allan vinther architects for health designing for impairment
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The integration between a good design and patient security, safer working environment, good economy. Is it possible?TRANSCRIPT
The integration between a
good design and
- Patient security
- Safer working environment
- Good economy
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Is it possible?
Head of Guldmann Consulting
Allan Vinther
Which design is better?
Room without ceiling hoist or a
practical solution with ceiling hoist
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But why ceiling hoist in hospitals?
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• Patient Security
• Safer working environment
• Good economy
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• Patient Security
• Safer working environment
• Good economy
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Potential Complications of Immobility
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Toggle references »Spellman NT.
Prevention of immobility
complications through early
rehabilitation. In: Rehabilitation of
the Injured Combatant. Vol 2. Fort
Detrick, MD: Defense Department,
Army, Office of the Surgeon General,
Borden Institute; 1999:741-777.
Jankowski IM, Nadzam DM.
Identifying gaps, barriers, and
solutions in implementing pressure
ulcer prevention programs. Jt Comm
J Qual Patient Saf. 2011;37(6):253-
264.
3. VanGilder C, Amlung S,
Lachenbruch C, Harrison P, Meyer S.
Results of the 2010 International
Pressure Ulcer Prevalence Survey.
In: Symposium on the Advances of
Skin and Wound Care; October
2010; Anaheim, CA. Abstract.
4. Centers for Medicare & Medicaid
Services (CMS), HHS. Medicare
program: changes to the hospital
inpatient prospective payment
systems and fiscal year 2009 rates;
payments for graduate medical
education in certain emergency
situations; changes to disclosure of
physician ownership in hospitals and
physician self-referral rules; updates
to the long-term care prospective
payment system; updates to certain
IPPS-excluded hospitals; and
collection of information regarding
financial relationships between
hospitals. Final rules. Fed Regist.
2008;73(161):48433-49084.
5. Hospital-acquired conditions.
Centers for Medicare & Medicaid
Services website.
http://www.cms.gov/HospitalAcqCo
nd/06_Hospital-
Acquired_Conditions.asp. Accessed
January 3, 2012.
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Lifting system – not just a lifting system
Early Mobilization
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By fall situation
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Shear Force
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Balance training – horizontal situation
Horizontal lifter, foldable – 250 kg.
Horizontal lifting support – 350 kg.
Training of balance and
coordination / kinesthetic
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• Patient Security
• Safer working environment
• Good economy
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Motor joint
injure among
female
caregivers
Motor joint
injure among
female workers
in general
Neck 55%/49%
Shoulder 54%/47%
Upper back 24%/21%
Elbow 16%/8%
Low back 67%/45%
Hand27%/19%
Hip 30%/8%
Knee 31%/24%
Foot 13%/13%
Chronical lowerback pain at nurseass.Research report by Lone Donbæk Jensen m.f.
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Manual lifting
of the patients
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The consequenses of
manuel technics
Max 3400 Newton
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The number of ceiling mounted hoist systems and the number of
injuries related to moving and handling situations
On the job
accidents
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10
13
35 5
02468
101214
1997 1998 1999 2000 2001 2002
411 12
2228
32 34
47
05
101520253035404550
1996 1997 1998 1999 2000 2001 2002 2003
Horsens Hospital, Denmark
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Bariatric
How will you handle a
immobile bariatric patient?
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Hospital Unit Horsens, Denmark
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• Patient Security
• Safer working
Environment
• Good economy
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From 3 1
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Overhead ceiling hoist project
in St. Joseph’s Hospital, British Columbia,
Canada
1998: installation of 65 overhead ceiling hoists in a regional hospital in British Columbia, Canada.
2001: the follow-up investigation by theCanadian Working Environment Authority showed the following:
- A reduction of 58% in the number of transfer accidents
- A reduction of the hospital’s costs related to transfer accidents from$ 196,000 per year to $92,000
- In this case the installation of ceiling hoists had been recovered in only3.9 years
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“Between 2004 and 2005, the installation
of more than 100 Guldmann ceiling lifts
at Christiana Care Health System helped
reduce injury costs by $1.2 million.”
Source: William A. Schmidt, , CEO, Christiana Care
Today Christiana Care Hospital have more
than 1.200 Guldmann ceiling lift systems
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Reductions in staff injuries please
caregivers as well as hospital officials
at Christiana Care, Newark DE
“It has reduced costs associated with
workers’ compensation and improved
both productivity and our nurses’ work
lives” (Source: Nursing Spectrum,
December 5, 2005
Guldmann solutions = positive economical outcomes
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Good economy
• Fewer injuries among the staff and the patients
• Better use of staff / More time effectively
• Optimize the rehabilitation process
= fewer days in hospital
• Less use of medication
• More Time to Care
Which design is better?
Room without ceiling hoist or a
practical solution with ceiling hoist
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Model Handi Hejs
Year
1981 – 1987
Lifting capacity
125 kg.
Model GH3
Year
2009 –
Lifting capacity
200 - 350 kg.
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Radiology - Hospital of the University of Penn,
USA
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Radiology -
Hospital of
the University
of Penn, USA
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26Nottingham City Hospital, Critical Care Unit
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Nottingham City Hospital
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Nottingham City Hospital
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Acute Infection Clinic, Malmø, Sweden
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Acute Infection Clinic, Malmø, Sweden
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Acute Infection Clinic, Malmø, Sweden
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Acute Infection Clinic, Malmø, Sweden
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Region Hospital Randers, Denmark
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Region Hospital Randers, Denmark
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Conclusion:
YES It is possible to integrate a
good design and
- Patient security
- Safer working environment
- Good economy
Also your responsibility……..
Take up the challenge!
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