This ethnographic study draws on the experiences of members interdisciplinary care teams working with end-of-life patients to identify strategies improve quality life through practices. We surveyed 133 staff and volunteers (physicians, physician assistants, nurse practitioners, registered nurses, social workers, chaplains, administrators, volunteers) who provide in both home institutional settings for 4 organizations 2 counties Upstate New York. Survey responses were analyzed using...

Our objectives were to synthesize the early evidence regarding effect of city-wide vacant-lot remediation programs on firearm violence and determine what proportion costs are recovered from reducing violence. Building our scoping review, we conducted a meta-analysis before-and-after studies with control groups. We then assumed three hypothetical cities small, medium, large populations performed probabilistic benefit-to-cost analysis over 30 years. Eight met eligibility criteria....

Previous research reported that healthcare professionals rate the physical work environment more negatively than other characteristics of environment. This study investigated salient dimensions employees’ perceptions facilities and differences across demographic groups. A total 496 from eight acute care hospitals participated in this cross-sectional study. Employees’ 27 different architectural features patient areas, spaces, staff areas were measured. Common factors extracted through...

Objective: This study aims to identify the behavioral and environmental strategies that healthcare workers view as helpful for managing sleepiness, improving alertness, therefore optimizing workplace safety. Background: Reduced alertness is a common issue in work environments associated with impaired cognitive performance decision-making ability well increased errors injuries. Method: We surveyed 136 professionals at primary care clinic, an acute hospital, mental health clinic....

The objective of this paper is to develop a conceptual framework that explains the implications and corresponding strategies changes for state transportation agencies (STAs) ensure long-term satisfactory performance in area construction. researchers used their collective knowledge identify key drivers change using systems dynamic methodology context range plausible futures scenario planning methodology. were then meet future needs STAs. findings suggest commonly all scenarios,...

The expected increase in healthcare needs resulting from the Affordable Care Act and growing population of older citizens United States is challenging owners operators hospitals to improve quality care reduce operational costs. Meanwhile, studies have indicated a serious shortage workforce highlighted critical role employees' job-related attitudes feelings. main objective this study was test whether evaluations important environments within were significantly associated with their feelings,...

This study describes a vision and framework that can facilitate the implementation of evidence-based design (EBD), scientific knowledge base into process design, construction, operation healthcare facilities clarify related safety quality outcomes for stakeholders. The proposed pairs EBD with value-driven decision making aims to improve communication among stakeholders by providing common analytical language.Recent research indicates contribute an organization's operational success improving...

Purpose of the Paper: The purpose this study is to provide healthcare organizations with a new perspective for developing strategies enrich their human resource capabilities and improve performance outcomes. focus on leveraging synergy between organizational management environmental design interventions.This paper proposes framework linking built environment system organizations. focuses impact regarding job attitudes behaviors workers. Research from disciplines strategic management,...

State transportation agencies have implemented enterprise resource planning (ERP) for real-time access to financial and human information across divisions districts. In 2013, the Texas Department of Transportation (TxDOT) started transition 22 mainframe legacy applications an enterprise-wide computing environment, comprised four areas business: payroll, resources, supply chain, finance. The fragmented nature organization, limited budget, short time frame created various challenges. Using...

Cost control of health care services is a strategic concern for organizations. To lower costs, some organizations reduce staffing levels. However, this may not be worth the trade-off, as quality will likely reduced, morale among providers tends to suffer, and patient satisfaction decline.The potential synergy between human resource management facility design operation was investigated achieve goal providing cost containment strategies without sacrificing commitment employees.About 700...

Abstract Our goal was to develop non-pharmacologic strategies for addressing sensory challenges that patients with autism spectrum disorder (ASD) face in emergency departments (EDs). Search of five databases articles written English and published since 1980 returned 816 citations, which 28 papers were selected review. All studies the last nine years, 92.85% ( n = 26) conducted North America. We developed 26 consolidated strategies, encompassing major domains, including guiding principles,...

This paper demonstrates how a combination of qualitative and quantitative approaches following the scenario planning methodology can be used to identify driving forces (drivers) that might influence future transportation system over 30-year period. A case study highway industry in United States is presented. causal loop diagram cross-impact matrix were combined understand interactions among drivers identified through literature review, then hierarchical cluster analysis was performed...

Successful delivery of transportation projects requires extensive level effort spent by departments skilled employees. Although these human resources are very valuable assets for projects, most state agencies face numerous challenges in recruitment and retention motivated diverse Earlier studies concluded that recent college graduates less attracted to be hired as the salary range would competitive compared same positions private companies. Therefore, aim this study is investigate assess...

Although the sustainability movement in healthcare sector was initiated response to ecological concerns, green hospitals are expected outperform traditional on a variety of levels. The impacts environmental quality patients and caregivers demonstrated numerous studies. However, there is still lack evidence benefits with respect different dimensions patients' experiences. In this study, data from public Hospital Consumer Assessment Health Plans Survey used compare performance average...

Cardiovascular disease remains the leading cause of mortality in human immunodeficiency virus-infected (HIV-positive) patients. Ventricular assist device therapy is rarely offered to these patients and data on outcomes are sparse. We investigated following ventricular implants for HIV-positive as compared non-HIV-infected (HIV-negative) patients.We analyzed 22,065 from Interagency Registry Mechanically Assisted Circulatory Support registry by HIV status. A propensity-matched analysis...

This paper discusses two aspects of the use information and communication technologies (ICTs) in healthcare: first, prevalence using tables laptop computers by physicians during clinical visits second, growing trend such for delivering healthcare remotely. Open-ended structured questionnaires were used to elicit relevant information, which was analyzed qualitative content analysis logistic regression models. Results suggest that, as computer literacy is increasing within general population...

Growth in healthcare needs challenges providers to reduce operational costs and is expected increase construction renovation of facilities. Meanwhile, concerns regarding the environmental impacts hospitals have made sector one most prominent settings for green building movement. Despite these concerns, number studies that document benefits sustainable facilities limited. In this study, authors used national cost report data from Centers Medicare Medicaid Services developed a benchmarking...

A case study was undertaken on one floor of a multi-floor office building in Seattle, WA. Its aim to offer straight-forward example for facilities managers, administrators, and researchers alike wishing perform systematic, naturalistic, mixed-methods research spaces that have recently been retrofitted. Changes were made the floor's layout, size employees' workspaces. New sound-making technology modern lighting framework added. Objective measurements lighting, acoustics, indoor air quality...