The Role of Flooring as a Design Element Affecting Patient and Healthcare Worker Safety
The Role of Flooring as a Design Element Affecting Patient and Healthcare Worker Safety
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DOI：
10.1177/193758671300600308
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发表时间：
2013-03-01
影响因子：
2.2
通讯作者：
Detke, Laura A.
中科院分区：
文献类型：
--
作者：
Harris, Debra D.;Detke, Laura A.
目的：本研究的目的是回顾、识别和综合与地板相关的患者和医护人员安全的文献。医疗保健设施设计中的地板主题很复杂：医疗保健相关感染、推/拉限制、跌倒和坠落伤害以及噪音作为护理质量的影响因素。 背景：大多数医院的设计并未明确旨在提高患者安全。医疗保健研究和质量局 (AHRQ) 的建议包括预防患者跌倒、减少感染和预防用药错误，作为基于证据的设计的重点领域，以提高患者安全和护理质量。 方法：通过搜索引擎使用预定义的关键字列表对文献进行审查，以确定有关地板以及患者和医护人员安全的研究。纳入标准包括 1982 年至 2012 年以英文发表的同行评审理论和实证研究。最终纳入是基于对研究设计的分析。结果：在符合纳入标准的 27 篇文章中，7 篇关注医疗保健相关感染；7 篇关注医疗保健相关感染。 9 重点关注滑倒、绊倒和跌倒； 7 篇文章关注噪声； 4 关注疲劳。这些研究以表格形式进行了概述，并按环境变量进行组织。 结论：尽管只有有限数量的研究符合本次审查的标准，但安全设计的证据基础正在不断涌现。为未来的研究和设计的实际应用提供了建议。
OBJECTIVE: The objective of this study was to review, identify, and synthesize the literature on patient and healthcare worker safety related to flooring. The topic of flooring in the design of healthcare facilities is complex: healthcare associated infections, push/pull limitations, falls and fall injuries, and noise as a contributing factor to quality of care.BACKGROUND: Most hospitals have not been explicitly designed to enhance patient safety. Recommendations from the Agency for Healthcare Research and Quality (AHRQ) include preventing patient falls, reducing infections, and preventing medication errors as the areas of emphasis of evidence-based design to improve patient safety and quality of care.METHODS: A review of the literature was conducted through search engines using a predefined list of keywords to identify studies about flooring and the safety of patients and healthcare workers. Inclusion criteria included peer-reviewed theoretical and empirical studies published in English from 1982 to 2012. Final inclusion was obtained based on an analysis of research design.RESULTS: Of those 27 articles that met inclusion, 7 focused on healthcare associated infections; 9 focused on slips, trips and falls; 7 articles focused on noise; and 4 focused on fatigue. The studies are profiled in tables and organized by environmental variable.CONCLUSIONS: Though a limited number of studies met the criteria for this review, the evidence base is emerging to design for safety. Recommendations for future research and practical application of design are provided.