The Experts below are selected from a list of 41901 Experts worldwide ranked by ideXlab platform
Miquel Sabria - One of the best experts on this subject based on the ideXlab platform.
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role of hot water temperature and water system use on legionella control in a tertiary Hospital an 8 year longitudinal study
Water Research, 2019Co-Authors: Laura Gavalda, Marian Garcianunez, Sara Quero, Carmen Gutierrezmilla, Miquel SabriaAbstract:Abstract Although measures to minimize Legionella colonization in sanitary hot water installations are well established, there is little evidence of their long-term effectiveness in Hospital Buildings. During an 8-year period, hot water in a large Hospital Building was sampled monthly in areas with suitable dimensioning and recirculation and in areas with dead legs and low-use taps. In the former areas, the percentage of Legionella-negative samples was 83.2% when the temperature was ≥55%, 64.9% when between 50.1 °C and 54.0 °C, and 51.6% when ≤50 °C (p for trend
Daniel Castrolacouture - One of the best experts on this subject based on the ideXlab platform.
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optimal decision model for sustainable Hospital Building renovation a case study of a vacant school Building converting into a community public Hospital
International Journal of Environmental Research and Public Health, 2016Co-Authors: Yi-kai Juan, Yu-ching Cheng, Yeng Horng Perng, Daniel CastrolacoutureAbstract:Much attention has been paid to Hospitals environments since modern pandemics have emerged. The Building sector is considered to be the largest world energy consumer, so many global organizations are attempting to create a sustainable environment in Building construction by reducing energy consumption. Therefore, maintaining high standards of hygiene while reducing energy consumption has become a major task for Hospitals. This study develops a decision model based on genetic algorithms and A* graph search algorithms to evaluate existing Hospital environmental conditions and to recommend an optimal scheme of sustainable renovation strategies, considering trade-offs among minimal renovation cost, maximum quality improvement, and low environmental impact. Reusing vacant Buildings is a global and sustainable trend. In Taiwan, for example, more and more school space will be unoccupied due to a rapidly declining birth rate. Integrating medical care with local community elder-care efforts becomes important because of the aging population. This research introduces a model that converts a simulated vacant school Building into a community public Hospital renovation project in order to validate the solutions made by Hospital managers and suggested by the system. The result reveals that the system performs well and its solutions are more successful than the actions undertaken by decision-makers. This system can improve traditional Hospital Building condition assessment while making it more effective and efficient.
Renee Mcculloch - One of the best experts on this subject based on the ideXlab platform.
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G98 Exception reporting at great ormond street Hospital – Building on junior doctors experiences
Archives of Disease in Childhood, 2018Co-Authors: Glp Manning, J Hassell, E Parish, S Ottaway, Jacques Poisson, S. Sharma, Renee MccullochAbstract:Aims The new English/Welsh Junior Doctor (JD) contract introduces a powerful tool for positive change – the Exception Report (ER). Following a staged introduction, ER has been available to all JDs (including those not in training), throughout Great Ormond Street Hospital (GOSH) since June 2017. Initial rates of ER have been low, with concerns of JD disillusionment. This project aims to improve the number of submitted ERs with secondary analysis of ER outcome. Methods A process map identified primary drivers of reporting; Educational Supervisor (ES) engagement; and systemic change. Access to ER systems was improved by incorporating with the postgraduate medical education (PGME) smartphone app. ER was decoupled from ES by allocating departmental ER consultant leads. Ideas on local exception causes; barriers to reporting; and potential solutions were obtained from a JD focus group, which aided production of a guideline for ER leads to address ER root causes. After promoting ER at Hospital induction, further interventions were targeted by surveying all JDs on personal experience of exceptions; ER processes; and opinions on reporting. Progress was measured by graphing ER numbers, broken down by reporting department. Future change ideas included a PGME-led awareness campaign, including website, e-newsletter, (P), video and podcast facets; publicity of previous work on JD perspectives; creation of a framework, targeted at JDs, encouraging junior-lead solutions when reporting; supplementation of PGME ES resources; and targeted signposting towards currently-available courses and learning resources. Results 56 ERs were submitted during Mar-Sep 2017, leading to plans to redesign one department’s rota, with financial compensation for three JDs in multiple departments. An additional fellow is being recruited into another department following a JD-initiated business case including, amongst other arguments, ER submissions. No fines have been levied. Multiple interventions are ongoing, with monthly plan-do-study-act (PDSA) cycles planned to aid continued improvement, and to ensure all JDs at GOSH feel empowered to submit ERs. Conclusions ER should be used positively to identify system issues, and early usage at GOSH has demonstrated ER to both support and initiate constructive departmental change. Impact from current interventions is awaited, as departments harness the potential of the ER process.
