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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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Increasing Throughput: Results from a 42-Hospital Collaborative to Improve Emergency Department Flow

Author(s): Zocchi, M. S., McClelland, M. S., Pines, J. M.
The rates of visits to the emergency department (ED) in the U.S. have grown in the last 10 years. According to the authors, attempts to decrease crowding in the EDs have been largely through improving the flow, which has been challenged by several factors including inconsistency in the demand for ED services, ED staffing issues, and inconsistency in the availability of inpatient beds.
Key Point Summary
Added December 2015

Review article: Systematic review of three key strategies designed to improve patient flow through the emergency department

Author(s): Elder, E., Johnston, A. N., Crilly, J.
Added December 2015

Minimizing ED Waiting Times and Improving Patient Flow and Experience of Care

Author(s): Sayah, A., Rogers, L., Devarajan, K., Kingsley-Rocker, L., Lobon, L. F.
Added December 2015

Hallway Patients Reduce Overall Emergency Department Satisfaction

Author(s): Stiffler, K. A., Wilber, S. T.
Added December 2015

The Impact of a Flexible Care Area on Throughput Measures in an Academic Emergency Department

Author(s): McGrath, J., LeGare, A., Hermanson, L., Repplinger, M. D.
This paper explores the implementation of a novel strategy which involved the creation of a “flexible care area” (FCA), a space designed for initiating patient evaluations and treatments at the beginning of a patient’s visit.
Key Point Summary
Added December 2015

Driving Efficient Flow: Three Best-Practice Models

Author(s): Baker, S. J., Shupe, R., Smith, D.
Added December 2015

Does an ED Flow Coordinator Improve Patient Throughput?

Author(s): Murphy, S. O., Barth, B. E., Carlton, E. F., Gleason, M., Cannon, C. M.
Added December 2015

Ready-JET-Go: Split Flow Accelerates ED Throughput

Author(s): Bish, P. A., McCormick, M. A., Otegbeye, M.
Emergency departments (ED) in America have seen large increases in demand for emergency services over the last decade. This increased demand for ED services has resulted in delayed treatment for patients, increased rates of patients leaving the ED without receiving treatment, and decreases in satisfactory ED visit experiences.
Key Point Summary
Added December 2015

Solving the worldwide emergency department crowding problem – what can we learn from an Israeli ED?

Author(s): Pines, J. M., Bernstein, S. L.
Added December 2015

Initiatives to reduce overcrowding and access block in Australian emergency departments: A literature review

Author(s): Crawford, K., Morphet, J., Jones, T., Innes, K., Griffiths, D., Williams, Allison
Australian emergency departments are experiencing an increasing demand for their services. Patient throughput continues to expand resulting in overcrowding and access block where patients cannot gain entry to appropriate hospital beds. This is despite both state and federal governments implementing numerous schemes to address the complex causes of stress on emergency departments. This paper...
Key Point Summary
Added December 2015

Using Lean-Based Systems Engineering to Increase Capacity in the Emergency Department

Author(s): White, B., Chang, Y., Grabowski, B., Brown, D.
Emergency department (ED) crowding is a widespread issue that causes a multitude of negative effects on patient care quality, safety, and efficiency. Lean-based systems engineering, which is often used for industrial manufacturing, is a method for eliminating all forms of waste (including wasted time and other resources) to optimize productivity. Recent studies have begun to demonstrate the use of systems engineering and improvement science on streamlining processes and improving throughput in different medical capacities, but an opportunity remains to refine the application of these tools within EDs in particular.
Key Point Summary
Added December 2015

Measuring hand hygiene compliance rates at hospital entrances

Author(s): Vaidotas, M., Yokota, P. K. O., Marra, A. R., Sampaio Camargo, T. Z., Victor, E. da S., Gysi, D. M., Leal, F., dos Santos, O. F. P., Edmond, M. B.
Added December 2015

Environmental infection control considerations for Ebola

Author(s): Lowe, J. J., Olinger, P. L., Gibbs, S. G., Rengarajan, K., Beam, E. L., Boulter, K. C., Schwedhelm, M. M., Hayes, A. K., Kratochvil, C. J., Vanairsdale, S., Frislie, B., Lewis, J., Hewlett, A. L., Smith, P. W., Gartland, B., Ribner, B. S.
The impact of the 2014 outbreak of the Ebola virus disease (EVD) in West Africa was felt in the United States when patients were transferred for treatment. Following the first Ebola death in the U.S. and given the high risk factors associated with the disease, infection control and prevention measures were stepped up in hospitals around the country.
Key Point Summary
Added December 2015

Microfiber cloths reduce the transfer of Clostridium difficile spores to environmental surfaces compared with cotton cloths

Author(s): Trajtman, A. N., Manickam, K., Alfa, M. J.
Added December 2015

Role of healthcare apparel and other healthcare textiles in the transmission of pathogens: a review of the literature

Author(s): Mitchell, A., Spencer, M., Edmiston, C.
Added December 2015

Persistence of microorganisms on common hospital surfaces

Author(s): Neely, A. N.
Added December 2015

Hand-touch contact assessment of high-touch and mutual-touch surfaces among healthcare workers, patients, and visitors

Author(s): Cheng, V. C. C., Chau, P. H., Lee, W. M., Ho, S. K. Y., Lee, D. W. Y., So, S. Y. C., Wong, S. C. Y., Tai, J. W. M., Yuen, K. Y.
Added December 2015

Non-inferiority of pulsed xenon UV light versus bleach for reducing environmental Clostridium difficile contamination on high-touch surfaces in Clostridium difficile infection isolation rooms

Author(s): Ghantoji, S. S., Stibich, M., Stachowiak, J., Cantu, S., Adachi, J. A., Raad, I. I., Chemaly, R. F.
Added December 2015

Methicillin-Resistant Staphylococcus aureus (MRSA) Contamination in Bedside Surfaces of a Hospital Ward and the Potential Effectiveness of Enhanced Disinfection with an Antimicrobial Polymer Surfactant

Author(s): Yuen, J., Chung, T., Loke, A.
Added December 2015

Hospital management of Clostridium difficile infection: a review of the literature

Author(s): Khanafer, N., Voirin, N., Barbut, F., Kuijper, E., Vanhems, P.
Added December 2015