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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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Automated Fall Detection with Quality Improvement “Rewind” to Reduce Falls in Hospital Rooms

Author(s): Rantz, M. J., Banerjee, T. S., Cattoor, E., Scott, S., Skubic, M. & Popescu, M.
This study uses Microsoft Kinect motion sensors to detect patient falls in a manner that protects patient privacy and promotes cost-efficiency. The Kinect sensor uses a pattern of infrared light to produce an in-depth and 3D, ghostlike image that can provide information on patient falls while maintaining patient privacy.
Key Point Summary
Added January 2016

Ergonomics Principles Associated with Laparoscopic Surgeon Injury/Illness

Author(s): Miller, K., Benden, M.., Pickens, A., Shipp, A., & Zheng, Q.
Although laparoscopic procedures significantly benefit patients in terms of decreased recovery times and improved outcomes, they contribute to mental fatigue and musculoskeletal problems among surgeons. A variety of ergonomic interventions and applications are implemented by surgeons to reduce health problems.
Key Point Summary
Added January 2016

Thermal Comfort Standards, Measured Internal Temperatures and Thermal Resilience to Climate Change of Free-running Buildings: A Case-Study of Hospital Wards

Author(s): Lomas, K. J. & Giridharan, R.
There is increasing debate about the impact that climate change may have on the internal summertime temperatures in UK buildings because future summers are likely to be both warmer and drier and there is likely to be an increase in the occurrence of extreme temperatures.
Key Point Summary
Added January 2016

Innovation Pilot Study: Acute Care for Elderly (ACE) Unit--Promoting Patient-Centric Care

Author(s): Krall et al.
Older patients have different needs: cognitive impairment, chronic health issues, caregiver burden, and maintenance of functional level. These issues present challenges to healthcare organizations when caring for this population on a general medical-surgical unit.
Key Point Summary
Added January 2016

Care Home Design for People with Dementia: What do People with Dementia and Their Family Carers Value?

Author(s): Innes, A., Kelly, F., Dincarslan, O.
A ‘dementia-friendly’ environment is argued to compensate for disability and should consider both the importance for the person with dementia of his/her experiences within the environment and also the social, physical, and organizational environments that impact on these experiences.
Key Point Summary
Added January 2016

On SHiPs and Safety: A Journey of Safe Patient Handling in Pediatrics

Author(s): Huffman, G. M., Crumrine, J., Thompson, B., Mobley, B., Roth, K. and Roberts, C.
Nursing personnel have repeatedly been ranked among professionals that are most frequently impacted by musculoskeletal injuries. While research in this area has traditionally focused on injuries that occur with adult patients, the growing epidemic of obesity in children makes this a relevant topic to pediatric nurses as well.
Key Point Summary
Added January 2016

Applying Lean Six Sigma for Innovative Change to the Post-Anesthesia Care Unit

Author(s): Haenke. R & Stichler, J. F.
This case study outlined the application of the Lean Six Sigma quality improvement framework to a post-anesthesia care unit redesign project.
Key Point Summary
Added January 2016

Specialized Design for Dementia

Author(s): Habell, M.
Designing for people with dementia is a major need in elderly care buildings. However, it is difficult to design for this population, as the parameters of dementia itself are often vague. The author also notes that the registration requirements in the UK for a care home make no distinction between the type of dementia or the severity of the dementia.
Key Point Summary
Added January 2016

Light for Nurses’ Work in the 21st Century: A Review of Lighting, Human Vision Limitations, and Medication Administration

Author(s): Graves, K., Symes, L., & Cesario, S. K.
While there has been previous documentation about the impact of the built environment on staff efficiency, little has been documented about the role of architectural lighting on staff’s ability to perform work tasks. The authors cite specific examples of how medications are often distributed on night shifts, sometimes when nurses use pen lights so as not to disturb patients.
Key Point Summary
Added January 2016

