Advancing evidence-based healthcare facility design: a systematic literature review

Halawa, Farouq; Madathil, Sreenath Chalil; Gittler, Alice; Khasawneh, Mohammad T.

doi:10.1007/s10729-020-09506-4

Cited by 58 publications

(36 citation statements)

References 68 publications

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“…The reason ‘prompt access’ was chosen more in the pattern of ‘to observation rooms’. Important architectural elements for nurses to observe patients with unstable conditions and to maintain patient safety included visibility and accessibility from staff stations (Bristol, 2019; Halawa et al., 2020; Maben et al., 2016). Patients who are transferred to the observation room would be perioperative or deteriorating patients, and this transfer could be beneficial to them in terms of patient care and safety.…”

Section: Discussionmentioning

confidence: 99%

“…One‐third of the patients in this study used wheelchairs, which need more space. Design flexibility is an important factor to meet the needs of various stakeholders (Halawa et al., 2020). In multibed rooms, because patients share one room, the flexibility of bed placement is lower than in private rooms (Larsen et al., 2014), which would affect bed transfers.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have discussed what functions are needed in patients' rooms (e.g. Halawa et al., 2020). The results of the present study identified that some transfers occur due to a lack of patient rooms with a specific function in wards with various types of patients' rooms.…”

Section: Discussionmentioning

confidence: 99%

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Exploring nurses' clinical reasons for bed transfers in acute care wards: An observational study

et al. 2021

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Aims To investigate the number of bed transfers (patient transfers within the same ward) and their reasons in acute care wards of mid‐sized hospitals with multibed and private rooms. Background Bed transfers, even when necessary, are burdensome for patients; however, the reasons for bed transfers in various types of rooms remain unclear. Methods An observational study was conducted in seven wards in three hospitals in Japan. Nurses completed a questionnaire regarding each bed transfer, which elicited the reasons for the transfer. We classified transfer patterns based on the functions of the patients' rooms and the number of beds in each room and analysed scores. Results Overall, 560 responses were analysed. The average number of bed transfers per day was 2.7. In total, 43% of bed transfers were conducted for patients aged over 70. The most frequent bed transfer pattern was ‘transfer between patient rooms with the same number of beds’, and the most frequent reason was ‘patient did not need that bed’. Conclusions Unnecessary bed transfers could be reduced by ward designs that reflect nurses' clinical judgement. Implications for nursing management Monitoring data for the reason regarding bed transfer contributes to hospital planning and decreases unnecessary bed transfers.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Exploring nurses' clinical reasons for bed transfers in acute care wards: An observational study

et al. 2021

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“…The field is growing; however, many healthcare contexts, including stroke, have a limited built environment evidence base. 10 Establishing geographically organized stroke units has been an important focus 11 ; however, these studies rarely address specifics of the built environment, and we know little about optimal stroke unit design. Stroke clinical guidelines rarely mention the built environment nor provide guidance on how the environment might best support care.…”

Section: Introductionmentioning

confidence: 99%

Why hospital design matters: A narrative review of built environments research relevant to stroke care

Bernhardt

Lipson-Smith

Davis

et al. 2021

International Journal of Stroke

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Healthcare facilities are among the most expensive buildings to construct, maintain, and operate. How building design can best support healthcare services, staff, and patients is important to consider. In this narrative review we outline why the healthcare environment matters and describe areas of research focus and current built environment evidence that supports health care in general and stroke care in particular. Ward configuration, corridor design, and staff station placements can all impact care provision, staff and patient behaviour. Contrary to many new ward design approaches, single bed rooms are neither uniformly favoured, nor strongly evidence-based, for people with stroke. Green spaces are important both for staff (helping to reduce stress and errors), patients and relatives, although access to, and awareness of, these and other communal spaces is often poor. Built environment research specific to stroke is limited but increasing and we highlight emerging collaborative multi-stakeholder partnerships (Living Labs) contributing to this evidence base. We believe that involving engaged and informed clinicians in design and research will help shape better hospitals of the future.

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“…Research into applications of artificial intelligence (AI) in health care and within hospitals is a crucial area of innovation [1]. Smart health care with the support of AI technologies, such as Machine Learning (ML), is needed due to specific challenges in the provision of medical support in European countries as well as in the rest of the world.…”

Section: Introductionmentioning

confidence: 99%

Artificial Intelligence for Hospital Health Care: Application Cases and Answers to Challenges in European Hospitals

et al. 2021

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The development and implementation of artificial intelligence (AI) applications in health care contexts is a concurrent research and management question. Especially for hospitals, the expectations regarding improved efficiency and effectiveness by the introduction of novel AI applications are huge. However, experiences with real-life AI use cases are still scarce. As a first step towards structuring and comparing such experiences, this paper is presenting a comparative approach from nine European hospitals and eleven different use cases with possible application areas and benefits of hospital AI technologies. This is structured as a current review and opinion article from a diverse range of researchers and health care professionals. This contributes to important improvement options also for pandemic crises challenges, e.g., the current COVID-19 situation. The expected advantages as well as challenges regarding data protection, privacy, or human acceptance are reported. Altogether, the diversity of application cases is a core characteristic of AI applications in hospitals, and this requires a specific approach for successful implementation in the health care sector. This can include specialized solutions for hospitals regarding human–computer interaction, data management, and communication in AI implementation projects.

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Advancing evidence-based healthcare facility design: a systematic literature review

Cited by 58 publications

References 68 publications

Exploring nurses' clinical reasons for bed transfers in acute care wards: An observational study

Exploring nurses' clinical reasons for bed transfers in acute care wards: An observational study

Why hospital design matters: A narrative review of built environments research relevant to stroke care

Artificial Intelligence for Hospital Health Care: Application Cases and Answers to Challenges in European Hospitals

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