Building Design

Sound Levels, Staff Perceptions, and Patient Outcomes During Renovation Near the Neonatal Intensive Care Unit

August 14, 2012     Amber W. Trickey, MS, CPH, Cody C. Arnold, MD, MSc, MPH, Ankit Parmar, MD, and Robert E. Lasky, PhD
Introduction Advancing methods in medical practice often requires new healthcare facilities and improvements to existing facilities. Renovation projects create substantial noise and changes in providers' work routines that may interrupt ongoing patient care. In neonatal intensive care units (...

Affordances of the Care Environment for People With Dementia-An Assessment Study

August 14, 2012     Päivi Topo, PhD, Helinä Kotilainen, MSc(Arch), and Ulla Eloniemi-Sulkava, PhD
Introduction Studies on the physical environment and well-being of people with dementia have shown that environments can promote engagement, independence, and functioning.

The Challenge of Innovation and the High-Performance Team

May 15, 2012     David A. Tam, MD, MBA, FACHE, Thomas Chessum, FAIA, NCARB, and Jay Leopold
Background In 2003, Palomar Pomerado Health (PPH) was a 60-year-old California public district hospital system with a public/voter-elected board that faced a significant challenge. As the largest public health district in California, covering 800 square miles, the system comprised two acute care...

The Impact of Daylight and Views on ICU Patients and Staff

March 1, 2012     Mardelle McCuskey Shepley, DArch, Raymond Peter Gerbi, BA, Angela E. Watson, MArch, Stephen Imgrund, MD, FCCP, and Rana Sagha-Zadeh, March
Background (To receive continuing education credits for this article, click here.) Three topics were explored in the literature review for this study: (1) the impact of windows and window views on patients, family, and staff; (2) the impact of sunlight and daylight on patients, family, and staff;...

Impact of Imaging Room Environment: Staff Job Stress and Satisfaction, Patient Satisfaction, and Willingness To Recommend

March 1, 2012     Xiaobo Quan, PhD, EDAC, Anjali Joseph, PhD, EDAC, and Janet C. Ensign, PhD
Background It has become increasingly important for healthcare organizations to improve the satisfaction of patients and healthcare workers. Patient satisfaction with healthcare services directly affects the reputation, patient loyalty, patient retention and attraction, operating revenue, and...

Medical Center Opening Exposes Design Problems

October 31, 2011     Shari Welch, MD
Complete with ribbon cutting and speeches, the opening of the new tertiary care medical center was met with enthusiasm by the community. The physicians and other healthcare providers had high hopes for the new facility and their prospects for delivering high quality care within its walls. However,...

Flexible, changeable, adaptable demands

August 31, 2011     Roger B. Call, AIA, ACHA, LEED® AP, Director, Healthcare Architecture+Design
Flexible, changeable, adaptable-all are words now showing up in many guiding principles for new healthcare facility design projects. It's understandable why owners and users are asking for these attributes to be a part of their projects. Capital is still tight, healthcare reform is still...

Metrics Required

February 15, 2011     Margie Weiss, PhD, APNP, LEED®AP
Evidence-based practice, LEAN, LEED, and various accreditation processes all require the effective use of metrics to drive assessment, analysis, planning, implementation, and outcomes in healthcare organizations. However, the same metrics are often used by various constituencies to demonstrate the...

Investigating Walking Environments in and Around Assisted Living Facilities: A Facility Visit Study

August 31, 2010     Zhipeng Lu, PhD
Acknowledgment: The author thanks Drs. Mardelle Shepley, Susan Rodiek, Louis Tassinary, and Michael Duffy for their suggestions on research design, and Dr. Mardelle Shepley for reviewing this manuscript. This project was supported by the Nurture by Steelcase-Center for Health Systems & Design...

Relevance in Past Research

August 31, 2010     Daniel J. Miesle
I just read the article “Measuring the Structure of Visual Fields in Nursing Units” (Lu, 2010) and found its insights to be most helpful. Because we are building a new hospital and will be opening nursing units in May 2011, sharing this research with nursing leadership will be most...

Redefining Healthcare Infrastructure: Moving Toward Integrated Solutions

January 1, 2010     Patricia A. Tillmann, PhD, Candidate, Patricia Tzortzopoulos, PhD, and Carlos T. Formoso, PhD
Introduction Transformation and change for a better healthcare delivery system have been the driving forces behind the United Kingdom's (UK) government initiatives and investments in the health sector (Sapountzis, Harris, & Kagioglou, 2008). Considering the definition of healthcare...

Evaluating Building Performance in Healthcare Facilities: An Organizational Perspective

January 1, 2010     Claudia Steinke, RN, MSc, PhD, Lynn Webster, AAA, OAA, AIBC, FRAIC, LEED® AP, and Marie Fontaine, MAAA, MRAIC
Introduction In the past decade, organizations have begun to look at their buildings not just as a way to house people and activities, but also as a way to fulfill strategic objectives (Becker & Steele, 1995; Grantham, 2000; Horgen, Joroff, Porter & Schon, 1999; Ouye & Bellas, 1999)....
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