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Journal articles on the topic 'Single hospital rooms'

Author: Grafiati

Published: 4 June 2021

Last updated: 1 February 2022

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1

Boardman, Anthony E., and Diane Forbes. "A Benefit-Cost Analysis of Private and Semi-Private Hospital Rooms." Journal of Benefit-Cost Analysis 2, no. 1 (2011): 1–27. http://dx.doi.org/10.2202/2152-2812.1050.

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The design of new hospital inpatient rooms is moving towards private (single occupancy) rooms. These rooms are generally preferred by patients and they may improve patient care, but they are more expensive to build and to staff than semi-private rooms. The question of their societal worth is important because hospitals are expensive, long-term investments and, once built, are prohibitively expensive to change. This paper presents a benefit-cost analysis of private rooms versus semi-private rooms in a proposed new hospital. We estimate that the net social benefit of a bed in a private room is a

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Maben, Jill, Peter Griffiths, Clarissa Penfold, et al. "Evaluating a major innovation in hospital design: workforce implications and impact on patient and staff experiences of all single room hospital accommodation." Health Services and Delivery Research 3, no. 3 (2015): 1–304. http://dx.doi.org/10.3310/hsdr03030.

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BackgroundNew hospital design includes more single room accommodation but there is scant and ambiguous evidence relating to the impact on patient safety and staff and patient experiences.ObjectivesTo explore the impact of the move to a newly built acute hospital with all single rooms on care delivery, working practices, staff and patient experience, safety outcomes and costs.Design(1) Mixed-methods study to inform a pre-/post-‘move’ comparison within a single hospital, (2) quasi-experimental study in two control hospitals and (3) analysis of capital and operational costs associated with single

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Florey, L., R. Flynn, and C. Isles. "Patient Preferences for Single Rooms or Shared Accommodation in a District General Hospital." Scottish Medical Journal 54, no. 2 (2009): 5–8. http://dx.doi.org/10.1258/rsmsmj.54.2.5.

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Objectives To determine whether patients who have used a Scottish district general hospital would prefer single or shared accommodation on a future admission. Methods We surveyed 80 in-patients in January 2008 in order to obtain 20 medical and 20 surgical patients in single rooms and the same number in shared accommodation. Each patient received a seven point questionnaire that had been validated in another centre. Results Forty four men and 36 women, median 64 years, who had been in hospital for a median of 4.5 days (range 1 to 53 days) participated in the survey. Seventy per cent of patients

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Maki, Dennis G., Carla Alvarado, and Carol Hassemer. "Double-Bagging of Items from Isolation Rooms is Unnecesary as an Infection Control Measure: A Comparative Study of Surface Contamination with Single- and Double-Bagging." Infection Control 7, no. 11 (1986): 535–37. http://dx.doi.org/10.1017/s0195941700065279.

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AbstractIn many hospitals, waste materials and used linens from the rooms of patients in isolation or the clinical laboratories are routinely double-bagged to reduce contamination of the external surface of the bag that could be transmitted to hospital personnel subsequently handling them. No studies have prospectively examined the value, if any, of double-bagging. We randomly assigned waste and linens from the rooms of 42 patients in contact isolation to be transported in single bags or double bags. Shortly after a single (or double) bag had been set outside the patient's room, the surface wa

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Kim, Mee-Hai Marie, Cathy Mindorff, Mary Lou Patrick, Ronald Gold, and E. Lee Ford-Jones. "Isolation Usage in a Pediatric Hospital." Infection Control 8, no. 5 (1987): 195–99. http://dx.doi.org/10.1017/s0195941700065930.

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AbstractIn a prospective 12-month study at a university-affiliated pediatric hospital, isolation usage was quantitated by ward/service, season, isolation category and type of infection (community-acquired vs nosocomial). Such information may be helpful in designing hospitals, recognizing time utilization of the pediatric infection control nurse, and defining educational and isolation needs. Hospitals with multiple bed rooms and inadequate numbers of single rooms may be unable to meet current federal isolation guidelines.The mean number of isolation days was 153 per 1000 patient days or 15.3% o

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King, M.-F., C. J. Noakes, and P. A. Sleigh. "Modeling environmental contamination in hospital single- and four-bed rooms." Indoor Air 25, no. 6 (2015): 694–707. http://dx.doi.org/10.1111/ina.12186.

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Hamilton, D. Kirk. "The Evidence-Based Hospital—A Case for Single-Patient Rooms." JAMA Internal Medicine 179, no. 11 (2019): 1507. http://dx.doi.org/10.1001/jamainternmed.2019.2797.

