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Health 200
Today we break down regulations, codes, standards and open-source literature governing the safety and sustainability of university-affiliated medical research and healthcare delivery facilities. In large measure, the safety and sustainability agenda of the university-affiliated healthcare system infrastructure coincides with the private sector. Accordingly, we confine our interest to systems — water, power, telecommunication and security; for example — that are unique to campus-configured, city-within-city risk aggregations.
We usually start with a scan of the following titles:
International Building Code (with particular interest in Section 308 Institutional Group I)
K-TAG Matrix for Healthcare Facilities
NFPA 70 National Electrical Code Article 517
NFPA 99 Healthcare Facilities Code
NFPA 101 Life Safety Code Chapters 18 & 19
ASHRAE 170 Ventilation of Healthcare Facilities
Some of the content in the foregoing links need weekly refresh. We’ll get to that, time permitting.
Starting 2023 we break down our coverage of standards thus:
Health 200 Clinical delivery
Health 400 Research
We will thumb through the titles published by HL7 and NSF International — both Ann Arbor-based organizations. A surprising number of medical data companies are domiciled in Ann Arbor; not far from our own offices on State Street. We will also see if any bills and resolutions introduced into the 117th Congress will make into public law.
Finally, we collaborate with the IEEE E&H Committee on the following IEC committee projects from IEC/TC 62 Electrical equipment in medical practice.
– Common aspects of electrical equipment used in medical practice
– Diagnostic imaging equipment
– Equipment for radiotherapy, nuclear medicine and radiation dosimetry
– Electromedical equipment
As covered in previous posts, the original University of Michigan standards enterprise was one of the founding members of what has become ISO/TC 304 Healthcare organization management — following the lead set by Lee Webster at the University of Texas Medical Branch. Since last month’s colloquium ISO TC/304 there has been a fair measure of the usual back-and-forth that we will cover in today’s colloquium. We will examine the ideas in play in the links below today and try to organize them ahead of balloting:
Legacy Workspace (N.B. We are still in the process of uploading content onto the new University of Michigan Google Site facility)
Open to everyone. Use the login credentials at the upper right of our home page.
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Health Insurance Portability and Accountability Act (HIPAA)
Health care cost as percentage of Gross Domestic Product for six representative nations.
Association of Academic Health Centers
International Conference on Harmonization: The ICH guidelines provide guidance on the development of pharmaceuticals and related substances, including clinical trials, drug safety, and efficacy.
Animal Welfare Act and the Institutional Animal Care and Use Committee
Good Laboratory Practice: GLP is a set of principles that ensure the quality and integrity of non-clinical laboratory studies. It ensures that data generated from non-clinical laboratory studies are reliable, valid, and accurate.
Gallery: University-Affiliated Healthcare Enterprises
There are few differences between university-affiliated hospitals and for-profit hospitals. We approach university hospitals as scaled down “study units”.
Wiring Fire Prevention in Hospitals
Fondazione Policlinico Universitario Agostino Gemelli / Rome, Italy
Localized fire ignition hazard in branch circuits, cords and connected equipment
Electrical Engineering Department, Sapienza Università di Roma
Italian National Fire Department
Abstract. In electrical power systems, the fire ignition can be originated by incident energy of faults. Faults involve overheating, arcing and burning for all the wiring exposed to mechanical damage and other insulation stresses especially wiring connected by flexible cords and cables. The mechanical damage of the stranded bare conductors can degrade the effective sizing of the total cross section, causing anomalous conditions of local overcurrent. To highlight the local incident energy in case of fault, the parameters steady current and transient current densities can assist in analyzing the event. The conductors size reduction, degrading locally the thermal withstand capability, makes ineffective the protection coordination amplifying the anomalous effect of current no detectable adequately by overcurrent protective devices. The faulted cords remain so energized and present electric shock and fire hazards. Generally and especially in strategic buildings as hospitals, preventing ignition is better than promptly extinguishing. An efficient protection can be achieved by integration of active and passive techniques : by adoption of the special device Arc-fault Circuit Interrupter (AFCI) that recognize the arcing; by wiring the circuits, particularly extension cords, with Ground-Fault-Forced Cables, GFFCs, that convert faults into ground faults easily protected by ground fault protective devices (GFPDs).
Fondazione Policlinico Universitario Agostino Gemelli / Rome, Italy
Artificial Intelligence in Health Care: Trustworthiness
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Non-Contact Heart Rate Monitoring in Neonatal Intensive Care Unit using RGB Camera
Non-Contact Heart Rate Monitoring in Neonatal Intensive Care Unit using RGB Camera
Quiong Chen, et. al
Center for Intelligent Medical Electronics, School of Information Science and Technology, Fudan University, Shanghai, China
Abstract: Heart rate (HR) measurement is crucial for newborn infant monitoring in the neonatal intensive care unit (NICU). The widely used contact HR measurement methods based on electrocardiography (ECG) and photoplethysmography (PPG) signals can lead to discomfort and possible skin irritation on neonates, which limit its application in NICU scenarios. In this work, we propose a non-contact HR monitoring method simply using a RGB camera. Eulerian video magnification (EVM) is employed to detect the subtle changes of neonatal faces results from blood circulation. The magnified signal is then transformed to the spectral domain to extract HR information. Compared with the widely investigated independent component analysis (ICA)-based HR measurement method using video recordings, the proposed method can achieve the real time HR measurement, which is a significant superiority in NICU neonatal monitoring. To the best of our knowledge, this is the first study to employ EVM algorithm in real time neonatal HR monitoring.
Dentisterie
Dental health enterprises present technical challenges for teaching, research and clinical delivery. Today we examine the literature that informs the safety and sustainability of the facilities that support this domain; necessarily cross cutting with related healthcare facility literature.
American Dental Association
American Waterworks Association
Centers for Medicare & Medicaid Services
International Code Council
2021 International Building Code Chapter 3 Occupancy Classification and Use
Related:
Specific Requirements for Dental Facilities
Dental Office Design and Construction
New update alert! The 2022 update to the Trademark Assignment Dataset is now available online. Find 1.29 million trademark assignments, involving 2.28 million unique trademark properties issued by the USPTO between March 1952 and January 2023: https://t.co/njrDAbSpwB pic.twitter.com/GkAXrHoQ9T
— USPTO (@uspto) July 13, 2023
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