings: Do They Help Reduce Healthcare-Associated Infections?

Author(s): Schettler, T.
Added May 2016

Nebraska Biocontainment Unit perspective on disposal of Ebola medical waste

Author(s): Lowe, J. J., Gibbs, S. G., Schwedhelm, S. S., Nguyen, J., Smith, P. W.
Added May 2016

Determining high touch areas in the operating room with levels of contamination

Author(s): Link, T., Kleiner, C., Mancuso, M. P., Dziadkowiec, O., Halverson-Carpenter, K.
Added May 2016

Effectiveness of an extended period of flashing lights and strategic signage to increase the salience of alcohol-gel dispensers for improving hand hygiene compliance

Author(s): Rashidi, B., Li, A., Patel, R., Harmsen, I. E., Sabri, E., Kyeremanteng, K., D'Egidio, G.
Hospitals are often full of information and attention-seeking signs, colors, and noises, making it difficult for something as inconspicuous as alcohol-gel hand dispensers to stand out apart from everything else. Therefore if a hospital wishes to increase rates of hand hygiene compliance, the design and location of hand sanitizer dispensers is of high importance. In a previous study, the authors of this paper showed that affixing a flashing red light to alcohol-gel dispensers for one week doubled hand hygiene rates from 12.4% to 25.3%.
Key Point Summary
Added May 2016

The Creation of a Biocontainment Unit at a Tertiary Care Hospital: The Johns Hopkins Medicine Experience

Author(s): Garibaldi, B. T., Kelen, G. D., Brower, R. G., Bova, G., Ernst, N., Reimers, M., Langlotz, R., Gimburg, A., Iati, M., Smith, C., MacConnell, S., James, H., Lewin, J. J., Trexler, P., Black, M. A., Lynch, C., Clarke, W., Marzinke, M. A., Sokoll, L. J., Carroll, K. C., Parish, N. M., Dionne, K., Biddison, E. L. D., Gwon, H. S., Sauer, L., Hill, P., Newton, S. M., Garrett, M. R., Miller, R. G., Perl, T. M., Maragakis, L. L.
Prior to the 2014 Ebola virus disease (EVD) outbreak in West Africa, the United States had only one to three specialized biocontainment units. Once the EVD crisis began, a group of reputable American healthcare institutions worked together to renovate a deactivated clinical space into a functioning biocontainment unit (BCU).
Key Point Summary
Added April 2016

Visitor characteristics and alcohol-based hand sanitizer dispenser locations at the hospital entrance: Effect on visitor use rates

Author(s): Hobbs, M. A., Robinson, S., Neyens, D. M., Steed, C.
Proper hand hygiene is one of the most effective measures in the effort to prevent transmission of nosocomial pathogens in clinical settings. Previous studies have shown how healthcare-associated infections (HAIs) could be traced back to the spread of germs from hospital employees, patients, and visitors. While there is a large body of research on improving hand hygiene compliance among healthcare workers, there is a lack of similar studies aimed towards compliance among hospital visitors.
Key Point Summary
Added March 2016

Environmental factors and their association with emergency department hand hygiene compliance: an observational study

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.
Key Point Summary
Added March 2016

Effectiveness of improved hydrogen peroxide in decontaminating privacy curtains contaminated with multidrug-resistant pathogens

Author(s): Rutala, W. A., Gergen, M. F., Sickbert-Bennett, E. E., Williams, D. A., Weber, D. J.
Added January 2016

Do high-touch surfaces in public spaces pose a risk for influenza transmission? A virologic study during the peak of the 2009 influenza A(H1N1) pandemic in Geneva, Switzerland

Author(s): von Braun, A., Thomas, Y., Sax, H.
Added January 2016

Preparing an ICU room to welcome a critically ill patient with Ebola virus disease

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.
Key Point Summary
Added December 2015

Modeling infection risk and energy use of upper-room Ultraviolet Germicidal Irradiation systems in multi-room environments

Author(s): Noakes, C. J., Khan, M. A. I., Gilkeson, C. A.
Added December 2015