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Ellison, Jennifer, Danielle Southern, Donna Holton, et al. "Hospital ward design and prevention of hospital-acquired infections: A prospective clinical trial." Canadian Journal of Infectious Diseases and Medical Microbiology 25, no. 5 (2014): 265–70. http://dx.doi.org/10.1155/2014/685402.

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BACKGROUND: Renovation of a general medical ward provided an opportunity to study health care facility design as a factor for preventing hospital-acquired infections.OBJECTIVE: To determine whether a hospital ward designed with predominantly single rooms was associated with lower event rates of hospital-acquired infection and colonization.METHODS: A prospective controlled trial with patient allocation incorporating randomness was designed with outcomes on multiple ‘historic design’ wards (mainly four-bed rooms with shared bathrooms) compared with outcomes on a newly renovated ‘new design’ ward

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van de Glind, Irene, Sandra van Dulmen, and Anne Goossensen. "Physician–patient communication in single-bedded versus four-bedded hospital rooms." Patient Education and Counseling 73, no. 2 (2008): 215–19. http://dx.doi.org/10.1016/j.pec.2008.07.004.

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Kalliomäki, Petri, Pekka Saarinen, Julian W. Tang, and Hannu Koskela. "Airflow Patterns through Single Hinged and Sliding Doors in Hospital Isolation Rooms." International Journal of Ventilation 14, no. 2 (2015): 111–26. http://dx.doi.org/10.1080/14733315.2015.11684074.

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Horve, Patrick F., Leslie G. Dietz, Suzanne L. Ishaq, Jeff Kline, Mark Fretz, and Kevin G. Van Den Wymelenberg. "Viable bacterial communities on hospital window components in patient rooms." PeerJ 8 (July 27, 2020): e9580. http://dx.doi.org/10.7717/peerj.9580.

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Previous studies demonstrate an exchange of bacteria between hospital room surfaces and patients, and a reduction in survival of microorganisms in dust inside buildings from sunlight exposure. While the transmission of microorganisms between humans and their local environment is a continuous exchange which generally does not raise cause for alarm, in a hospital setting with immunocompromised patients, these building-source microbial reservoirs may pose a risk. Window glass is often neglected during hospital disinfection protocols, and the microbial communities found there have not previously b

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Telford, Brittany, Ray Healy, Ellen Flynn, Emma Moore, Akshaya Ravi, and Una Geary. "Survey of isolation room equipment and resources in an academic hospital." International Journal of Health Care Quality Assurance 32, no. 6 (2019): 991–1003. http://dx.doi.org/10.1108/ijhcqa-10-2018-0254.

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Purpose The purpose of this paper, a point prevalence study, is to quantify the incidence of isolation and identify the type of communicable diseases in isolation. The paper evaluates isolation precaution communication, availability of personal protective equipment (PPE) as well as other equipment necessary for maintaining isolation precautions. Design/methodology/approach A standardised audit tool was developed in accordance with the National Standards for the Prevention and Control of Healthcare Associated Infections (May 2009). Data were collected from 14 March 2017 to 16 March 2017, throug

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Herr, Caroline Eva Wella, Thomas Hilarius Heckrodt, Frank Andreas Hofmann, Reinhard Schnettler, and Thomas Friedrich Eikmann. "Additional Costs for Preventing the Spread of Methicillin-Resistant Staphylococcus aureus and a Strategy for Reducing These Costs on a Surgical Ward." Infection Control & Hospital Epidemiology 24, no. 9 (2003): 673–78. http://dx.doi.org/10.1086/502274.

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AbstractObjective:To determine the added costs of hygienic measures (barrier precautions, isolation, and decontamination) required for MRSA carriers in German hospitals and possible strategies for cost reduction.Design:On a septic surgical ward caring for 35% of all MRSA cases in a university hospital (1,182 beds), additional costs for personnel time and materials were calculated and medical charts of all MRSA cases admitted to the ward during 1 year were analyzed retrospectively. Twelve of the ward's 13 beds were located in rooms with at least 2 beds.Patients:Four hundred ninety-eight MRSA ca

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Vine, Kate. "Hospital patients should be offered a choice of single rooms or open bays." Nursing Standard 20, no. 12 (2005): 38. http://dx.doi.org/10.7748/ns.20.12.38.s46.

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Roos, Anne Karine Østbye, Eli Anne Skaug, Vigdis Abrahamsen Grøndahl, and Ann Karin Helgesen. "Trading company for privacy: A study of patients’ experiences." Nursing Ethics 27, no. 4 (2019): 1089–102. http://dx.doi.org/10.1177/0969733019874497.

