The Architecture Of Safety: An Emerging Priority For Improving Patient Safety
2018
Health Affairs
Journal Article
Issue 11
Volume 37
Pages 1884-1891
Author(s): Joseph, A., Henriksen, K., Malone, E.
Added November 2018
Adapting to Family-Centered Hospital Design: Changes in Providers’ Attitudes over a Two-Year Period
2009
Health Environments Research & Design Journal
Journal Article
Issue 1
Volume 3
Pages 79-96
Author(s): France, D., Throop, P., Joers, B., Allen, L., Parekh, A., Rickard, D., Deshpande, J.
Although hospitals are being designed based on evidence-based design principles, it’s unclear how working in such an environment influences providers’ attitudes and professional performance.
Added January 2016
Developing the Birth Unit Design Spatial Evaluation Tool (BUDSET) in Australia: A Qualitative Study
2010
Health Environments Research & Design Journal
Journal Article
Issue 4
Volume 3
Pages 43-57
Author(s): Foureur, M., Leap, N., Davis, D., Forbes, I., & Homer, C.
To develop a tool to assess the “optimality” of birth unit design. This is important because “Optimal birth spaces are likely to enable women to have physiologically normal labor and birth.”
Added January 2016
Designing a “Think-Along Dwelling” for People with Dementia: A Co-Creation Project Between Health Care and the Building Services Sector
2013
Journal of Housing for the Elderly
Journal Article
Issue 3
Volume 27
Pages 299-332
Author(s): Van Hoof, J., Blom, M. M., Post, H. N. A., & Bastein, W. L
Many of the elderly prefer to age-in-place. However, if one of the elderly developments dementia, particular challenges may be posed when designing, constructing, or retrofitting an existing home environment. In the Netherlands about two-thirds of the people with dementia live at home. This is the setting for this study.
Added January 2016
Home Modification and Prevention of Frailty Progression in Older Adults: A Japanese Prospective Cohort Study
2014
Journal of Gerontological Nursing
Journal Article
Issue 8
Volume 40
Pages 40-46
Author(s): Mitoku, K., Shimanouchi, S.
In a study involving 574 Japanese adults 65 years or older who required a low or moderate level of care, 34% modified their homes over the course of the study. Modification of these older adults’ homes prevented the progression of frailty (requiring higher level of care).
Added January 2016
The Geriatric ED: Structure, Patient Care, and Considerations for the Emergency Department Geriatric Unit
2014
International Journal of Gerontology
Journal Article
Issue 2
Volume 8
Pages 56-59
Author(s): Burton, J. H., Young, J., Bernier, C. A.
Older patients who visit the emergency department in developed countries are more likely to require a more specialized nature of treatment in comparison to younger patients. The authors believe that current-day emergency departments are not equipped to adequately treat these patients in terms of design and staff training for assessments and evaluations unique to this age group. The authors recommend a geriatric-specific approach to designing patient treatment spaces, medical evaluations, neurocognitive assessments, and post-ED visit support.
Added June 2015
Part 1: Evidence-Based Facility Design Using Transforming Care at the Bedside Principles
2015
Journal of Nursing Administration
Journal Article
Issue 2
Volume 45
Pages 74-83
Author(s): Devine, D. A., Wenger, B., Krugman, M., Zwink, J. E., Shiskowsky, K., Hagman, J., Limon, S., Sanders, C., Reeves, C.
A western academic hospital reexamined its design strategy when after three years of building a new facility they had to plan for a new facility to meet their patient capacity. Using a combination of the principles of Transforming Care at the Bedside (TCAB) and Evidence-Based Design (EBD), an interdisciplinary team presented design recommendations.
Added April 2015
Developing a multi-systemic fall prevention model, incorporating the physical environment, the care process and technology: A systematic review
2011
Journal of Advanced Nursing
Journal Article
Issue 12
Volume 67
Pages 2501-24
Author(s): Choi, Y.-S., Lawler, E., Boenecke, C. A., Ponatoski, E. R., Zimring, C. M.
Falls are the most frequently reported negative events in hospitals in the United States and other countries, and about one-third of them result in injury of some type. Injury from falls can result in increased hospital stays, increased costs and litigation, among other problems. The authors reviewed the literature on falls, fall injuries, fall risk factors, and interventions to better understand the effectiveness of different methods for fall prevention in hospital settings.
Added December 2014
Young children's perspectives of ideal physical design features for hospital-built environments
2014
Journal of Child Health Care
Journal Article
Issue 1
Volume 18
Pages 57-71
Author(s): Lambert, V., Coad, J., Hicks, P., Glacken, M.
Current research has sought to understand pediatric hospital environments through studies designed to gain insight into the hospital experience from a child’s perspective. While this research has provided insight into a child’s emotional response to being in a hospital environment, little has been done to gain insight into the physical design from a child’s perspective.
