Higher Quality of Care and Patient Safety Associated With Better NICU Work Environments
2016
Journal of Nursing Care Quality
Journal Article
Issue 1
Volume 31
Pages 24-32
Author(s): Lake, E. T., Hallowell, S. G., Kutney-Lee, A., Hatfield, L. A., Del Guidice, M., Boxer, B. A., Ellis, L. N., Verica, L., Aiken, L. H.
Infants undergoing treatment in neonatal intensive care units or NICUs are among those patients who are most susceptible to negative outcomes pertaining to quality and safety. The authors note that the central catheters, which are so crucial to a neonate, are often the source for nosocomial infections.
Added November 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
Testing a Tool to Support Safety in Healthcare Facility Design
2015
Procedia Manufacturing
Journal Article
Author(s): Taylor, E., Quan, X., Joseph, A.
Added October 2015
Impact of the physical environment of psychiatric wards on the use of seclusion
2013
The British Journal of Psychiatry
Journal Article
Issue 2
Volume 202
Pages 142-149
Author(s): van der Schaaf, P. S., Dusseldorp, E., Keuning, F. M., Janssen, W. A., Noorthoorn, E. O.
Disturbed behavior and patient aggression within psychiatric wards can threaten both patient and staff safety. To manage these patients, psychiatric wards often will use coercive measures such as solitary confinement. Patient aggression arises from a complex interaction between patient characteristics, staff characteristics, and the characteristics of the physical environment of the psychiatric ward itself. Most studies have focused on the dynamics between patient and staff characteristics; little research has been done to investigate how the physical environment of psychiatric wards might influence patient aggression and subsequently the use of coercive measures.
Added October 2015
Outdoor Environments at Three Nursing Homes: Semantic Environmental Descriptions
2015
Journal of Housing For the Elderly
Journal Article
Issue 1-2
Volume 29
Pages 53-76
Author(s): Bengtsson, A., Hägerhäll, C., Englund, J.-E., Grahn, P.
The authors call attention to research that indicates the importance of outdoor environments to the lives of elderly people in nursing homes. Nursing homes vary in terms of outdoor environments – from none to very elaborate establishments, with no evidence as to whether these meet the needs and desires of their users.
Added October 2015
One size fits all? Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience, safety and costs
2015
BMJ Quality & Safety
Journal Article
Issue 4
Volume 25
Pages 241-256
Author(s): Maben, J., Griffiths, P., Penfold, C., Simon, M, Anderson, J. E., Robert, G., Pizzo, E., Hughes, J., Murrells, T., Barlow, J.
Authors indicate that despite the trend to adopt single-patient rooms, there is a dearth of strong evidence regarding its effect on healthcare quality and safety. When a hospital in England moved to a new building with 100% single rooms, a before-and-after move study was conducted on patient and staff experience, safety outcomes, and cost analysis. The study found that over two-thirds of the patients and one-fifth of the staff preferred single rooms.
Added September 2015
Post-Occupancy Evaluation of Negative-Pressure Isolation Rooms: Using the Balanced Scorecard Framework
2009
Journal of Architectural and Planning Research
Journal Article
Issue 1
Volume 26
Pages 1-13
Author(s): Wang, C.-H., Kuo, N.-W.
To combat the spread of severe acute respiratory syndrome (SARS) following an epidemic outbreak in Taiwan in early 2003, all hospitals were mandated by health authorities to convert their patient rooms into negative pressure isolation rooms. The authors believe that it is necessary to evaluate these rooms to ensure that they are functioning effectively.
Added September 2015
Evidence-Based and Value-Based Decision Making About Healthcare Design: An Economic Evaluation of the Safety and Quality Outcomes
2015
HERD: Health Environments Research & Design Journal
Journal Article
Issue 4
Volume 8
Pages 58-76
Author(s): Zadeh, R. S., Sadatsafavi, H., Xue, R.
Added September 2015
Fall prevention and bathroom safety in the epilepsy monitoring unit
2015
Epilepsy & Behavior
Journal Article
Author(s): Spritzer, S. D., Riordan, K. C., Berry, J., Corbett, B. M., Gerke, J. K., Hoerth, M. T., Crepeau, A. Z., Drazkowski, J. F., Sirven, J. I., Noe, K. H.
Injury-inducing falls are one of the most common harmful events that occur in epilepsy monitoring units (EMUs). Considering the risk provoked by epileptic symptoms such as spontaneous seizures, patients admitted to EMUs may be more likely to sustain falling injuries over patients in other areas of the hospital.
Added September 2015
Design of the environment of care for safety of patients and personnel: Does form follow function or vice versa in the intensive care unit?
2010
Critical Care Medicine
Journal Article
Issue 8 Supplement
Volume 38
Pages S388-S398
Author(s): Bartley, J., Streifel, A. J.
Added September 2015
Exploring Safety and Quality In a Hemodialysis Environment With Participatory Photographic Methods: A Restorative Approach.