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Ethical considerations The study was conducted according to the principles of Declaration of Helsinki, and was approved by the Norwegian Social Science Data Services. Objective To describe patients’ experiences of staying in multiple- and single-bed rooms. Patients and methods This qualitative study employed a descriptive and exploratory approach, and systematic text condensation was used to analyze the material. Data were collected in a hospital trust in Norway. A total of 39 in-depth interviews were performed with patients discharged from the medical, surgical, and maternity departments. Res

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DiGiorgio, Anthony M., Praveen V. Mummaneni, Jonathan L. Fisher, et al. "Change in Policy Allowing Overlapping Surgery Decreases Length of Stay in an Academic, Safety-Net Hospital." Operative Neurosurgery 17, no. 6 (2019): 543–48. http://dx.doi.org/10.1093/ons/opz009.

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Abstract BACKGROUND The practice of surgeons running overlapping operating rooms has recently come under scrutiny. OBJECTIVE To examine the impact of hospital policy allowing overlapping rooms in the case of patients admitted to a tertiary care, safety-net hospital for urgent neurosurgical procedures. METHODS The neurosurgery service at the hospital being studied transitioned from routinely allowing 1 room per day (period 1) to overlapping rooms (period 2), with the second room being staffed by the same attending surgeon. Patients undergoing neurosurgical intervention in each period were retro

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Lavender, Steven A., Carolyn M. Sommerich, Elizabeth B. N. Sanders, et al. "Developing Evidence-Based Design Guidelines for Medical/Surgical Hospital Patient Rooms That Meet the Needs of Staff, Patients, and Visitors." HERD: Health Environments Research & Design Journal 13, no. 1 (2019): 145–78. http://dx.doi.org/10.1177/1937586719856009.

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Objectives: This research investigated medical/surgical (Med/Surg) patient room design to accommodate the needs of hospital staff, while at the same time accommodating the needs of patients and their visitors. Background: Designing hospital patient rooms that provide a comfortable healing experience for patients, while at the same time meeting the needs of the hospital staff, is a challenging process. Prior research has shown that many hospital patient room designs adversely affect the ability of hospital staff to perform their tasks effectively, efficiently, and safely. Method: Twenty-seven d

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Schoor, nne S. van der, t. holt, tte A. Severin, et al. "100% Single-Patient Rooms and Environmental Contamination With Highly Resistant Microorganisms: The MOVE Study." Infection Control & Hospital Epidemiology 41, S1 (2020): s91—s92. http://dx.doi.org/10.1017/ice.2020.588.

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Background: Studies have shown that patients colonized with highly resistant microorganisms (HRMO) contaminate the hospital environment, and that transmission from contaminated environments to patients occurs. In May 2018, the Erasmus MC University Medical Center, Rotterdam, moved from a hospital with mostly multiple-occupancy rooms to a new hospital with 100% single-patient rooms with private bathrooms. This move provided the unique opportunity to determine environmental contamination before the new hospital was open for admissions and thereafter and to compare the environmental contamination

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King, M. F., C. J. Noakes, P. A. Sleigh, and M. A. Camargo-Valero. "Bioaerosol deposition in single and two-bed hospital rooms: A numerical and experimental study." Building and Environment 59 (January 2013): 436–47. http://dx.doi.org/10.1016/j.buildenv.2012.09.011.

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Boztepe, Handan, Sevil Çınar, and Ayşe Ay. "School-age children’s perception of the hospital experience." Journal of Child Health Care 21, no. 2 (2017): 162–70. http://dx.doi.org/10.1177/1367493517690454.

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In order to determine the perception of hospital experiences among school-age children’s (6–12 years), a descriptive and cross-sectional study was performed in 130 children hospitalized in a pediatric hospital with different diagnoses. Data were collected using a pediatric information form, questionnaire form, scale for attitudes towards hospital and healthcare personnel, and sources of anxiety generating thoughts scale (SAGTS). Children’s expectations of the nurses were to be well treated (62%), to perform painless procedures (20%), to play games together (12%), to be capable of their job (10

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Voigt, Jeffrey, Michael Mosier, and Rabih Darouiche. "Private Rooms in Low Acuity Settings: A Systematic Review of the Literature." HERD: Health Environments Research & Design Journal 11, no. 1 (2017): 57–74. http://dx.doi.org/10.1177/1937586717702597.

