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The Impact of Healthcare Environmental Design on Patient Falls

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The Impact of Healthcare Environmental Design on Patient Falls

  • Author: Gowri Betrabet Gulwadi and Margaret P. Calkins
  • Format: PDF
  • Publication Date: Jul 1, 2008

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Quick Overview

A critical review of the research literature and development of recommendations for the design of environments for older persons in independent living, assisted living, skilled nursing facilities, and other healthcare settings.



Published and Funded by: The Center for Health Design and The Coalition for Health Environments Research (CHER)
File Size: 4.4MB

Abstract:

Falls in healthcare settings are a frequent occurrence, costing approximately $3.6 billion annually and having significant negative outcomes for fallers. The physical environment is an often-overlooked factor that can serve either to increase risk or mitigate risk. A literature review was conducted to explore environmental correlates of falls in healthcare settings. Information was categorized according to four environmental factors that emerged as common across healthcare populations and settings: (a) spatial organization, (b) interior characteristics, (c) sensory attributes, and (d) use of environment. While the quality of some of the information is well-grounded, much of it requires interpolation or further study because specific characteristics of the physical environment are either poorly articulated or missing altogether.