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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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Displaying 161 - 180 of 299

Effectiveness of installing overhead ceiling lifts: Reducing musculoskeletal injuries in an extended care hospital unit.

Author(s): Ronald, L. A., Yassi, A., Spiegel, J., Tate, R. B., Tait, D., Mozel, M. R.
High rate of musculoskeletal injuries (MSI) among healthcare workers is well documented. Lifetime prevalence rates of back pain greater than 70 percent have been reported and higher incidence rates of MSI have been observed in healthcare workers compared to the general population and two other occupation groups. Mechanical lifting equipment has been recommended as an effective tool for decreasing the rate and severity of MSI in healthcare workers.
Key Point Summary
Added November 2014

Can flooring and underlay materials reduce hip fractures in older people?

Author(s): Minns, J.
Falls resulting in fracture of the hip in older people are a major health problem worldwide. Flooring that is slippery and unsuitable footwear are other major factors contributing to the onset of fractures in the home. Building design should incorporate measures to minimize the risk of falls.
Key Point Summary
Added November 2014

An analysis of falls in the hospital: Can we do without bedrails?

Author(s): Hanger, H. C., Ball, M. C., Wood, L. A.
Falls and injuries from falls are common in older patients in institutions, evoking a common response of using restraints, such as bedrails or cot sides, to further prevent harm. However, there is no compelling evidence that restraints reduce the risk of falls and/or injuries.
Key Point Summary
Added November 2014

Pilot cluster randomised controlled trial of flooring to reduce injuries from falls in wards for older people.

Author(s): Drahota, A. K., Ward, D., Udell, J. E., Soilemezi, D., Ogollah, R., Higgins, B., Dean, T. P., Severs, M.
Inpatient falls are a major issue for hospitals and are associated with mortality, morbidity and financial costs. Falls are particularly prevalent in elderly care environments, where patients have more risk factors for both falls and injury. With an aging society, this is an issue of increasing concern.
Key Point Summary
Added November 2014

Sustained reduction in serious fall-related injuries in older people in hospital.

Author(s): Fonda, D., Cook, J., Sandler, V., Bailey, M.
Falls are the leading cause of injury in Australian hospitals, with 38 percent of all hospital incidents related to falls. In hospital settings, single interventions have not been proven successful in preventing or reducing falls, whereas multisystem or multi-strategy approaches have shown to be more effective.
Key Point Summary
Added November 2014

NICU redesign from open ward to private room: A longitudinal study of parent and staff perceptions

Author(s): Swanson, J. R., Peters, C., Lee, B. H.
For the past 20 years, floor plans incorporating single-patient room designs have been growing in popularity, especially in the context of neonatal intensive care units (NICUs). The differences between private-room (PR) floor plans and open-ward (OW) floor plans have been thoroughly studied, with previous research showing how OW NICUs can limit privacy and generate other negative environmental effects for patients and family members.
Key Point Summary
Added November 2014

Linking acoustics and floor-plate shape qualities of healthcare settings

Author(s): Okcu, S., Shpuza, E., Ryherd, E., Zimring, C.
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

Hospital bathroom ergonomics: Safety, usability and accessibility issues

Author(s): Capodaglio, E. M.
The design of a hospital bathroom is important in terms of its usability and accessibility and crucial for patient and staff safety. A bathroom’s design and layout becomes more important in a rehabilitation unit, where patient mobility is restricted for various reasons.
Key Point Summary
Added November 2014

Building design and performance: A comparative longitudinal assessment of a children's hospital

Author(s): Thiel, C. L., Needy, K. L., Ries, R., Hupp, D., Bilec, M. M.
The aesthetics and design of a medical treatment facility can influence energy consumption, staff performance, and patient recovery. Evidence-Based Design (EBD) has been cited in many studies as an effective way to improve healthcare outcomes and hospitals’ performance, but further investigation is needed. This is particularly true at a whole-building level, to reveal the relationship between building design and health, and to observe the performance of newer building designs, especially with regard to green healthcare buildings.
Key Point Summary
Added November 2014

Chemical Hazards Analysis of Resilient Flooring for Healthcare

Author(s): Lent, T., Silas, J., Vallette, J.
Added September 2014

The Effect of Hospital Unit Layout on Nurse Walking Behavior

Author(s): Yi, L., Seo, H.-B.
Over the course of a typical shift, nurses spend a lot of time on their feet, walking back and forth on the unit to take care of patients' needs. The long distances that nurses walk is a topic of concern in the industry. Some believe it may potentially impact the amount of time spent with patients and also because of the physical toll on nurses, day after day. Researchers are attempting to understand whether unit layout and design might be revised to reduce walking distances and create efficiencies that enhance patient care.
Key Point Summary
Added September 2014

Environmental Affordances: Designing for Family Presence and Involvement in Patient Care

Author(s): Choi, Y.-S., Bosch, S. J
One of the ways that hospitals strive to provide patient-centered care is by altering the physical facility to incorporate larger visitor and family space within patient rooms. It is believed that this space increases comfort and allows family members to spend more time with and better support their loved one in the hospital, impacting patient care.
Key Point Summary
Added September 2014

The Role of Flooring as a Design Element Affecting Patient and Healthcare Worker Safety

Author(s): Harris, D. D., Detke, L. A.
Added September 2014

Associations of exposure to noise with physiological and psychological outcomes among post-cardiac surgery patients in ICUs

Author(s): Hsu, S. M., Ko, W. J., Liao, W. C., Huang, S. J., Chen, R. J., Li, C. Y., Hwang, S. L.
Noise can be an impediment to the sleep and recovery of a patient. An ICU has several instruments and devices that monitor a patient’s vitals as they recover from a surgery. The authors suggest that these essential ICU devices can produce substantial sounds that potentially impact a patient’s outcome.
Key Point Summary
Added September 2014

Detecting potential pathogens on hospital surfaces: An assessment of carpet tile flooring in the hospital patient environment

Author(s): Harris, D. D., Pacheco, A., Lindner, A. S.
Several studies demonstrate a connection between the hospital environment and hospital-acquired infections (HAIs). The bacterial pathogens more frequently associated with HAIs include Clostridium difficile (C. difficile), Staphylococcus aureus (MRSA), and Vancomycin-resistant enterococci (VRE).
Key Point Summary
Added September 2014

Functional Outcomes of Nursing Home Residents in Relation to Features of the Environment: Validity of the Professional Environmental Assessment Protocol

Author(s): Slaughter, S. E., Morgan, D. G.
Research conducted in different settings shows that specialized environments designed for people with dementia may reduce the rate of functional loss. Different measures have been developed to assess the nursing home environments focused on the features of specialized dementia units. Among them, the Professional Environmental Assessment Protocol (PEAP) was developed to assess the quality of dementia care environments on nine dimensions. Assessment involves subjective evaluation of the physical and social environment on a 5-point scale for each dimension.
Key Point Summary
Added September 2014

In home or at home? How collective decision making in a new care facility enhances social interaction and wellbeing amongst older adults

Author(s): Knight, C., Haslam, S. A., Haslam, C.
Added September 2014

Influence of pavement design parameters in safety perception in the elderly

Author(s): Zamora, T., Alcantara, E., Artacho, M. A., Cloquell, V.
Added September 2014