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Objectives: Determine if the peer-reviewed evidence supports single-patient ward bedrooms in low-acuity care settings within a hospital. Background: New evidence exists since the 2006 Facility Guideline Institute guideline recommended single-bedded rooms (SBRs) in low-acuity care settings. Additionally, prior studies evaluated high-acuity care settings (e.g., critical care) in their recommendations on SBRs. There is a need to reevaluate the evidence. Methods: A systematic review of the literature was completed including electronic and hand searches of references. A data extraction form was uti

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van Veenendaal, Nicole R., Sophie R. D. van der Schoor, Jacqueline Limpens, Anne A. M. W. van Kempen, and Johannes B. van Goudoever. "Effect of single family rooms for preterm infants on neurodevelopment: study protocol for a systematic review." BMJ Open 7, no. 8 (2017): e015818. http://dx.doi.org/10.1136/bmjopen-2017-015818.

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IntroductionPreterm infants are at an increased risk for neurodevelopmental delay. They have to endure many stressors in early life, including parent-infant separation, noise and painful procedures during hospitalisation in the highly technological environment of the modern neonatal ward. Currently, a shift is being noticed in the architectural design of neonatal wards towards single family rooms instead of the common open bay units. The influence of the hospital environment on health and specifically neurodevelopment in this vulnerable patient population remains under discussion.ObjectivesTo

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Patel, Rupal M., Larry K. Kociolek, Emily Merrick, et al. "Safety of Palivizumab Stewardship in Conjunction with Infection Prevention and Control Strategies for Healthcare-Associated Respiratory Syncytial Virus Infections." Infection Control & Hospital Epidemiology 39, no. 4 (2018): 485–87. http://dx.doi.org/10.1017/ice.2017.328.

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ABSTRACTTransitioning from administration of monthly palivizumab to a single dose at discharge was associated with substantial pharmacy cost savings. With the concurrent adoption of private hospital rooms and visitor restriction policies, hospital-wide and neonatal intensive care unit healthcare-associated respiratory syncytial virus infections decreased following these changes.Infect Control Hosp Epidemiol 2018;39:485–487

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Stumpfs, Diego Jung, Sonia Beatriz Cocaro de Souza, Loriane Rita Konkewicz, et al. "The Impact of a Single Ward for Cohorting Patients with Infection due to Multidrug-Resistant Organisms." Infection Control & Hospital Epidemiology 34, no. 8 (2013): 864–65. http://dx.doi.org/10.1086/671262.

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Multidrug-resistant organisms (MDROs) are emerging and disseminating around the globe. The guidelines for the management of MDROs support the use of various interventions to reduce the burden of MDROs. We conducted a study to assess the impact of the creation of a unit for cohorting of patients with infection due to MDROs.Hospital de Clínicas de Porto Alegre, a 795-bed university, public hospital, is located in the city of Porto Alegre in southern Brazil. In a quasi-experimental study, we assessed the impact of the creation of an MDRO unit for patient cohorting on the overall hospital incidenc

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King, Marco-Felipe, Miller Camargo-Valero, Adriana Matamoros-Veloza, P. Sleigh, and Catherine Noakes. "An Effective Surrogate Tracer Technique for S. aureus Bioaerosols in a Mechanically Ventilated Hospital Room Replica Using Dilute Aqueous Lithium Chloride." Atmosphere 8, no. 12 (2017): 238. http://dx.doi.org/10.3390/atmos8120238.

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Finding a non-pathogenic surrogate aerosol that represents the deposition of typical bioaerosols in healthcare settings is beneficial from the perspective of hospital facility testing, general infection control and outbreak analysis. This study considers aerosolization of dilute aqueous lithium chloride (LiCl) and sodium chloride (NaCl) solutions as surrogate tracers capable of representing Staphylococcus aureus bioaerosol deposition on surfaces in mechanically ventilated rooms. Tests were conducted in a biological test chamber set up as a replica hospital single patient room. Petri dishes on

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Quach, Caroline, Rita Shah, and Lorry G. Rubin. "Burden of Healthcare-Associated Viral Respiratory Infections in Children’s Hospitals." Journal of the Pediatric Infectious Diseases Society 7, no. 1 (2016): 18–24. http://dx.doi.org/10.1093/jpids/piw072.

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Abstract Objective Although healthcare-associated (HA) viral respiratory infections (VRIs) are common in pediatrics, no benchmark for comparison exists. We aimed to determine, compare, and assess determinants of unit-specific HA-VRI incidence rates in 2 children’s hospitals. Methods This study was a retrospective comparison of prospective cohorts. The Montreal Children’s Hospital and the Cohen Children’s Medical Center of New York perform prospective surveillance for HA-VRI using standardized definitions that require the presence of symptoms compatible with VRI and virus detection. Cases detec

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Fanfair, Robyn Neblett, Orville Heslop, Kizee Etienne, et al. "Trichosporon asahii among Intensive Care Unit Patients at a Medical Center in Jamaica." Infection Control & Hospital Epidemiology 34, no. 6 (2013): 638–41. http://dx.doi.org/10.1086/670633.

