{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T20:16:21Z","timestamp":1777666581227,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2018,3,28]],"date-time":"2018-03-28T00:00:00Z","timestamp":1522195200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["1R03HS025021-01"],"award-info":[{"award-number":["1R03HS025021-01"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HERD"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To develop a prioritized list of physical design questions\/interventions to reduce patient falls by conducting expanded analysis (Phase II) of data generated from a completed study phase.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Patient falls continue to be a critical concern for healthcare providers, patients, and families. While substantial literature exist on intrinsic factors, scientific evidence on the role of the physical environment is scarce.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>Expanded analysis of data from 180 videos of trials conducted in a physical mock-up of a medical\u2013surgical inpatient room in a previously completed study phase. The odds of subject\u2019s exhibited postures (predictors) on fall initiation (outcome) were examined in a series of generalized linear mixed effects models. Physical design elements and attributes associated with postures exhibiting statistical significance were examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Turning, pulling, pushing, and bending forward exhibited the highest odds of contributing to fall initiation in the bathroom. Grabbing, pushing, and sitting exhibited the highest odds of contributing to fall initiation around the patient bed. Physical design elements\/attributes associated with the above postures are the (1) bathroom door; (2) bathroom spatial configuration\u2014relative locations of door, toilet bowl, and the sink; (3) door, toilet, and sink hardware; (4) space availability\/tightness inside the clinician zone; and (5) spatial configuration around patient bed\u2014relative locations of bed, patient chair, and overbed table, in relation to bathroom door, and resulting obstructions originating from the configuration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Patient falls during unassisted ambulation may be reduced through appropriate examination of these five physical elements\/attributes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1937586718763798","type":"journal-article","created":{"date-parts":[[2018,3,28]],"date-time":"2018-03-28T21:14:43Z","timestamp":1522271683000},"page":"50-64","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Top Five Physical Design Factors Contributing to Fall Initiation"],"prefix":"10.1177","volume":"11","author":[{"given":"Debajyoti","family":"Pati","sequence":"first","affiliation":[{"name":"Department of Design, College of Human Sciences, Texas Tech University, Lubbock, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaehoon","family":"Lee","sequence":"additional","affiliation":[{"name":"The Institute for Measurement, Methodology, Analysis and Policy, Texas Tech University, Lubbock, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sahar","family":"Mihandoust","sequence":"additional","affiliation":[{"name":"Department of Design, College of Human Sciences, Texas Tech University, Lubbock, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahshad","family":"Kazem-Zadeh","sequence":"additional","affiliation":[{"name":"Department of Design, College of Human Sciences, Texas Tech University, Lubbock, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Youngha","family":"Oh","sequence":"additional","affiliation":[{"name":"The Institute for Measurement, Methodology, Analysis and Policy, Texas Tech University, Lubbock, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,3,28]]},"reference":[{"key":"bibr1-1937586718763798","volume-title":"Paper presented at IEEE Conference on Emerging Technologies & Factory Automation","author":"Bahon C. A.","year":"2009"},{"key":"bibr2-1937586718763798","unstructured":"Barton K. (2016). Package MuMIn: Multi-model inference. Retrieved from https:\/\/cran.r-project.org\/web\/packages\/MuMIn\/MuMIn.pdf"},{"key":"bibr3-1937586718763798","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v067.i01"},{"key":"bibr4-1937586718763798","volume-title":"Contribution of the designed environment to fall risk in hospitals","author":"Calkins M.","year":"2012"},{"key":"bibr5-1937586718763798","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.6.4.284"},{"key":"bibr100-1937586718763798","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2016.02.012"},{"key":"bibr6-1937586718763798","unstructured":"Gamer M., Lemon J., Fellows I., Singh P. (2015). Package irr: Various coefficients of interrater reliability and agreement. Retrieved from https:\/\/cran.r-project.org\/web\/packages\/irr\/irr.pdf"},{"key":"bibr7-1937586718763798","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsr.2011.10.003"},{"key":"bibr8-1937586718763798","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/aft058"},{"key":"bibr9-1937586718763798","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2004.30387.x"},{"key":"bibr10-1937586718763798","unstructured":"Joint Commission. (2015). Preventing falls and fall-related injuries in health care facilities. Sentinel Event Alert, 55, 1\u20135. Retrieved from http:\/\/www.jointcommission.org\/assets\/1\/18\/SEA_55.pdf"},{"key":"bibr11-1937586718763798","doi-asserted-by":"publisher","DOI":"10.1016\/j.medengphy.2010.11.003"},{"key":"bibr12-1937586718763798","unstructured":"Malone E. B., Dellinger B. A. (2011). Furniture design features and healthcare outcomes. Retrieved from https:\/\/www.healthdesign.org\/sites\/default\/files\/FurnitureOutcomes_2011.pdf"},{"key":"bibr13-1937586718763798","doi-asserted-by":"publisher","DOI":"10.1177\/193758671300600303"},{"key":"bibr101-1937586718763798","volume-title":"Identifying and examining micro physical environment factors contributing to patient falls","author":"Pati D.","year":"2015"},{"key":"bibr102-1937586718763798","doi-asserted-by":"publisher","DOI":"10.1097\/PTS.0000000000000339"},{"key":"bibr14-1937586718763798","volume":"8","author":"Singla D.","year":"2014","journal-title":"Journal of Clinical and Diagnostic Research"},{"key":"bibr15-1937586718763798","unstructured":"Shojania K. G., Duncan B. W., McDonald K. M., Wachter R. M., Markowitz A. J. (2001). Making health care safer: A critical analysis of patient safety practices (AHRQ Publication 01-E058, p. 281). 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