“…The scarce body of literature focusing on the impact of physical design on efficiency outcomes suggests that exam room (ER) standardization, providing adequate space, and noise levels bear implications on efficiency outcomes (Adkins, Foran, Gill, Delatore, & Moseley, 2017; Fay, Carll White, & Real, 2018; Pati et al, 2014). Further, effective teamwork, visibility, and accessibility that are affected by the built environment bear positive implications for efficiency outcomes (Fay et al, 2018; Gharaveis et al, 2017; Pati et al, 2014).…”