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We investigated an increase in Trichosporon asahii isolates among inpatients. We identified 63 cases; 4 involved disseminated disease. Trichosporon species was recovered from equipment cleaning rooms, washbasins, and fomites, which suggests transmission through washbasins. Patient washbasins should be single-patient use only; adherence to appropriate hospital disinfection guidelines was recommended.

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Jung, Jongtak, Pyoeng Gyun Choe, Chang Kyung Kang, et al. "813. The Reduction of the acquisition rate of carbapenem resistant Acinetobacter baumannii after room privatization in the intensive care unit." Open Forum Infectious Diseases 7, Supplement_1 (2020): S448—S449. http://dx.doi.org/10.1093/ofid/ofaa439.1002.

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Abstract Background Acinetobacter baumannii is one of the major pathogens of hospital-acquired infection recently and hospital outbreaks have been reported worldwide. On September 2017, New intensive care unit(ICU) with only single rooms, remodeling from old ICU with multibed bay rooms, was opened in an acute-care tertiary hospital in Seoul, Korea. We investigated the effect of room privatization in the ICU on the acquisition of carbapenem-resistant Acinetobacter baumannii(CRAB). Methods We retrospectively reviewed medical records of patients who admitted to the medical ICU in a tertiary care

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Bosch, Sheila, Tamara Bledsoe, and Ali Jenzarli. "Staff Perceptions before and after Adding Single-Family Rooms in the NICU." HERD: Health Environments Research & Design Journal 5, no. 4 (2012): 64–75. http://dx.doi.org/10.1177/193758671200500406.

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Objective: The purpose of this study is to evaluate staff perceptions of environmental quality before and after the renovation of an existing open-bay neonatal intensive care unit (NICU) and the addition of 23 single-family NICU rooms in the Wasie Neonatal ICU at Joe DiMaggio Children's Hospital. Background: In recent years there has been an increase in the design and construction of single-family rooms (SFRs) because they provide more privacy for families, offer better control over environmental stimuli such as lighting and noise, and possibly reduce infections. On the other hand, this model

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Barker, Anna K., Elizabeth Scaria, Oguzhan Alagoz, Ajay K. Sethi, and Nasia Safdar. "Reducing C. difficile in children: An agent-based modeling approach to evaluate intervention effectiveness." Infection Control & Hospital Epidemiology 41, no. 5 (2020): 522–30. http://dx.doi.org/10.1017/ice.2020.14.

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AbstractObjective:Clostridioides difficile infection (CDI) is rapidly increasing in children’s hospitals nationwide. Thus, we aimed to compare the effectiveness of 9 infection prevention interventions and 6 multiple-intervention bundles at reducing hospital-onset CDI and asymptomatic C. difficile colonization.Design:Agent-based simulation model of C. difficile transmission.Setting:Computer-simulated, 80-bed freestanding, tertiary-care pediatric hospital, including 8 identical wards with 10 single-bed patient rooms each.Participants:The model includes 5 distinct agent types: patients, visitors,

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Menon, Lucas José Bazzo, Cinara Silva Feliciano, Mateus Rennó de Campos, and Valdes Roberto Bollela. "Decision making to discharge patients from airborne infection isolation rooms: The role of a single GeneXpert MTB/RIF strategy in Brazil." Infection Control & Hospital Epidemiology 41, no. 7 (2020): 784–88. http://dx.doi.org/10.1017/ice.2020.96.

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AbstractObjective:Tuberculosis (TB) transmission in healthcare facilities is still a concern in low-income countries, where airborne isolation rooms are scarce due to high costs. We evaluated the use of single GeneXpert MTB/RIF, the molecular Mycobacterium tuberculosis (MTB) DNA and resistance to rifampicin (RIF) test, as an accurate and faster alternative to the current criteria of 3 negative acid-fast bacilli (AFB) smears to remove patients from airborne isolation.Methods:In this real-world investigation, we evaluated the impact of a single GeneXpert MTB/RIF on the decision making for discha

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Shimose, Luis A., Eriko Masuda, Maroun Sfeir, et al. "Carbapenem-Resistant Acinetobacter baumannii: Concomitant Contamination of Air and Environmental Surfaces." Infection Control & Hospital Epidemiology 37, no. 7 (2016): 777–81. http://dx.doi.org/10.1017/ice.2016.69.

