General Contractor Knowledge of Infection Control Requirements on Hospital Renovation Construction Projects

Collins, Wesley; Holley, Paul; Chavan, Abhay; Sattineni, Anoop

doi:10.1007/978-3-030-48465-1_11

Cited by 2 publications

(4 citation statements)

References 5 publications

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“…After ICRAs for airborne pathogens were introduced into the construction process, the construction materials industry responded with innovative control techniques for dust particles [ 8 ]. Today general contractors and air ventilation subcontractors routinely purchase products for dust control (e.g., sticky mats, mobile air machines with filtration, dehumidifiers, flood kits, temporary wall barriers, environmental containment units, and containment tape and sealants, among numerous other products) [ 6 , 40 ]. These products were invented for the primary purpose of protecting patients from exposure to airborne particulate matter.…”

Section: Discussionmentioning

confidence: 99%

“…Construction activities encompass a wide scope of work from minor maintenance and repair projects to the assembly of an entire new building [ 4 ]. In healthcare facilities utility systems require careful 24-h monitoring inclusive of construction activities to avoid obvious life-safety impacts to patients receiving medical treatment [ 5 , 6 ]. Since the early 2000’s healthcare codes, standards, and best practices have included reducing the risk of healthcare associated infections (HAIs) from air and waterborne pathogens associated with construction activities [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

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Reducing the Risk of Healthcare Associated Infections from Legionella and Other Waterborne Pathogens Using a Water Management for Construction (WMC) Infection Control Risk Assessment (ICRA) Tool

Scanlon

Gordon²,

Tonozzi³

et al. 2022

Infectious Disease Reports

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Construction activities in healthcare settings potentially expose building occupants to waterborne pathogens including Legionella and have been associated with morbidity and mortality. A Water Management for Construction—Infection Control Risk Assessment (WMC-ICRA) tool was developed addressing gaps in building water management programs. This enables healthcare organizations to meet the requirements of ANSI/ASHRAE Standard 188 referenced in numerous guidelines and regulations. A WMC-ICRA was modeled after the ICRA required for prevention and control of airborne pathogens to reduce the risk of healthcare associated infections. The tool allows users to evaluate risk from waterborne pathogen exposure by analyzing construction activities by project category and building occupant risk group. The users then select an appropriate level of risk mitigation measures. Technical aspects (e.g., water age/stagnation, flushing, filtration, disinfection, validation testing), are presented to assist with implementation. An exemplar WMC-ICRA tool is presented as ready for implementation by infection prevention and allied professionals, addressing current gaps in water management, morbidity/mortality risk, and regulatory compliance. To reduce exposure to waterborne pathogens in healthcare settings and improve regulatory compliance, organizations should examine the WMC-ICRA tool, customize it for organization-specific needs, while formulating an organizational policy to implement during all construction activities.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Reducing the Risk of Healthcare Associated Infections from Legionella and Other Waterborne Pathogens Using a Water Management for Construction (WMC) Infection Control Risk Assessment (ICRA) Tool

Scanlon

Gordon²,

Tonozzi³

et al. 2022

Infectious Disease Reports

View full text Add to dashboard Cite

show abstract

“…Healthcare construction projects are considered one of the most complex building types to assemble due to the nature of construction, engineering systems, and the patient safety regulatory environment [30,31]. In 2016, a US hospital construction survey identified 1300+ healthcare construction projects with a financial investment of USD 97 billion [32].…”

Section: Healthcare Construction Scheduling and Commissioningmentioning

confidence: 99%

“…Hospitals are under a cycle of continuous physical facility improvements due to aging infrastructure, increased patient loads, and innovative medical treatments and technologies. To coordinate building systems for patient safety, complex project management and scheduling are considered essential methods of healthcare construction [31,33]. A/E/C professionals commonly use construction scheduling methods to help manage and organize key project tasks and milestones, labor and resources, product delivery and installation, and final tests and inspections for a timely and cost-effective project delivery process [34].…”

Section: Healthcare Construction Scheduling and Commissioningmentioning

confidence: 99%

Building Water Quality Commissioning in Healthcare Settings: Reducing Legionella and Water Contaminants Utilizing a Construction Scheduling Method

Scanlon,

Gordon,

Reynolds

2023

Buildings

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Construction activities in healthcare settings potentially expose building occupants to life-threatening waterborne pathogens, including Legionella. The lack of a building water quality commissioning (BWQC) process has been identified as a substantial construction risk factor associated with disease cases and deaths. A BWQC schedule method was developed as a technical note to address gaps between the construction, commissioning, and operation phases of work to establish water quality and safety for a building water distribution system. The BWQC schedule method enables healthcare organizations to meet commissioning criteria set forth in guidelines and regulatory requirements for implementing a water management program (WMP) prior to initiating patient care operations. The authors used Office Timeline® Pro+Edition V7.02, Office Timeline LLC, Bellevue WA 98004, USA to depict a Gantt chart as a BWQC schedule listing key project tasks and milestones of construction and water management activities. Design and construction professionals, in conjunction with healthcare organizations, should examine the BWQC construction schedule method and customize it for project-specific implementation. Additionally, building owners should consider incorporating the method into an organization’s construction policies for a standardized approach to BWQC practices.

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General Contractor Knowledge of Infection Control Requirements on Hospital Renovation Construction Projects

Cited by 2 publications

References 5 publications

Reducing the Risk of Healthcare Associated Infections from Legionella and Other Waterborne Pathogens Using a Water Management for Construction (WMC) Infection Control Risk Assessment (ICRA) Tool

Reducing the Risk of Healthcare Associated Infections from Legionella and Other Waterborne Pathogens Using a Water Management for Construction (WMC) Infection Control Risk Assessment (ICRA) Tool

Building Water Quality Commissioning in Healthcare Settings: Reducing Legionella and Water Contaminants Utilizing a Construction Scheduling Method

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