Applying human factors in improving medication-use safety
2002
American Journal of Health-System Pharmacy
Journal Article
Issue 12
Volume 59
Pages 1155-1159
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.
Added May 2014
Utilizing Integrated Facility Design to Improve the Quality of a Pediatric Ambulatory Surgery Center
2013
Pediatric Anesthesia
Journal Article
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.
Added May 2014
Impact of Extended-Duration Shifts on Medical Errors, Adverse Events and Attentional Failures
2006
Public Library of Science Medicine
Journal Article
Issue 12
Volume 3
Pages 2440-2448
Author(s): Barger, L.K. , Ayas,N.T., Cade,B.E., Cronin, J.W., Rosner, B. , Speizer, F.E., Czeisler, C.A.
In the United States, medical students who are doing their internship (first year of postgraduate clinical training) regularly work in the clinic for longer than 24 hours at a time. There has been empirical evidence that the extended-duration shifts commonly worked by medical interns in hospitals may contribute to the risk of medical errors being made, and perhaps to the risk of adverse events more generally. The current study assessed whether extended-duration shifts worked by interns are associated with significant medical errors, adverse events, and attentional failures in a diverse population of interns across the United States.
Added May 2014
Life Safety Code Comparison
2013
American Society for Healthcare Engineering
Journal Article
Author(s): Crowley, M. A., Harper, J. E.
Added May 2014
Traffic Flow in the Operating Room: An Explorative and Descriptive Study on Air Quality During Orthopedic Trauma Implant Surgery
2012
Journal of Infection Control
Journal Article
Issue 8
Volume 40
Pages 750-755
Author(s): Andersson, A.E., Bergh, I., Karlsson, J., Eriksson, B.I. MD, Nilsson,K.
Three main strategies exist to prevent surgical site infections following surgery: 1) the patient, 2) the surgical technique, 3) the surgical environment. This study focuses on optimizing the effect of the surgical environment in preventing SSIs (surgical site infections). The authors attempt to understand that the protective potential of operating room (OR) ventilation under different conditions is crucial to optimizing the surgical environment.
Added April 2014
Nurses’ Perception of Single-Occupancy Versus Multioccupancy Rooms in Acute Care Environments: An Exploratory Comparative Assessment
2006
Applied Nursing Research
Journal Article
Issue 3
Volume 19
Pages 118-125
Author(s): Chaudhury, H., Mahmood, A., Valente, M.
As people are living longer and the baby boomers age, the demand for hospital beds will increase. As new facilities are built to handle this influx of patients, the challenge for hospital designers and administrators is to design patient rooms that promote therapeutic goals, foster positive patient outcomes, and function as intensive care rooms. Recent research suggests that single-occupancy rooms are more suitable for infection control and patient care than multioccupancy rooms. However, no research has been done about nursing staff members’ perception of single-occupancy and multioccupancy patient rooms in acute care settings as it relates to patient care.
Added April 2014
Using a Task Analysis to Describe Nursing Work in Acute Care Patient Environments
2009
Journal of Nursing Administration
Journal Article
Issue 12
Volume 39
Pages 537-547
Author(s): Battisto, D., Pak, R., Vander Wood, M. A., Pilcher, J. J.
A growing body of research demonstrates linkages between workplace design and processes in healthcare facilities with staff and patient safety, operational efficiency, staff satisfaction, and medical errors. There has been less emphasis on the role of the built environment in helping or hindering care delivery. Research is needed on the contextualized activities performed by nurses and how nurses spend their time to measure the effects of interventions aimed at redesigning care to improve safety or efficiency or to understand the implications of policy changes for nursing practice.
Added April 2014
Review of the Literature: Acuity-Adaptable Patient Room
2013
Critical Care Nursing Quarterly
Journal Article
Issue 2
Volume 36
Pages 251–271
Author(s): Bonuel, N. , Cesario, S.
Acuity-adaptable rooms allow patients to stay in one room from the time they are admitted to when they leave, regardless of their acuity level. These specially equipped private rooms are staffed by nurses who have the skills and training to support the complete range of care for patients with similar conditions or disease processes. The rooms are larger in size than a regular hospital room to accommodate various patients’ needs as their condition changes, such as critical care equipment, additional staff, procedures, and family members.
Added March 2014
Achieving EBD Goals Through Flooring Selection & Design
Author(s): Nanda, Upali, Malone, Eileen, Joseph, Anjali
Added April 2013
Outbreak of Invasive Aspergillus Infection in Surgical Patients, Associated with a Contaminated Air-Handling System
2003
Clinical Infectious Diseases
Journal Article
Issue 6
Volume 37
Pages 786-793
Author(s): Lutz, B. D., Jin, J., Rinaldi, M. G., Wickes, B. L., Huycke, M.
Surgical Site Infections are a prominent concern Operating Room design. In this study a specific outbreak of aspergillus infection in a hospital was investigated and linked back to the air quality conditions in the O.R. The study is significant because typically Aspergillus species are ubiquitous thermotolerant molds that rarely cause invasive infection.