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OBJECTIVETo concomitantly determine the differential degrees of air and environmental contamination by Acinetobacter baumannii based on anatomic source of colonization and type of ICU layout (single-occupancy vs open layout).DESIGNLongitudinal prospective surveillance study of air and environmental surfaces in patient rooms.SETTINGA 1,500-bed public teaching hospital in Miami, Florida.PATIENTSConsecutive A. baumannii–colonized patients admitted to our ICUs between October 2013 and February 2014.METHODSAir and environmental surfaces of the rooms of A. baumannii–colonized patients were sampled d

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Heddema, E. R., and B. H. B. van Benthem. "Decline in incidence of Clostridium difficile infection after relocation to a new hospital building with single rooms." Journal of Hospital Infection 79, no. 1 (2011): 93–94. http://dx.doi.org/10.1016/j.jhin.2011.03.028.

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Baker, Kelley M., Michelle F. Magee, and Kelly M. Smith. "Understanding Nursing Workflow for Inpatient Education Delivery: Time and Motion Study." JMIR Nursing 2, no. 1 (2019): e15658. http://dx.doi.org/10.2196/15658.

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Background Diabetes self-management education and support improves diabetes-related outcomes, but many persons living with diabetes do not receive this. Adults with diabetes have high hospitalization rates, so hospital stays may present an opportunity for diabetes education. Nurses, supported by patient care technicians, are typically responsible for delivering patient education but often do not have time. Using technology to support education delivery in the hospital is one potentially important solution. Objective The aim of this study was to evaluate nurse and patient care technician workfl

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Vaisman, Alon, Michael Jula, Jessica Wagner, and Lisa G. Winston. "Association Between Hospital-Onset Clostridium difficile infection and Admission to a Multi-Bed Room: A Case–control Study." Open Forum Infectious Diseases 4, suppl_1 (2017): S400. http://dx.doi.org/10.1093/ofid/ofx163.1000.

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Abstract Background Few studies have directly examined the link between assignment to a multi-bed vs. single-bed room and the risk for hospital onset C. difficileinfection (HO-CDI). Therefore, in this case–control study, we investigated whether assignment to a single-bed room reduced the risk of HO-CDI in adult inpatients on medical/surgical floors. Methods Consecutive cases of HO-CDI, defined as adult patients admitted to San Francisco General Hospital with a new positive C. difficile stool test &gt;72 hours after admission, were identified for the period between January 1, 2010 to Decemb

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Holmdahl, Torsten, and Peter Lanbeck. "Design for the Post-Antibiotic Era: Experiences from a New Building for Infectious Diseases in Malmö, Sweden." HERD: Health Environments Research & Design Journal 6, no. 4 (2013): 27–52. http://dx.doi.org/10.1177/193758671300600403.

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OBJECTIVE: To describe the experience of planning and designing a new facility for infectious diseases in Sweden and to discuss underlying theories relating to infection prevention and evidence-based design. BACKGROUND: Departments of Infectious Diseases are common in healthcare facililties in Sweden. In 2005, a decision was made to build a new facility. The program required spacious single rooms, with a high ventilation standard, and anterooms. METHODS: In this article we present an analysis of the future of infectious diseases. Underlying theories are discussed. We also describe how a progra

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McKinsey, David S., Carolyn Gasser, Joel P. McKinsey, et al. "2458. A comprehensive approach to ending an outbreak of rare OXA-72 producing carbapenem-resistant Acinetobacter baumannii at a Community Hospital, Kansas City, MO, 2018." Open Forum Infectious Diseases 6, Supplement_2 (2019): S850—S851. http://dx.doi.org/10.1093/ofid/ofz360.2136.

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Abstract Background In 2018, an outbreak of carbapenem-resistant Acinetobacter baumannii (CRAB) containing a rare β-lactamase (OXA-72) was detected at Research Medical Center, a 511 bed community hospital in Kansas City, MO. We describe a coordinated effort among hospital infection control personnel and public health to control the outbreak. Methods We defined a case as isolation of OXA-72-producing CRAB from any clinical culture collected from a hospitalized patient during 2018. We assessed infection control practices, including adherence to transmission-based precautions and hand hygiene, en

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Anderson, John D., Mavis Bonner, David W. Scheifele, and B. Christof Schneider. "Lack of Nosocomial Spread of Varicella in a Pediatric Hospital with Negative Pressure Ventilated Patient Rooms." Infection Control 6, no. 3 (1985): 120–21. http://dx.doi.org/10.1017/s0195941700062792.

