ABSTRACT
El mantenimiento preventivo en las instituciones hospitalarias se ejecuta para minimizar las acciones correctivas. Esto trae consigo una disminución de los gastos, una reducción de los riesgos y un aumento de la disponibilidad técnica de los equipos médicos, con la disminución de los tiempos de parada de los servicios, lo cual redunda en la excelencia de los servicios médicos prestados. En el campo de las tecnologías médicas ocurre un gran avance cada día, por lo que los equipos son más sofisticados y costosos. Este artículo tiene el objetivo de exponer la importancia de la capacitación ineludible del personal de Electromedicina en la actividad de gestión de mantenimiento a equipos médicos, a partir de las necesidades que ofrece la interpretación de su inventario. Se brindan pautas básicas sobre la preparación permanente y continuada del electromédico en mantenimiento a equipos médicos y se demuestra lo útil que resulta un inventario para gestionar la capacitación de los recursos humanos, lo cual se debe a la consulta, el análisis-síntesis y la sistematización de múltiples fuentes bibliográficas impresas e insertadas en la web: bases de datos Medline, Scielo, Redalyc y Google Académico. De ellas se revisó el material de 62 y, finalmente, se seleccionaron 24 artículos. Se concluyó que la capacitación en esta temática es fundamental para que las tareas de mantenimiento constituyan en verdad herramientas eficaces, que beneficien no solo a la institución prestadora de servicios de salud, sino al paciente y al personal médico(AU)
Preventive maintenance in hospital institutions is carried out to minimize corrective actions. This brings about a decrease in expenses, a reduction of risks and an increase in the technical availability of medical equipment, with a reduction in the times that services stop, which results in the excellence of the medical services provided. In the field of medical technologies, great advances occur every day, the reason why pieces of equipment are more sophisticated and expensive. This article aims to expose the importance of the unavoidable training of electromedicine personnel in the activity of maintenance management for medical equipment, based on the needs offered by the interpretation of its stock. Basic guidelines are provided about the permanent and continuous training of the electromedicine technologist in maintenance of medical equipment, while it is demonstrated how useful an equipment stock is to manage the training of human resources, which responds to the work developed after consultation, analysis-synthesis and systematization from multiple bibliographic sources printed and inserted on the databases of Medline, Scielo, Redalyc and Google Scholar. Of these sources, the material of 62 was reviewed and, finally, 24 articles were selected. It was concluded that training on this subject is essential for maintenance tasks, which truly constitute effective tools, benefiting not only the institution that provides health services, but also the patient and the medical personnel(AU)
Subject(s)
Humans , Equipment Maintenance/methods , Equipment Maintenance/prevention & control , Allied Health Personnel/education , Professional TrainingABSTRACT
OBJECTIVE@#Improve the integrity of the digestive electron microscope equipment and reduce the cost of equipment failure maintenance.@*METHODS@#By studying the composition and function of the digestive electron microscope system and analyzing the causes of common faults, a targeted preventive maintenance plan is developed, equipment users are graded, and a training system is established.@*RESULTS@#The user of the device can skillfully analyze the cause of the malfunction and timely deal with the sudden failure of the diagnosis and treatment, thereby reduce the risk of diagnosis and treatment and the investment in hospital maintenance.@*CONCLUSIONS@#Through the analysis and processing of the digestive electron microscope system, point detection leakage, grading training, preventive maintenance can significantly improve the equipment integrity rate, reduce the risk of clinical diagnosis and treatment, effectively reduce the number of equipment failures, and reduce maintenance costs.
Subject(s)
Equipment Failure , Maintenance and Engineering, Hospital , Microscopy, ElectronABSTRACT
Abstract Agricultural Machinery as an off-road vehicle is the backbone of the World agricultural industry. Its main function is to operate as a prime mover and support the power requirements to function the various type of draft implements. In this regards, the hydraulic system is an important part and is controlled by the propagated oil which is cleaned by impurities and debris using a filter system. Once it blocks, the bypass opens to avoid any pressure burst of the system, and the particles find their way into the hydraulic system and get lodged in the gears, pumps, valves, and drive train to hinder the performance of the Agricultural Machinery. This research presents an onboard Multiple Signal Classification Algorithm (MUSIC) and pseudo-spectrum analysis as a computational tool used by cellphones to analyze the particle pollution level of the hydraulic filter. This analysis is carried out on the soundtracks recorded from different cell phones in different incremental stages of fluid contamination to the particles until it being choked, based on the standard of ISO4406.
