ABSTRACT
Objective To establish a set of feasible and complete repair and maintenance management mode in the medical equipment department of the hospital.Methods A team like the third-party outsourcing service company was established by improving talent echelon and management mode in the department and drawing lessons form the company, which could undertake the business from medium-or small-scale hospital or community health center when it became mature.Results The improved management mode in the medical engineering department enhanced department cohesiveness, academic impact and hospital director′s emphasis. Conclusion A set of repair and maintenance management mode is of great significance for the development of medical engineering department in the hospital.
ABSTRACT
Objetivo: Realizar un diagnóstico del estado de la gestión del mantenimiento de equipos biomédicos en el área de urgencias de tres (3) instituciones de nivel tres de complejidad médica de la ciudad de Medellín, Colombia, dentro del proyecto de investigación producción más limpia en salud. Metodología: Se diseñó una encuesta a partir de la Guía Sectorial de Producción más Limpia, en hospitales, clínicas y centros de salud, donde se obtuvo una lista de chequeo para la revisión del estado de la gestión de mantenimiento de los equipos biomédicos más complejos utilizados en urgencias. Resultados: La gestión de mantenimiento de los equipos biomédicos más complejos es muy buena en el hospital 1 y excelente en los hospitales 2 y 3; la metrología y gestión de mantenimiento en los equipos biomédicos del área de urgencias de los tres hospitales es excelente. Conclusión: La gestión de mantenimiento es muy importante para el ahorro económico en las instituciones, ya que se pueden reducir tiempos muertos de los equipos sin afectar la prestación de los servicios, aparte de que se reducen gastos en la compra de repuestos, y generación de residuos causantes de impactos negativos al medio ambiente.
Objective: to perform a diagnosis of the state of biomedical equipment maintenance management in the emergency areas of three (3) institutions of level three of medical complexity in the city of Medellín, Colombia. The realm is within the cleaner production in health research project. Methodology. A survey was designed based on the Cleaner Production Sector. Guide: in hospitals, clinics and health centers, where a check list was obtained to review the state of maintenance management of the most complex biomedical equipment used in the emergency room. Results: maintenance management of the most complex biomedical equipment is very good in hospital 1 and excellent in hospitals 2 and 3. Metrology and maintenance management in the biomedical equipment of the emergency area of all three hospitals is excellent. Conclusion: maintenance management is very important for financial savings in institutions, since they can thus reduce equipment downtime without hindering the provision of services, along with reducing costs in the purchase of spare parts and generation of waste, which causes a negative impact on the environment.
Objetivo: Realizar um diagnóstico do estado da gestão da manutenção de equipamentos biomédicos na área de urgências de três (3) instituições de nível três de complexidade médica da cidade de Medellín, Colômbia, dentro do projeto de investigação produção mais limpa em saúde. Metodologia: Desenhou-se uma pesquisa a partir da Guia Setorial de Produção mais limpa, em hospitais, clínicas e centros de saúde, onde se obteve uma lista de verificação para a revisão do estado da gestão de manutenção dos equipamentos biomédicos mais complexos utilizados em urgências. Resultados: A gestão de manutenção dos equipamentos biomédicos mais complexos é muito boa no hospital 1 e excelente nos hospitais 2 e 3; a metrologia e gestão de manutenção nos equipamentos biomédicos da área de urgências dos três hospitais é excelente. Conclusão: A gestão de manutenção é importantíssima para a poupança económica nas instituições, já que podem-se reduzir tempos mortos dos equipamentos sem afetar a prestação dos serviços, aparte de que se reduzem despesas na compra de repostos, e geração de resíduos causantes de impactos negativos ao meio ambiente.
ABSTRACT
The paper analyzes detailedly the current problems and challenges of Information Technology (IT) operation and maintenance management of the hospital,and states the logical architecture,deployment architecture,functional modules and application effect of Realtime Intelligemt Infrastructure Library (RIIL),in order to improve the efficiency of IT operation and maintenance work.
