The actions taken to improve the process can include monitoring the time needed for spare parts shipping and taking a survey to identify the most failure-prone accessories (models and brands) for consideration during procurement. A modern medical equipment maintenance strategy includes periodic inspection procedures to which preventive maintenance (PM) and corrective maintenance (CM) are added when necessary. Performance inspections ensure that the equipment operates correctly within the limits set by the manufacturer or according to the standards in force for that type of equipment. Safety inspections ensure that the equipment is safe to use for both patients and operators. Preventive maintenance (PM) aims to extend the life of the equipment and reduce the downtime of medical equipment 2.
A Quantitative Model for Replacement of Medical Equipment Based on Technical and Economic Factors
An analysis of the scheduled maintenance indicator showed poor coverage for defibrillators, which improved in 2016, the year the equipment was transferred to a global service policy. The purpose of classifying the maintenance operations was to analyse and monitor the types of performed operations. The number of CM cases corresponds to the number of failures that occurred (except for false failures, NPF). The same codes used in 21 are used to identify each failure type summarized in Table 2. Each individual CM and SM technical report was carefully analysed so that the many failures that occur each year could be catalogued.
Table 4.
Indeed, PM procedures are based on manufacturer’s requirements, individual experience, and equipment service history, whereas CM procedures are mainly based on manufacturer’s recommendations. Forward planning of maintenance calls for knowledge of maintenance requirements and the resources that are required in order to perform maintenance. Frequency of maintenance is based on the manufacturer’s recommendation and the equipment history. The maintenance procedure includes allactions that should be carried out on a device.
- In their work, the strategy of Latent Dirichlet Allocation was applied to process and analyze the text document79.
- As expected, BATT failures were lower in cases where scheduled maintenance was performed more frequently.
- The procedures of PvM consists of several necessary steps, including inspection, electrical safety testing, cleaning, calibration, preemptive parts change, and lubrication63,65.
- In addition, the classification and life cycle of medical equipment is also proposed.
- On the one hand, costs need to be contained; on the other hand, the criticality of the equipment must be considered.
Leverage Technology for Asset Management
In ambiguous cases, when there was a possible correspondence of two or more codes with the same failure, the most appropriate code was selected through careful analysis performed in cooperation with CE technicians and staff. For critical or high-tech devices, maintenance is covered by full risk agreements with manufacturers or authorized service centres. External maintenance is adopted for anaesthesia machines (ANS), central monitoring systems (CMO), electrocardiographs (ECG), vital parameter monitors (MON), surgical tables (TOP) and ventilators (VPO).
Sustainable Health Financing for Oxygen Scale-Up: Lessons from World Health Organization Workshop
This study began in December 2016 at Careggi University Hospital, which has 1367 beds and 16,209 pieces of medical equipment. This research paper is grounded on https://leeds-welcome.com/the-architect-s-guide-selecting-a-top-product-design-agency-in-2024-phenomenon-studio.html the EBM approach applied by Wang et al. 21–24. Maintenance is also a crucial aspect of the activities in a hospital’s clinical engineering (CE) department because it involves significant human and financial resources. Therefore, the assessment of the effectiveness of any maintenance programmes is strictly linked to the optimization of the use of available resources in CE departments 20.