2014
Nephrology Nursing Journal
Journal Article
Issue 1
Volume 41
Pages 25-36
Author(s): Marck, P., Molzahn, A., Berry-Hauf, R., Hutchings, L. G., Hughes, S.
The authors indicate that hemodialysis units can be fraught with numerous safety issues related to medication errors, lapses in communication, patient falls, equipment issues, infection control, etc. These issues can be critical in high-acuity units. This study used qualitative methods to identify existing and potential safety issues in a hemodialysis unit in a tertiary care hospital in Canada.
Added September 2015
Exploring Perceptions of Designers and Medical Staff in South Korea about Design Elements for the Elder-Friendly Hospital
2014
Journal of Interior Design
Journal Article
Issue 4
Volume 39
Pages 15-32
Author(s): Kim, D., Lee, J. H., Ha, M.
The elderly population is growing around the world and so is the geriatric patient population. The authors indicate that despite the fact that the elderly will soon be the primary users of healthcare services, healthcare facilities are not designed for the elderly. In this study, designers and medical staff were asked to rate the importance of 33 design elements in the context of an elder-friendly hospital.
Added August 2015
From “Baby Barn” to the “Single Family Room Designed NICU”: A Report of Staff Perceptions One Year Post Occupancy
2010
Newborn and Infant Nursing Reviews
Journal Article
Issue 2
Volume 10
Pages 97-103
Author(s): Cone, S. K., Short, S., Gutcher, G.
Single Family Rooms (SFRs) are becoming an increasingly popular design model in the care of critically ill preterm infants. The advantages of this physical environment to the infant, family and care providers is well documented.
Added July 2015
Use of Simulation to Test Systems and Prepare Staff for a New Hospital Transition.
2015
Journal of Patient Safety
Journal Article
Volume Publish Ahead of Print
Author(s): Adler, M. D., Mobley, B. L., Eppich, W. J., Lappe, M., Green, M., Mangold, Karen
Added June 2015
Applying lean principles to the design of healthcare facilities
2015
International Journal of Production Economics
Journal Article
Issue B
Volume 170
Pages 677-686
Author(s): Hicks, C., McGovern, T., Prior, G., Smith, I.
Hospitals are complex environments that require multiple stakeholder perspectives to successfully design, build, and operate. Planning the construction of a new healthcare facility involves considering how priorities and resources must adapt as needed while multiple workflows, materials, perspectives, and outcomes intersect on a daily basis.
Added June 2015
A life-cycle cost analysis for flooring materials for healthcare facilities
2015
Journal of Hospital Administration
Journal Article
Issue 4
Volume 4
Pages 92-100
Author(s): Harris, D. D., Fitzgerald, L.
When deciding which flooring materials should be installed in a healthcare facility, designers must consider how the material will affect building occupant safety, long-term hospital costs, and overall appearance. Using a variety of flooring types, ranging from hard materials to soft installations, is one way to optimize the functionality and safety of a given space within a hospital.
Added June 2015
Patients and Their Families Weigh in on Evidence-Based Hospital Design
2012
Critical Care Nurse
Journal Article
Issue 1
Volume 32
Pages e1-e10
Author(s): Trochelman, K., Albert, N., Spence, J., Murray, T., Slifcak, E.
Literature indicates that design of a healthcare facility impacts quality of care, patient safety, patient satisfaction, staff satisfaction, and outcomes. Evidence-based design (EBD) is increasingly becoming a guiding principle in the design of new healthcare facilities. As research on EBD evolves and more hospitals and architects use EBD recommendations, it becomes imperative to consider the perspectives of patients and families.
Added May 2015
The association of hospital prevention processes and patient risk factors with the risk of Clostridium difficile infection: a population-based cohort study
2015
BMJ Quality & Safety
Journal Article
Issue 7
Volume 24
Pages 435-443
Author(s): Daneman, N., Guttmann, A., Wang, X., Ma, X., Gibson, D., Stukel, T.
Added May 2015
Planning Intensive Care Unit Design Using Computer Simulation Modeling: Optimizing Integration of Clinical, Operational, and Architectural Requirements
2014
Critical Care Nursing Quarterly
Journal Article
Issue 1
Volume 37
Pages 67-82
Author(s): OʼHara, S.
Simulation modeling, according to the author, is a cost-effective way to test equipment utilization or the required number of beds, staffing models, and to examine ‘what-if scenarios’ for the design of Intensive Care Units (ICUs). The input of a nurse is valuable to both the design and simulation processes. This paper outlines the information a nurse needs to be equipped to be an effective participant in the planning team with architects and simulation engineers.
Added May 2015
Design for Safety in the Critical Care Environment: An Evidence-Based Approach
2014
Critical Care Nursing Quarterly
Journal Article
Issue 1
Volume 37
Pages 103-114
Author(s): Stroupe, J. M.
Added May 2015
