#ifhecongress2018 · #ifhecongress2018 . technical services and patient safety. 1. keep technical...
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#IFHEcongress2018
#IFHEcongress2018
Eddy De CosterPresident
ZORG.tech
ZORG.tech more than 400 technical responsibles in
the Dutch speaking part (6 mio people) of Belgium (10 mio people),
which is part of Western Europe
Member of IFHE since 1976, and IFHE Europe
#IFHEcongress2018
Care
1.920 beds
57.438 hospitalizations
108.476 day-care admissions
56.563 surgery interventions
702.712 consultations
57.650 emergencies
Education
Biomedical sciences 9.940 students
Staff
Patient care 9.178 (7.770 fte)
Research & Education 2.089 (1.501 fte)
Key figures
University Hospitals Leuven (UZ Leuven) as an autonomous organisation forhealthcare within KU Leuven
#IFHEcongress2018
Challenges
Increasing need for health care: ageing, technology, …
Scarcity of resources: staff, funding, …
UZ Leuven and technical services
Health care strategy of UZ Leuven
Efficiency
Quality
Innovation
Integration of KU Leuven and UZ Leuven
#IFHEcongress2018
History of UZ Leuven
• 1426 Medical education
• 1928 Foundation of St. Rafael hospital
• 1967 Masterplan integration hospitals
• 1975 Phase I Gasthuisberg
• 1985 Phase II UZ Leuven
• 1993 Phase III
• 2004 Masterplan UZ Leuven
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Spatial ordening area planning → needs
• INFRASTRUCTURAL– Evacuation & move of the city-campus
18.000 m² still in use as clinical space (>600 employees)– Ageing of the infrastructure Gasthuisberg
25.000 m² > 30 years old, 98.972 m² > 20 years old
• SUBSTANTIVE-STRATEGIC– Implementation of the (care)strategic plan:
Gasthuisberg acute campus / Pellenberg rehabilitation campus– Downsizing number of beds – shifts in care profile:
More intensive care / increase of ambulatory care– Incorporated strategy group Biomedical KUL - UZ Leuven– Health-Science Campus: magnet site open for third parties: Red Cross, KHL
college (nurseryschool), VIB (Flemish research institute for biotechnolgy), …
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Trends / evolutions
Vlaams Ziekenhuisnetwerk K.U.Leuven
Damiaan
Oostende
Groeninge
Kortrijk
Groeninge
Kortrijk
Sint-Lucas
Brugge
Sint-Jozef
Turnhout
Sint-Jozef
Turnhout
Imelda
Bonheiden
Salvator
Hasselt
Virga Jesse
Hasselt
Virga Jesse
Hasselt
ZOL
Genk
UZ
Leuven
UZ
Leuven
Mariaziekenhuis
Noord-Limburg
Sint-Trudo
Sint-Truiden
AZ ZvB
Ronse
Sint-Franciskus
Heusden Zolder
Sint-Blasius
Dendermonde
Sint-Elisabeth
Turnhout
OLV Aalst
AZ Sint-Maarten
Duffel
Integration KUL-UZ / partners
Shift in case-mix
Networking
More ambulantory care
#IFHEcongress2018
ir Eddy De CosterHead of the technical department
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awg architecten Antwerp www.awg.be
Research
Education
General hospital
Poly clinic
Urban functions
Masterplan“Health-science” campus: Heart metaphor
#IFHEcongress2018
. Segmentation
- care
- research
- education
- support area
. increased density
. urban patterns. conserve open space
. “green” patio’s
. clear circulations
. streets/squares/…
. clear tracks(separation in-wardpatients/public circulation/logistics)
Masterplan
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Existing hospital 2003
New building hospital
Existing Univ 2003
New building Univ
Projects Health Sciences Campus Gasthuisberg double surface
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Rega Institute
Project O&N 4
K.U.Leuven O&N 2
KHLK.U.Leuven & KHL
University Education & Research
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Fase IVa:Critical
Care ServicesFase VI: Mental Health
Fase Ivb: Mother & Child
Child MentalHealth
Fase VII Oncology
O&N4: BiotechBuilding
Entrance Hall
Fase IISurgical Theatres
Adult Hospital Wards
General Hospital: Patient care
#IFHEcongress2018
Building intelligent cities
Campus Gasthuisberg
• Parking
• Mobility
• Logistics
• Catering
• Energy
• Health-mall
• Care-Hotel
• Catering
• …
#IFHEcongress2018
West
Mobility
East
Parkings- Actual parkings: 5.400
- Under construction: 1.100
Total future parkings: 6.500
Beltway around campus
Future parkings
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Masterplan Energy
ElectricityHeat(natural gas) Water
(kWh) (kWh) (m³)
consumption 64.300.000 82.000.000 330.000
# residences 15.000 3.600 3.300
#IFHEcongress2018
JCI accreditation since 2010
Last survey JCI 2016
Patient safety
#IFHEcongress2018
#IFHEcongress2018
Technical Services andpatient safety
1. Keep technical areas tidy, always close the door.
2. Prevent risk of falling, keep corridors free of ceiling panels, loose cables, etc.
3. Keep the working environment organized and clean, avoid spreading of dust and debris in the hospital.
4. Restrict access to the construction site for unauthorized people, take care of the signalization.
5. Request a ceiling permission when the ceiling will be opened for more than one day.
#IFHEcongress2018
6. Request a fire permission when grinding, welding, flame cutting, burning off of paint, etc (except in workshops).
7. What to do in case of fire ?
8. Be recognizable, wear your badge and uniform, register yourself at the services.
9. Keep dangerous tools and products away from children and other vulnerable patients. Keep your work cart locked.
10. In doubt, ask for advice of your supervisor.
Technical Services andpatient safety
#IFHEcongress2018
Electricity Heating
ICT & network !
