Atlantic Canada Clinical Engineering Society

Wednesday April 28, 2010

Building a Safer Health System: Advancing Patient Safety for Canadians

Key note Speaker: Laurel Taylor

Director of Operations Canadian Patient Safety Institute

Patient safety is one of the most important healthcare issues of our time. It is estimated that

between 9,250 and 23,750 hospital patients die each year from a preventable adverse event. The

consequences of these adverse events include prolonged length of stay in hospital, varying

degrees of injury and in some instances death. The Canadian Patient Safety Institute’s (CPSI)

vision defines what CPSI aspires to become, to achieve and to create. Our vision vividly captures

the passion, intensity and commitment of everyone who comes in contact with the system. We

envision a Canadian health system where patients, providers, government and others work

together to build and advance a safer health system; where those working in the healthcare

sector take pride in their ability to deliver the safest and highest quality of care possible; and,

where every Canadian can be confident that the care they receive is the safest in the world.

Evidence-Based Maintenance: How to Evaluate the Effectiveness of Your

Maintenance Strategies

Key note Speaker: Binseng Wang

Vice President, Performance Management & Regulatory Compliance Aramark Healthcare’s

Clinical Technology Services

Clinical engineering (CE) professionals have been diligently performing preventive and corrective

maintenance on medical equipment for over 30 years but have not systematically evaluated the

effectiveness of the maintenance strategies adopted. During these three decades, equipment

have proliferated drastically while healthcare resources have become more scarce, prompting

many CE professionals to question whether they should reconsider their maintenance

strategies. A method for evaluating maintenance effectiveness has been developed using a small

set of failure codes to classify problems found in scheduled and corrective maintenance.

Analysis and comparison of these failure-code results allow CE professionals to determine

whether they should revise their maintenance strategies by reducing their efforts on certain

tasks and increasing their attention in others. Using evidence collected to refine their strategies,

CE professionals can achieve a better deployment of limited resources while enhancing patient

care and reducing risks.

Creation of a Provincial Clinical Engineering Team

Guy Leger FacilicorpNB

On April 1, 2010, the eight Clinical Engineering teams in the New Brunswick health system will

be consolidated into one provincial team within FacilicorpNB. This presentation will go over the

creation of FacilicorpNB, the progress to date as well as the transition process for the Clinical

Engineering teams.

A. O.R. Integration and Wireless Technology

Ryan Jones, Stryker

This session presents the emerging technologies in Minimally Invasive Surgery, Integrated

Operating Rooms and Wireless Technology

B. Implementing a Clinical Engineering Zone Service Model in Health Care Organization

Alan Greash Aurora Health Care Director of Corporate Clinical Engineering

This session will outline the process for developing an in house zone service model for the repair

and maintenance of biomedical and imaging equipment. There will be tips provided on how to

assess and address response time, staffing, technology, transportation, training, and space

needs. This session targets in house biomedical and imaging support departments that are

tasked with supporting multiple facilities over a large geographic area

C. Inspecting Home Hemodialysis Sites

Robert Gillis, Horizon NB

This presentation will focus on some of the challenges one may face with when getting a home

site set up for a Hemodialysis machine. Some of the topics of discussion during the presentation

are the electrical, plumbing, and water supply of the building. The common work required to set

up the hemodialysis equipment in the home, and some of the problems that one may encounter.

D. Clinical Engineering Technician's Guide to Understanding and Troubleshooting Local

Area Networks

Pete Cumming CiscoSystems, Inc

This presentation is designed for the Clinical Engineering Technician to better understand Local

Area Networks and how to use a Structured Methodology to troubleshoot network connection

issues. Will be discussing the basic components of a Network such as what are

routers/Switches/Hubs, Ethernet, IP Addressing, Subnet Masks, Default Gateways, Domain

Suffix and DNS/DHCP/WINS components and why they are needed. Will look at what are the

tools available to help troubleshoot basic network connectivity issues.

E. Developing to Centralized parts Management Program

Alan Greash Aurora Health Care Director of Corporate Clinical Engineering

Clinical engineering departments can contribute to their organization’s patient care and financial

goals by effectively managing the purchase, inventory, and distribution of biomedical and

imaging equipment parts. We will present a method for centralizing and managing a parts

program and explain the processes, resources, and tools necessary to successfully develop it

physiologic monitors!

