The Creation of a Biocontainment Unit at a Tertiary Care Hospital: The Johns Hopkins Medicine Experience
2016
Annals of the American Thoracic Society
Journal Article
Issue 5
Volume 13
Pages 600-608
Author(s): Garibaldi, B. T., Kelen, G. D., Brower, R. G., Bova, G., Ernst, N., Reimers, M., Langlotz, R., Gimburg, A., Iati, M., Smith, C., MacConnell, S., James, H., Lewin, J. J., Trexler, P., Black, M. A., Lynch, C., Clarke, W., Marzinke, M. A., Sokoll, L. J., Carroll, K. C., Parish, N. M., Dionne, K., Biddison, E. L. D., Gwon, H. S., Sauer, L., Hill, P., Newton, S. M., Garrett, M. R., Miller, R. G., Perl, T. M., Maragakis, L. L.
Prior to the 2014 Ebola virus disease (EVD) outbreak in West Africa, the United States had only one to three specialized biocontainment units. Once the EVD crisis began, a group of reputable American healthcare institutions worked together to renovate a deactivated clinical space into a functioning biocontainment unit (BCU).
Added April 2016
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
Leading Change During an Inpatient Critical Care Unit Expansion
2008
Journal of Nursing Administration
Journal Article
Issue 11
Volume 38
Pages 461-467
Author(s): Braungardt, T. & Fought, S. G.
Acute care hospitals are changing rapidly to address economic and technologic advancements and meet community needs. The authors describe one medical center’s use of Kotter’s work on leading change to expand the neuroscience intensive care unit from 10 to 30 beds to meet community needs, improve hospital efficiencies, and increase bed capacity.
Added January 2016
Measuring the Use of Examination Room Time in Oncology Clinics: A Novel Approach to Assessing Clinic Efficiency and Patient Flow
2014
Journal of Oncology Practice
Journal Article
Author(s): Hamel, L. M., Chapman, R., Eggly, S., Penner, L. A., Tkatch, R., Vichich, J., Albrecht, T. L.
Inefficient use of time can drain resources and impede effective clinic flow. Long wait times in oncology units often result in higher costs for both caregivers and patients, while patients also tend to experience increased stress and reduced overall satisfaction with their treatment. Long wait times have also been shown to directly and indirectly reduce patient adherence to recommended treatments.
Added December 2015
Intensive care unit design and mortality in trauma patients
2014
Journal of Surgical Research
Journal Article
Issue 2
Volume 190
Pages 640-646
Author(s): Pettit, N. R., Wood, T., Lieber, M., O'Mara, M. S.
A primary concern for many patient care units is the question of where to place more seriously ill patients within the space that is available. Questions regarding the impact of architectural features, such as the availability of natural lighting, or adjacency to nurse stations on patient health outcomes should be further explored so that increasingly effective healthcare environments can be established. Currently, no data exist demonstrating whether trauma patients receiving treatment in intensive care unit (ICU) beds with poor visibility from a central nursing station experience health outcomes different from those in rooms that may be more visible from the nursing station.
Added December 2015
Review article: Systematic review of three key strategies designed to improve patient flow through the emergency department
2015
Emergency medicine Australasia: EMA
Journal Article
Issue 5
Volume 27
Pages 394-404
Author(s): Elder, E., Johnston, A. N., Crilly, J.
Added December 2015
Minimizing ED Waiting Times and Improving Patient Flow and Experience of Care
2014
Emergency Medicine International
Journal Article
Volume 2014
Pages e981472
Author(s): Sayah, A., Rogers, L., Devarajan, K., Kingsley-Rocker, L., Lobon, L. F.
Added December 2015
The Impact of a Flexible Care Area on Throughput Measures in an Academic Emergency Department
2015
Journal of Emergency Nursing
Journal Article
Issue 6
Volume 41
Pages 503-509
Author(s): McGrath, J., LeGare, A., Hermanson, L., Repplinger, M. D.
This paper explores the implementation of a novel strategy which involved the creation of a “flexible care area” (FCA), a space designed for initiating patient evaluations and treatments at the beginning of a patient’s visit.
Added December 2015
Ready-JET-Go: Split Flow Accelerates ED Throughput
2015
Journal of Emergency Nursing
Journal Article
Issue 2
Volume 42
Pages 114-119
Author(s): Bish, P. A., McCormick, M. A., Otegbeye, M.
Emergency departments (ED) in America have seen large increases in demand for emergency services over the last decade. This increased demand for ED services has resulted in delayed treatment for patients, increased rates of patients leaving the ED without receiving treatment, and decreases in satisfactory ED visit experiences.