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g98 exception reporting at great ormond street Hospital Building on junior doctors experiences
Archives of Disease in Childhood, 2018Co-Authors: Glp Manning, J Hassell, E Parish, S Ottaway, Jacques Poisson, S. Sharma, Renee MccullochAbstract:Aims The new English/Welsh Junior Doctor (JD) contract introduces a powerful tool for positive change – the Exception Report (ER). Following a staged introduction, ER has been available to all JDs (including those not in training), throughout Great Ormond Street Hospital (GOSH) since June 2017. Initial rates of ER have been low, with concerns of JD disillusionment. This project aims to improve the number of submitted ERs with secondary analysis of ER outcome. Methods A process map identified primary drivers of reporting; Educational Supervisor (ES) engagement; and systemic change. Access to ER systems was improved by incorporating with the postgraduate medical education (PGME) smartphone app. ER was decoupled from ES by allocating departmental ER consultant leads. Ideas on local exception causes; barriers to reporting; and potential solutions were obtained from a JD focus group, which aided production of a guideline for ER leads to address ER root causes. After promoting ER at Hospital induction, further interventions were targeted by surveying all JDs on personal experience of exceptions; ER processes; and opinions on reporting. Progress was measured by graphing ER numbers, broken down by reporting department. Future change ideas included a PGME-led awareness campaign, including website, e-newsletter, (P), video and podcast facets; publicity of previous work on JD perspectives; creation of a framework, targeted at JDs, encouraging junior-lead solutions when reporting; supplementation of PGME ES resources; and targeted signposting towards currently-available courses and learning resources. Results 56 ERs were submitted during Mar-Sep 2017, leading to plans to redesign one department’s rota, with financial compensation for three JDs in multiple departments. An additional fellow is being recruited into another department following a JD-initiated business case including, amongst other arguments, ER submissions. No fines have been levied. Multiple interventions are ongoing, with monthly plan-do-study-act (PDSA) cycles planned to aid continued improvement, and to ensure all JDs at GOSH feel empowered to submit ERs. Conclusions ER should be used positively to identify system issues, and early usage at GOSH has demonstrated ER to both support and initiate constructive departmental change. Impact from current interventions is awaited, as departments harness the potential of the ER process.
Yi-kai Juan - One of the best experts on this subject based on the ideXlab platform.
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optimal decision model for sustainable Hospital Building renovation a case study of a vacant school Building converting into a community public Hospital
International Journal of Environmental Research and Public Health, 2016Co-Authors: Yi-kai Juan, Yu-ching Cheng, Yeng Horng Perng, Daniel CastrolacoutureAbstract:Much attention has been paid to Hospitals environments since modern pandemics have emerged. The Building sector is considered to be the largest world energy consumer, so many global organizations are attempting to create a sustainable environment in Building construction by reducing energy consumption. Therefore, maintaining high standards of hygiene while reducing energy consumption has become a major task for Hospitals. This study develops a decision model based on genetic algorithms and A* graph search algorithms to evaluate existing Hospital environmental conditions and to recommend an optimal scheme of sustainable renovation strategies, considering trade-offs among minimal renovation cost, maximum quality improvement, and low environmental impact. Reusing vacant Buildings is a global and sustainable trend. In Taiwan, for example, more and more school space will be unoccupied due to a rapidly declining birth rate. Integrating medical care with local community elder-care efforts becomes important because of the aging population. This research introduces a model that converts a simulated vacant school Building into a community public Hospital renovation project in order to validate the solutions made by Hospital managers and suggested by the system. The result reveals that the system performs well and its solutions are more successful than the actions undertaken by decision-makers. This system can improve traditional Hospital Building condition assessment while making it more effective and efficient.
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GAA-Based Decision Approach for Hospital Building Renovation Management
Advanced Materials Research, 2011Co-Authors: Yi-kai Juan, Yu-ching Cheng, Yeng Horng Perng, Guang Bin WangAbstract:More and more attention has been paid to Hospital facilities since modern pandemics have emerged such as SARS and avian influenza. Energy consumption by Buildings accounts for 20-40% of energy use in developed countries, so many global organizations make efforts to develop sustainable technologies or materials to create a sustainable environment, and to reduce energy consumption when renovating Building. Therefore, maintaining high standards of hygiene and reducing energy consumption has become the major task for Hospital Buildings. This study develops an integrated decision support system to assess existing Hospital Building conditions and to recommend an optimal scheme of sustainable renovation actions, considering trade-offs between renovation cost, improved Building quality, and environmental impacts. A hybrid approach that combines the A* graph search algorithm with genetic algorithms (GA) is used to analyze all possible renovation actions and their trade-offs to develop the optimal solution. A simulated Hospital renovation project is established to demonstrate the system. The result reveals the system can solve complicated and large-scale combinational, discrete and determinate problems such as the Hospital renovation project, and also improve traditional Building condition assessment to be more effective and efficient.
Shin Ku Lee - One of the best experts on this subject based on the ideXlab platform.
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performance analysis of an integrated heat pump with air conditioning system for the existing Hospital Building application
Sustainability, 2017Co-Authors: Chen Yu Chiang, Ru Yang, Kuan Hsiung Yang, Shin Ku LeeAbstract:In this study, a complete evaluation procedure of energy-saving and efficiency improvement for a large-scale Hospital retrofit project has been established and successfully validated in Taiwan. The retrofit scheme, in integrating the alternative hot water system, namely, a water source heat pump (WSHP), with the existing HVAC (Heating, Ventilating, and Air-Conditioning) system, enables the capability to meet the cooling and hot water demand simultaneously with a larger safety margin as well as saving energy. In addition, it has been found that the integrated system provides a new source for cooling which can be utilized as a system redundancy in avoiding system shutdown. This is very useful when considering in specific areas in the Hospital, such as intensive care unit, or operation rooms, where cooling should not be interrupted on any occasion. In this study, it is validated that the coefficient of performance (COP) of the newly added WSHP system, under heating and cooling mode, is 3.62 and 2.62, respectively. The recorded annual cost reduction by this integrated system is $102,564, with a payback of 1.2 years. The Hospital after retrofit has been operating safer, with more redundancy, and more energy-efficient which warrants tremendous potential for implementation in the industry.