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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 21

Promoting Hand Hygiene With a Lighting Prompt

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

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

Effect of hand sanitizer location on hand hygiene compliance

Author(s): Cure, L., Van Enk, R.
Hand hygiene is the most important intervention to prevent infection in hospitals. Health care workers should clean their hands at least before and after contact with patients. Hand sanitizer dispensers are important to support hand hygiene because they can be made available throughout hospital units. The aim of this study was to determine whether the usability of sanitizer dispensers correlates...
Key Point Summary
Added May 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

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

One size fits all? Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience, safety and costs

Author(s): Maben, J., Griffiths, P., Penfold, C., Simon, M, Anderson, J. E., Robert, G., Pizzo, E., Hughes, J., Murrells, T., Barlow, J.
Authors indicate that despite the trend to adopt single-patient rooms, there is a dearth of strong evidence regarding its effect on healthcare quality and safety. When a hospital in England moved to a new building with 100% single rooms, a before-and-after move study was conducted on patient and staff experience, safety outcomes, and cost analysis. The study found that over two-thirds of the patients and one-fifth of the staff preferred single rooms.
Key Point Summary
Added September 2015

Exploring Safety and Quality In a Hemodialysis Environment With Participatory Photographic Methods: A Restorative Approach.

Author(s): Marck, P., Molzahn, A., Berry-Hauf, R., Hutchings, L. G., Hughes, S.
The authors indicate that hemodialysis units can be fraught with numerous safety issues related to medication errors, lapses in communication, patient falls, equipment issues, infection control, etc. These issues can be critical in high-acuity units. This study used qualitative methods to identify existing and potential safety issues in a hemodialysis unit in a tertiary care hospital in Canada.
Key Point Summary
Added September 2015

Impact of the Design of Neonatal Intensive Care Units on Neonates, Staff, and Families: A Systematic Literature Review

Author(s): Shahheidari, M., Homer, C.
The authors indicate that the design of NICUs incorporating single family rooms as evidence indicates this room type contributes to the better development of babies, facilitates increased parental involvement in care, controls infection, and reduces noise and length of stay.
Key Point Summary
Added July 2015

Implications of design on infection prevention and control practice in a novel hospital unit: the Medical Ward of the 21st Century

Author(s): VanSteelandt, A., Conly, J., Ghali, W., Mather, C.
The design of a hospital has an important role to play in the prevention and control of infections in hospitals, as does healthcare worker compliance with preventive measures of infection control. Evidence has shown that single-patient rooms are more effective in the control of infection than multi-patient rooms. This study examined the relationship between the design of a hospital unit and the practice of infection control.
Key Point Summary
Added June 2015

Impact of Isolation on Hospital Consumer Assessment of Healthcare Providers and Systems Scores: Is Isolation Isolating?

Author(s): Vinski, J., Bertin, M., Sun, Z., Gordon, S. M., Bokar, D., Merlino, J., Fraser, T. G.
Added November 2014

Automated and electronically assisted hand hygiene monitoring systems: A systematic review

Author(s): Ward, M. A., Schweizer, M. L., Polgreen, P. M., Gupta, K., Reisinger, H. S., Perencevich, E. N.
Added November 2014

Hospital cleaning in the 21st century

Author(s): Dancer, S. J.
Added September 2014

Cleanliness audit of clinical surfaces and equipment: who cleans what?

Author(s): Anderson, R.E., Young, V., Stewart, M., Robertson, C., Dancer, S. J.
Added September 2014

Role of hospital surfaces in the transmission of emerging health care-associated pathogens: Norovirus, Clostridium difficile, and Acinetobacter species

Author(s): Weber, D. J., Rutala, W. A., Miller, M. B., Huslage, K., Sickbert-Bennett, E.
Added September 2014

The Effect of Environmental Design on Reducing Nursing Errors and Increasing Efficiency in Acute Care Settings: A Review and Analysis of the Literature

Author(s): Chaudhury, H., Mahmood, A., Valente, M.
In acute care settings, the physical environment plays an important role in staff efficiency and patient safety. Some research suggests that poor environments can result in staff stress, anxiety, and distractions due to noise; artificial lighting; improper or inadequate ventilation; and disorienting layouts of nursing units. There is less research on how environmental factors affect nursing staff health, effectiveness, errors, and job satisfaction.
Key Point Summary
Added April 2014

Nurses’ Perception of Single-Occupancy Versus Multioccupancy Rooms in Acute Care Environments: An Exploratory Comparative Assessment

Author(s): Chaudhury, H., Mahmood, A., Valente, M.
As people are living longer and the baby boomers age, the demand for hospital beds will increase. As new facilities are built to handle this influx of patients, the challenge for hospital designers and administrators is to design patient rooms that promote therapeutic goals, foster positive patient outcomes, and function as intensive care rooms. Recent research suggests that single-occupancy rooms are more suitable for infection control and patient care than multioccupancy rooms. However, no research has been done about nursing staff members’ perception of single-occupancy and multioccupancy patient rooms in acute care settings as it relates to patient care.
Key Point Summary
Added April 2014

Predesign and Post-occupancy Analysis of Staff Behavior in a Neonatal Intensive Care Unit

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.
Key Point Summary
Added October 2012

No Time for Handwashing!? Handwashing Versus Alcoholic Rub Can We Afford 100% Compliance?

Author(s): Voss, A., Widmer, A.F.
Added October 2012

Planning and design of a surgical intensive care unit in a new regional hospital

Author(s): Koay, C.K., Fock, K.M.
Added October 2012