Practice Green Health

While at the ACE Summit in New Orleans, one of the most interesting presentations came from Beth Eckl of the Practice Greenhealth organization.

Practice Greenhealth creates opportunities for discussion not only on sustainability issues, but now that sustainability actually is good business practice.  They facilitate these discussions on an ongoing basis.

This was very attractive to Midbrook because our reason for existence is to encourage the proper cleaning of surgical instruments to allow for effective sterilization.  Effective sterilization promotes the practice of reusable devices rather than single use devices.  Anything we can continue to re-use safely and effectively, not only stays out of the land fills but also decreases the costs of providing quality care.

The key is to make sure the items are cleaned effectively or they cannnot be sterilized.  If they are not sterilized then they can spread infection from patient to patient during the procedure.

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Filed under Healthcare Acquired Infections, Midbrook Medical Activities, Surgical Instrument Cleaning

Fight hospital acquired infections with more than just clean hands

Washing your hands?  Really?

Whenever an article is published on fighting germs and the spread of infection in a healthcare setting, inevitably, the theme of the piece centers around proper hand hygiene.   Can we all just assume that as a given?

Let’s put a little more thought into our battle with the killer superbugs like MRSA and C diff.  This issue needs a little more creative innovation to test and implement some solutions.

Education and dissemination of what is available on the market now is paramount to spreading the gospel of solid infection prevention practices.  The use of anti-microbial copper alloys in place of stainless steel as the material of choice whenever possible is one means of doing more than what is common now.

Identifying residual bacteria after cleaning has been performed on everything from IV poles to surgical instruments will measure what has been accomplished and encourage health care workers to continue to be diligent in their efforts.

Using UV light stations as means of destroying bacteria and spores on everything from stethoscopes, to I-Pads, to charts as they are moved from patient room to patient room.

All of these items are available today.  All of them are effective, along with washing your hands.

Now the effort must be made to lobby for implementation of these new arrows for our wickets so all of so our colleagues can have the same chance at success in the battle with superbugs like MRSA.

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Filed under Anti microbial copper alloys, Healthcare Acquired Infections, Surgical Instrument Cleaning, Ultraviolet light to fight bacteria

ACE Summit – Conference of Health Care Executives, New Orleans

Cold, rainy weather dampened the night life in the Big Easy, at least for us old guys, but excellent dialogue among leaders in some of the nation’s most prestigious and largest health care systems shone light on how the most progressive systems plan on surviving in the new reality of the Affordable Care Act.

A new reality because the consensus is the act will not be repealed, however, there is hope that revisions will make it livable to a greater degree.

Good news for equipment vendors is that due to the uncertainty surrounding the future of the Affordable Care Act, there was a suspension in new purchases over the past few years. Now, that the landscape is somewhat clearer, there is, in the words of one Health System leader, “a significant appetite over the next 10 years” for replacement equipment.

The difference today over yesterday however is that replacement of equipment decisions will be made based on the new equipment’s ability to provide quality care and improve the overall patient experience.

With required reporting and non reimbursement for re-admissions, the focus is now two-fold: make sure no harm is done during the initial procedure (i.e. assure no hospital acquired infection is transmitted) and make decisons based on input from clinical engineering in order to develop an equipment replacement strategy with an eye toward making the overall community healthier.

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Midbrook Medical @ 59th AORN Congress in New Orleans 2012

Midbrook Medical presents at the 59th AORN Congress in New Orleans – Monday, March 26, 2012 – Wednesday, March 28, 2012 at booth #5829.

Product Managers were onsite to discuss the following featured products:

  1. Tempest Washer and viewing of animation
  2. Anti-microbial Copper Alloy utility table and IV pole
  3. Patient Communication Boards
  4. Patient Fall Prevention Kits
  5. Midbrook MediCount ATP testing
  6. Mayo stand
  7. Case cart with anti-microbial copper handle

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APIC-Greater Detroit Spring Program 2012

Once again it was great to attend the Spring APIC Program.  It was well organized and received by its membership.  Renowned speakers such as Gina Pugliese RN, MS, Vice President, Safety Institute, Premier Healthcare Alliance presented a startling presentation demonstrating just how far backwards some of our practices have gone in a misguided attempt for cost containment.  Examples of reusing syringes, attempting to pull more doses from single use vials and the resulting spread of such pathogens as Hepatitis-C, HIV, and a spike in Hepatitis B being reported and under investigation across the country.

Another remarkable speaker from Spain was Inam Soria, PhD.  She was an enthusiastic expert in the field of Research.  She made “Evidence Based Infection Prevention” entirely engaging!  She focused on outcomes and helped us to understand and describe at least 4 types of clinical study designs; critically evaluate clinical data and extract relevant information to a particular practice.

It was a day of connecting with old friends and new; education and a time to share our current experiences together in the effort to improve quality of care and reduce infections.

Notes from Sam Hickson, Midbrook Medical Healthcare Network Director:

“The APIC – Greater Detroit Spring Conference offered a myriad of products and information designed to address the needs and desires of the attendees to enhance their own positions within the healthcare spectrum by providing knowledge and tools to help reduce the scourge of healthcare acquired infections (HAIs), which are so prevalent in healthcare settings these days. Vendors presented their products with scores of devices and methodologies designed to attack infections and issues of disinfection quandaries in their individual niches.

Presentations at the conference ranged from methods of evaluating research to providing wellness tips for the busy professional.  Of particular interest was a presentation provided by Mark Stibich, PhD revolving around “Automated Approaches to environmental Disinfection.” This particular subject is also a focus of Midbrook Medical. Automation of disinfection and sterilization processes is a must for the future of the healthcare industry as a whole. Reduction and elimination of HAI’s will ultimately only be achieved by the design and implementation of automated processes. Removal of the human factor (not oversight) will produce valid and reliable results in this essential sphere of healthcare. Reduction of human errors will necessarily play a large role in the future of infection control.”