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AbstractAll patients at the new British Columbia's Children's Hospital with chickenpox or Herpes zoster are nursed with appropriate precautions in single-bed rooms provided with negative pressure ventilation. Over a period of 1 year, no nosocomial infections were detected on follow-up of 110 susceptible patients who had been on wards at the same time as six cases of chickenpox and one immunocompromised patient with cutaneous dissemination of Varicella zoster. In a preceding study at the previous hospital, with similar staff, control measures, and patient population, in an isolation facility wi

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Brown, Kevin Antoine, Laura K. MacDougall, Kim Valenta, et al. "Increased environmental sample area and recovery ofClostridium difficilespores from hospital surfaces by quantitative PCR and enrichment culture." Infection Control & Hospital Epidemiology 39, no. 8 (2018): 917–23. http://dx.doi.org/10.1017/ice.2018.103.

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AbstractObjectiveClostridium difficilespores play an important role in transmission and can survive in the environment for several months. Optimal methods for measuring environmentalC. difficileare unknown. We sought to determine whether increased sample surface area improved detection ofC. difficilefrom environmental samples.SettingSamples were collected from 12 patient rooms in a tertiary-care hospital in Toronto, Canada.MethodsSamples represented small surface-area and large surface-area floor and bedrail pairs from single-bed rooms of patients with low (without prior antibiotics), medium (

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Kalliomäki, Petri, Pekka Saarinen, Julian W. Tang, and Hannu Koskela. "Airflow patterns through single hinged and sliding doors in hospital isolation rooms – Effect of ventilation, flow differential and passage." Building and Environment 107 (October 2016): 154–68. http://dx.doi.org/10.1016/j.buildenv.2016.07.009.

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Barlow, Fiona, and Paul Wolfson. "Safety and security: a survey of female psychiatric in-patients." Psychiatric Bulletin 21, no. 5 (1997): 270–72. http://dx.doi.org/10.1192/pb.21.5.270.

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Fifty-three female in-patients of a psychiatric hospital were interviewed to obtain their views on their own safety and security, and what improvements they would recommend. Most had experienced sexual harassment and a few had been victims of sexual assault. There was a reluctance to report incidents to staff. The majority felt that female-only wards would improve safety. Other recommendations included higher staffing levels, more staff awareness and vigilance, and single rooms with curtains on the doors.

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Stevens, Dennis C., Carol C. Helseth, Paul A. Thompson, James V. Pottala, M. Akram Khan, and David P. Munson. "A Comprehensive Comparison of Open-Bay and Single-Family-Room Neonatal Intensive Care Units at Sanford Children's Hospital." HERD: Health Environments Research & Design Journal 5, no. 4 (2012): 23–39. http://dx.doi.org/10.1177/193758671200500403.

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Objective: This paper summarizes the results of a comprehensive comparison of open-bay (OPBY) and single-family-room (SFR) neonatal intensive care unit (NICU) designs. Background: The NICU expanded from 7000 ft2 in two large rooms to 27,000 ft2 with 45 individual family spaces. Results: Sound measurements indicated a significant reduction in the unoccupied SFR to less than half of the levels in the OPBY NICU. However, respiratory support equipment generated levels well above those of the ambient environment. Illumination was significantly reduced in the SFR. Ambient illumination in nursing wor

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Karki, Surendra, Karin Leder, and Allen C. Cheng. "Patients under Contact Precautions Have an Increased Risk of Injuries and Medication Errors A Retrospective Cohort Study." Infection Control & Hospital Epidemiology 34, no. 10 (2013): 1118–20. http://dx.doi.org/10.1086/673153.

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Contact precautions (CPs) may lead to adverse psychological effects, delays in access to services, and compromises in the quality of care and patient safety. These need to be balanced with the benefits in preventing transmission of resistant microorganisms. In this study, we aimed to quantify the effect of CPs on reported patient safety incidents.The Alfred hospital is a tertiary referral hospital in Melbourne, Australia. Previous studies have shown that colonization with vancomycin-resistant enterococcus (VRE) is endemic in our hospital. Patients found to be colonized with VRE are placed in C

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Sjölander, Annica, Eva Jakobsson Ung, Töres Theorell, Åsa Nilsson, and Kjell-Arne Ung. "Hospital Design with Nature Films Reduces Stress-Related Variables in Patients Undergoing Colonoscopy." HERD: Health Environments Research & Design Journal 12, no. 4 (2019): 186–96. http://dx.doi.org/10.1177/1937586719837754.

