This book provides an excellent opportunity to review developments in the health care technology, many facets of which are just as applicable to professionals in the wider field of building services as to those working in health care facilities. This book reflects the adaptation of strategies in health care to economic and demographic change in both developed and developing countries.

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nexusstc/Changing Scene of Health Care and Technology: Proceedings of the 11th International Congress of Hospital Engineering, June 1990, London, UK/ce427c83c315494ff92211fb118403c2.pdf

zlib/Engineering/R. G. Kensett/Changing Scene of Health Care and Technology: Proceedings of the 11th International Congress of Hospital Engineering, June 1990, London, UK_905155.pdf

The changing scene of health care and technology = Evolution des soins et technologie : 11th Congress of the International Federation of Hospital Engineering = 11e Congr?s du Federation Internationale d'Ingenierie Hospitaliere : at the Queen Elizabeth II Conference Centre, London, 4?8 June 1990

The changing scene of health care and technology = Evolution des soins et technologie : 11th Congress of the International Federation of Hospital Engineering = 11e Congres du Federation Internationale d'Ingenierie Hospitaliere : at the Queen El

The changing scene of health care and technology at the Queen Elisabeth 2. conference centre, London, 4-8 june 1990 : 11th Congress of the International federation of hospital engineering

Congress of the International Federation of Hospital Engineering

R G Kensett; International federation of hospital engineering

editor in chief R. G. Kensett

Ashgate Publishing Limited

Taylor & Francis Group

Taylor & Francis Ltd

Gower Publishing Ltd

E. & F.N. Spon

Spon Press

Taylor & Francis (Unlimited), London, 1990

United Kingdom and Ireland, United Kingdom

First edition, London, 1990

London, England, 1990

December 31, 1990

2005

до 2011-01

lg480466

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"11th Congress of the International Federation of Hospital Engineering".
Includes bibliographical references.

