The Effect of Environmental Design on Reducing Nursing Errors and Increasing Efficiency in Acute Care Settings
- 5 May 2009
- journal article
- research article
- Published by SAGE Publications in Environment and Behavior
- Vol. 41 (6), 755-786
- https://doi.org/10.1177/0013916508330392
Abstract
Physical environment is an important component in the acute care setting that can affect nursing and medication accuracies, as any inadequacy in physical environment would contribute to staff fatigue, stress, and burnout and result in errors. The article discusses a study conducted involving an extensive review and analysis of the literature on this topic and focus groups with various categories of staff members at three hospitals. The review demonstrates that the following environmental variables can contribute to errors in acute care settings: noise levels, ergonomics/furniture/equipment, lighting, and design/layout. Focus groups address the role of the physical environment on medication ordering, storage, delivery, dispensation, preparation, administration, and possible design responses to reduce errors. Integrating the major issues identified and the key findings from the focus groups, four design-related principles are recommended: balance between patient accessibility and reduction of disruptions, automation, minimize staff fatigue, and promoting a culture of safety.Keywords
This publication has 48 references indexed in Scilit:
- Daylight exposure and the other predictors of burnout among nurses in a University HospitalInternational Journal of Nursing Studies, 2005
- Acoustics and psychosocial environment in intensive coronary careOccupational and Environmental Medicine, 2005
- Specificity of computerized physician order entry has a significant effect on the efficiency of workflow for critically ill patientsCritical Care Medicine, 2005
- Morning sunlight reduces length of hospitalization in bipolar depressionJournal of Affective Disorders, 2001
- Effect of Computerized Physician Order Entry and a Team Intervention on Prevention of Serious Medication ErrorsJAMA, 1998
- Effect of an automated, nursing unit-based drug-dispensing device on medication errorsAmerican Journal of Health-System Pharmacy, 1995
- Noise Levels in an Urban Hospital and Workers' Subjective ResponsesArchives of environmental health, 1995
- Relationship between medication errors and adverse drug eventsJournal of General Internal Medicine, 1995
- GERIATRIC FALLS: Prevention Strategies for the StaffJournal of Gerontological Nursing, 1993
- Incidence of Adverse Events and Negligence in Hospitalized PatientsThe New England Journal of Medicine, 1991