Literature Review On Health Care

The evidence indicates that well-designed phys- ical settings play an important role in making hospi- tals safer and more healing for patients and better places for staff to work. healthcare not only negatively influence patients; they affect staff. Bacterial contamination of curtains in clinical areas. Key Words: Evidence-based design, hospital design, healthcare design, healthcare quality, outcomes, pa- tient safety, staff safety, infection, hand washing, med- ical errors, falls, pain, sleep, stress, depression, con- fidentiality, social support, satisfaction, single rooms, noise, nature, daylight Background A visit to a U. hospital is dangerous and stressful for patients, families, and staff. hospitals is estimated to be billion for hospital-acquired infections (Centers for Disease Control and Prevention [CDC], 2000) and to billion for medical errors (Kohn, Corrigan, & Donaldson, 1999). Registered nurses have a turnover rate av- eraging 20% (Joint Commission, 2002). healthcare system is facing the confluence of the need to replace aging 1970s hospitals, population shifts, the graying of the Baby Boom generation, and the introduc- tion of new medical technologies. A case study of way- finding and security in a Mexico City hospital. We conducted an extensive series of cross-search- es using combinations of key words through the EBSCO research data- base, which enabled the simultaneous search of multiple databases, such as Academic Search Premier, Alt Healthwatch, MED-LINE, Psyc Articles, Psychology and Behavioral Sciences Collection, Psyc INFO, and CINAHL. Evaluation of a conceptual model of architectural legibility.

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First, we conducted key word searches to identify potentially relevant studies published in English.

Thirty-two key words were used, referring to patient and staff outcomes (such as infection, medical error, pain, sleep, de- pression, stress, and privacy), physical environmental factors (hospital, hospital units, healthcare facility, etc.), and other healthcare-related issues (such as patient and family-centered care).

For example, The Center for Health Design Pebble Project includes approximately 50 healthcare providers and manufacturers committed to using EBD for their construction projects.

The Military Health System has adopted EBD for a $6 billion capital construction pro- gram for its 70 hospitals, which serve more than 9.2 million people worldwide. Efficacy of infection control measures during a nosocomial outbreak of disseminated Aspergillosis associated with hospital construction.

This once-in-a-lifetime construction program provides an opportunity to rethink hospital design and especially to consider how better design can improve patient and staff outcomes. Invasive pulmonary aspergillosis in neutropenic patients during hospital construction: Before and after chemoprophylaxis and institution of HEPA filters. O’Rourke, K., Allgood, C., Van Derslice, J., & Hardy, M.

Just as medicine has increasingly moved toward evidence-based medicine where clinical choices are informed by research, healthcare design is increasingly guided by rigorous research linking hospitals’ physical environments to healthcare outcomes, and it is moving toward evidence-based design (EBD) (Hamilton, 2003). The following questions are explored in this study: (1) What can rigorous research tell us about “good” and “bad” hospital design? (2) Can improved design make hospitals less risky and stressful and promote more healing for patients, their families, and staff? This paper was originally published in the spring 2008 issue of HERD (Health Environments Research and Design Journal), Vol. ABSTRACT Objective: This report surveys and evaluates the scientific research on evi- dence-based healthcare design and extracts its implications for designing better and safer hospitals. For more information about HERD, visit the website at Summary of Key Findings We found a growing number of rigorous studies that help establish the relationship between the physical design of hospitals and key outcomes. This report was organized according to three general types of outcomes. In the second stage, we screened all identified references using two criteria: First, the study should be empirically based and examine the influence of environmental characteristics on patient, family, or staff outcomes. Second, the quality of each study was evaluated in terms of its research design and methods and whether the journal was peer-reviewe D. Emergency department patient perceptions of privacy and confidentiality. 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. Results: This review found a growing body of rigorous studies to guide healthcare design, especially with respect to reducing the frequency of hospital-acquired infections. Contamination of patients’ files in intensive care units: An indication of strict hand washing after entering case notes.


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