Book Cover......Page 1
Title......Page 2
Copyright......Page 3
The First Twenty Years......Page 4
CONTENTS......Page 6
Foreword......Page 10
Energy Strategy in English Hospitals......Page 11
Outstanding Potential......Page 14
4. The Green Bill......Page 15
1. Hospital Strategic Needs......Page 16
4. Energy Conservation......Page 17
Steam Raising Solar Array......Page 18
Future Potential......Page 21
2. Energy Related Hospital Services—Forms of Energy Used......Page 23
3. Specific Energy Consumptions: Statistical Data......Page 25
5. Efficient Use of Energy: Trends and Emerging Technologies......Page 26
5.2 Cold Production......Page 27
5.4 Energy Management Systems......Page 29
Bibliography......Page 30
Novem......Page 31
Developing the Software......Page 32
Targets for Energy Management......Page 33
Analysing Tools......Page 34
Energy Registration......Page 35
Acknowledgement......Page 36
Coal Types......Page 37
Wide Belt Unloaders......Page 38
Combustion Equipment and Boilers......Page 39
Flue Gas Cleaning......Page 40
Acknowledgement......Page 41
Background......Page 42
Alternative Energy Sources......Page 43
An Alternative Site Energy Strategy......Page 44
Conclusion......Page 45
The Incentives......Page 46
Gas......Page 47
Options Considered......Page 48
Steam Injection......Page 49
Capital Costs......Page 50
Development......Page 51
2. Factors Affecting the Selection of Systems......Page 53
System Types......Page 54
Electrical Aspects of Cogeneration Plant......Page 58
Economics......Page 59
The Future......Page 62
Conclusions......Page 64
Background......Page 65
Programming and Contract Organisation......Page 66
The Combined Heat and Power Unit......Page 67
Queen Elizabeth Hospital......Page 68
1. Introduction......Page 70
3.1 Tasks of a Hospital in Developing Countries......Page 71
Pharmacy......Page 72
Water, Sanitation......Page 73
Maintenance Workshop......Page 74
Literature......Page 75
1. Introduction......Page 77
3. Strategy and Approach......Page 78
4.2 National Training Centres (NTC)......Page 79
7. Future Action......Page 80
8. References......Page 81
Introduction......Page 83
Training of Personnel in Hospital Maintenance......Page 84
Sourcing of Skilled Manpower......Page 85
Area 3......Page 86
Summary......Page 87
1984 and All That......Page 88
Residential Training Courses......Page 89
Training for Overseas Healthcare Personnel......Page 91
Finance and Information Systems Development......Page 92
So—What of the Future?......Page 93
Background to the Groote Schuur Hospital Redevelopment Project......Page 94
Departmental Briefs......Page 95
The Biomatrix and Telsonics......Page 96
The Process (Teleonic) Field......Page 97
References......Page 101
The Concept......Page 103
Programming......Page 104
Constraints......Page 105
Energy Conservation......Page 106
Conclusion......Page 107
Introduction to the Health Care Problem in South Africa......Page 110
Framework for a Solution......Page 111
Meadowlands West Planning......Page 112
Primary Health Care Planning Guide......Page 113
Primary Health Design Guide......Page 115
References......Page 117
The Plan......Page 119
The Burn......Page 120
The Concepts......Page 121
The Outsiders......Page 122
The Tribulations......Page 123
The Message......Page 124
Reference......Page 125
The Benefits of a Well Designed Environment for Healing......Page 126
A Concept of Quality......Page 127
A Sense of the Personal......Page 128
Reference Material:......Page 129
Estate Management......Page 130
Value......Page 132
Quality Environment......Page 133
Acceptable Cost......Page 134
1. What Size Should the In-House Team Be?......Page 135
3. How Do We Handle the Demand for Services (Trade) That We Don’t Employ?......Page 136
5. Selling Our Services......Page 137
7. Professional Services......Page 138
9. Economic Factors......Page 139
References......Page 140
Introduction......Page 141
Total Equipment Management......Page 142
Factors Inhibiting Third Party Maintenance......Page 143
Lack of Co-operation from Manufacturers......Page 144
Conclusion......Page 145
The Effect Upon Hospital Services......Page 146
Ward Facilities and Duty Stations......Page 147
Operating Theatres......Page 148
Conclusion......Page 149
WIMS 1......Page 153
WIMS 2 APPLICATIONS......Page 154
I. Property and Land Applications......Page 155
II. Asset Operational Application......Page 156
III. Financial Control Application......Page 157
V. Capital Asset Application......Page 158
Conclusion......Page 159
Realised Costs per Year Maintaining Buildings Up to Date......Page 161
Safety......Page 162
Building Management System......Page 163
Bacteria Management System......Page 164
Technical Management......Page 165
Security......Page 166
Communication......Page 167
Financial Result......Page 168
Sick Building Syndrome......Page 169
Finally......Page 170
The Origin of Very Old Hospitals......Page 171
Characteristics of Old Hospitals......Page 172
What Fate for Old Hospitals?......Page 173
What Has Been Happening?......Page 174
To Save old Hospitals......Page 175
Firecode......Page 176
Health Service Estate Journal......Page 177
Age and Condition of the Existing Building Stock......Page 178
Role of Management in Fire Precautions......Page 179
