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AIR CONDITIONING


protect patients from one another; they only needed to protect the local population from people who had higher levels of risk. The hospital used operational procedures in lieu of engineered systems, allowing them to operate at significantly less cost and environmental impact. Is this the definition of world class? As a final example, the authors are


currently working with a new hospital in Burundi. The developer of this hospital wants a world-class facility, similar to the ones at Harvard. The problem is, the Burundi facility will not have the spare parts access, maintenance staff access, or service and repair access that the facility engineers have in Boston. So, it is very likely that a Boston-like world class system will quickly become an unworkable albatross in this environment, costing more, by far, than it provides in value. And, at the end of the day, we have no data to tell us whether it is any better than the world class natural ventilation systems recommended by the WHO.


The need – and IFHE Clearly, the world needs better data to determine how much ventilation, air changes, filtration, air distribution, pressure relationships, humidity and temperature control – and in what


combination, and how much and under what circumstances – matter. A research scientist from the US


National Institute of Health has proposed a research methodology that collects certain data from health facilities from around the world. The theory is, that if we have enough data from enough facilities, with enough different kinds of systems, we can start to see if any of these variables make a real difference. The IFHE


is providing this research protocol on its website and is calling on hospital engineers across the world to submit data. Together, we can demonstrate the power of our organisation. We can move towards more meaningful global standards and can start to eliminate waste, directing resources maximally to patient care, and we can start to provide better environments to our patients, our caregivers, and our staff.


IFHE


     


 


    


34


IFHE DIGEST 2017


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