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

In acute healthcare settings, a commonly used approach is the HEPA filter, which can be at least Although the role of the environment in causing or preventing patient falls is widely accepted, there is no conclusive evidence linking environmental interventions with reduced falls.

The fourth column visually displays the study results. In reality, these three routes may intertwine with each other in the spread of nosocomial infections. Additionally, we identified many moderately strong quasi-experimental studies, and some well-conducted epidemiological investigations.

This literature survey identified many studies that explicitly examine the relationships between airborne infections and environmental factors in healthcare buildings. They found that error rates for prescriptions increased sharply when there was an interruption or distraction, including unexpected noises e.

Evidence-based design

The new 32,square-foot facility, which UW Health rents for its employed family medicine physicians, includes several features that have helped improve both patient flow and staff workflow, which have led to improved patient satisfaction scores and clinical outcomes.

Against this background, in the future hospitals may need to screen and assign all inpatients to single rooms upon admission to prevent infections from spreading to other patients.

The use of antimicrobial metals such as copper may not reduce the need for careful cleaning, however, because dirt or dust on their sur- faces may diminish or eliminate their antimicrobial effects. Background[ edit ] Evidence-based design EBD was popularized by the seminal study by Ulrich that showed the impact of a window view on patient recovery.

The water supply system should be designed and maintained with proper temperature and adequate pressure; stagnation and back flow should be minimized; and dead-end pipes should be avoid- ed AIA and FGI, ; Sehulster et al.

Evidence-based design

However, for the ability to harbor pathogens, although upholstery types showed no differences with respect to PSAE, there was a difference related to VRE.

Designed infrastructure, including the built environment and technology Re-engineered clinical and administrative practices to maximize infrastructure investment Leadership to maximize human and infrastructure investments All three investments depend on existing research.

Hospital-acquired infections and medical errors are among the leading causes of death in the United States, each killing more people than automobile accidents, breast cancer, or acquired immune deficiency syn- drome AIDS Institute of Medicine [IOM], ; Klevens, et al.

One study has provided some promising findings, suggesting that decentralized nurse stations can reduce falls; but more research in more rigorous studies is needed to confirm these find- ings and to identify all the variables involved.

Results are organized according to three gen- eral types of outcomes: Several de- sign-related factors should be considered to minimize the risk of infection stemming from contaminated surfaces.

Systematic Reviews and Meta-analysis: Understanding the Best Evidence in Primary Healthcare

Because no study, regardless of its type, should be interpreted in isolation, a systematic review is generally the best form of evidence. It helps to improve the precision in estimating the risk by using explicit methods.

A highly virulent infection characterized by diarrhea and colitis, in several countries C. In a study of nursing homes, Drinka, Krause, Nest, Goodman, and Gravenstein found that roommates of persons infected with influenza had a 3.

The practice of evidence-based medicine is the integration of individual clinical expertise with the best available external clinical evidence from systematic research and patient's values and expectations.

Additional studies and demonstration projects are need- ed to ascertain the safety advantages of acuity-adaptable, single rooms for other types of units and patient categories. On the other hand, future research should be carefully designed and controlled so that the independent role of specific environ- mental changes or interventions can be better understood.

Meanwhile, guidelines require staff to clean their hands more frequently when caring for sicker patients Karabay et al. Use effective air quality control measures during construction and reno- vation to prevent the outbreak of airborne infections.

Other very frequently contaminated surfaces and objects include medical equipment such as infusion pumps Aygun et al.

Importantly, a review of 40 studies by Li et al. It is necessary to ensure that the sifting includes all relevant studies like the unpublished studies desk drawer problemstudies which came with negative conclusions or were published in non-English journals, and studies with small sample size.

This discussion addresses the three transmission routes separately and is followed by a discussion of several advantages of single-bed rooms, as compared to multibed rooms, in controlling infection. For traditional soap-and-water hand washing, automated sinks or faucets have shown mixed results Larson et al.

Identify the problems the project is trying to solve and for which the facility design plays an important role for example, adding or upgrading technology, expanding services to meet growing market demand, replacing aging infrastructure Use an integrated multidisciplinary approach with consistent senior involvement, ensuring that everyone with problem-solving tools is included.

It shows the variation between the studies and an estimate of the overall result of all the studies together. Second, the quality of each study was evaluated in terms of its research design and methods and whether the journal was peer-revieweD. There are two fundamental categories of research: With this protocol, the field will be able to provide designers with a source for evidence-based design.

Single-patient rooms may also help to improve hand-washing compliance and thereby contribute to infection control. Simplicity of use seems to be important to the success of automation.

HERD VolumE 1, NumbER 3, pp CopyRigHt © VENDomE gRoup, llC A REViEw of tHE REsEARCH litERAtuRE oN EViDENCE-bAsED HEAltHCARE DEsigN.

Literature Reviews: Introduction

This report surveys and evaluates the scientific research on evidence-based healthcare design and extracts its implications for designing better and safer hospitals. It builds on a literature. A Review of Evidence Based Design in Healthcare from.

Resource-Based Perspective. Ferhat D. Zengul. been paid to the gap between evidence-based healthcare design and actual practice. While some experts In this twostep literature review.

A REViEw of tHE REsEARCH litERAtuRE oN EViDENCE-bAsED HEAltHCARE DEsigN. PA P E R S A Review of the Research Literature on Evidence-Based Healthcare Design. Health Environments Research & Design, 1(3), A Review of the Research Literature on Evidence-Based Healthcare Design (Part I) Abstract Objective: This report surveys and evaluates the scientific research on evidence-based healthcare design and extracts its implications for designing better and safer hospitals.

The Business Case for Patient-Centered Facility Design

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

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