Added December 2015
Initiatives to reduce overcrowding and access block in Australian emergency departments: A literature review
2014
Collegian
Journal Article
Issue 4
Volume 21
Pages 359-366
Author(s): Crawford, K., Morphet, J., Jones, T., Innes, K., Griffiths, D., Williams, Allison
Australian emergency departments are experiencing an increasing demand for their services. Patient throughput continues to expand resulting in overcrowding and access block where patients cannot gain entry to appropriate hospital beds. This is despite both state and federal governments implementing numerous schemes to address the complex causes of stress on emergency departments. This paper...
Added December 2015
Using Lean-Based Systems Engineering to Increase Capacity in the Emergency Department
2014
Western Journal of Emergency Medicine
Journal Article
Issue 7
Volume 15
Pages 770-776
Author(s): White, B., Chang, Y., Grabowski, B., Brown, D.
Emergency department (ED) crowding is a widespread issue that causes a multitude of negative effects on patient care quality, safety, and efficiency. Lean-based systems engineering, which is often used for industrial manufacturing, is a method for eliminating all forms of waste (including wasted time and other resources) to optimize productivity. Recent studies have begun to demonstrate the use of systems engineering and improvement science on streamlining processes and improving throughput in different medical capacities, but an opportunity remains to refine the application of these tools within EDs in particular.
Added December 2015
Physical Design Correlates of Efficiency and Safety in Emergency Departments: A Qualitative Examination
2014
Critical Care Nursing Quarterly
Journal Article
Issue 3
Volume 37
Pages 299-316
Author(s): Pati, D., Harvey, T. E., Pati, S.
The objective of this study was to explore and identify physical design correlates of safety and efficiency in emergency department (ED) operations. This study adopted an exploratory, multimeasure approach to (1) examine the interactions between ED operations and physical design at 4 sites and (2) identify domains of physical design decision-making that potentially influence efficiency and safety. Multidisciplinary gaming and semistructured interviews were conducted with stakeholders at each site.
Added November 2015
Network of Spaces and Interaction-Related Behaviors in Adult Intensive Care Units
2014
Behavioral Sciences
Journal Article
Issue 4
Volume 4
Pages 487-510
Author(s): Rashid, M., Boyle, D. K., Crosser, M.
Using three spatial network measures of “space syntax”, this correlational study describes four interaction-related behaviors among three groups of users in relation to visibility and accessibility of spaces in four adult intensive care units (ICUs) of different size, geometry, and specialty. Systematic field observations of interaction-related behaviors show significant differences in spatial distribution of interaction-related behaviors in the ICUs.
Added November 2015
Innovative designs for the smart ICU: Part 2: The ICU
2014
Chest
Journal Article
Issue 3
Volume 145
Pages 646-658
Author(s): Halpern, N. A.
Added June 2015
Innovative designs for the smart ICU: Part 1: From initial thoughts to occupancy
2014
Chest
Journal Article
Issue 2
Volume 145
Pages 399-403
Author(s): Halpern, N. A.
Added June 2015
Emergency department observation units: A clinical and financial benefit for hospitals
2011
Health Care Management Review
Journal Article
Issue 1
Volume 36
Pages 28-37
Author(s): Baugh, C.W., Venkatesh, A. K., Bohan, J. S.
This article presents a review of literature to make a clinical and business case for establishing EDOUs. The literature was found to indicate that EDOU care contributes to more effective clinical decision-making and the generation of higher revenue than the same patients would if admitted and then discharged.
Added March 2015
Improving patient flow and reducing emergency department crowding: A guide for hospitals
2012
Agency for Healthcare Research and Quality
Report
Author(s): McHugh, M., VanDyke, K., McClelland, M., Moss, D.
Added March 2015
Design of cardiovascular operating rooms for tomorrow's technology and clinical practice — Part 2
2012
Progress in Pediatric Cardiology
Journal Article
Issue 1
Volume 33
Pages 57-65
Author(s): Rostenberg, B., Barach, P. R.
Added December 2014
Low Frequency of Fires From Alcohol‐Based Hand Rub Dispensers in Healthcare Facilities •
2003
Infection Control & Hospital Epidemiology
Journal Article
Issue 8
Volume 24
Pages 618-619
Author(s): Boyce, J. M., Pearson, M. L.
Added November 2014
Taking ergonomics to the bedside – A multi-disciplinary approach to designing safer healthcare
2014
Applied Ergonomics
Journal Article
Issue 3
Volume 45
Pages 629-638
Author(s): Norris, B., West, J., Anderson, O., Davey, G., Brodie, A.
Added November 2014