Added November 2014
Physical Environment Provisions of USP “Pharmaceutical Compounding—Sterile Preparations”
2012
American Society for Healthcare Engineering
Journal Article
Author(s): Beebe, C.
USP <797> reports standards and policies for all physical environments in which compounded sterile preparations (CSPs) are prepared, packaged, and stored. The standards apply specifically to people who prepare CSPs and must take care to reduce the risk of contamination from their behaviors, hygiene, and clothing (i.e., garb). Clinical workers whose work lies within this realm must be individually trained and evaluated to maintain the standards and reduce microbial contamination that results from contact.
Added September 2014
Post-Occupancy Evaluation of a Transformed Nursing Home: The First Four Green House Settings
2013
Journal of Housing For the Elderly
Journal Article
Issue 4
Volume 23
Pages 304-334
Author(s): Cutler, L. J., Kane, R. A.
To study how well the physical environments of four Green Houses® served the residents, staff, and visitors and to develop recommendations for similar small-house nursing home projects. Longitudinal post-occupancy evaluation of four houses using mixed-methods, including behavioral mapping, checklist ratings of individual bedrooms and bathrooms, place-centered time scans, environmental tracers,...
Added September 2014
The Experience of a Community Hospital in Quantifying and Reducing Patient Falls.
2000
Journal of Nursing Care Quality
Journal Article
Issue 3
Volume 14
Pages 43-53
Author(s): Alcée, D.
While patient falls always were reported to the Hospital Quality Management Committee and to the Nursing Quality Management Committee at John T. Mather Memorial Hospital, most reports were made anecdotally. There was no critical review of the cause and effect of falls nor was there any "trending" on a month-to-month basis. Questions raised about specific falls that resulted in patient injuries led Nursing Administration to conduct a retrospective review of all patient falls.
Added August 2014
Perceived hospital environment quality indicators: A study of orthopaedic units
2006
Journal of Environmental Psychology
Journal Article
Issue 4
Volume 26
Pages 321-334
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.
Added July 2014
Life Safety Code Comparison
2013
American Society for Healthcare Engineering
Journal Article
Author(s): Crowley, M. A., Harper, J. E.
Added May 2014
Physical Environment: The Major Determinant Towards the Creation of a Healing Environment?
2011
Procedia-Social and Behavioral Sciences
Journal Article
Volume 30
Pages 1951-1958
Author(s): Abbas, M. Y., Ghazali, R.,
Prior research suggests that the pediatric population’s heightened perception of the quality of the physical environment can have an impact on the creation of a healing environment.
Added April 2014
Quality Physical Environment in Paediatric Wards: Designer’s Creation Versus Users’ Satisfaction
2012
Procedia - Social and Behavioral Sciences
Journal Article
Author(s): Ghazali, R., Abbas, M. Y.
Prior research has revealed that an optimal healing environment can enhance a child’s quality of life by supporting the healing process. However, little has been done to identify specific design features within an optimal healing environment that either impede or aid the healing process.
Added April 2014
The Effect of Environmental Design on Reducing Nursing Errors and Increasing Efficiency in Acute Care Settings: A Review and Analysis of the Literature
2009
Environment and Behavior
Journal Article
Issue 6
Volume 41
Pages 755-786
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.
Added April 2014
Enhancing the traditional hospital design process: a focus on patient safety
March 2004
The Joint Commission Journal on Quality and Safety
Journal Article
Issue 3
Volume 30
Pages 115-24
Author(s): Reiling, J.G., Knutzen, B.L., Wallen, T.K., McCullough, S. , Miller, R., Chernos, S.
The current study is an overview of innovative system engineering and patient safety factors, named as the Synergy model that a hospital system utilized to design their new facility.
Added April 2014
Challenges in Design and Transition to a Private Room Model in the Neonatal Intensive Care Unit
2006
Advances in Neonatal Care
Journal Article
Issue 5
Volume 6
Pages 271-280
Author(s): Carlson, B., Walsh, S., Wergin, T., Schwarzkopf, K., Ecklund, S.
The need for neonatal intensive care units (NICU) is increasing at a time when research suggests their designs need to change to provide a developmentally appropriate healing environment. One approach is a private room NICU model versus a large multibed ward. However, such a radical design change could be challenging to implement.
Added April 2014
Physical Design, Social Climate, and Staff Turnover in Skilled Nursing Facilities
1990
Journal of Long Term Care Adminstration
Journal Article
Issue 2
Volume 18
Pages 22-27
Author(s): Brennan, P. L., Moos, R. H.
High staff turnover in skilled nursing facilities increases workloads, recruitment, hiring, and training as well as negatively impacts morale, social relationships, and quality of care. Examining the overall work context of nursing homes—including their physical design features and social climate—could help to better understand and improve employee retention.
Added April 2014