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Purpose: To examine whether patients’ experiences could be improved during colonoscopy by designing the examination room to include a digital screen showing calm nature films. Background: Colonoscopy is the gold standard for examination of the large intestine and the rectum. Around 50% of individuals invited for colorectal cancer screening choose to refrain from the screening due to fear and anxiety. It is therefore important to improve patients’ comfort during the procedure. Method: One of the four endoscopy rooms was rebuilt to include a large digital screen showing calm nature films. Patien

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Vaisman, Alon, Michael Jula, Jessica Wagner, and Lisa G. Winston. "Examining the association between hospital-onset Clostridium difficile infection and multiple-bed room exposure: a case-control study." Infection Control & Hospital Epidemiology 39, no. 9 (2018): 1068–73. http://dx.doi.org/10.1017/ice.2018.163.

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AbstractObjectiveTo determine whether assignment to a multiple-bed room increased the risk of hospital-onset C. difficile diarrhea (HO-CDI).DesignCase-control study.SettingSan Francisco General Hospital and Trauma Center.PopulationAdult general medical and surgical inpatients.MethodsConsecutive cases of HO-CDI were identified between January 1, 2010, and December 31, 2015. To investigate the effect of multiple-bed room exposure both at admission and at the time of symptom onset, 2 sets of controls were selected from the general medical/surgical inpatient population using incidence density samp

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Jati Nugroho, Bagus, Bintang Soetjahjo, Udi Heru Nefihancoro, et al. "Orthopedic Department of Education Center and Service Provide During Coronavirus Disease-2019 Pandemic: An Experience from Single-Center Hospital." Open Access Macedonian Journal of Medical Sciences 9, B (2021): 250–54. http://dx.doi.org/10.3889/oamjms.2021.6027.

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BACKGROUND: In the global pandemic of the 2019 coronavirus disease (COVID-19), many countries have reported a decrease in visits to hospitals, and health-care systems around the world are reshaping health protocols. Health service and education in orthopedics are also affected although not at the frontline in dealing COVID-19. METHODS: The data from this study collected from several official databases, including the Indonesian Ministry of Health, Central Java provincial government, general hospital, and orthopedic surgery cases. RESULTS: Pandemic COVID-19 started in March 2020 in Indonesia. Su

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D’Antonio, Domenico, Beatrice Violante, Aldo Mazzoni, et al. "A Nosocomial Cluster of Candida inconspicua Infections in Patients with Hematological Malignancies." Journal of Clinical Microbiology 36, no. 3 (1998): 792–95. http://dx.doi.org/10.1128/jcm.36.3.792-795.1998.

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Candida inconspicua was recovered from three patients with hematological malignancies. Two patients had intravenous-catheter-associated fungemia, whereas the third had fungal hepatitis. The three cases of infection occurred over a period of 1 month in patients staying in adjacent single rooms. In vitro susceptibility testing of fungal strains showed all isolates to be resistant to fluconazole, with MICs greater than 32 μg/ml. All of the strains had identical DNA restriction profiles and randomly amplified polymorphic DNA fingerprints. These data suggest a nosocomially acquired infection emanat

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Evans, Stephanie, Emily Agnew, Emilia Vynnycky, et al. "The impact of testing and infection prevention and control strategies on within-hospital transmission dynamics of COVID-19 in English hospitals." Philosophical Transactions of the Royal Society B: Biological Sciences 376, no. 1829 (2021): 20200268. http://dx.doi.org/10.1098/rstb.2020.0268.

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Nosocomial transmission of SARS-CoV-2 is a key concern, and evaluating the effect of testing and infection prevention and control strategies is essential for guiding policy in this area. Using a within-hospital SEIR transition model of SARS-CoV-2 in a typical English hospital, we estimate that between 9 March 2020 and 17 July 2020 approximately 20% of infections in inpatients, and 73% of infections in healthcare workers (HCWs) were due to nosocomial transmission. Model results suggest that placing suspected COVID-19 patients in single rooms or bays has the potential to reduce hospital-acquired

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Bevan, Vicki, Chris Edwards, Ken Woodhouse, and Inderpal Singh. "Dignified care for older people: Mixed methods evaluation of the impact of the hospital environment - single rooms or multi-bedded wards." Healthy Aging Research 5 (2016): 1–8. http://dx.doi.org/10.1097/01.hxr.0000508390.33501.be.

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Bevan, Vicki, Chris Edwards, Ken Woodhouse, and Inderpal Singh. "Dignified care for older people: Mixed methods evaluation of the impact of the hospital environment - single rooms or multi-bedded wards." Healthy Aging Research 5, no. 13 (2016): 1–8. http://dx.doi.org/10.1097/01.hxr.0000511879.99010.5d.

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