Innovation
medium-sized Dutch hospital switches to robotic wrapping is thus 45,576 kg CO2
per year.
Discussion and impact Robotic wrapping is also expected to contribute to the control of nosocomial infections, including surgical site infections (SSIs). Although much attention and progress has been made in infection control in hospitals in Western countries in recent decades, nosocomial infections are still a significant cause of morbidity, mortality and additional healthcare costs.14 Approximately 0.5% to 3% of patients
undergoing surgery will experience infection at or adjacent to the surgical incision site.15
In the
United States alone, the Centers for Disease Control and Prevention found that there were an estimated 110,800 SSIs associated with inpatient surgeries in 2015.16
SSIs extends hospital length
of stay by 9.7 days, with hospitalisation costs increasing by more than €18,442 per admission. SSIs are further associated to a 2-to 11-fold increase in the risk of mortality. Additionally, SSIs require treatment with
antibiotics. Due to frequent use of antibiotics, antimicrobial resistance (AMR) is increasing worldwide. This threatens the effective prevention and treatment of an increasing number of infections caused by bacteria, parasites, viruses and fungi. AMR is regarded by the World Health
Organization (WHO) as one of the greatest global threats to public health and development. It is estimated that bacterial AMR was directly responsible for 1.27 million deaths worldwide in 2019 and contributed to 4.95 million deaths.17 Longitudinal studies are needed to reveal the extent to which robotic wrapping reduces SSIs. In conclusion, the reduction in labour costs,
wrapping materials and medical waste, and possible contribution to patient safety, by robotic wrapping, could have a major global impact. There are approximately 70,000 hospitals worldwide. Ultimately, if a proportion of these hospitals
switched to robotic wrapping, significant economic, environmental and health-related gains could be achieved.
References 1.
https://www.iso.org/obp/ ui/#iso:std:iso:11607:-1:ed-1:v1:en
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www.clinicalservicesjournal.com I April 2024
Mariska van der Vliet is co-founder of R-Solution Medical and co-inventor of the R-APPIT. She previously worked at Miele Professional, Interster International, Schinkel Medical and Royal Utermöhlen NV.
Ing. Niels Welling is co-founder of R-Solution Medical and co-inventor of the R-APPIT. He previously worked at Miele Professional, Interster International, Halyard (formerly Kimberly Clark healthcare) and Medtronic.
CSJ
At maximum deployment, the R-APPIT can wrap up to 525,000 instrument trays per year. This gives the robot the same production capacity as more than 15 full-time employees.
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