Brian K. Walsh, Children’s Hospital Boston , sponsored by Masimo Canada

A presentation to understand the preventable disease of ROP and how current technology can

improve those outcomes if the data is captured and presented in a format that clinicians

understand and to review oxygen delivery and how adding SpHb to the equation gets us one step

closer to improved patient outcomes.

G. Current and Future Trends in Medical Technology

Speaker to be confirmed

This presentation will focus on the industry’s trend not so much in diagnostic but more the

technology that will influence future development of medical systems. For example, integration

of systems, development of data standards, date distribution, data management, etc.

H. NAVA - Neurally Adjusted Ventilatory Assist.

Debie Paterson, Maquet-Dynamed

A presentation on a new technology that utilizes a catheter to monitor the electrical activity of the

diaphragm (Edi). Based on the patient’s neural output, NAVA responds by providing a

proportionate level of ventilatory support.

I. Process of purchasing and implementation of new equipment.

Ihssan Bouhtiauy, Regional Health Authority 4

The technology is changing very fast. The new tests (more sensitive and more specific) are

introduced on a regular basis. And the budgets are less available for new instruments. In these

conditions, it is very important to make the best choice when purchasing a new equipment and

as much as possible to evaluate appropriately the actual and future needs of the laboratory

J. PET Let’s talk about it

Daniel Raymond, Philips Medical Systems

Topics include: History, Principales and architecture, PET acquisition, Calibration, Imagae

Fusion (PET CT) and Clinical Benefits

K. Progress of the Electronic Health Record across Canada

Pamela Doyle Canada Health Infoway

This presentation will be outlining Infoway activities with partner jurisdictions moving forward

with the electronic health record agenda.

L. Ceiling lifts - Danger above!

Ron Ouellette & Jeremy Dann Nova Scotia Association of Health Orgazization’s Clinical Engineering

Service

Canadian Standards and OHS reports from across the country detail a growing number of

accidents and deaths associated with patient lifts. New CSA standards and manufacturers

document the requirement for thorough annual inspections to mitigate the risk associated with

ceiling lifts. NSAHO clinical engineering staff will review disturbing findings to date with this

technology and layout suggested testing procedures and test equipment requirements. If you are

not currently looking after ceilings in your department you may rethink your approach after this

presentation.

Friday April 30, 2010

M. Clinical Application of Medical Technologies used in Physiotherapy

Denise Trzop & Andrea West

This presentation will provide you with an understanding of the clinical use of electrical

modalities frequently used in physiotherapy (ultrasound, TENS, muscle stimulation, laser, etc)

N. UV cure Adhesives for Medical Industry

Darryl Pitre Henkel Canada Corporation

Topics to be addressed include: UV cure used in Bonding; Encapsulating, Coating Tacking and

Sealing applications. Adhesives in general for all bonding applications will be discussed.

O. 60601-1 Standard for electromedical equipment part 1 - certification requirements

Scott Airdrie QPS Evaluation Services Inc

A look at the certification requirements including collateral and particular standards,

constructional requirements, hazards considered, Canadian and US deviations, changes in the

3rd edition, and differences from CSA 125.

P. In the Realm of Safe Medication Practice: what is possible today

Steve Dennison & Catherine Kan Mckesson Canada

We will show case how automation along with software and hardware support will guaranteed a

better and safer hospital experience today. We will track a typical patient admission to a

hospital and show case how all the technologies work together to reduce medication error.

Q. Digital Mammography: Quality Control, Artifacts and Radiation Doses

Cupido Daniels

This presentation will focus on the differences in technical parameters and design between filmscreen

and digital mammography and how that influences the type of Quality Control procedures

and differences in patient radiation doses. Also, image artifacts which are unique to digital

mammography will be shown and discussed.

R. 60601-1 Standard for electromedical equipment part 2 - A practical look at leakage

currents and earthing requirements

Scott Airdrie QPS Evaluation Services Inc

A look at earth leakage, enclosure leakage, patient leakage, and patient auxiliary current.

Methods for measuring on different product types. Protective earthing requirements.