ABSTRACT
QU 1 NEW EN VISION TO VALIDATE STERILIZATION PROCESSES BY HUMID HEAT
Among other processes to be validated in the Hospital the sterilization is one of the most importance, in particular in the humid heat autoclaves.
The process implies different types of treatments , with two basic elements in common:
The Temperature , typically of 121ºC or 134ºC, and the Water as the sterilizing agent in liquid or steam phase.
The only standard of reference was the EN 554 issued in 1995 in Spanish version as UNE EN 554 but which validation will end from August 31 2009, on.

The present situation with the edition of the new standard EN ISO 17685-1, and its Spanish version of 2007 has changed the approach substantially
Sterilization of sanitary products. Humid heat. Part 1. Requirements for the development , validation and control of the sterilization process of sanitary products ISO 17665 1
Where in the former EN 554 there were fix parameters without relation to the load configuration, now in the EN ISO 17665 we find a huge flexibility, based on a different concept of the sterilization process
With the new standard the product definition is an important factor and it is the responsible for the final product that , along with the equipment manufacturer , defines the sterilization process and the criteria to validate it.

ABSTRACT
Among 9000 Japanese hospitals, 2400 hospitals are accredited by Japan Council for Quality Health Care (JCQHC) which was established in 1995 funded by national government, Japan Medical Association, Japan Hospital Associations and other health organizations. Accredited hospitals have been increasing during these 10 years

For hospital accreditation, comprehensive and systematic standards have been developed and revised, and now over.5 standards are applied. The present standards are divided into 6 areas i.e. i) Hospital organization and networking, ii) Patient’s rights and safety management, iii) Amenity and patient satisfaction, iv) Each division in a hospital, v) Care processes in wards, vi) Operational management.
Standards for facility management are included in the areas of iii) Amenity and patient satisfaction, vi) Operational management and ii) Patient’s rights and safety management.
A manager for facilities, equipments or machinery shall be assigned and carry out tasks according to maintenance planning.
Respect for privacy, barrier-free, sanitary cleaning, non-smoking, safety in bathroom/toilet, etc. are also inspected. Infection control is another important area in facility management. A Committee for infection control shall be managed regularly and a guideline and prevention manuals for each infection should be arranged. Appropriate use of antibiotics, surveillance and analysis on hospital infection, education and information on infection control for personnel and vaccination for staffs are included in the standards.

ABSTRACT
The objective of the project called VALSAI (Development Project for Finnish Health Care Property Development) is to develop the management and lifetime management of hospital properties, in addition to methods and processes of building and renovation. An objective is also to create a foundation for product development in the field. The project is part of the Tekes’ (Finnish Funding Agency for Technology and Innovation) FinnWell programme.

One of the expected results is to develop evaluation methods, for example, for operational changes. The result of the evaluation will be a definition on the usability of buildings and facilities taking the simultaneous healthcare work and technical restrictions of the building into account. The evaluation method also pays attention to financial and architectural aspects.
The property evaluation methods will be developed and tested in a workgroup, which also defines basics, study methods and, in some respects, also management tools for the functionality , usability and technical condition of the healthcare property.

The starting point of the evaluation method is presented The computer based evaluation method will assess and set criteria for working environment factors in hospitals on the basis of existing regulations and instructions as well as on the basis of scientific publications The evaluation of properties is divided into a rough level to define suitability and a more detailed level,

ABSTRACT
Industrialization and the necessity of energy efficiency have influenced building design and construction, making these buildings more sealed to minimize waste through indoor-outdoor air exchanges. From this, the concentration of indoor air pollutants has increased, mostly due to the frequent use of synthetic products, which may bring health problems to people. This is the context where hospitals are inserted with the duty of treating health malaise; however they may be simultaneously contributing to the same illness. Thus, the paper presents some aspects of this contradiction, where the objective is to describe some elements that influence indoor air quality in hospitals environments, according to concepts of sustainability, and how these matters occur and are managed by the institutions. For that, there is a bibliographical review followed by a study of case, accomplished through interviews at a University Hospital in Brazil. In spite of the limitations of the research, the results showed that there is a variety of factors that interferes the quality of air in hospital environments which must be considered once they influence patients’ and professionals’ health. However, the discussion seems to be still very “timid”, even though some preoccupation in this sense is observed. In comparison with developed countries, a significant lateness seems to exist in the discussion on sustainable design and construction by Brazilian hospitals, which reinforces the necessity and the importance of realizing new studies on the subject in the country.

ABSTRACT
Every employee has a right to a safe and healthy working environment. Healthy indoor climate is part of the facilities, to be arranged by the employer. In Central Finland Health Care District the employer has been aware of this for many years and that is why a coordination team to manage the indoor climate problems was established 12 years ago. Its aim is to increase co-operation between hospital engineering, occupational safety and occupational health care. It is very important that the experts working in the coordination team co-operate regularly with the leaders of different departments of the hospitals.The coordination team arranges studies and researches to measure the condition of the buildings and their indoor climate. The team gets many requests from the departments and employees in addition to health and maintenance problems. The team composed by several experts meets regularly and discusses recent problems and advancements.

The team has published a guide book for every employee in which the process to improve and maintain
healthy indoor climate is described. The importance of actions of everybody is accented.
The guide book consists of the areas described below:
- what does healthy indoor climate mean
- the factors that can affect the indoor climate
- how everybody can improve the indoor climate
- how the employer has organized the indoor climate process
- how hospital engineering and technical department operates in indoor climate problems.
The aim of this paper is to describe how the healthy indoor climate co-operation is arranged in a
hospital environment.
An example of an efficacious co-operation process is described. The guide book is also presented.

Producción de agua ultra pura en la Unidad de Hemodiálisis del Hospital Universitario 12 de Octubre de Madrid: descripción, mantenimiento y resultados.

AUTORES:
Miguel Martínez Noriega
Responsable de la Unidad de Electromedicina del Hospital Universitario 12 de Octubre
Luis Mosquera Madera
Subdirector de Gestión Técnica del Hospital Universitario 12 de Octubre

ABSTRACT

Since the start of Dialysis processes, the preparation and quality of water to dialyze has been a constant concern. Despite the technical development of these facilities and equipment, treated water remains a potential risk of containing small amounts of bacteria and endotoxins basically, that in passing the blood through the dialyzer membrane could cause inflammatory problems in patients.
At the Hospital Universitario 12 de Octubre we specify the production of ultrapure water, with values <10 UFC/100ml (colony forming units of bacteria) and endotoxin <0.25 EU / ml
Following the latest recommendations, we have installed in 2003 at the Hospital Universitario 12 de Octubre a new facility, which includes: pre-standard treatment, with two double reverse osmosis (WRO-Gambro) with production of 20-22 liters / minute, double ring polypropylene distribution and chemical disinfection of the loops and membranes. It produces the water consumed in each moment, there is a continuous movement of water and no dead spots in the loops.
This article aims to describe the installation and reports the results obtained from its operations