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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 41

Hospitals’ energy efficiency in the perspective of saving resources and providing quality services through technological options: A systematic literature review

Author(s): Psillaki, M., Apostolopoulos, N., Makris, I., Liargovas, P., Apostolopoulos, S., Dimitrakopoulos, P., Sklias, G.
Added February 2023

Designing for efficiency: Examining the impact of centralized and decentralized nurse stations on interdisciplinary care processes

Author(s): Fay, L., Santiago, J. E., Real, K., Isaacs, K.
Between 1980 and 2008, adult inpatient units increased in size by 118%. Size increases on this scale may negatively impact operational efficiency, waste reduction efforts, and workplace safety.
Key Point Summary
Added June 2020

Deliberate Perioperative Systems Design Improves Operating Room Throughput

Author(s): Sandberg, W. S., Daily, B., Egan, M., Stahl, J. E., Goldman, J. M., Wiklund, R. A., Rattner, D.
Operating rooms (ORs) are complex and sensitive environments that are typically expensive to operate and maintain. Minimally invasive surgical procedures are becoming increasingly more prevalent in many OR environments, while the costs of operating and maintaining OR environments are simultaneously increasing.
Key Point Summary
Added November 2018

A socio-ecological analysis of hospital resilience to extreme weather events

Author(s): Chand, A. M., Loosemore, M.
Added April 2016

Making the Case for Evidence-Based Design in Healthcare: A Descriptive Case Study of Organizational Decision Making

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).
Key Point Summary
Added January 2016

Making acuity-adaptable units work: lessons from the field

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.
Key Point Summary
Added January 2016

Leading Change During an Inpatient Critical Care Unit Expansion

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.
Key Point Summary
Added January 2016

Measuring the Use of Examination Room Time in Oncology Clinics: A Novel Approach to Assessing Clinic Efficiency and Patient Flow

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.
Key Point Summary
Added December 2015

Energy Efficiency in Hospitals: Historical Development, Trends and Perspectives

Author(s): Papadopoulos, A. M., Boemi, S.-N., Irulegi, O., Santamouris, M.
Added December 2015

Impact of daylight illumination on reducing patient length of stay in hospital after coronary artery bypass graft surgery

Author(s): Joarder, A. R., Price, A. D. F.
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Key Point Summary
Added March 2015

Design of cardiovascular operating rooms for tomorrow's technology and clinical practice — Part 2

Author(s): Rostenberg, B., Barach, P. R.
Added December 2014

Healthcare leadership white paper series - maximizing the impact of nursing care quality: a closer look at the hospital work environment and the nurse’s impact on patient-care quality

Author(s): Hendrich, A.L., Chow, M.
Current hospital work environments have inefficient work processes, physical designs, technology infrastructure, and organizational cultures that cause inefficiencies and nursing stressors that compromise direct patient care.
Key Point Summary
Added September 2014

An Evaluation of Operating Room Safety and Efficiency: Pilot Utilization of a Structured Focus Group Format and Three-Dimensional Video Mock-Up To Inform Design Decision Making

Author(s): Watkins, N., Kobelja, M., Peavey, E., Thomas, S., Lyon, J.
While surgical and interventional procedures are the most profitable services within the hospital, the cost of building and maintaining an OR can quickly reduce the profitability of running an OR. Due to this precarious balance of revenue and cost, the planning and design of an OR should look to reduce injury to staff and prevent unnecessary costs, while increasing operational efficiencies.
Key Point Summary
Added September 2014

Intra-unit patient transports: time, motion, and cost impact on hospital efficiency

Author(s): Hendrich, A. L., Lee, N.
Transferring patients can be stressful and confusing for patients and their families. In addition, risks to the patient increase during transfers. Thus, many healthcare facilities are trying to reduce patient transfers by providing more flexible patient rooms.
Key Point Summary
Added May 2014

Lean Thinking in Emergency Departments: A Critical Review

Author(s): Holden, R. J.
Added May 2014

Environmental evaluation for workplace violence in healthcare and social services

Author(s): McPhaul, K.M. , Murrett, K., Flannery, K. , Rosen, J., Lipscomb, J., London, M.
The purpose of this project was to contribute specific, evidence–based guidance to the healthcare and social services employer communities regarding the use of environmental design to prevent violence.
Key Point Summary
Added April 2014

Using a Task Analysis to Describe Nursing Work in Acute Care Patient Environments

Author(s): Battisto, D., Pak, R., Vander Wood, M. A., Pilcher, J. J.
A growing body of research demonstrates linkages between workplace design and processes in healthcare facilities with staff and patient safety, operational efficiency, staff satisfaction, and medical errors. There has been less emphasis on the role of the built environment in helping or hindering care delivery. Research is needed on the contextualized activities performed by nurses and how nurses spend their time to measure the effects of interventions aimed at redesigning care to improve safety or efficiency or to understand the implications of policy changes for nursing practice.
Key Point Summary
Added April 2014

First, Do No Harm

Author(s): Cohen, G.
Added October 2012

Facility energy survey

Author(s): Rothbauer, S.J.
Added October 2012

Integration of Technology and Facility Design: Implications for Nursing Administration

Author(s): Watson, C.A.
Added October 2012