Allan Vinther Architects for Health Designing for Impairment

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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• Good economy


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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• Good economy


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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• 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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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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Allan Vinther Architects for Health Designing for Impairment

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