A review of the research literature on evidence-based healthcare design

The difficult and escalating infection control challenge for hospitals that is posed by community-acquired and community-onset infections is reflected, for example, in the fact that MRSA has become the most common cause of skin and soft-tissue infections among patients presenting to EDs in U.

The literature nonetheless makes it clear that waterborne infections can be a serious threat to pa- tient safety. The number and accessibility of hand-washing facilities also influence compliance and infection rates.

There is limited research comparing the air above carpeted areas and hard flooring with respect to concentrations of micro-organisms, and the findings are conflicting.

For example, Princeton HealthCare System hired a government affairs expert because of all the approvals required by municipal agencies for the new facility. There are some limitations, however, in current hand-washing research knowledge.

There is strong evidence that immunocompromised and other high-acuity patients have a lower incidence of infection when housed in HEPA-filtered isolation rooms.

The large amount of research literature reviewed in this section strong- ly supports the following design measures for controlling and preventing infection: There is limited evidence that prescription error rates increase sharply when there is an interruption or distraction from an unpredicted noise e.

In addition, as with evaluating carpeting and other floor coverings, it is worth considering that fabric-covered furniture might foster a more home-like, less institutional feeling.

Evidence-based design

There is some evidence regarding the impact of interruptions or distractions on medication-dispensing errors by hospital pharmacists Flynn et al. Research and accreditation[ edit ] As EBD is supported by research, many healthcare organizations are adopting its principles with the guidance of evidence-based designers.

The review followed a two-step process, including an extensive search for existing literature and a screening of each identified study for the relevance and quality of evidence.

These findings imply that mounting numbers of people admitted to the hospital as inpatients, or who visit EDs or ambulatory clinics for care, will be carriers of serious community-acquired or community-onset infections.

The Business Case for Patient-Centered Facility Design

Given that falls are a critical safety problem, additional research is needed to understand more completely the effectiveness of this approach and its implications for designing safe patient-care units that reduce patient falls.

A highly virulent infection characterized by diarrhea and colitis, in several countries C. Strong evidence indicates that using HEPA filters for air intakes near construction and renovation sites has positive effects on air quality and reduces the risk of infection for patients Bouza et al.

A review of the research literature on evidence-based healthcare design.

In alone, hospital-acquired infections in U. Reducing contact transmissions by increasing hand-washing compliance. Assessment tools have been developed by The Center for Health Design and the Picker Institute to help healthcare managers and designers gather information on consumer needs, assess their satisfaction and measure quality improvements: Working with a librarian experienced in undertaking health searches is invaluable when developing a search.

A systematic review process should follow five steps: Environmental Approaches for Reducing Airborne Infections The research literature strongly supports implementing several environmental approaches for controlling and preventing airborne infections, including installing effective filters, specifying appropriate ventilation systems and air change rates, employing various control measures during construction or renovation, and using single-bed rooms instead of multibed rooms to increase isolation capacity and reduce transmission from infected patients.

An effective way to control infections is to control their source. This is not very surprising, because most changes of the physical environment in healthcare settings alter several environmental factors simultaneously.

Cross-references would make reading difficult for such readers.The Business Case for Patient-Centered Facility Design. Karen Wagner May 15, A literature review highlights numerous studies showing a strong correlation between reduced hospital (Zimring, C.M., et al, “A Review of the Research Literature on Evidence-Based Healthcare Design,” Health Environment Research.

OBJECTIVE: This report surveys and evaluates the scientific research on evidence-based healthcare design and extracts its implications for designing better and safer hospitals.

BACKGROUND: It builds on a literature review conducted by researchers in.

Objective:This report surveys and evaluates the scientific research on evidence-based healthcare design and extracts its implications for designing better and safer ultimedescente.comound:It builds on a literature review conducted by researchers in Methods:Research teams conducted a new and more exhaustive search for rigorous empirical studies that link the design.

Are there different approaches to undertaking a literature review? Literature reviews aim to answer focused questions to: inform professionals and patients of the best available evidence when making healthcare decisions; influence policy; and identify future research priorities.

"A review of the research literature on evidence based healthcare design", White Paper Series 5/5, Evidence-Based Design Resources for Healthcare Executives, Center for Health Design, September Further reading [ edit ].

Review of the Research Literature on Evidence-Based Healthcare Design. Tweet. Sep 01, Objective: This report surveys and evaluates the scientific research on evidence-based healthcare design and extracts its implications for designing better and safer hospitals.

This report builds on a literature review conducted by researchers.

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A review of the research literature on evidence-based healthcare design
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