The integration between a good design and patient security, safer working environment, good economy. Is it possible?

1. The integration between a
good design and
- Patient security
- Safer working environment
- Good economy
Is it possible?
1 Head of Guldmann Consulting
Allan Vinther

2. Which design is better?
Room without ceiling hoist or a
practical solution with ceiling hoist
| Time
to care
|
2

3. |Time to care|
are|
But why ceiling hoist in hospitals?
Time to care
care|
Time to care|
3

4. |Time to care|
are|
• Patient Security
• Safer working environment
• Good economy
4

5. |Time to care|
are|
• Patient Security
• Safer working environment
• Good economy
5

6. Potential Complications of Immobility
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;
| Time
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
to care
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
6 January 3, 2012.

7. Lifting system – not just a lifting system
Early Mobilization
| Time
to care
|

8. By fall situation
| Time
to care
|
8

9. Shear Force | Time to care |
9

10. Balance training – horizontal situation
Horizontal lifting support – 350 kg.
| Time
to care
Training of balance and
|
coordination / kinesthetic Horizontal lifter, foldable – 250 kg.

11. |Time to care|
are|
• Patient Security
• Safer working environment
• Good economy
11

12. Neck 55%/49%
Shoulder 54%/47%
Upper back 24%/21%
Motor joint
Elbow 16%/8%
injure among
Low back 67%/45%
female
caregivers Hand27%/19%
Hip 30%/8%
Motor joint Knee 31%/24%
injure among
| Time
female workers
in general
to care
Foot 13%/13%
|
Chronical lowerback pain at nurseass.
Research report by Lone Donbæk Jensen m.f.
12

13. Manual lifting
of the patients
| Time
to care
|
13

14. The consequenses of
manuel technics
Max 3400 Newton
| Time
to care
|
14

15. The number of ceiling mounted hoist systems and the number of
injuries related to moving and handling situations
Horsens Hospital, Denmark
50 47
45
40 34
35 32
30 28
25 22
20
15 11 12
10 4 On the job
5 accidents
0
1996 1997 1998 1999 2000 2001 2002 2003
| Time
to care
14 13 13
12 10
10
8
|
6 5 5
4 3
2
15 0
1997 1998 1999 2000 2001 2002

16. Bariatric
How will you handle a
immobile bariatric patient?
| Time
to care
|
16
Hospital Unit Horsens, Denmark

17. |Time to care|
are|
• Patient Security
• Safer working
Environment
• Good economy
17

18. 1
From 3
| Time to care |
18

19. 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 the
Canadian Working Environment Authority
showed the following:
| Time
- A reduction of 58% in the number of transfer accidents
to care
- 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 only
3.9 years
19

20. | Time to care |
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
| Time
“Between 2004 and 2005, the installation
to care
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
20 than 1.200 Guldmann ceiling lift systems
Guldmann solutions = positive economical outcomes

21. |Time to care|
are|
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
21

22. Which design is better?
Room without ceiling hoist or a
practical solution with ceiling hoist
| Time
to care
|
22

23. Model Handi Hejs
Year
1981 – 1987
Lifting capacity
125 kg.
| Time
Model GH3
Year
to care
2009 –
Lifting capacity
200 - 350 kg.
|
23

24. Radiology - Hospital of the University of Penn,
USA
| Time
to care
|
24

25. Radiology -
Hospital of
the University
of Penn, USA
| Time
to care
|
25

26. | Time
to care
|
26 Nottingham City Hospital, Critical Care Unit

27. | Time
to care
|
Nottingham City Hospital
27

28. | Time
Nottingham City Hospital
to care
|
28

29. Acute Infection Clinic, Malmø, Sweden
| Time
to care
|
29

30. | Time
to care
|
30
Acute Infection Clinic, Malmø, Sweden

31. | Time
to care
|
31
Acute Infection Clinic, Malmø, Sweden

32. | Time
to care
|
32
Acute Infection Clinic, Malmø, Sweden

33. | Time
to care
|
Region Hospital Randers, Denmark
33

34. | Time
to care
|
34
Region Hospital Randers, Denmark

35. | Time to care |
35

36. | Time to care |
36

37. Conclusion:
YES
It is possible to integrate a
good design and
- Patient security
- Safer working environment
- Good economy
| Time
Also your responsibility……..
to care
|
Take up the challenge!
37