ABSTRACT
Objective:To explore the process of maintenance management for large medical equipment, and the structure design and core connotation of the maintenance management software of them.Methods: Medical linear accelerator of Precise series of Elekta company was combined to achieve the objective. From the aim of designing normal operation rate to start, the failure mode and effects analysis (FMEA) was operated to analyze the maintenance strategies and maintenance manners which were established on the basis of PDCA(Plan, Do, Check, Action) cycle and the analysis mode of SWOT (Strength, Weakness, Opportunity, Threat), and it could achieve the aim of normal operation rate.Results: Through explored the connotation of maintenance management and the preliminary framework of the software of maintenance management, the detail and process of maintenance management that based on personalized accelerator of process control were established, and the element factors of software of maintenance management of accelerator also was established at the same time.Conclusion: The effective maintenance management of large medical equipment is based on informatization process management of process control, and the element factor of management software need personalized customization. On the other hand, failure mode and degradation mechanism of equipment were the basis for personalized customization, and the creation has practical value.
ABSTRACT
Objective:To explore the effect of continuous quality improvement for enhancing the ability of application and management of nurses of hepatobiliary surgery for physiological monitor.Methods: The data of clinical work were researched by using retrospective analysis, and they were divided into quality improvement group(n=40) and routine management group(n=40) according to different management method. The score of examination, satisficing of patient for physical monitor, false alarm situation and processing time between the two groups were researched and analyzed.Results: The score of examinations both of theory and operation of quality improvement group were significantly higher than those of routine management group (t=4.303,t=3.182,P<0.05), respectively. The reasonable storing rate, understanding rate of whereabouts and satisficing of maintenance about physical monitor of quality improvement group (92.5%, 100.0% and 87.5%) were significantly higher than those of routine management group(32.5%, 40.0% and 52.5%) (x2=5.02,x2=7.38,x2=9.35,P<0.05), respectively. The false alarm rate of quality improvement group (10.0%) was significantly lower than that of routine management group (35.0%) (x2=11.14,P<0.05). And the processing time of false alarm of quality improvement group was significantly shorter than that of routine management group (t=2.776,P<0.05).Conclusion: The method of continuous quality improvement can effectively enhance the ability of application and management level of the nurses of hepatobiliary surgery for physical monitor.
ABSTRACT
Objective To involve informatized measures into medical equipment maintenance to enhance their clinical quality and safety.Methods A medical equipment maintenance management system was developed with C/S and B/S to establish the architecture,PowerBuilder language for programming and SQL Server 2008 database for data storage and inquiry.Results 2-a clinical trial proved the system had high stability,which facilitated maintenance application as well as inquiry and statistical analysis on maintenance records through network.Concinsion The system realizes informatized medical equipment maintenance management and promotes medical equipment maintenance management.
ABSTRACT
Objective To involve informatized measures into medical equipment maintenance to enhance their clinical quality and safety.Methods A medical equipment maintenance management system was developed with C/S and B/S to establish the architecture,PowerBuilder language for programming and SQL Server 2008 database for data storage and inquiry.Results 2-a clinical trial proved the system had high stability,which facilitated maintenance application as well as inquiry and statistical analysis on maintenance records through network.Concinsion The system realizes informatized medical equipment maintenance management and promotes medical equipment maintenance management.
ABSTRACT
Objective:To explore effective ways to improve the medical quality and safety management level of medical equipment.Methods: Using the PDCA management tool in the daily maintenance of medical equipment, the management of medical equipment is more reasonable. Results:During 2 years’ PDCA plan implementation, fault total cases in 32 sets of hemodialysis equipment were 461, and annual average cases were 230.5. In comparison with the total number of 441 fault cases of 28 units in the previous 1 years, the failure rate is greatly decreased. The mis-operation caused by fault is also greatly reduced. The circuit and water failures were annually 16.5 times and 197 times, and they were greatly reduced compared to 25 times and 324 times in the previous year.Conclusion: It can effectively improve the medical quality and safety management level of medical equipment by using the PDCA management tool in the daily maintenance of medical equipment, and also in the tertiary general hospital accreditation standards provisions to clear quality and safety indicators and records of continuous improvement effect of the department of medical equipment. Therefore, In the medical equipment maintenance work, it can carry out the new trend of PDCA and medical equipment management.