Added November 2012
Antimicrobial drug use and infection control practices associated with the prevalence of methicillin-resistant Staphylococcus aureus in European hospitals
2007
Clinical Microbiology and Infection
Journal Article
Issue 3
Volume 13
Pages 269-276
Author(s): MacKenzie, F. M., Bruce, J., Struelens, M. J., Goossens, H., Mollison, J., Gould, I. M.
Methicillin-resistant Staphylococcus aureus (MRSA) is a type of bacteria that are resistant to antibiotics such as methicillin and cephalosporins. MRSA may cause serious infections to patients with open wounds, invasive devices, and weakened immune systems, which are in some cases extremely difficult to treat. In recent years, the rate of MRSA infections has been increasing globally and causing high morbidity, mortality, and healthcare cost.
Added October 2012
Natural Ventilation for the Prevention of Airborne Contagion
2007
PlOS Medicine
Journal Article
Issue 2
Volume 4
Pages e68
Author(s): Escombe, R.R., Oeser, C.I., Gilman, R.H., Navincopa, M., Martinez, C., Chacaltana, J., Rodriguez, R., Moore, D.J., Friedland, J.S., Evans, C.A.
Controlling the break of nosocomial infections is arguably the highest priority in hospitals. Institutional transmission of airborne infections, such as Tubercolosis (TB) are, additionally, a public health concern. This is particularly true for developing countries, or other resource-limited settings where protective measures such as negative-pressure isolation rooms, which have become the norm in more modern settings, are difficult to implement. The global statistics on TB are staggering at 1.8 million dealths a year.
Added October 2012
Handwashing patterns in two dermatology clinics
2002
Dermatology
Journal Article
Issue 4
Volume 205
Pages 358-361
Author(s): Cohen, H.A., Kitai, E., Levy, I., Ben-Amitai, D.
Handwashing has been identified as one of the most critical elements of controlling risk of hopital acquired infections. Healthcare workers hands can be a source of nosocomial infections. Adherance to hand hygience protocols is important to prevent the spread of health care-associated infections.
Added October 2012
Decreasing Airborne Contamination Levels in High-Risk Hospital Areas Using a Novel Mobile Air-Treatment Unit
2007
Infection Control and Hospital Epidemiology
Journal Article
Volume 28
Pages 1181-1186
Author(s): Bergeron, V., Reboux, G., Poirot, J.L., Laudinet, B.S.
To evaluate the performance of a new mobile air-treatment unit that uses nonthermal-plasma reactors for lowering the airborne bioburden in critical hospital environments and reducing the risk of nosocomial infection due to opportunistic airborne pathogens, such as Aspergillus fumigatus. Tests were conducted in 2 different high-risk hospital areas: an operating room under simulated conditions and...
Added October 2012
The ventilation of multiple-bed hospital wards: Review and analysis
2008
American Journal of Infection Control
Journal Article
Issue 4
Volume 36
Pages 250-9
Author(s): Beggs, C.B., Kevin, G., Noakes, C.J., Hathway, A., Andrewsleigh, P.
Ventilation is a key concern in hospitals, however this has received less attention in the context of hospital wards, as compared to operating theaters or isolation rooms which have a high risk of infections. In many countries in the world where private rooms are not yet the norm, the issue of ventilation in multi-bed rooms is a critical concern. This paper undertakes a review of guidelines in the UK and the US around this issue.
Added October 2012
Control of an outbreak of nosocomial aspergillosis by laminar air-flow isolation.
1989
Journal of Hospital Infections
Journal Article
Issue 2
Volume 14
Pages 89094
Author(s): Barnes, RA, Rogers, TR
Laminar air flow is a system for circulating filtered air in healthcare facilities. It is very relevant to the issue of Indoor Air Quality and the impact on potential spread of infections. This paper focuses on understanding how using Laminar Air Flow (LAF) can reduce the spread of hospital acquired infections in the context of Bone Marrow Transplant (BMT) patients.
Added October 2012
Carpeting in hospitals: an epidemiological evaluation
1982
Journal of Clinical Microbiology
Journal Article
Issue 3
Volume 15
Pages 408-15
Author(s): Anderson, RL, Mackel, DC, Stoler, BS, Mallison, GF
Choice of flooring in a healthcare environment has tremendous cost implications. The impact of flooring on health related issues are only just beginning to be considered. A common issue of contention in healthcare design environments is the use of carpets and the implications for patient satisfaction and safety issues. While research shows that carpets may act as microbial reservoirs (especially in areas that are busy and associated with patient care) the relevance to disease, i.e. the epidemiological relevance, is not clear.
Added October 2012
Healthcare Environmental Terms and Outcome Measures: An Evidence-based Design Glossary
Author(s): Quan, X., Malone, E., Joseph, A., Pati, D.
Added October 2012
Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process
Author(s): Joseph, A., Taylor, E. M. , Quan, X., Jelen, M.
Added October 2012
Resident Safety Risk Assessment
Author(s):
Added October 2012
