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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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Environmental Interventions to Control Clostridium difficile

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.
Key Point Summary
Added February 2015

Space to care and treat safely in acute hospitals: Recommendations from 1866 to 2008

Author(s): Hignett, S., Lu, J.
Bed space, defined in this study as the area around an individual bed offering privacy either as a curtained or screened cubicle or a single room in a ward holding multiple occupants, is the most frequently repeated design envelope in an acute care hospital. Since patients, staff, visitors, and other people will occupy this space at one point or another for a variety of different purposes, a complex design challenge exists. In 1893, Florence Nightingale successfully argued for less cramped bedrooms and overall improvements in hospital designs.
Key Point Summary
Added December 2014

Method for Automated Monitoring of Hand Hygiene Adherence without Radio-Frequency Identification

Author(s): Polgreen, P. M., Hlady, C. S., Severson, M. A., Segre, A. M., Herman, T.
Added November 2014

Daily Disinfection of High-Touch Surfaces in Isolation Rooms to Reduce Contamination of Healthcare Workers’ Hands

Author(s): Kundrapu, S., Sunkesula, V., Jury, L. A., Sitzlar, B. M., Donskey, C. J.
Added November 2014

Low Frequency of Fires From Alcohol‐Based Hand Rub Dispensers in Healthcare Facilities •

Author(s): Boyce, J. M., Pearson, M. L.
Added November 2014

Hospital ward design and prevention of hospital-acquired infections: A prospective clinical trial

Author(s): Ellison, J., Southern, D., Holton, D., Henderson, E., Wallace, J., Faris, P., Ghali, W. A., Conly, J.
The authors note the growing recognition of the relevance of facility design as a significant factor contributing to patient safety. They point to several factors in the environment of a hospital that may be potentially conducive for the transmission of hospital-acquired infections (HAIs), antibiotic-resistant organisms (AROs), in particular.
Key Point Summary
Added November 2014

Effectiveness of an audible reminder on hand hygiene adherence

Author(s): Fakhry, M., Hanna, G. B., Anderson, O., Holmes, A., Nathwani, D.
To reduce healthcare associated infections (HAIs), interventions, like alcohol-based hand rub, soap and water, training, education, workplace reminders, etc., have been introduced to increase hand hygiene compliance by healthcare workers. Visitors to hospitals may also spread infections, and it is imperative for them to be acquainted with and comply with hand hygiene during their visits.
Key Point Summary
Added November 2014

Do hospital visitors wash their hands? Assessing the use of alcohol-based hand sanitizer in a hospital lobby

Author(s): Birnbach, D. J., Nevo, I., Barnes, S., Fitzpatrick, M., Rosen, L. F., Everett-Thomas, R., Sanko, J. S., Arheart, K. L.
Compliance with hand hygiene by healthcare workers is considered to be relevant to the prevention of healthcare-associated infections in hospitals and other healthcare facilities. There are no studies that indicate the significance of hand-hygient compliance (HHC) by hospital visitors, although both the World Health Organization and the Centers for Disease Control and Prevention suggest that hospital visitors can potentially carry infections from the community into hospitals.
Key Point Summary
Added November 2014

Decline in incidence of Clostridium difficile infection after relocation to a new hospital building with single rooms

Author(s): Heddema, E. R., van Benthem, B. H. B.
The authors report that the most common risk factors for Clostridium difficile infection (CDI) are age (≥65 years), comorbidities, and the use of antibiotics. They point out that it is a challenge to control the risk factors and that preventive measures have not been particularly helpful.
Key Point Summary
Added November 2014

Rapid Hospital Room Decontamination Using Ultraviolet (UV) Light with a Nanostructured UV-Reflective Wall Coating

Author(s): Rutala, W. A., Gergen, M. F., Tande, B. M., Weber, D. J.
Added November 2014

Disinfectants used for environmental disinfection and new room decontamination technology

Author(s): Rutala, W. A., Weber, D. J.
Added November 2014

Operating room ventilation with laminar airflow shows no protective effect on the surgical site infection rate in orthopedic and abdominal surgery

