RM032 - Mark Tan - NCCS - Risk Assessment On Use of Traditional Curtains
A study at the National Cancer Centre Singapore evaluated the feasibility of disposable anti-microbial and sporicidal curtains as a replacement for traditional curtains to address rising operational costs and infection control concerns. The findings indicated that disposable curtains significantly reduce changing frequency, lower hospital-acquired infection risks, and minimize work-related injuries due to their lightweight nature. The initiative aims to optimize resources, improve inventory management, and enhance overall patient safety.
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RM032 - Mark Tan - NCCS - Risk Assessment On Use of Traditional Curtains
A study at the National Cancer Centre Singapore evaluated the feasibility of disposable anti-microbial and sporicidal curtains as a replacement for traditional curtains to address rising operational costs and infection control concerns. The findings indicated that disposable curtains significantly reduce changing frequency, lower hospital-acquired infection risks, and minimize work-related injuries due to their lightweight nature. The initiative aims to optimize resources, improve inventory management, and enhance overall patient safety.
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Risk Assessment on use of Traditional Curtains vs Disposable
Curtains in terms of Cost Effectiveness, Work Processes and
Infection Control concerns Jeremy Lim1, Priscilla Han2, Mark Tan3 1Operations Admin and Material Management 2 Infection Control, Nursing 3 Operations Admin
Test Sample Collection
The disposable curtains were tested at the following intervals: A study was conducted at National Cancer Centre Singapore (NCCS) to 3rd month, 6th month, 9th month and 12th month of the evaluation assess the feasibility of disposable Anti-microbial and sporicidal curtains in replacing traditional curtains. This was initiated to address rising operational cost and cross infection concerns. Note: An additional test is done for the first terminal cleaning case as a precaution.
With rising patient numbers, both Housekeeping and linen vendors
Test sample s were cut from contact area and sent to PSB experienced significant challenges in managing the high change-cycle for laboratory for testing at scheduled dates. clean curtains. This posed significant infection control risk for patients and staff. Changing of traditional curtains is also time consuming: each change takes between 10 – 15 minutes and involves working at height. The curtains can be heavy and hard to handle, which may increase the probability of work injury. In addition, due to inflation, cleaning cost for traditional curtains are expected to increase over time. The condition of existing curtains also deteriorate with age and frequent washing. Replacement curtains may be costly. The number of traditional curtains kept as spares may also be limited due to storage space constraints.
The introduction of anti-microbial and sporicidal curtains would result in
a significant reduction in the curtain changing frequency, due to its anti- microbial and sporicidal properties. This seeks to reap benefits in the following areas: 1. Optimisation of resources in terms of cost and manpower 2. Reduce hospital associated infections (HAIs)
Identifying Potential Risk Areas for project implementation
The Operations department utilized the following benchmarks to identify
suitable risk areas for the implementation of disposable curtains evaluation: - High Operational Cost in terms of man-hours and traditional curtains The 6 sets of disposables curtains were hanged at pre-selected washing consultation rooms. 3 sets of the curtains were tested free of - High holding cost of spare curtains pathogens over a one year period, while the remainder 3 were - Work place injury risk during curtain changing pathogen free for only 6 months. - Hospital Acquired Infection through contaminated curtains Housekeeping staff also reported that the disposable curtains were Given that the largest concentration of curtain changes resides in NCCS relatively easy to handle due to their light weight. Ambulatory Treatment Unit (ATU), the feasibility study of disposable Performance of the curtain fabric was within expectation for 3 out curtains was initiated at ATU, and subsequently extended to 2 other of 6 of the tested disposable curtains Specialist Outpatient Clinics (SOCs). Two vendors were invited to participate in this evaluation project. A subsequent cost and benefit analysis was also conducted. The study shows that disposable curtains, with anti-microbial & sporicidal properties, have the possibility of preventing Location Disposable curtain Vendor contamination of pathogens up to a period of 1 year. This facilitates length better risk management of operational cost as it minimises the Consultation Room 1, changing frequency for curtains. In addition, risk of HAIs are greatly SOC C reduced due the long term efficacy of these properties. Procedure Room 54, 5 metres Vendor A The reduced curtain changing frequency also minimises the risk of Morning Glory Suite work related injury. The disposable curtains are lighter, making Procedure Room 1, them easier to deploy or remove. Inventory turn-over is also SOC D expected to be improved. Spare curtain stock are expected to be Consultation Room 8, turned over every 6 months and can be managed by an external SOC C storage solution, resulting in more effective use of limited storage. Procedure Room 10, 7.5 metres Vendor B Through this initiative, the Operations Department hoped to reduce SOC C the spread of HAIs, eliminate risk of infection caused by poor Consultation Room, handling/washing by vendor and reduce housekeeping manpower Jasmine Suite dependency with regards to the expected rise in patient load.