Subject(s)
Acoustics , Preventive Maintenance/methods , Hydraulics , Algorithms , Diagnostic ErrorsABSTRACT
Objective: To construct the training tasks about preventive maintenance for medical devices based on multi-factor model and analytic hierarchy process(AHP). Methods: The preventive maintenance items of 8 general medical devices were analyzed in the research. Through carried out multi-factor model and analytic hierarchy process to design reasonable training subjects for preventive maintenance of medical devices, and through combined with decision-making tree model of criticality difficulty frequency (CDF) to implement the contrast with judgment standard. Multi-factor model set 2.5 score as the standard score of professional training subjects, and subject need carry out professional training if score ≥2.5, otherwise it needn't. Results: In the grading of 8 subjects of multi-factor model, the scores of 5 subjects were more than 2.5 score, and they need implement professional training. This result was coincidence with the analysis result of decision-tree model of CDF. Conclusion: The analysis method of multi-factor model and analytic hierarchy process has important value for setting reasonable training subject for preventive maintenance of medical device, and it can provide theoretical basis for setting standardized training subject in future.
ABSTRACT
Objetivo: Relatar um caso clínico envolvendo a abordagem cirúrgica/restauradora e medidas preventivas. Relato do caso: Paciente MEMO, 6 anos e 8 meses de idade, feminino, com alto risco/atividade de cárie, apresentando biofilme visível em superfícies lisas livres, lesões de cárie ativa, perda precoce do dente 85, fístula relacionada com a região do dente 75, mudança de cor do dente 61 e perda significativa de dimensão vertical posterior, apresentou-se para tratamento na Clínica de pós-graduação em Odontopediatria da FOP/Unicamp. O plano de tratamento consistiu na abordagem integral focada na promoção da saúde como desfecho principal, ou seja, mudança de comportamento em relação à saúde bucal, e como desfecho secundário, a abordagem cirúrgica/restauradora. Instrução de higiene bucal foi realizada em todas as sessões. O manejo do comportamento foi conduzido por meio da evidenciação e controle de biofilme, profilaxia e adequação do meio bucal seguido da extração do dente 75, selamento de fossas e fissuras dos dentes 36, 46 e 16 e restaurações no 55 e 65. Mantenedor de espaço removível inferior foi realizado. Conclusões: Após seis meses pôde-se observar ausência de biofilme visível, o índice de placa estava controlado e não havia evidência de novas lesões de cárie. Pode-se concluir que o sucesso obtido neste caso destaca a importância da abordagem integral focada na promoção da saúde na clínica odontopediátrica.
Objective: To report a clinic case involving the surgical/restorative approach and preventive actions. Case report: The patient MEMO, aged 6y and 8mo, female, with high caries risk/activity, presenting visible biofilm on free smooth surfaces, active carious lesions, early loss of the 85 tooth, fistula related with the 75 tooth region, color change on 61 tooth and significant loss of posterior vertical dimension has been driven to Pediatric Dentistry Graduate Clinic at FOP/ Unicamp. Treatment plan consisted on integral approach focused as primary outcome on health promotion, behavior change in relation to oral health, and as secondary outcome, the surgical/ restorative approach. Oral hygiene instruction was conducted in all sessions. The behavior management was conducted by evidence and control of visible dental plaque, prophylaxis and oral environment adequation; extraction of 75 tooth, pit and fissure sealing of the 36, 46, 16 teeth, and restorations in the 55 and 65. Removable lower space maintainer appliance was made. Conclusions: After 6 months it could be observed that there was not visible biofilm, the IP was controlled. In addition, there was no evidence of new caries lesions. It could be concluded that the success obtained on this clinical case bring about the importance of the integral performance focused on healthy promotion in pediatric dentist clinic.
