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
Emergency Department Operational Metrics, Measures and Definitions: Results of the Second Performance Measures and Benchmarking Summit
2011
Annals of Emergency Medicine
Journal Article
Issue 1
Volume 58
Pages 33-40
Author(s): Welch, Shari J., Asplin, B. R., Stone-Griffith, S., Davidson, S. J., Augustine, J., Schuur, J.
Added March 2015
Hospital Factors Impact Variation in Emergency Department Length of Stay more than Physician Factors
2014
Western Journal of Emergency Medicine
Journal Article
Issue 2
Volume 15
Pages 158-164
Author(s): Krall, S. P., Cornelius, A. P., Addison, J. B.
Added March 2015
Spatial and Temporal Variations in Indoor Environmental Conditions, Human Occupancy, and Operational Characteristics in a New Hospital Building
2015
PLOS ONE
Journal Article
Issue 3
Volume 10
Pages e0118207
Author(s): Ramos, T., Dedesko, S., Siegel, J. A., Gilbert, J. A., Stephens, B.
Certain environmental conditions in healthcare facilities can influence occupant health outcomes and overall comfort, as well as the survival and development of harmful germs. By studying factors such as a given hospital’s physical designs, indoor temperatures, moisture levels, and workflows, the overall quality of the healthcare environment can be better understood and, if necessary, improved.
Added March 2015
Modern Healthcare's Hospital Quality & Safety databases
Author(s): Modern Healthcare
Added March 2015
Are Waiting Rooms Passé? A Pilot Study of Patient Self-rooming
2015
The Journal of Ambulatory Care Management
Journal Article
Issue 1
Volume 38
Pages 25-28
Author(s): Kamnetz, S., Marquez, B., Aeschlimann, R., Pandhi, N.
While the timeliness with which patients receive treatment continues to be a common source of patient complaints, little research exists investigating the issues affecting and ways to improve timeliness. In previous studies, improvements in timeliness within healthcare environments were associated with increased patient satisfaction and hospital cost benefits.
Added March 2015
ACA cuts remain top pain point for hospitals, according to Premier survey - Premier, Inc.
Author(s): Premier Inc.
Added March 2015
CMS Changes in Reimbursement for HAIs
2010-5
Medical care
Journal Article
Issue 5
Volume 48
Pages 433-439
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
2009
Health Affairs
Journal Article
Issue 5
Volume 28
Pages 1485-1493
Author(s): McNair, P. D., Luft, H. S., Bindman, A. B.
Added March 2015
Infection acquisition following intensive care unit room privatization
2011
Archives of Internal Medicine
Journal Article
Issue 1
Volume 171
Pages 32-38
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.
Added February 2015
Medicare Readmission Rates Showed Meaningful Decline in 2012
2013
Medicare & Medicaid Research Review
Journal Article
Issue 2
Volume 3
Pages E1-E12
Author(s): Gerhardt, G., Yemane, A., Hickman, P., Oelschlaeger, A., Rollins, E., Brennan, N.
Added February 2015
The Physical Attributes of Healing Garden for A Century Old Healthcare Premises
2015
International Transaction Journal of Engineering, Management, & Applied Sciences & Technologies
Journal Article
Issue 2
Volume 6
Pages 47-59
Author(s): Ibrahim, F., Harun, W. M. W., Samad, M. H. A., Kamaruddin, W. N. W
The authors refer to previous research that examined the positive effect of gardens on the health of hospitalized patients. Two hospitals in Malaysia that were built in the late 19th century had designed gardens in the premises.
Added February 2015
Numerical investigation of different airflow schemes in a real operating theatre
2015
Journal of Biomedical Science and Engineering
Journal Article
Issue 02
Volume 8
Pages 73-89
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).
Added February 2015
Environmental Interventions to Control Clostridium difficile
2015
Infectious Disease Clinics of North America
Journal Article
Issue 1
Volume 29
Pages 83-91
Author(s): Loo, V. G.
Clostridium difficile, the strain behind C difficile infection (CDI), has been identified as the leading cause behind healthcare-associated diarrhea.
Added February 2015
Travel in Nursing Units
1971
Human Factors
Journal Article
Issue 3
Volume 13
Pages 269-282
Author(s): Lippert, S.
The author refers to previous studies where the comparison of nurses’ travel in nursing units was done using different methods and on the basis of the unit layout, without taking into consideration nurses’ activities. The author developed a mathematical model, the Tour Model, to enable a universal comparison of nurses’ travels in units with different layouts.
Added January 2015
Outdoor environments in healthcare settings: A quality evaluation tool for use in designing healthcare gardens
2014
Urban Forestry & Urban Greening
Journal Article
Issue 4
Volume 13
Pages 878-891
Author(s): Bengtsson, A., Grahn, P.
Post-occupancy evaluations (POEs) are the more common means of assessing the effectiveness of these environments. With the advent and growing trend of incorporating evidence-based design (EBD), the authors emphasize the need for an EBD tool.
Added December 2014
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
Stress Reduction in the Hospital Room: Applying Ulrich’s Theory of Supportive Design
2015
Journal of Environmental Psychology
Journal Article
Author(s): Andrade, C. C., Devlin, A. S.
In this study the authors intended to empirically test Ulrich’s (1991) theory of supportive design. According to this, the physical-socio environment of a healthcare facility affects the well-being of patients, which is promoted through perception of control (PC), social support (SS), and positive distraction (PD). The authors point to literature that separately provides evidence for the relevance of each of the above aspects.
Added December 2014
Does patient-centered design guarantee patient safety?: Using human factors engineering to find a balance between provider and patient needs
2005
Journal of Patient Safety
Journal Article
Issue 3
Volume 1
Pages 145-153
Author(s): France, D. J., Throop, P., Walczyk, B., Allen, L., Parekh, A. D., Parsons, A., Rickard, D., Deshpande, J. K.
According to the authors, “human factors engineering is the study of human beings and their interaction with products, environment, and equipment”, and that over the years it has evolved from systems- centered to user-centered to socially-centered care.
Added December 2014
Inpatient fall prevention: Use of in-room Webcams
2013
Journal of Patient Safety
Journal Article
Issue 1
Volume 9
Pages 29-35
Author(s): Hardin, S. R., Dienemann, J., Rudisill, P., Mills, K. K.
The National Database for Nursing Quality Indicators (NDNQI) maintains data on patient falls nationally. Reported fall rates have ranged from 2.2 to 7 per 1000 admissions; 10% to 25% of falls result in an injury, depending on patient population. Falls adversely impact hospital costs as well as patient costs and overall well-being. The California HealthCare Foundation reported that technological innovations in the field of fall prevention, such as wireless patient monitoring systems, resulted in faster nurse response times and increased satisfaction for both patients and staff.
Added December 2014