The Textile Traceability System is a project to improve the management process of hospital clothing, both bed and patient linen as well as professional uniforms, by placing tags with RFID-UHF technology on textile parts for localization of parts in the laundry circuit, clinical services and laundry.
“The main objective is to provide clothing and uniforms to patients and professionals in suitable conditions in a safe, timely and sustainable way from an economic point of view”, says André Bettencourt Sardinha, from Centro Hospitalar Universitário de S. João. this institution that conceived the project and launched an international public tender for contracting the service.
“The previous process was not very consistent, difficult to control from the point of view of execution and generated levels of customer satisfaction, hospital services and health professionals below 50%”, reveals André Bettencourt Sardinha.
In 2015, we started to try to improve and offer a quality service in the provision of clothing and uniforms. On February 6, 2001, the automated distribution of uniforms began and, on June 2021, the area of bed linen and the sick began.
André Bettencourt Sardinha defends that “the replicability of the model is possible for any health organization or company from another sector with the same type of problems”.
WellGiven was created in 2008 to continue the fourth generation in the textile sector, with the main focus on maintaining the Mc Cloud brand, created in 1970 by previous generations, and turning it into a renowned international brand, recalls Nuno Caetano, CEO of the company .
The covid-19 pandemic was a business opportunity and, alongside WG Moda, WG Medical emerged. “We invest in automated mask production machines (surgical type IIR, FFP2, FFP3 and cup mask), caps, gowns, coveralls, aprons, among others. We currently have 14 certified products, six of which are reusable, in partnership with IPN – Instituto Pedro Nunes. We aim to expand our reusable products”, says Nuno Caetano.
The focus is on the production of medical devices from recycled raw materials, namely recycled polyester from plastic collected from the oceans and tons of hospital waste produced.
With regard to production and marketing, the automated production process is privileged, which allows for greater rigor in quality and a reduction in delivery time. The development of work uniforms is done by WG Moda and WG Medical in order to link fashion with the requirements imposed on the hospital with regard to certifications and product testing.
“At this moment, we are already suppliers of medical clinics and hospitals with regard to work uniforms”, says Nuno Caetano. It exports 90% of its production and the main markets are France, Germany, Belgium, Holland, the United States of America and Spain. The main competitor is China.
“The objectives of this project are to reduce the average length of stay in the Internal Medicine Service and Home Hospitalization Unit (UHD) and reduce the constraints for the patient’s hospital discharge, such as not performing complementary diagnostic and therapeutic means (MCDT) for the decision of discharge and any social problems of the patients”, explain Arménio Neves, administrator of the Garcia de Orta Hospital, and Francisca Delerue, director of the Internal Medicine Service of the same hospital, which in this project had a partnership with Lean Health Portugal.
“As an improvement measure, the team started to hold a daily Huddle Meeting of 15 to 20 minutes, in which they started to discuss the discharges of the day and the previous day, the MCDT pending for discharge decision and the patients with discharge and postponement their reasons, allowing for the immediate resolution of each one of the problems, speeding up the discharge of patients”, refer Arménio Neves and Francisca Delerue.
The average length of stay for the Internal Medicine Service was around 13.87 days and a median of 10.50 days in early April 2021 when the Huddle Meetings began. In July, the mean and median length of stay was 12.44 and 9. The number of patients with a delay in discharge increased from 52 in April to 35 in July, and the number of days of delay in discharge dropped from 135 in April to 100 in July.
Its evolution must be applied to all inpatient hospital services, and it is replicable in all hospital institutions.
The project started in October 2020 and was motivated by the challenges caused by the covid-19 pandemic in health and education that brought together CUF and Spot Games. The objective was to develop a gamified digital tool to promote health literacy, designed for the classroom, scalable and easily absorbed by schools.
The game was built in partnership by a multidisciplinary team of doctors, technicians, creatives and programmers, followed by a partnership with public schools that implemented the tool.
The contents of Spot Saúde were articulated with the health curriculum of the Citizenship and Development discipline and intended to facilitate the understanding of the covid-19 disease and to sensitize the entire school community to adopt good disease prevention practices and healthy routines, in periods of emergency.
The project had the participation of 1,175 students from the 2nd and 3rd CEB, from public schools all over the country, who submitted in total 6,703 challenges of concrete citizenship in the health area.
“Gamification is a very useful tool, facilitating the transmission of knowledge, particularly in the area of health at school ages. We know that health promotion must start very early, in school-age children, so that health gains are sustainable and true literacy in health is built”, says Mariana Fiadeiro, from CUF Saúde’s Corporate Citizenship directorate.
The Rehabilitation Nursing Team of the São Miguel Island Health Unit has existed since 2010, and worked exclusively with elderly users and/or patients with total or severe dependency in the context of respiratory rehabilitation and impaired swallowing at home.
In May 2020, due to the covid-19 pandemic, the focus was changed to respond to the respiratory rehabilitation needs of children with respiratory pathology, who were deprived of this care after the closure of the respiratory kinesitherapy service at the Hospital de Divino Espírito Santo.
The team now ensures the care of 24 children spread across the island of São Miguel with just two specialist nurses. “We covered about 100 km a day to reach those who needed us”, confesses Maria Elisabete Lima, coordinator of the USISM Rehabilitation Nursing Team.
With the worsening of the pandemic in São Miguel, in November 2020, home respiratory rehabilitation began to be exclusively aimed at children at high risk of worsening respiratory pathology and consequent hospitalization.
At that time, respiratory telekinesis therapy was started, which consists of performing breathing exercises by video consultation, with children who had stable respiratory pathology and who had mastered breathing exercises, but who could not suspend respiratory rehabilitation.
Source: Jornal de Negócios by www.jornaldenegocios.pt.
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