Subject(s)
Humans , Female , Child, Preschool , Pediatric Dentistry , Health Education , Preventive MaintenanceABSTRACT
Objective To analyze the relationship between the measurement error of oxygen concentration and service time of oxygen cell of the ventilator. Methods The present situation of the ventilator was analyzed. Some cases of alarms for oxygen concentration failures were taken in statistical analysis on 3-a quality control detection results of the ventilators in some hospital. Results There was an approximately linear correlation between the measurement error of oxygen concentration and service time of oxygen cell, and the measurement error of oxygen concentration was increased significantly 430 days after the oxygen cell enabled. Conclusion The measurement error of oxygen concentration quality control could be used as a reference for performance evaluation and replacement of oxygen cell.
ABSTRACT
Objective To explore the management methods of medical equipment maintenance. Methods Based on the staffing of hospital engineering technician, the difference between levels of hospitals in medical equipment maintenance management was explored from the aspects of maintenance, preventive maintenance, use training of medical equipment, medical equipment maintenance management system and etc. Results The management methods of medical equipment maintenance were different corresponding to the configurations of the departments of clinical engineering. Conclusion The maintenance management method corresponding to the staffing of hospital engineering technician as well as the correct use of modern medical equipment contribute to insuring the safety and reliability and enhancing the availability and utilization rate.
ABSTRACT
Objective: To provide technical support of clinical diagnosis and treatment through multi measures to improve the present maintenance situation of medical equipment in primary hospital and ensure the safety and effectively operation of medical equipment. Methods: Through analyzing the current situations, about maintenance team of medical engineering in hospital, the situation of equipment maintenance and maintenance cost, to discuss a approach that conformed to the construction of maintenance team of primary hospital and the guarantee of equipment. Results: In the maintenance of medical equipments, manufacturers of equipment provided 76.44% of total service, and they were absolute monopoly. And the self-maintenance and the third -party maintenance were 12.96 and 10.6%, respectively, and they were relatively at weak position. Conclusion: Although the price of outsourcing service of manufacturer is higher, the approach can faster solve problem and ensure utilization rate. And the third-party services need be carefully identified because their uneven level and incomplete cover of industry supervision. Therefore, the combination, included of outsourcing service and training medical engineering team, and the relevantly formulating regime and improving standard about maintenance service can change the passive situation of maintenance of medical equipment.
ABSTRACT
Objective: The system of quality control management of medical equipment is an important management means to maintain medical security, achieve quality control management by the information technology, and it can quickly improve the efficiency of management and increase the effectiveness of the management. Methods: Using the tools of B/S of three layer architecture technology, the management of medical device adverse event, assessment of medical equipment, management of medical equipment scrap, management of medical metrology certificate, and other functions are developed. Results:The adverse events, examine, scrap, certificate management, and other functions are designed through the software, the quality of the equipment is mastered in time through different testing cycle of data comparison, so that the related departments can take preventive maintenance to make the equipment in good state. Conclusion: The informational system of quality control management is used to promote the modernization of medical management and guarantee effectively the quality and safety of medical equipment.
ABSTRACT
Objective: Through researching the quality control parameters detection of neonatal jaundice treatment cases, we can control the quality of treatment cases and preventive maintenance to make sure the therapy to newborn is effective and safe. Methods:Using INCU portable analyzer and BiliBlangket Light MeterII blu-ray irradiation apparatus to respectively test the temperature control parameters and the intensity of blue light phototherapy of the jaundice treatment cases, a lot of research data can be acquired. Results:On the base of researching the quality control parameters detection of neonatal jaundice treatment cases (30 sets in total), we can control the quality of treatment cases smoothly. Through these tests, we can fix the medical equipments which cannot pass the detections. Conclusion:The research on the quality control parameters detection of neonatal jaundice treatment cases makes the preventive maintenance and quality control quick and effective to ensure the treatment effect and safety for the neonatal.