Author(s): Brandt, C., Hott, U., Sohr, D., Daschner, F., Gastmeier, P., Rüden, H.
Operating rooms (ORs) in hospitals of different countries use ventilation systems to assist with the prevention of surgical site infections (SSIs). The authors cite literature to show that adequate evidence does not exist to support the use of expensive ventilation systems in preventing SSIs.
Key Point Summary
Added November 2014

Does a mobile laminar airflow screen reduce bacterial contamination in the operating room? A numerical study using computational fluid dynamics technique

Author(s): Sadrizadeh, S., Tammelin, A., Nielsen, P. V., Holmberg, S.
Surgical-site infections (SSIs) can increase patient morbidity and mortality and extend hospitalization time. Operating room (OR) personnel are the main source of airborne bacteria; a person releases roughly 104 skin scales per minute while walking, 10% of which carry bacteria, although up to 12 times as many microorganisms may be discharged depending on the individual and situation. Bacteria in the OR might contaminate a surgical wound through contact with the air or through contaminated surgical instruments.
Key Point Summary
Added November 2014

Creating spaces in intensive care for safe communication: a video-reflexive ethnographic study

Author(s): Hor, S.-Y., Iedema, R., Manias, E.
According to the authors, the design of the built environment is a relatively recent foray for patient safety research. They refer to different research studies that report that the physical environment of healthcare facilities affects patient safety.
Key Point Summary
Added November 2014

Impact of Isolation on Hospital Consumer Assessment of Healthcare Providers and Systems Scores: Is Isolation Isolating?

Author(s): Vinski, J., Bertin, M., Sun, Z., Gordon, S. M., Bokar, D., Merlino, J., Fraser, T. G.
Added November 2014

Association between healthcare water systems and Pseudomonas aeruginosa infections: A rapid systematic review

Author(s): Loveday, H. P., Wilson, J. A., Kerr, K., Pitchers, R., Walker, J. T., Browne, J.
Added November 2014

Reduction of healthcare-associated infections in a long-term care brain injury ward by replacing regular linens with biocidal copper oxide impregnated linens

Author(s): Lazary, A., Weinberg, I., Vatine, J.-J., Jefidoff, A., Bardenstein, R., Borkow, G., Ohana, N.
Due to its antibacterial, antiviral, and fungicidal properties, copper has been widely used for centuries as a biocide. Microorganisms resistant to copper are extremely rare. Recently, methods have been developed for embedding copper oxide particles into textile products, thereby giving them antimicrobial and anti-mite properties, and in some cases, advanced wound-healing abilities. Consumer products featuring copper oxide such as sheets, diapers, and pillowcases have been proven completely safe to humans through numerous studies, with no adverse health reactions on record.
Key Point Summary
Added November 2014

Antimicrobial activity of copper against organisms in aqueous solution: A case for copper-based water pipelines in hospitals?

Author(s): Cervantes, H. I., Álvarez, J. A., Muñoz, J. M., Arreguín, V., Mosqueda, J. L., Macías, A. E.
Poor quality of water is significantly associated, according to the authors, with healthcare-associated infections (HAIs), and this is particularly problematic in developing countries. Literature indicates that patients in developing countries often become infected with waterborne diseases during hospital stays, and ensuing fatalities are not uncommon.
Key Point Summary
Added November 2014

Field evaluation of a new point-of-use faucet filter for preventing exposure to Legionella and other waterborne pathogens in health care facilities

Author(s): Baron, J. L., Peters, T., Shafer, R., MacMurray, B., Stout, J. E.
Waterborne pathogens exist in hospital water distribution systems in spite of different disinfection methods and can potentially cause hospital-acquired infections (HAIs) in patients. The authors refer to previous studies which indicated the ineffectiveness of disinfecting methods in the complete removal of Legionella pathogen from water fixtures. This, they emphasized, called for the use of additional interventions like point-of-use (POU) filters, especially for safeguarding high-risk patients.
Key Point Summary
Added November 2014

Self-disinfecting surfaces: Review of current methodologies and future prospects

Author(s): Weber, D. J., Rutala, W. A.
Added November 2014