The Relationship of HTM 82 with the BS Code and Why the HTM is Needed......Page 180
A Brief Review of Some Points of Significance Within the Revised HTM......Page 181
Choice of System Type......Page 182
Manual Call Points......Page 183
Conclusion......Page 184
1. Introduction......Page 186
2. Literature Review......Page 187
3.1 General......Page 188
4.4 New or Existing Building Factor......Page 189
4.8 Results......Page 190
6. Summary......Page 191
Constructing A Hospital Around A Hospital......Page 192
2. Health Care Ruilding Programmes in Rome......Page 197
4. Modifications and Integrations to the System......Page 198
2. The Updating of Communication System— Today’s Trends......Page 199
4.1 How it Operates......Page 200
5. The Room Terminals......Page 201
Type of Calls......Page 202
10. Conclusions......Page 203
1. Introduction......Page 204
2. Development of Voice Communication Systems......Page 205
4. System Wiring......Page 206
5. Time-Division Multiplexing......Page 207
7. System Integrity......Page 210
9. Future Developments......Page 212
10. Conclusion......Page 213
Telephone Technics in the St Josefs-Hospital......Page 214
Installation at the Bedside......Page 215
Phone......Page 216
Telefax......Page 217
Financial Concept......Page 218
Telephone within the Apartments......Page 219
Future Aspects......Page 220
The Use of Communication Systems in Planning Hospitals—The Example of Bologna......Page 222
System Improvements......Page 224
High Speed Multiplexing......Page 225
Full Communication Integration......Page 226
Flexible Nursing......Page 227
Summary......Page 228
1.2 Memorial’s Centres of Excellence......Page 229
2.1 What is AIMS?......Page 230
2.5 Work Order Control Software......Page 231
2.8 Monthly Accountability Analysis Report......Page 232
3.1 Architectural Drawing......Page 233
3.3 Scope of Projects Schedule......Page 235
Project Construction Cost Report......Page 236
5. Summary......Page 239
Category A......Page 240
1. Gravitational Forces......Page 241
1. Drop Pumps......Page 242
1. Description......Page 243
2. Modifications Required......Page 244
Air New Zealand......Page 245
Acknowledgement......Page 246
References......Page 247
Logistics: The Key to Good Management and Design......Page 248
2. Hull Royal Infirmary......Page 250
Ward Leonard System......Page 251
Statically Controlled DC Drives......Page 252
3. Hospital No 2 -Huddersfield Royal Infirmary......Page 253
4. Variable Voltage Variable Frequency Drives (VWF Drives)......Page 254
Reduction in Required Supply Capacity......Page 256
5. Conclusions......Page 257
1.1.2 Energy Costs......Page 258
2.1 General Description......Page 259
2.1.3 The Timetable for Transport......Page 260
2.1.4 Staff Requirements and Emergency Cover......Page 261
2.2.5 The Wards......Page 262
4.2 Conclusions......Page 263
1. Are the Current Standards Enough to Ensure the Safety Application of the Electromedical Equipment?......Page 265
2.5 Safety......Page 266
2.10 Instruction and Training......Page 267
3.2 Auditor......Page 268
5. Conclusions......Page 269
Annex......Page 270
Introduction......Page 272
USL 31: Experience and Management......Page 273
Safety......Page 274
Conclusion......Page 276
Crime Prevention......Page 278
Security......Page 280
Access Control......Page 281
Psychiatric Hospitals......Page 282
System Management......Page 283
Piped Medical Gas Services......Page 285
History......Page 289
The Future: A Discussion......Page 290
References......Page 291
Legionnaires’ Disease —Aspects of Prevention......Page 295
References......Page 296
(Combination of Circumstances to IncreaseRisks of Legionnaires Disease)......Page 297
(The Increasing Risk for Multiplication of Legionella)......Page 299
(Diagram—Hot Water System)......Page 300
The Summary of Experiences......Page 301
Air Flow Control Systems for Hospitals and Hospital Laboratories for the 1990’s......Page 302
Processes......Page 309
Effective Disinfection and Sterilisation......Page 310
Reliability and Safety......Page 311
References......Page 312
Gas Sterilisation in the Medical Field......Page 314
Introduction—Ethylene Oxide......Page 316
Refrigerants and The Environment......Page 317
Alternative Refrigerants......Page 318
Alternatives and Sterilisation Mixtures......Page 320
References......Page 321
2. Background......Page 323
3. The Control of Pollution Act 1974......Page 324
Table 1 Part II......Page 325
5. Sections 3 to 11 of COPA and the 1988 CADOW Regulations......Page 326
6. Clinical Waste......Page 327
Group C......Page 328
7. Hazardous and Special Wastes......Page 329
8. Crown Immunity......Page 330
10. Future Legislation......Page 331
11. Conclusion......Page 332
Test Procedures......Page 333
Comparison with Other Results......Page 334
References......Page 336
Equity Joint Venture......Page 339
Outright Purchase of Plant with Facility Management Contract......Page 340
Summary......Page 341
The Control of Pollution......Page 342
The Consent System......Page 343
Public Health Act......Page 344
Selection of Emission Control Plant......Page 345
Electrostatic Precipitators......Page 346
Bag Filters......Page 348
Gas Washing......Page 349
Selection of Plant......Page 350
Clinical Waste Disposal in the NHS......Page 353

2011-06-04