ABSTRACT
Objective:To explore the importance of preventive maintenance (PM) of the medical equipment operation and maintenance management system in hospital quality control module. Methods:By introducing the quality control module of maintenance management system into medical equipment operation, the test data was analysed and medical equipment PM plan was developed. Results:Medical equipment PM plan can effectively reduce the failure rate of equipment, thus guaranteeing the normal operation of the equipment. Conclusion:The application of hospital medical equipment operation and quality control module of maintenance management system, can make more accurate statistics for failure cycle and failure rate of hospital equipment, implement the new PM plan, effectively reduce the failure rate and operation cost of hospital equipment, and improve equipment utilization.
ABSTRACT
Objective: To improve the method of the international popular traditional CBM, and apply it to medical equipment maintenance. Methods: The monitor equipment real-time monitoring was replace by operating personnel’s real-time monitoring and by engineering technical personnel’s professional inspection regularly. The engineering and technical personnel replace experience with data, regularly test data with continuous data, and experience and reasoning of fuzzy with data processing and calculation of the precise results when analyzing the monitoring equipment unit, so as to achieve the purpose of CBM. Results:Compared with the PM mode, CBM mode’s maintenance workload and downtime maintenance reduce more than 30%and maintenance funds spending save 20~30%. Relative to BM mode, the quality success rate of medical instrument improves more than 5 percent and the personal safety hidden danger has fallen sharply. The medical benefit and economic benefit have been improved. Conclusion:It is effective and feasible to introduce the CBM mode to medical equipment maintenance.
ABSTRACT
Objective:Based on the hospital resource planning(HRP) system, design in delicacy maintenance information management system of medical equipment, aims to solve problems for preventive maintenance, repair decision support, repairing parts management, fault library, practical training, cost analysis, workload statistics and other aspects.Methods: The five issues including establishment of a standardized procedure for solving maintenance, electronic document management, scientific and material support, comprehensive personnel management, cost analysis, statistical and intelligent decision support by the Visual Basic for application programming technology were solved to realize the database interaction. Constructing standardization process of equipment maintenance management and making full use of the stored information can provide guidance for equipment maintenance management activities.Results: The equipment maintenance management and integrated decision analysis, provides a strong reference for all types of decision-making of the hospitals. To realize information sharing among departments make hospital equipments maintenance comply with a standardized and scientific management requirements.Conclusion: It can be widely applied in hospital equipment maintenance management process and is significant to the achievement of scientific management of medical equipment.
ABSTRACT
El mantenimiento correctivo está orientado a corregir los defectos observados en los equipamientos o instalaciones, localizando las averías y reparándolas. Los costos de reparación de un equipo suelen ser mucho mayores en la etapa correctiva que en la etapa preventiva, y la literatura existente está orientada más hacia la prevención que hacia la corrección. Sin embargo, es inevitable que en una institución hospitalaria, como en cualquier otra, se presenten frecuentemente problemas en los equipos que no pudieron ser previstos o evitados mediante el mantenimiento preventivo o correctivo. Por esta razón, se hace necesario contar con protocolos para el mantenimiento correctivo que contengan criterios y procesos claramente definidos para mejorar la eficiencia y la eficacia en la solución de los problemas y que permitan la máxima disponibilidad en la prestación de los servicios. En este trabajo se presenta, como caso de estudio, el desarrollo e implementación de un Manual para la Gestión del Mantenimiento Correctivo en una de las clínicas de más alto nivel en la ciudad de Cali: La Fundación Valle del Lili.
The corrective maintenance is aimed at correcting the shortcomings in the equipment or facilities, locating faults and repairing them. Repair costs of equipment are usually much higher in the corrective stage than in the preventive stage, and the existing literature is oriented more towards prevention than correction. However, it is inevitable that in a hospital, as elsewhere, problems are often present on computers that could not be foreseen or avoided through preventive or corrective maintenance. For this reason corrective maintenance protocols containing clearly defined criteria and processes to improve efficiency and effectiveness in solving problems and ensuring maximum availability in the provision of services, are needed. This paper presents a case study, development and implementation of a Management Manual for corrective maintenance of the highest level clinics in the city of Cali: The Fundación Valle del Lili.
