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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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Measuring hand hygiene compliance rates at hospital entrances

Author(s): Vaidotas, M., Yokota, P. K. O., Marra, A. R., Sampaio Camargo, T. Z., Victor, E. da S., Gysi, D. M., Leal, F., dos Santos, O. F. P., Edmond, M. B.
Added December 2015

Environmental infection control considerations for Ebola

Author(s): Lowe, J. J., Olinger, P. L., Gibbs, S. G., Rengarajan, K., Beam, E. L., Boulter, K. C., Schwedhelm, M. M., Hayes, A. K., Kratochvil, C. J., Vanairsdale, S., Frislie, B., Lewis, J., Hewlett, A. L., Smith, P. W., Gartland, B., Ribner, B. S.
The impact of the 2014 outbreak of the Ebola virus disease (EVD) in West Africa was felt in the United States when patients were transferred for treatment. Following the first Ebola death in the U.S. and given the high risk factors associated with the disease, infection control and prevention measures were stepped up in hospitals around the country.
Key Point Summary
Added December 2015

Microfiber cloths reduce the transfer of Clostridium difficile spores to environmental surfaces compared with cotton cloths

Author(s): Trajtman, A. N., Manickam, K., Alfa, M. J.
Added December 2015

Role of healthcare apparel and other healthcare textiles in the transmission of pathogens: a review of the literature

Author(s): Mitchell, A., Spencer, M., Edmiston, C.
Added December 2015

Persistence of microorganisms on common hospital surfaces

Author(s): Neely, A. N.
Added December 2015

Hand-touch contact assessment of high-touch and mutual-touch surfaces among healthcare workers, patients, and visitors

Author(s): Cheng, V. C. C., Chau, P. H., Lee, W. M., Ho, S. K. Y., Lee, D. W. Y., So, S. Y. C., Wong, S. C. Y., Tai, J. W. M., Yuen, K. Y.
Added December 2015

Non-inferiority of pulsed xenon UV light versus bleach for reducing environmental Clostridium difficile contamination on high-touch surfaces in Clostridium difficile infection isolation rooms

Author(s): Ghantoji, S. S., Stibich, M., Stachowiak, J., Cantu, S., Adachi, J. A., Raad, I. I., Chemaly, R. F.
Added December 2015

Hospital management of Clostridium difficile infection: a review of the literature

Author(s): Khanafer, N., Voirin, N., Barbut, F., Kuijper, E., Vanhems, P.
Added December 2015

Antimicrobial surfaces to prevent healthcare-associated infections: a systematic review

Author(s): Muller, M. P., MacDougall, C., Lim, M., Armstrong, I., Bialachowski, A., Callery, S., Ciccotelli, W., Cividino, M., Dennis, J., Hota, S., Garber, G., Johnstone, J., Katz, K., McGeer, A., Nankoosingh, V., Richard, C., Vearncombe, M.
Added November 2015

Higher Quality of Care and Patient Safety Associated With Better NICU Work Environments

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.
Key Point Summary
Added November 2015

Copper surfaces are associated with significantly lower concentrations of bacteria on selected surfaces within a pediatric intensive care unit

Author(s): Schmidt, M. G., von Dessauer, B., Benavente, C., Benadof, D., Cifuentes, P., Elgueta, A., Duran, C., Navarrete, M. S.
Hospital-acquired infections (HAIs) plague hospitals around the world. The authors note that patients in ICUs, particularly those in pediatric and neonatal ICUs, are more susceptible to contract an infection from the clinical environment because of factors like the patient’s illness and the use of invasive medical devices, etc.
Key Point Summary
Added November 2015

Barriers to Infection Control due to Hospital Patient Room Factors A Secondary Analysis of Focus Group and Interview Transcripts

Author(s): Patterson, E. S., Murray, J., Park, S., Sanders, E. B.-N., Li, J., Umar, R., Sommerich, C. M., Evans, K. D., Lavender, S. A.
Added November 2015

Do Cost Savings from Reductions in Nosocomial Infections Justify Additional Costs of Single-Bed Rooms in Intensive Care Units? A Simulation Case Study

Author(s): Sadatsafavi, H., Niknejad, B., Zadeh, R., Sadatsafavi, M.
Nosocomial infections are infections that are acquired in healthcare facilities. They are a key factor in decisions to construct and maintain single-patient bedrooms in intensive care units (ICUs), since single-patient rooms have been shown to greatly reduce instances of nosocomial infections. However, no prior studies have investigated whether the resource savings incurred from reducing nosocomial infections are worth the construction and maintenance costs required for single-patient bedrooms in ICUs.
Key Point Summary
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

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.
Key Point Summary
Added September 2015

Viral contamination of aerosol and surfaces through toilet use in health care and other settings

Author(s): Verani, M., Bigazzi, R., Carducci, A.
Aerosol and surface contamination are significant to the transmission of viral infections in hospitals. The contamination of surfaces like door handles, toys, banisters, fabrics, flushing handles on toilets, etc., can occur through direct contact with an infected material or indirectly through unwashed hands or settling down of large aerosol droplets.
Key Point Summary
Added September 2015

Environmental viral contamination in a pediatric hospital outpatient waiting area: Implications for infection control

Author(s): D'Arcy, N., Cloutman-Green, E., Klein, N., Spratt, D. A.
Many viruses found in the healthcare environment are known to survive for long periods of time on inanimate objects or in the air. Pediatric healthcare environments are particularly susceptible to viral infections. Alluding to other studies where work surfaces, doors, and other touch surfaces were shown to be contaminated by virus, this study aims to find out if common touch sites in a pediatric healthcare environment can be contaminated with potentially infectious viruses.
Key Point Summary
Added September 2015

Post-Occupancy Evaluation of Negative-Pressure Isolation Rooms: Using the Balanced Scorecard Framework

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.
Key Point Summary
Added September 2015

From Laboratory Research to a Clinical Trial: Copper Alloy Surfaces Kill Bacteria and Reduce Hospital-Acquired Infections

Author(s): Michels, H. T., Keevil, C. W., Salgado, C. D., Schmidt, M. G.
Added September 2015

Health care–associated infection surveillance in a tertiary neonatal intensive care unit: A prospective clinical study after moving to a new building

Author(s): Cura, C., Ozen, M., Kara, A. A., Alkan, G., Cetin, E. S.
Added September 2015

Exploring Safety and Quality In a Hemodialysis Environment With Participatory Photographic Methods: A Restorative Approach.

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.
Key Point Summary
Added September 2015