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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 3861 - 3880 of 6333

Ceiling lifts reduce patient-handling injuries

Author(s): Joseph, A., Fritz, L.
Nurses and nurse aides who have direct interaction with patients, performing manual lifting and transferring activities, are at a particularly high risk of injury and back pain. There are significant reductions in the incidence of injury when staff uses mechanical lift equipment vs. manual lifting techniques. In comparison with floor mechanical lift equipment, ceiling-mounted lifts are superior due to their ease of use, storage, and patient safety.
Key Point Summary
Added July 2014

Perceived hospital environment quality indicators: A study of orthopaedic units

Author(s): Fornara, F., Bonaiuto, M., Bonnes, M.
The field of healthcare design has increasingly recognized the need for building environments that are more ‘‘user-centered,’’ but spatial–physical features have not typically been included in assessment surveys on patient satisfaction.
Key Point Summary
Added July 2014

Elderhood in Eden

Author(s): Thomas, W. H., Johansson, C.
Increasing numbers of our elders are entering nursing homes and assisted living facilities every day. The Eden Alternative and the new Green House Project, offer a fundamentally different way of looking at elderhood. The premise: caring for our elders in places that are much more like gardens and much less like institutions results in enhanced quality of life as well as improved clinical outcomes.
Key Point Summary
Added July 2014

Legionnaires' Disease in Long-Term Care Facilities: Overview and Proposed Solutions

Author(s): Seenivasan, M. H., Yu, V. L., Muder, R. R.
Legionnaires’ disease is a notable problem in acute care settings. Legionnaires’ disease has been shown to be an important cause of community- and hospital-acquired pneumonia. In hospitals with Legionella colonization of the water systems, hospital-acquired legionellosis is frequently endemic, accounting for 10% to 40% of hospital-acquired pneumonias. Legionnaires’ disease also accounts for 2% to 15% of community-acquired pneumonia. In contrast, the incidence of Legionnaires’ disease in long-term care residents is not clearly delineated.
Key Point Summary
Added July 2014

Long-term care physical environments- effect on medication errors

Author(s): Mahmood, A., Chaudhury, H., Gaumont, A., Rust, T.
Medication errors contribute significantly to patient morbidity and mortality, and are associated with considerable healthcare costs, as well. The human and financial costs following preventable medical errors are high; data in the United States suggest an estimated 44,000 inpatients die each year from preventable medical errors. Nationally, preventable adverse event costs have been estimated at $17 billion.
Key Point Summary
Added July 2014

Effects of indoor gardening on sleep, agitation, and cognition in dementia patients - A pilot study

Author(s): Lee, Y., Kim, S.
Pharmacological intervention including sedative hypnotics and neuroleptics is a common treatment for sleep and behavioral problems in dementia. However, the high risk of adverse effects of those drugs indicates that non-pharmacological interventions are needed as well. Among those non-pharmacological interventions physical activity is one approach that influences the circadian timing system and was suggested to be effective for sleep and behavioral disturbances of dementia patients. In addition, the positive effects of physical activities, especially exercise, on cognition were suggested.
Key Point Summary
Added July 2014

Presence and Visibility of Outdoor and Indoor Physical Activity Features and Participation in Physical Activity Among Older Adults in Retirement Communities

Author(s): Joseph, A., Zimring, C., Harris-Kojetin, L., Kiefer, K.
Regular physical activity contributes to better health among old and very old individuals, allowing them to remain independent for a longer period of time. As with other factors, researchers are increasingly examining the role of the physical setting in encouraging or discouraging physical activity and providing convergent evidence on neighborhood design associated with physical activity by older people.
Key Point Summary
Added July 2014

Understanding the Role of Hospital Design on the Psychological Trauma of Hospitalization for Children

Author(s): Cartland, J.
The Ann & Robert H. Lurie Children’s Hospital of Chicago (formerly, Children’s Memorial Hospital) has gone through many transformations since its founding in a small North Side cottage 130 years ago. Lurie Children’s recently executed one of the most significant transformations in its history. It moved into a replacement facility, leaving its historic home in the Lincoln Park neighborhood of Chicago and moving near its academic partner, Northwestern Memorial Hospital, in the Streeterville neighborhood.
Key Point Summary
Added June 2014

Occupancy and Patient Care Quality Benefits of Private Room Designs for Five Different Children’s Hospital Intensive Care Units – A Human Factors Evaluation

Author(s): Smith, T.J.
Prior research over the last two decades has shown private rooms (PR) within NICU care environments positively impact parents and patient care staff in the areas of lighting quality, privacy, noise, job satisfaction, reduced stress for staff, and increased participation and accommodations for parents. However, minimal research has been conducted to understand the impact of PR on other pediatric departments within acute care environments.
Key Point Summary
Added May 2014