A Manutenção corretiva visa corrigir as deficiências do equipamento ou instalações, localizando falhas e reparálas. Os Custos de reparação de equipamento são geralmente muito maior na fase corretiva que na fase preventiva, e a literatura existente é mais orientada para a prevenção que para a correção. No entanto, é inevitável que em um hospital, como em outros lugares, muitas vezes se apresentam problemas nos equipamentos que não podiam ser previstos ou evitados através da manutenção preventiva ou corretiva. Por esta razão, é necessário ter protocolos de manutenção corretiva que contenham critérios e processos claramente definidos para melhorar a eficiência e eficácia na resolução de problemas e para assegurar a máxima disponibilidade na prestação de serviços. Este trabalho se apresenta como um caso de estudo, o desenvolvimento e a implementação de um Manual de Gestão para manutenção corretiva das clínicas de maior nível na cidade de Cali: a Fundação Valle del Lili.
ABSTRACT
La gestión de mantenimiento es una herramienta de gran impacto que apoya al personal de Ingeniería en el desarrollo, control y dirección de programas de mantenimiento para el equipo médico. Objetivo: caracterizar la gestión de mantenimiento en servicios de urgencia de clínicas y hospitales del área metropolitana de Medellín en el período 2008-2009. Materiales y métodos: se realizó una encuesta a jefes y técnicos de mantenimiento en once entidades prestadoras de servicios de salud, clasificadas en tercer nivel y pertenecientes a la red de salud del municipio de Medellín. Resultados: entre las instituciones encuestadas se encontró que la causa de falla más común en los equipos del servicio de urgencia es el mal manejo de los equipos (75%) por parte de los operarios y que 70% del mantenimiento es realizado por personal con experiencia en el área (tecnólogos en mantenimiento de equipo biomédico e ingenieros biomédicos). En las once instituciones públicas y privadas encuestadas se halló que solo se contaban con cronogramas de mantenimiento y/o con información desactualizada concerniente a las hojas de vida de los equipos, planes de mantenimiento o adquisición y baja de equipos. Conclusión: el estudio muestra la existencia de debilidades en ciertos puntos de la gestión, incluyendo mala organización, poca disponibilidad de repuestos originales y falta de capacitación en el personal que maneja los equipos.
Maintenance management is a tool that supports Biomedical Engineering staff in the development, control and direction of maintenance programs for medical equipment. Objective: to characterize the maintenance management of biomedical equipment in emergency areas of medical institutions in the metropolitan area of Medellin during 2008-2009. Materials and methods: a survey was conducted with chiefs and maintenance technicians of eleven institutions classified at level 3, belonging to the health network of the municipality of Medellin. Results: among the medical institutions included in the present study, it was found that 80% of equipment failure was related with mishandling of the devices, and 70% of maintenance work developed during the period of study was carried out by qualified Biomedical Technicians/ Technologist. On the other hand, a weakness was observed in programs for medical equipment maintenance of the surveyed institutions, as it was found that most of them had only working PM schedules, and outdated record information of equipment regarding, maintenance, acquisition or decommissioning plans of equipment. Conclusion: the study shows the existence of weaknesses in certain areas of the maintenance, such also poor organization and management, and poor availability of original spare parts.
A gestão de manutenção é uma ferramenta de grande impacto que apoia ao pessoal de Engenharia no desenvolvimento, controle e direção de programas de manutenção para os aparelhos médicos. Objetivo: caracterizar a gestão de manutenção em serviços de urgência de clínicas e hospitais da área metropolitana de Medellín no período 2008-2009. Materiais e métodos: realizou-se uma enquete a chefes e técnicos de manutenção em onze entidades prestadoras de serviços de saúde, classificadas em terceiro nível e pertencentes à rede de saúde do município de Medellín. Resultados: entre as instituições pesquisadas encontrou-se que a causa de falha mais comum nos aparelhos de serviço de urgência é a má gestão dos aparelhos (75%) por parte dos operários e que o 70% da manutenção é realizada por pessoal com experiência na área (tecnólogos em manutenção de equipe biomédica e engenheiros biomédicos). Nas onze instituições públicas e privadas pesquisadas encontrou-se que só contavam-se com cronogramas de manutenção e/ou com informação desatualizada concernente aos currículos dos aparelhos, planos de manutenção ou aquisição e retiro de aparelhos.Conclusão: o estudo mostra a existência de debilidades em determinados pontos da gestão, incluindo má organização, pouca disponibilidade de sobressalentes originais e falta de capacitação no pessoal que administra os aparelhos.
