T-Safe In Focus

New Anti-Tamper Solutions

The unauthorised removal of point-of-use (POU) filters can increase the risk of infection from waterborne pathogens by enabling the uncontrolled release of microorganisms in healthcare environments. In this insights story, we explore the risks to patient safety, why filters are removed, and how this can be controlled using our innovative ‘water safety security’ anti-tamper solutions.

The risk to patient safety

POU filters provide a physical barrier to the release of harmful opportunistic waterborne pathogens, which is crucial in infection prevention in healthcare settings. Filters are, therefore, relied upon as a critical control measure to protect the most vulnerable end users, who may be immunocompromised and susceptible to infection.

Unauthorised removal of POU filters can increase the risk of infection from waterborne pathogens by enabling the uncontrolled release of contaminated water into the environment. Patients and staff may be exposed directly to microorganisms such as Legionella pneumophila and nontuberculous mycobacteria (NTM) present in contaminated water systems. Other bacteria that can survive in the environment, such as Pseudomonas aeruginosa, can also result in cross-contamination of surrounding surfaces.

Therefore, the risk of infection from waterborne pathogens can be of concern to water safety groups, who have specifically installed filters as a critical control measure owing to known contamination of the hospital water system. This can be of more significant concern in areas where immunocompromised and neutropenic patients are present, where any lapse in control could have catastrophic outcomes.

 

Unauthorised removal of POU filters

Many filters are designed to enable ease of installation and facilitate rapid deployment during water safety emergencies. Typically, this involves the use of a threaded adapter that is screwed into the tap outlet, with a push fit connection for the filter which allows for quick and easy installation and exchange. This simplifies the process and reduces labor time for busy estates teams, however this in turn leaves filters open to misuse by end users as they can be easily removed.

Filters may be removed by unsuspecting end users including visitors, patients and staff mainly due to a lack of awareness of their purpose and importance as a water safety control measure. They may also be removed if flow from the filter has been significantly reduced rendering them unusable for hand washing or showering, typically caused by low water pressure or clogging.

The unauthorised removal of filters increases the risk of infection via three key pathways;

1. Direct exposure

The end user is directly exposed to contaminated water from the tap outlet during hand washing or the shower hose during bathing.

2. Cross-contamination

Sanitary fittings and surrounding areas, such as medicines and medical devices, are exposed to contamination caused by aerosols and splashing from the outlet.

3. Retrograde contamination

If the removed filter is left sitting in the hand wash basin or shower tray, it is exposed to contamination, which will compromise patient safety if the filter is refitted and reused.

T-safe anti-tamper solutions

Our latest innovation in water safety security provides a robust and reliable solution for preventing the unauthorised removal of tap and shower filters. The unique design of the T-safe anti-tamper tap adapter and shower hose restricts the removal and refitting of filters to authorised persons only. This ingenious solution helps safeguard patient safety by preventing the uncontrolled release of contaminated water where filters are installed.

 

 

Fixed Position Anti-Tamper Adapter

Features:

  • The unique anti-tamper solution, prevents unauthorised removal of tap filter
  • Unique swivel mechanism, prevents unauthorised removal of tap adapter
  • Removal is only enabled using a bespoke release tool
  • Internal hex connection enables secure installation with a watertight seal
  • Smooth external surface with no dirt traps
  • Collect water samples from adapter in situ, using a bespoke bypass sampler

 

 

Anti-Tamper Shower Hose

Features:

  • The unique anti-tamper solution, prevents unauthorised removal of filter shower
  • Swivel function reduces hose entanglement/coiling
  • Antimicrobial additive technology aids infection control by reducing surface bacteria growth
  • Multilayer, braided reinforced PVC hose
  • Metal 1/2” connections

 

Note: This product is intended solely for use in conjunction with T-safe shower and tap filters and is not compatible with other brands.

Interested in learning more?

Related insights

T-Safe In Focus Controlling Legionella with Point-of-Use Filters
T-Safe In Focus NETB No. 2024/3: Best Practices for Designing Safe Spaces for Patients at Risk of Nontuberculous Mycobacteria and Waterborne Pathogens