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:In view of the different kind of equipment to develop proprietary standardization of medical equipment preventive maintenance template, and make a quantitative evaluation of effects.Methods: Set up the experimental group and control group, compare maintenance data and parameters of the quality control.Results: According to the standardization of the preventive maintenance of patient monitor template, maintenance data improved, quality indicators improved significantly.Conclusion: The establishment of the standardization of medical equipment preventive maintenance template, can improve the rate of running machines, security equipment in the best state operation, reduce the equipment failure risk, ensure the safety of the use of the equipment.
ABSTRACT
Objective:Through the application of remote diagnosis system in medical equipment operation maintenance analysis, clarify the significance of the remote diagnosis technology.Methods:Combined with the actual case, from the breakdown maintenance, preventive maintenance, online training, and other aspects to explore remote diagnosis technology in the medical equipment application and expand operations.Results:Using the remote diagnosis technology can reduce the failure rate, monitor system operation state and environment parameter, improve the efficiency of management of medical equipment.Conclusion: remote diagnosis technology make full use of the manufacturers of professional and technical resources, early detection equipment problems, provide prospective judgment, ensure the equipment running in the best condition.
ABSTRACT
Objective:To investigate the responsibility transformation of hemodialysis engineer with the popularization of hemodialysis therapy. Methods:Through long clinical practice and exploration the responsibility of hemodialysis engineer in the new environment by working closely with senior engineer and nurse which leaded the cooperation between manufacturers and department of equipment in hospital. Results: According to the discussion and practice demonstration, the responsibility of hemodialysis engineer is no longer corrective maintenance, but to put more attention to preventive maintenance and quality control, even to improvement maintenance to service clinical. Conclusion:With the quality improvement and new idea which the management model focuses on patients, hemodialysis engineer will strengthen the quarlity control and improve the maintenance, provide better service for clinical work.
ABSTRACT
This paper studied the selection of training tasks of medical equipment preventive maintenance,to provide theoretical basis for standardized training design.Eight tasks of medical equipment PM process were quantitatively analyzed in multi factors based on the AHp and MFM,and the CDF decision trees model was compared with the selection standard.The studied identified the selection standards and criteria of the tasks,as well as reliable theoretical references for building the standardized training system.
ABSTRACT
OBJECTIVE: To determine what factors have a significant influence on the performance of medical device maintenance outsourcing, and to determine how the performance of external governance structures differs depending on whether a hospital is private or public. METHODS: This was a longitudinal study of 590 maintenance transactions at 20 hospitals in Bogotá, Colombia, involving 764 medical devices and 72 maintenance service providers. Maintenance performance data (i.e., turn-around time in hours; TAT) for the service providers (either in-house or outsourced) were primarily collected over a 20-month period, from December 2009-August 2011, by means of a monitoring procedure; then, a hazards model was run. RESULTS: The availability of specific repair parts, in-stock, in the city in which the medical devices were located, had a positive impact on the performance of both internal and external governance structures. Online service also had a positive impact on both, with a stronger positive impact on the performance of internal governance than on that of external governance. For transactions governed by external structures, better performance was seen in private hospitals than in public ones. In public health institutions, internal governance showed better performance than external governance. Both internal and external governance structures showed better performance in private healthcare institutions than in public ones. CONCLUSIONS: In public health institutions, internal governance shows better performance than external governance; this suggests that healthcare managers should reconsider the trend to eliminate in-house maintenance service staff in public healthcare institutions.