Subject(s)
Humans , Equipment Maintenance , Biomedical Engineering , Bathroom Equipment , Surveys and Questionnaires , Colombia , Total Quality Management , Data AnalysisABSTRACT
O objetivo do trabalho foi avaliar (através de estudo descritivo, quantitativo e transversal) a prestação de serviços de manutenção predial em Unidades de Saúde, considerando os cinco tipos de Estabelecimentos (Unidade Básica de Saúde, Unidade de Pronto Atendimento, Especialidade, Hospitalar e Saúde Mental). A pesquisa foi aprovada no CEP da FHEMIG com o Termo de Concordância junto ao SUS Betim. Foi realizada a análise comparativa através da verificação de requisitos da "Gestão da Estrutura Físico-Funcional", do "Manual Brasileiro de Acreditação Hospitalar" da ONA. Foram constatadas inconformidades na gestão físico-funcional dos EAS, especialmente das UBS. Importante essa avaliação, considerando que o cumprimento dos requisitos formais, técnicos e de estrutura, as atividades assistenciais, de acordo com a organização do serviço e adequadas ao perfil e à complexidade, podem colaborar para minimizar os riscos dos usuários. Para a melhoria da qualidade assistencial dos estabelecimentos, é imprescindível que os gestores, com o respaldo da "alta direção", priorizem, nos planejamentos, os recursos financeiros, humanos e materiais a fim de garantir o cumprimento das exigências da segurança dos usuários nos edifícios.
The scope of this paper was to evaluate the provision of building maintenance services in health units, by means of a descriptive, quantitative and cross-sectional study, considering the five types of facilities (Primary Health, Emergency, Specialty, Hospital and Mental Health Units). The research was approved by the Research Ethics Comittee of FHEMIG with the Terms of Agreement signed with the Unified Health System of Betim. Comparative analysis was conducted by checking the requirements of "Physical-Functional Structure Management" of the "Brazilian Hospital Accreditation Manual" of the National Accreditation Organization. Nonconformities were noted in the physical-functional management of the health centers, especially the primary health units. The assessment was important, considering that compliance with formal, technical and structural requirements, welfare activities, according to the service organization and appropriate to the profile and complexity, can collaborate to minimize the risks of users. To improve the quality of health care establishments, it is essential that managers, backed by "top management," prioritize financial, human and material resources in planning to ensure compliance with security requirements of users in buildings.
Subject(s)
Hospital Administration , Safety/standards , Maintenance and Engineering, Hospital/organization & administration , Corrective Maintenance , Preventive MaintenanceABSTRACT
Medical equipment maintenance management as an important part of hospital management has always been a difficulty, particularly in small and medium-sized hospital. Because of their weak technical force and the growing diversity, complexity, high-tech modern medical equipment, methods for scientific and effective management are more important. The experiences of how to manage equipment maintenance are introduced.
ABSTRACT
Medical maintenance,content,quality control of medical equipment and their mutual relationships are discussed.It is to set up the content requirement and controlling way for equipment repairing together with their relationships using the theory and method of modern management science to direct,organize,control and coordinate the repairing work of medical equipment.It is also expected to predict,regulate and check every link of the repairing course so as to establish good quality controlling and management system for optimum repairing effect and economic benefit.This is profound to promote the comprehensive improvement of the quality of medical equipment.
ABSTRACT
The decontamination work of the clean operating room counts for much in hospital.It is an important link to keep surgical operation from indoor cross infection.This paper mainly carries on the relevant study to the hospital decontamination management work of the clean operating room from three aspects:(1) the decontamination management work of the clean operating room,(2) the work method of the clean operating room decontamination,(3) the decontamination procedure and maintenance management of the clean operating room.
ABSTRACT
A maintenance management system for medical equipment is developed based on HIS.The system contains some special functions(including preventive maintenance,automatic job distribution,performance assessment,etc.)which are very useful for confirming the medical equipment in proper conditions and promoting the working efficiency of the staff.The system provides a technical support for the improvement of the maintenance management level.The CS/BS combined mode is adopted so that the maintenance is exempted at the users' end,and the data operation and statistical work become convenient at the engineering department's end.Furthermore,it provides a platform for future hospital information integration.
ABSTRACT
Talented persons and medical equipment are both important for the development of the hospital. Improved management of medical equipment maintenance can make the equipment effective and lower maintenance cost, in which regular maintenance, enhanced management of equipment files are involved in.