The Role of the Physical Environment in the Hospital of the 21st Century: A Once-in-a-Lifetime Opportunity
2004
The Center for Health Design
Report
Author(s): Ulrich, R. S., Zimring, C., Quan, X., Joseph, A., Choudhary, R.
Added December 2022
Shock-absorbing flooring for fall-related injury prevention in older adults and staff in hospitals and care homes: the SAFEST systematic review
2022
Health Technology Assessment
Journal Article
Issue 5
Volume 25
Pages 1-228
Author(s): Drahota, A., Felix, L. M., Raftery, J., Keenan, B., Lachance, C. C., Mackey, D. C., Markham, C., Laing, A. C., Farrell-Savage, K., Okunribido, O.
Added July 2022
Physical design factors contributing to patient falls
2021
Journal of Patient Safety
Journal Article
Issue 3
Volume 17
Pages e135-e142
Author(s): Pati, D., Valipoor, S., Cloutier, A., Yang, J., Freier, P., Harvey, T. E., Lee, J.
Previous studies show that patient falls in hospitals are not only a leading cause of disability, injury, and mortality, but that they also affect the family members of patients, the caregivers, and the overall healthcare system.
Added February 2017
Destination Bedside
2012
The Journal of Nursing Administration
Journal Article
Issue 5
Volume 42
Pages 256-265
Author(s): Watkins, N., Kennedy, M., Lee, N., O’Neill, M., Peavey, E., DuCharme, M., & Padula, C.
Patient-centered care (PCC) has been at the core of healthcare reform. Improvements and advancements in Healthcare Information Technology (HIT), Electronic Health Records and inpatient unit layout have been some means that aim to achieve PCC. Also key to PCC is the alleviation of medical errors, which HIT and related technology can help achieve.
Added January 2016
Developing a multi-systemic fall prevention model, incorporating the physical environment, the care process and technology: A systematic review
2011
Journal of Advanced Nursing
Journal Article
Issue 12
Volume 67
Pages 2501-24
Author(s): Choi, Y.-S., Lawler, E., Boenecke, C. A., Ponatoski, E. R., Zimring, C. M.
Falls are the most frequently reported negative events in hospitals in the United States and other countries, and about one-third of them result in injury of some type. Injury from falls can result in increased hospital stays, increased costs and litigation, among other problems. The authors reviewed the literature on falls, fall injuries, fall risk factors, and interventions to better understand the effectiveness of different methods for fall prevention in hospital settings.
Added December 2014
Inpatient fall prevention: Use of in-room Webcams
2013
Journal of Patient Safety
Journal Article
Issue 1
Volume 9
Pages 29-35
Author(s): Hardin, S. R., Dienemann, J., Rudisill, P., Mills, K. K.
The National Database for Nursing Quality Indicators (NDNQI) maintains data on patient falls nationally. Reported fall rates have ranged from 2.2 to 7 per 1000 admissions; 10% to 25% of falls result in an injury, depending on patient population. Falls adversely impact hospital costs as well as patient costs and overall well-being. The California HealthCare Foundation reported that technological innovations in the field of fall prevention, such as wireless patient monitoring systems, resulted in faster nurse response times and increased satisfaction for both patients and staff.
Added December 2014
Applying root cause analysis to improve patient safety: decreasing falls in postpartum women.
2010
Quality & Safety in Health Care
Journal Article
Issue 2
Volume 19
Pages 138-143
Author(s): Chen, K. H., Chen, L. R., Su, S.
The objective of this study was to investigate the effectiveness of interventions to prevent falls designed through hazard analysis using root cause analysis.
Added November 2014
Effects of Acuity-Adaptable Rooms on Flow of Patients and Delivery of Care
2004
American Journal of Critical Care
Journal Article
Author(s): Hendrich, A. L., Fay, J., Sorrells, A.
Acuity-adaptable rooms could reduce patient transfer times, decrease costs, and increase patient quality of care and satisfaction. Researchers conducted a pre/post study in an acute care setting to evaluate the impact of moving to acuity-adaptable rooms on patient flow, hospital capacity, patient and staff satisfaction, sentinel events, average length of stay, and nursing productivity.
Added May 2014
A novel night lighting system for postural control and stability in seniors
2008
Lighting Research and Technology
Journal Article
Issue 2
Volume 40
Pages 111-126
Author(s): Figueiro, M. G., Gras, L., Qi, R., Rizzo, P., Rea, M., Rea, M. S.
Age-related changes may result in impaired balance control, and thus can lead to increase risk of falls among the elderly. Visual information provides a spatial reference for self-position and location of obstacles within a person’s environment. Lack of this information results in increased body sway. In addition, low ambient light levels reduce postural control. Therefore, this study investigated the effectiveness of a novel self-luminous light emitting diode (LED) night-lighting system that provided linear spatial orientation cues plus low ambient lighting for enhancing postural control in healthy seniors.
Added April 2014
Falls, Technology, and Stunt Actors: New Approaches to Fall Detection and Fall Risk Assessment
2008
Journal of Nursing Care Quality
Journal Article
Issue 3
Volume 23
Pages 195-201
Author(s): Rantz, M. J., Aud, M. A., Alexander, G., Wakefield, B. J., Skubic, M., Luke, R. H., Anderson, D., Keller, J. M.
One in every 3 people aged 65 or older falls each year, making falls the most common cause of trauma-related injuries and hospitalizations in older adults and the leading cause of death due to injury. In addition, falls are often the prelude to rapid functional decline, costly hospitalization and rehabilitation services, loss of independence and physical function, and even death. Despite healthcare providers’ efforts at prevention, falls among older adults continue to be a critical and costly problem. Clearly, new methods are needed to address this issue.
Added January 2014
Designing with health in mind. Innovative design elements can make hospitals safer, more healing places
2004
Modern Healthcare
Journal Article
Issue 42
Volume 34
Pages 28-28
Author(s): Sadler, B.L.
Added October 2012
Technology to promote safe mobility in the elderly
2004
Nursing Clinics of North America
Journal Article
Issue 3
Volume 39
Pages 649-71
Author(s): Nelson, A., Powell-Cope, G., Gavin-Dreschnack, D., Quigley, P., Bulat, T., Baptiste, A.S., Applegarth, S., Friedman, Y.
Added October 2012
Strategies to reduce patient harm: understanding the role of design and the built environment
2008
Studies in Health Technology and Informatics
Journal Article
Author(s): Barach, P.
Added October 2012
Using Root Cause Analysis to Reduce Falls in Rural Health Care Facilities
2008
Advances in Patient Safety: New Directions and Alternative Approaches
Book
Author(s): Ruddick, P., Hannah, K., , Schade, C.P., Bellamy, G., Brehm, J., Lomely, D.
Added October 2012