Medical Construction & Design

JUL-AUG 2018

Medical Construction & Design (MCD) is the industry's leading source for news and information and reaches all disciplines involved in the healthcare construction and design process.

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MCDM AG.COM | J U LY/AUGUST 2018 | Medical Construction & Design 31 A ccu- M ount S u pp ort Sy stem s are p re-engineered & p re-manufactured surgical boom & light mounting solutions. Recognized f or su p erior q ualit y and ease o f installation, our p roven and cost-e ff ective con fi gurations attach to an y building structure t yp e. Choose the p referred Accu-Mount solution & incor p orate the basis of our design into y our best p ractices toda y ! www.healthcaretec.com 877.878.3534 PRE-ENGINEERED. PRE-SOLVED. Accu-Mount Series 200 Accu-Mount Series 100 Accu-Mount Series 300 Procedure Lighting, Microsco p es, Cameras, In j ectors an d N avigation E q ui p ment. Desi g ned for Anesthesia Booms, E q ui p men t M anagement S y stems and Tandem Confi g urations . Desi g ned f or Sin g le or Multi p le Head Surgical Lights an d Monitor E q ui p ment. The Basis of Support Design Surgical Boom & Light Mounting Solutions space and cleaning-staff accessibility to disinfect surfaces thoroughly. That requires paying particular attention to the type and amount of horizontal work surface that's needed; e.g., clearances around the bedside to optimize headwall and room cleaning, what type of privacy curtain should be used and what fl oor material might be microbe resistant. Designers should identify all key accessibility challenges that may hinder the environmental service staff 's disinfection eff ectiveness. 'No touch' disinfection methods Studies evaluating interventions to improve ES cleaning report that even post-inter- vention, roughly 5-30 percent of surfaces remain potentially contaminated, even if only temporarily. To achieve high, consis- tent, sustained rates of surface disinfection, designers and architects can encourage healthcare facilities to consider new "no touch" methods of room disinfection such as UV-light-emitting devices or hydrogen peroxide systems. Multidrug-resistant or- ganisms and C. diffi cile are better prevent- ed by employing interventions including UV light and hydrogen disinfection when combined with improved environment services. Both no touch methods have the capa- bility to consistently neutralize hospital room surfaces and are residual-free, but may only be used for terminal disinfection. While their benefi ts are clear, including the promise to reverse the complex cycle of multidrug-resistant organisms and HAI transmission, they do add new procedures for ES staff and require time to become effi cacious. Architects and designers, along with patient safety professionals, play important roles in HAI reduction. While horizontal implementation of HAI prevention strate- gies may call for increased upfront costs and staffi ng, they can quickly pay for them- selves by reducing the instances of insurers decreasing or even denying reimbursement for healthcare delivery associated with what insurers deem to be preventable hos- pital errors and HAIs. Alexa Copeland, EDAC, is a project coordinator at E4H Environments for Health Architecture, where she specializes in healthcare infection control. She can be reached at acopeland@e4harchitecture.com.

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