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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 441 - 460 of 933

A Lean Six Sigma Team Increases Hand Hygiene Compliance and Reduces Hospital-Acquired MRSA Infections by 51%

Author(s): Carboneau, C., Aizen, E., Jaco, M. T., Robinson, M.
Added April 2015

The Direct Medical Costs of Healthcare-associated Infections in U.S. Hospitals and the Benefits of Prevention

Author(s): Scott, R. D., II
Added April 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

Measurement of ventilation and airborne infection risk in large naturally ventilated hospital wards

Author(s): Gilkeson, C. A., Camargo-Valero, M. A., Pickin, L. E., Noakes, C. J.
In healthcare environments, the transmission of airborne pathogens is a matter of concern. Ventilation has been identified as one of the key factors in the risk of infection. The authors indicate that most of the evidence on ventilation and infection risk has been in controlled spaces like operating rooms and isolation rooms, and that naturally ventilated spaces like wards have not been studied. They conducted a series of experiments in an unused ward to measure the transmission of pathogens in conditions of natural ventilation, mechanical ventilation, and no ventilation.
Key Point Summary
Added March 2015

HVAC filtration for controlling infectious airborne disease transmission in indoor environments: Predicting risk reductions and operational costs

Author(s): Azimi, P., Stephens, B.
The airborne transmission of infectious pathogens in indoor environments is a matter of concern. The authors refer to different operational and design strategies being used in different buildings to control/limit the spread of these pathogens.
Key Point Summary
Added March 2015

The influence of human walking on the flow and airborne transmission in a six-bed isolation room: Tracer gas simulation

Author(s): Hang, J., Li, Y., Jin, R.
The authors allude to the outbreak of Severe Acute Respiratory Syndrome or SARS and influenza in hospital wards to emphasize the need to protect healthcare workers (HCWs) and non-infected patients. According to the authors, literature indicates that movement of HCWs in hospital wards contributes to the transmission of airborne contaminants. Computational Fluid Dynamics (CFD) was used to simulate the movement of a HCW in an isolation ward and its impact on airborne transmission.
Key Point Summary
Added March 2015

Healing environment: A review of the impact of physical environmental factors on users

Author(s): Huisman, E. R. C. M., Morales, E., van Hoof, J., Kort, H. S. M.
According to the authors, research that examines the physical environment and its impact on the healing and well-being of human beings has been growing in the last several years. There is increasing availability of literature on evidence-based design.
Key Point Summary
Added March 2015

Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms

Author(s): AHRQ
Added March 2015

Patient Safety in the Cardiac Operating Room: Human Factors and Teamwork A Scientific Statement From the American Heart Association

Author(s): Wahr, J. A., Prager, R. L., Abernathy, J. H., Martinez, E. A., Salas, E., Seifert, P. C., Groom, R. C., Spiess, B. D., Searles, B. E., Sundt, T. M., Sanchez, J. A., Shappell, S. A., Culig, M. H., Lazzara, E. H., Fitzgerald, D. C., Thourani, V. H., Eghtesady, P., Ikonomidis, J. S., England, M. R., Sellke, F. W., Nussmeier, N. A.
The cardiac surgical operating room is a complex environment, where patient lives are saved or considerably improved with the help of sophisticated equipment and skilled personnel. Although outcomes are improving, adverse events still occur, many of which are preventable. This statement is the result of a review of literature that presented evidence on patient safety and interventions that worked in enhancing patient safety in the cardiac OR.
Key Point Summary
Added March 2015

CMS Changes in Reimbursement for HAIs

Author(s): Stone, P. W., Glied, S. A., McNair, P. D., Matthes, N., Cohen, B., Landers, T. F., Larson, E. L.
Added March 2015

Medicare’s Policy Not To Pay For Treating Hospital-Acquired Conditions: The Impact

Author(s): McNair, P. D., Luft, H. S., Bindman, A. B.
Added March 2015

Infection acquisition following intensive care unit room privatization

Author(s): Teltsch, D. Y., Hanley, J., Loo, V., Goldberg, P., Gursahaney, A., Buckeridge, D. L.
The authors state that healthcare-associated infections (HAIs) affect about 30% of patients in intensive care units (ICUs), subsequently affecting patient outcomes. Although single-patient rooms are recommended by the Facilities Guidelines Institute, the American Institute of Architects Academy of Architecture for Health and the U.S. Department of Health and Human Services, the authors indicate that studies on the effect of the single-bed room on rates of infection have been inconclusive.
Key Point Summary
Added February 2015

Numerical investigation of different airflow schemes in a real operating theatre

Author(s): Balocco, C., Petrone, G., Cammarata, G.
Efficiency of a ventilation system in providing an effective airflow that contributes to the removal of contaminants (pathogens, anesthetic gases, carbon dioxide, etc.) is crucial to alleviating the risk of surgical site infection, protecting patients and staff from infection, and in ensuring thermal comfort to the occupants in operating theatres (OTs).
Key Point Summary
Added February 2015

Method for Automated Monitoring of Hand Hygiene Adherence without Radio-Frequency Identification

Author(s): Polgreen, P. M., Hlady, C. S., Severson, M. A., Segre, A. M., Herman, T.
Added November 2014

Daily Disinfection of High-Touch Surfaces in Isolation Rooms to Reduce Contamination of Healthcare Workers’ Hands

Author(s): Kundrapu, S., Sunkesula, V., Jury, L. A., Sitzlar, B. M., Donskey, C. J.
Added November 2014

Low Frequency of Fires From Alcohol‐Based Hand Rub Dispensers in Healthcare Facilities •

Author(s): Boyce, J. M., Pearson, M. L.
Added November 2014

Do hospital visitors wash their hands? Assessing the use of alcohol-based hand sanitizer in a hospital lobby

Author(s): Birnbach, D. J., Nevo, I., Barnes, S., Fitzpatrick, M., Rosen, L. F., Everett-Thomas, R., Sanko, J. S., Arheart, K. L.
Compliance with hand hygiene by healthcare workers is considered to be relevant to the prevention of healthcare-associated infections in hospitals and other healthcare facilities. There are no studies that indicate the significance of hand-hygient compliance (HHC) by hospital visitors, although both the World Health Organization and the Centers for Disease Control and Prevention suggest that hospital visitors can potentially carry infections from the community into hospitals.
Key Point Summary
Added November 2014

Taking ergonomics to the bedside – A multi-disciplinary approach to designing safer healthcare

Author(s): Norris, B., West, J., Anderson, O., Davey, G., Brodie, A.
Added November 2014

Recommended standards for newborn ICU design, eighth edition

Author(s): White, R. D., Smith, J. A., Shepley, M. M.
Added November 2014

Assessing the optimal location for alcohol-based hand rub dispensers in a patient room in an intensive care unit

Author(s): Boog, M. C., Erasmus, V., de Graaf, J. M., van Beeck, E. A. H. E., Melles, M, van Beeck, E. F.
The authors allude to literature which says that compliance of hand hygiene (which is crucial to reducing the spread of infectious disease) is low among healthcare workers (HCWs). Literature also shows that alcohol-based hand rubs (ABHRs) improve hand-hygiene compliance by HCWs, which in turn is impacted by location, access to, and visibility of the ABHR dispenser.
Key Point Summary
Added November 2014