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From Barbary to a Future Free of Hospital Acquired Infections

If you walk through the unmarked hallways in the historic Bulfinch Building within Massachusetts General Hospital you might stumble upon the Ether Dome. This room served as the operating room 1821 through 1867. In 1846 the first public demonstration of the use of inhaled ether as a surgical anesthetic was performed here.

It was a miraculous moment entering a new world without surgical pain. One can still feel the intensity within those walls of the amphitheater; conjuring up the images and sounds of patients prior to anesthesia – enduring amputations and other procedures while fully conscious.

During the Summer of Fear in 1945 Rockford, Illinois suffered the highest number of casualties amidst the great polio epidemic. In a four month period, 382 patients were treated in Winnebago County, 36 died, most of them children. Children were isolated and not allowed to swim or play. Schools were closed, Iron Lung machines were brought in and planes flew over Rockford, spraying the city with the insecticide DDT in an attempt to wipe out the polio “bug.” No one really knew how to prevent or cure polio, or what caused it.

It was later discovered that polio is caused by a contagious virus that spreads by direct contact with contaminated saliva or feces. The disease has essentially been eradicated in the United States since a childhood vaccine was introduced in 1955 by Dr. Jonas Salk and perfected in 1961 by Dr. Albert Sabin.

What are today’s medical breakthroughs? Who can be spared from the current threats to healthcare issues? Could it be the threat within our own hospitals, clinics, Long Term Care Facilities and Out Patient Surgical Centers in the form of Hospital Acquired Infections? It is time we implement available technology to address a devastation that is preventable. By developing and utilizing products that can reduce or eradicate the transmission of infectious organisms within the healthcare setting we are on the verge of such a breakthrough.  The technology is within our grasp. The remaining challenge is to change our processes and our cultural ideas of what is acceptable.

On March 14, 2012 Experts from the National Patient Safety Foundation addressed a group of Hospital Executives. The group was focused on the relationship between quality outcomes and operating an efficient facility.

During an address to the forum, John Nance, a founding member of the National Patient Safety Foundation, “encouraged hospital leaders to avoid what he considered the “most dangerous phrase in health care”“that’s the way we’ve always done this.”

Even though we can be ‘asleep’ when our surgeries are being performed with excellent professionals and protected airways…are we safe?

One day we will look back at the rate of Hospital Acquired Infections we experience today and wonder why we ‘sprayed the OR’ with chemicals that do not kill certain pathogens and the over use of antibiotics which have a direct correlation to the rise in Multi Drug Resistant Pathogens…only time will tell how our future will be written.  Anti-microbial Stewardship, new products to eliminate the threat of danger from HAI’s?  What new discoveries will we make?

Visit our website at midbrookmedical.com  Take a glimpse into products available “Today”… Please do your part to help bring these technologies into the norm and, in doing so, create a new chapter in the reality of safe medical care.

 

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National Patient Safety Week-Recap

This week has been designated “National Patient Safety Week”.  It is near and dear to my heart.  All week long there have been reports and posts from many organizations.  Some of my favorite advocates have written moving and mindful articles about this most important subject.   That being said, where exactly are we in the ‘State of Healthcare’ as it relates to patient safety?

To sum up my thoughts from this week I am posting a few links:

“Posts from Pronovost” drove the point home when he discussed courage.  He described the first time a famous singer, Susan Boyle, walked onto a stage in the UK.  He states that she was “wearing a frumpy dress, over weight and awkward”.  I had never seen the performance of this amazing woman.    I admittedly felt uncomfortable watching the video clip, especially as the people in the audience mocked her.  Finally she did what she knew she could do, she used her voice and Everything changed in a few seconds.  I found myself sitting in front of my computer with tears rolling down my face.  Her courage was remarkable and as many of you know she went on to become famous in her own right.

http://armstronginstitute.blogs.hopkinsmedicine.org/

We all have a voice.  Sometimes we are afraid to use it until something or someone inspires us to do so.

Ten years ago The Joint Commission began a campaign called, “Speak Up!”

http://www.jointcommission.org/speak_up_posters/

It has grown and become familiar in the hospital setting.  What amazed me then and now is that so many patients and families do not realize or understand it IS OK to ask questions.  Everyone benefits and outcomes can be improved with patients and families being part of the healthcare team.

It is OK to be a partner in your own healthcare and OK to ask hospital staff to wash their hands. It is also OK to ask a doctor what medicine is being prescribed for you, what side effects to watch for, and when to call for help.  The Joint Commission has a poster for children in their campaign (see link above) encouraging children to ASK questions.

Even as this information on advocacy and making hospitals safer has been in the forefront of the healthcare media, the CDC posted its ‘Vital Signs’ Report on the ever growing threat of Clostridium Difficile.

http://www.cdc.gov/vitalsigns/hai/

http://www.cdc.gov/HAI/organisms/cdiff/Cdiff_infect.html

For those of you who do not know what Clostridium Difficile is – it will be well worth your time to check out the link and educate yourself about the threat of this little infectious monster.  The report indicates the pathogen is not just in Acute Care Hospitals, but in Physician Offices, Long Term Care Facilities i.e. Nursing Homes and Out Patient Surgery Centers.  These are places we all visit at one time or another.  It puts us all at risk.

So what do we say?

WE continue to use our voices to gain traction, start the snowball and get the word out. We have products at Midbrook Medical that can save lives.  Explore the website; watch the video clip of the Tempest in action.  Be the Voice in your facility to ask for help… “Speak Up” because it is OK to Ask the hard questions!

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