Pod Nursing on a Medical/Surgical Unit

Author(s): Friese, C. R., Grunawalt, J. C., Bhullar, S., Bihlmeyer, K., Chang, R., & Wood, W.
The project reported in this article uses a Pod Nursing (PN) care delivery model to enhance patient-nurse proximity and a team-based patient assignment to improve select nurse and patient outcomes.
Key Point Summary
Added January 2016

Non-Pharmacological Interventions in Long-term Care: Feasibility and Recent Trends

Author(s): Fitzsimmons, S., Barba, B., Stump, M. & Bonner, E.
This article discusses the use of non-pharmacological interventions as part of an effort to minimize the negative effects of antipsychotic drug use on patients with cognitive impairment or perceived behavioral issues. Aspects of the built environment were included.
Key Point Summary
Added January 2016

Building and Testing a Patient-centric Electronic Bedside Communication Center

Author(s): Dykes, P. C., Carroll, D. L., Hurley, A. C., Benoit, A., Chang, F., Pozzar, R., and Caligtan. C. A.
This study builds upon previous research that demonstrated improved outcomes when patients had access to tailored information related to falls.
Key Point Summary
Added January 2016

Role of Bed Design and Head-of-Bed Articulation on Patient Migration

Author(s): Davis, K. G., & Kotowski, S. E.
Patients often migrate towards the foot of the bed. Two reasons are cited for this occurrence: gravity over time and bed design. Patients are exposed to friction from sliding on the mattress.
Key Point Summary
Added January 2016

Increased Daylight Availability Reduces Length of Hospitalization in Depressive Patients

Author(s): Canellas, F., Mestre, L., Belber, M., & Frontera, G.
Research studies have documented the efficacy of bright light on people with Seasonal Affective Disorder (SAD). Bright light has been documented to have a therapeutic efficiency equivalent to most antidepressant medications.
Key Point Summary
Added January 2016

The Business Case for Building Better Neonatal Intensive Care Units

Author(s): Shepley, M., Smith, J.A., Sadler, B.L. & White, R.D.
There is increasing evidence that the physical environment of the Neonatal Intensive Care Unit (NICU) has a tangible effect on the vulnerable infants who spend the first crucial weeks or months of their life there.
Key Point Summary
Added January 2016

How Can We Help Staff transition to a New NICU design?

Author(s): Broom, M., Gardner, A., Kecskes, Z. , Kildea, S.
This article highlights the results of a literature review undertaken to identify transition strategies for staff who moved from an open plan unit layout to a single-room design (SRD) neonatal intensive care unit (NICU) layout.
Key Point Summary
Added January 2016

Environmental Congruence and Work-Related Stress in Acute Care Hospital Medical-Surgical Units: A Descriptive, Correlational Study

Author(s): Dendaas, N.
Nursing is known to be a particularly stressful job, and this often has direct ties to nursing shortages in the United States. Research attempting to better understand hospital nursing work environments has typically focused on social and organizational aspects of the work experience. Yet, the physical environment, which is known to impact work and organizational outcomes, has been studied to a much lesser extent.
Key Point Summary
Added January 2016

An Empirical Examination of Patient Room Handedness in Acute Medical-Surgical Settings

Author(s): Pati, D., Cason, C., Harvey Jr., T.E., Evans, J.
The initial cost of designing hospitals with standardized same-handed patient rooms is typically much higher than the cost of hospitals designed with mirror-image configurations. This is because same-handed units require separate utility lines for each patient room rather than shared medical gas lines and bathroom plumbing lines between every two rooms.
Key Point Summary
Added January 2016

Computer Aided Lighting Requirement Analysis and Design for a Better Health Care Facility

Author(s): Tanuja, S. & Shailesh, K.R.
This project pertains to assessing the lighting requirements of a super specialty/teaching hospital and generating lighting solutions that are also energy efficient for some of the key spaces in the facility.
Key Point Summary
Added January 2016

Destination Bedside

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.
Key Point Summary
Added January 2016