Applying human factors in improving medication-use safety

Author(s): Schneider,PJ.
In this descriptive study the author summarizes the highlights of an interactive conference on human factors (HF) and t applications to improve medication safety. The author describes the various human factors concepts and tools and their applications in reducing human errors, thus improving medication safety.
Key Point Summary
Added May 2014

Centralized vs. Decentralized Nursing Stations: Effects on Nurses’ Functional Use of Space and Work Environment

Author(s): Zborowsky, T., Bunker Hellmich, L., Morelli, A., O’Neill, M.
Information technology enables nurses to move away from traditional centralized paper-charting stations to smaller decentralized work stations and charting substations located closer to, or inside of, patient rooms. Understanding the tradeoffs presented by centralized and decentralized nursing station design could provide useful information for future design and the nurse environment "fit."
Key Point Summary
Added May 2014

Suicide Attempts and Completions in the Emergency Department in Veterans Affairs Hospitals

Author(s): Mills, P. D., Watts, B. V., DeRosier, J. M., Tomolo, A. M., Bagian, J. P.
Suicide is a leading cause of death in the United States, and approximately 1,500 suicides occur in inpatient hospital units in the United States each year, This study examines the specific environmental factors involved in suicide attempts and completions in an ED in a large, nationally represented hospital sample (VA).
Key Point Summary
Added May 2014

Utilizing Integrated Facility Design to Improve the Quality of a Pediatric Ambulatory Surgery Center

Author(s): Pelly, N., Zeallear, B., B., Reed, M., Martin, L.
Integrated Facility Design (IFD) comes from the Toyota 3P (Production, Preparation, Process) program used to reduce initial cost, while accelerating development time.
Key Point Summary
Added May 2014

Physical activity, functional limitations, and disability in older adults.

Author(s): Miller, M. E., Rejeski, W. J., Reboussin, B. A., Ten Have, T. R., Ettinger, W. H.
Research suggests that physical activity slows the progression of disability in seniors and, thus, prolongs independent living. Geriatric care-givers often use the activities of daily living (ADL), such as feeding and grooming, and instrumental activities of daily living (IADL), such as managing finances and housework, to determine if older adults have the skills necessary to live independently.
Key Point Summary
Added May 2014

Research note: Physical Activity in Pediatric Healing Gardens

Author(s): Pasha, S., Shepley, M., M.
Research has shown that frequency and duration of garden use within urban and hospital settings can be hindered through barriers such as uncomfortable seating and lack of shade. However, once barriers like these are removed, it is unknown if an increase in frequency and duration of garden use has an impact on the level of physical activity during garden visitation.
Key Point Summary
Added May 2014

Fall and Injury Prevention in Older People Living in Residential Care Facilities: A Cluster Randomized Trial

Author(s): Jensen, J., Lundin-Olsson, L., Nyberg, L., Gustafson, Y.
Despite the fact that falls and resulting injuries are common in the residential care population, little is known about how to prevent falls. Research during the past 10 years around fall prevention has shown positive and negative results. Some of these inconsistent results could be explained by differences in target groups, interventions, and outcome measures.
Key Point Summary
Added May 2014

The healthcare environment through the eyes of a child - Does it soothe or provoke anxiety?

Author(s): Norton-Westwood, D.
Research has shown that the hospital environment can be distressing to a child. However, introducing design features that spark a child’s imagination can help to reduce anxiety.
Key Point Summary
Added May 2014

Decreasing the incidence of falls in the nursing home in a cost-conscious environment: a pilot study

Author(s): Hofmann, M. T., Bankes, P. F., Javed, A., Selhat, M.
About 30% of seniors living in the community fall per year, but that figure jumps to 60% in the nursing home elderly, with 4% of those resulting in a fracture. In addition to the pain and suffering these individuals endure, these falls increase healthcare costs. Research shows that incurring one or more falls with injury increases nursing home costs $5,325 per year. Several strategies have been used to reduce falls and their complications, however, they have mixed results.
Key Point Summary
Added May 2014

Pictorial Intervention in a Pediatric Hospital Environment: Effects on Parental Affective Perception of the Unit

Author(s): Monti, F., Dellabartola, S., Neri, E., Bozicevic, L., Pocecco, M. , Agostini, F.
Prior research has shown that the physical, emotional, and social health of a parent, during the course of their child’s hospitalization, directly affects the health and well-being of their child.
Key Point Summary
Added May 2014

BedSAFE. A bed safety project for frail older adults

Author(s): Choi, Y. S., Hoffman, S. B., Powell-Cope, G. , MacClellan, L. , Bero, K.
Bed rails may cause significant injury and death from entrapments. Systematic interventions are needed to guide practices that reduce bed-rail use while addressing related clinical issues.
Key Point Summary
Added May 2014