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Knowledge Repository

Safety, Performance, and Satisfaction Outcomes in the Operating Room: A Literature Review

Author(s): Joseph, A., Bayramzadeh, S., Zamani, Z., Rostenberg, B.
There are many operating rooms (ORs) constructed more than 30 years ago that remain operational today, and many of these spaces are inadequately designed to withstand the processes, equipment, and people needed for contemporary OR procedures. Even in developed countries, patients undergoing inpatient surgeries experience major complications 3-22% of the time.
Key Point Summary
Added September 2019

The Role of Environmental Design in Cancer Prevention, Diagnosis, Treatment, and Survivorship: A Systematic Literature Review

Author(s): Gharaveis, A., Kazem-Zadeh, M.
Approximately 1.6 million new cancer cases are diagnosed annually in the United States. New techniques for treating cancer are constantly being developed, with many healthcare professionals and designers turning towards more patient-centered services and designs to achieve better patient outcomes.
Key Point Summary
Added February 2019

Healthcare signage design: A review on recommendations for effective signing systems

Author(s): Rodrigues, R., Coelho, R., Tavares, J. M. R. S.
Studies have shown that designing “patient-centric” healthcare environments can alleviate stress for both patient populations as well as healthcare staff members. Patient-centric designs carefully consider how patients will interact with the built environment, and how the built environment itself can work to make their healing process easier. 
Key Point Summary
Added August 2019

Accessing green spaces within a healthcare setting: A mixed studies review of barriers and facilitators

Author(s): Weerasuriya, R., Henderson-Wilson, C., Townsend, M.
Many previous studies have described the benefits of natural environments (or “green spaces”) on overall human well-being. Healthcare providers have increasingly drawn attention to how green spaces within healthcare environments may positively affect both patients and staff.
Key Point Summary
Added August 2019

The experience of person-centred practice in a 100% single-room environment in acute care settings – a narrative literature review

Author(s): Kelly, R., Brown, D., McCance, T., Boomer, C.
The increasing number of single-patient rooms in healthcare facilities around the world indicates a heightened focus on person-centered practice (PcP). This practice considers how the workflows and physical designs within healthcare environments influence the overall experiences of patients and staff alike.
Key Point Summary
Added July 2019

Compliant flooring to prevent fall-related injuries in older adults: A scoping review of biomechanical efficacy, clinical effectiveness, cost-effectiveness, and workplace safety

Author(s): Lachance, C. C., Jurkowski, M. P., Dymarz, A. C., Robinovitch, S. N., Feldman, F., Laing, A. C., Mackey, D. C., Tranah, G.
Compliant flooring may be broadly defined as any floor covering or flooring system with some degree of shock absorbency. Numerous previous studies have shown that different forms of compliant flooring can reduce the severity and incidence of fall-related injuries in older adult patients.
Key Point Summary
Added October 2017

A systematic review of the psychometric properties of instruments for assessing the quality of the physical environment in healthcare

Author(s): Elf, M., Nordin, S., Wijk, H., McKee, K. J.
This review of published instruments was conducted to identify valid and usable tools that can evaluate the design of the healthcare environment.
Key Point Summary
Added January 2021

Qualitative ergonomics/human factors research in health care: Current state and future directions

Author(s): Valdez, R. S., McGuire, K. M., Rivera, A. J.
This paper presents a systematic review of studies involving the application of ergonomics/human factors (E/HF) within healthcare environments. In ergonomics, the term “systems thinking” can be broadly interpreted as a way of organizing, managing, and improving different components of a given entity in order to achieve peak efficiency and usability. 
Key Point Summary
Added September 2017

Developing an evidence base of best practices for integrating computerized systems into the exam room: A systematic review.

Author(s): Patel, M. R., Vichich, J., Lang, I., Lin, J., Zheng, Kai
​The use of electronic health records (EHR) is increasing at medical facilities across the US. Computerized systems provide a better infrastructure for healthcare delivery.
Key Point Summary
Added October 2018

Healthcare Staffs’ Experiences and Perceptions of Caring for People with Dementia in the Acute Setting: Qualitative Evidence Synthesis

Author(s): Houghton, C., Murphy, K., Brooker, D., Casey, D.
Dementia is an international health issue that greatly impacts healthcare delivery systems. Individuals with dementia have specific needs when it comes to healthcare, and it seems that, generally, acute care environments aren’t suitable for these individuals. Considering how previous studies have shown that as much as a quarter of individuals utilizing acute hospital services are likely to have dementia, the authors posit that there needs to be a shift in ethos, organization, and environment in which more appropriate care is provided to patients with dementia in acute care settings.
Key Point Summary
Added October 2017