OBJETIVO: Establecer los factores que influyen significativamente en el desempeño del mantenimiento de los dispositivos médicos mediante contratación externa, y determinar cómo difiere el desempeño de las estructuras externas de gobernanza según un hospital sea privado o público. MÉTODOS: Se realizó un estudio longitudinal de 590 transacciones de mantenimiento en 20 hospitales de Bogotá (Colombia), que incluyeron 764 dispositivos médicos y 72 proveedores de servicio de mantenimiento. Por medio de un procedimiento de vigilancia, se recopilaron principalmente datos de desempeño del mantenimiento (es decir, el plazo de entrega en horas) por parte de los proveedores del servicio (ya fuera este interno o externalizado) durante un período de 20 meses, desde diciembre del 2009 a agosto del 2011; a continuación, se aplicó un modelo de riesgos. RESULTADOS: La disponibilidad de piezas de repuesto específicas en existencia en la misma ciudad en que se ubicaban los dispositivos médicos tuvo una repercusión positiva sobre el desempeño de ambas estructuras de gobernanza, la interna y la externa. El servicio en línea también tuvo una repercusión positiva en el desempeño de ambas estructuras; pero esta repercusión fue más intensa en el desempeño de la gobernanza interna que en el de la externa. En cuanto a las transacciones regidas por estructuras externas, se observó un mejor desempeño en los hospitales privados que en los públicos. En las instituciones de salud pública, la gobernanza interna mostró un mejor desempeño que la externa. Ambas estructuras de gobernanza mostraron un mejor desempeño en las instituciones de atención de salud privadas que en las públicas. CONCLUSIONES: En las instituciones de salud pública, la gobernanza interna muestra un mejor desempeño que la externa; ello indica que los gerentes de atención de salud deben reconsiderar la tendencia a eliminar al personal de los servicios de mantenimiento interno de las instituciones públicas de atención de salud.
Subject(s)
Equipment and Supplies , Maintenance and Engineering, Hospital , Outsourced Services , Colombia , Longitudinal Studies , Maintenance and Engineering, Hospital/statistics & numerical data , Outsourced Services/statistics & numerical dataABSTRACT
Objective:It is important to make sure hyperbaric oxygen chamber safe and stable for its generalized and high risk.Methods: The gas path, control system and operation of hyperbaric oxygen chamber should be maintained timing based on quality management and clinical using requirement.Results: Medical engineering technicians and clinical use of personnel to cooperate with each other, from the regular inspection, personnel management and preventive maintenance to make sure the safety use of hyperbaric oxygen chamber.Conclusion: Making relative system and emergence plan, strengthening train to users and strict management can make its used safe.
ABSTRACT
[Abstract ] With methods of equipment preventive maintenance, this article studied the appointment quantity of radiology departments of West China Hospital,Sichuan University,to identify the pattern of appointments for high-value medical equipments.Based the above findings and laws for medical equipment wear and failure, a scientific and reasonable preventive maintenance plan was formulated. This plan proves significant for enhancing the reliability and productivity of such equipments,minimizing equipment failure,and downsizing hospital equipment maintenance costs and hospital operation costs as a whole.
ABSTRACT
Objective:To study based FMEA hemodialysis device fault management. Methods:Using FMEA as a research tool, study hemodialysis equipment failure information. For the consequences of potential failure modes and failure to produce, analyze their severity, cause of the malfunction, the frequency of occurrence and detection, referring to the evaluation criteria for risk assessment. Results: By comparing effect, the report of equipment FMEA was obtained,summed hemodialysis equipment including machines in self-test, treatment and disinfection, such as different operating conditions common failure mode. Conclusion: For used in fault management of hemodialysis equipment, FMEA plays an important role in the equipment preventive maintenance.
ABSTRACT
Objective:To investigate the feasibility of hemodialysis machine preventive maintenance model of based on quality control detection.Methods: Selected sample of 32 hemodialysis machines of two major imported brands, 16 of them using the traditional preventive maintenance mode for maintenance, and the other 16 sets of quality control detection based preventive maintenance hemodialysis machine maintenance mode. That: by use of HDM99XP detector instrument for testing the five hemodialysis machine main indicators, maintenance cycle is 16 weeks, and then the equipment failure rate indicators of two modes of preventive maintenance were compared.Results: The hemodialysis machine preventive maintenance model of based on quality control detection rise superior to the traditional maintenance mode in lower failure rate, quantitative, objective, and less affected by human factors.Conclusion: The hemodialysis machine preventive maintenance model of based on quality control detection was better than the traditional preventive maintenance mode,also a promising preventive maintenance mode.