Water
Medical gasses
Hospital signaling –
nurse calling
HVAC Elevators
PTS
Fire detection and control
Technical risks in hospital exploitation
#IFHEcongress2018 1-11-2018
Electrical and data center
-> timing and implementation
- Start sept 2009
- In use end 2010new
energy plantConnection distribution net
Masterplan Energy
#IFHEcongress2018 electricity plant
#IFHEcongress2018
MG
MG
MG
MG
MG
GEN 5GEN 3GEN 1 GEN 2
Roostervloer
2,98
250 kVA
RoostervloerRoostervloerRoostervloerRoostervloer
250 kVA
250 kVA
250 kVA
GEN 4
Lift
Tra
pp
en
hu
is
Kopstation B
Kopstation A
Gang
Gang
Ga
ng
Gang
Electricity plant
TWO in ONE
NORMAL EMERGENCY
#IFHEcongress2018 1-11-2018
Masterplan Energy
electricity plant
datacenter
#IFHEcongress2018
Electricity plant and
Datacenter
Faraday cage
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• Electricity:
•Double net on 10.000 V:
• NORMAL=normaal – nood=EMERGENCY
• Peak use NORMAL > 12 MW
• EMERGENCY: 4 diesel-alternator-groups of 2 MW- max. use of emergency net is lower than the use of 3 emergency-groupssafety N+1 - yearly control bij asking the energy supplier to turn off the hospital for 5 min at 7 am on a working day.
Technical risks in hospital exploitation
#IFHEcongress2018
Electricity Grid: high & low tension
Technical risks in hospital exploitation
#IFHEcongress2018
Electricity Heating
ICT & network !
Water
Medical gasses
Hospital signaling –
nurse calling
HVAC Elevators
PTS
Fire detection and control
Technical risks in hospital exploitation
#IFHEcongress2018
UZ Leuven Network (UZ Net)Data en voice
Local outlets: RJ45
Local cabling: UTP Cat5E
41 Satelite Equipment Rooms
(SER)-GHB=30
- Patchpanels & Switches,
- Local Equipment
Vertical cabling (Backbone)
- Fiber Optic
- Redundant links with 2 MERs
Main Equipment Rooms (MER)
- Central Backbone nodes
- Central Office Equipment
- Central Server Equipment
- Active redundancy
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Dispatch security32
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Security IP Based Technology• Alarm Server (Mobicall)
– 5 units– Personal protection system (aggression) – Emergency call (assistant, doctor): call 2580
• Fire detection (VSK Systems)– 17 fire units– 6.500 fire detection points (optical, thermal)
• Access Control
• Technical alarm system (Sauter/Siemens) – HVAC
• Camera for monitoring system
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HeatingCentralized boiler-room with 4 boilers
(with a total of 40MJ heating capacity)Mixed-burners oil and gas
Medical gasses: compressed air, oxygen - crucial for life support of some patients- medical gasses regulated by pharmaceutical laws in Belgium andEurope- most important rules :
- assure supplying the right gas - deliver from 3 separate sources under pharmaceutical
conditions
Technical risks in hospital exploitation
#IFHEcongress2018
Water
- very extended net of water supply by the government
- our challenge is to deliver water in good condition towards the patient:
- very important for haemodialysis, sterilization: treatment in the hospital by reverse osmosis
- drinking water: the law is very strictIn our hospital only patients with reduced immunity get water in bottles, all the rest is coming from external supply.
Technical risks in hospital exploitation
#IFHEcongress2018
Water
- Sufficient water supply at all times:
• reservoir controlled by the external supplier for several days.• supply to our hospital comes in by three separated ways.
- Quality:All the new water pipes for both cold and hot water are insulated so the temperature is correct and can be measured and alarmed. We do water tests every month at 100 points chosen by our experts as the most critical points.
Technical risks in hospital exploitation
#IFHEcongress2018
Air quality
Special applications, in operating theatres, cleanrooms for pharmaceutical use…
- clean air coming from hygienic groups and use of absolute filtering guarantees the quality of the air
- particle counting every year on air samples
Technical risks in hospital exploitation
#IFHEcongress2018
Emergency situations: emergency procedures
INCIDENT External causeInternal cause
Pre-incidentplanning: Preventive measures, . . .
FireExplosionCollapse
Victimsincident
Disturbancesupply
Contamination Important
Lack of personal
Distortionsinternalorder
NatureExtremeclimate
Distortions
energyVital processes
RISKS
disaster: emergency planper nursing unit - department - hospital
Reception plan Relocation planEvacuation plan Isolation plan
Incident Management System UZ Leuven
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Emergency procedures
training
testing
adjust
Do
CheckAct
Plan
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Measures:
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Examples
Healthcare construction
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Admission of contractors:
Healthcare construction
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Healthcare construction
Examples
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Healthcare construction
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Healthcare construction
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Near-incidents
2128
2015 2016
Registration of near-incidents
Analyzing near incidents
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Last Minute Risk Analyse
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Last Minute Risk Analyse
#IFHEcongress2018
Eddy De Coster, ir. head of department, Technical facilities UZ Leuven
Chairman organization of technics in care Belgium: Zorg.tech Belgium
Thank you for your attention