Medical equipment classification: method and decision-making support based on paraconsistent annotated logic.

As technology evolves, the role of medical equipment in the healthcare system, as well as technology management, becomes more important. Although the existence of large databases containing management information is currently common, extracting useful information from them is still difficult. A useful tool for identification of frequently failing equipment, which increases maintenance cost and downtime, would be the classification according to the corrective maintenance data. Nevertheless, establishment of classes may create inconsistencies, since an item may be close to two classes by the same extent. Paraconsistent logic might help solve this problem, as it allows the existence of inconsistent (contradictory) information without trivialization. In this paper, a methodology for medical equipment classification based on the ABC analysis of corrective maintenance data is presented, and complemented with a paraconsistent annotated logic analysis, which may enable the decision maker to take into consideration alerts created by the identification of inconsistencies and indeterminacies in the classification.

The passing of the shift in aircraft maintenance--a task that produces deaths.

Maintenance tasks, especially in heavy maintenance, may not be completed in a single shift. Aircraft maintenance technicians often take work in progress by colleagues, and spend the incomplete work for a change of team. The need for accuracy and efficiency of information transfer in many cases, without having time to have a meeting to pass the service is a crucial aspect of maintenance work. The ideal shift change can occur normally before delivery and continues to proceed normally after delivery. Although a shift change create challenges for communication, they also offer opportunities to detect and correct errors, where the task of delivery is an opportunity to identify the problem and fix it. In this case, the task was done correctly the first round, however, a problem began when the second round took. One example is a case in which the first round have removed a defective part for replacement and let the component of aircraft at end of turn with problems. Instead of ordering and installation of an operational component, the second round was then reinstall the faulty component, not realizing he had information about the problem attached.

Identification of non-technical skills from the resilience engineering perspective: a case study of an electricity distributor.

Training in non-technical skills (NTS) does not usually question the design of the work system, and thus focuses narrowly on workers as the unit of analysis. This study discusses how the identification of NTS, a major step for developing an NTS training program, might be re-interpreted from the perspective of resilience engineering (RE). This discussion is based on a case study of identifying NTS for electricians who perform emergency maintenance activities in an electricity distribution power line. The results of the case study point out that four data analysis procedures might operationalize the RE perspective: (a) identifying factors that make the work difficult and which could be integrated into NTS training scenarios; (b) identifying recommendations for re-designing the system, in order either to reduce or eliminate the need for NTS; (c) classifying the NTS into pragmatic categories, which are meaningful for workers; and (d) regarding the identification of NTS as an opportunity to give visibility to adaptations carried out by workers.

"Meetings on the work": an analysis device for understanding the articulation between outsourcing and other organizational innovations.

The purpose of this article is to discuss professional education and training programs offered to teams of operators by the main company in the area of Bacia de Campos (Petrobras), Rio de Janeiro, Brazil. It also discusses the necessary skills to the new functions derived from the implementation of an organizational innovation, the polyvalence, and how such innovation has impacted operators' activity. By using elements of WEA and the device "Meetings on the Work" it was possible to gain a better understanding of both the distance between the dimensions of prescribed work and real work, and the articulation between outsourcing and the proposition of polyvalence, which have stimulated the creation of new functions, namely, the polyvalent operator and the operator-maintainer, this latter being in fact an evolvement of the first.

A fuzzy inference system to evaluate contract service provider performance.

This paper puts forward a fuzzy inference system for evaluating the quality performance of service contract providers. An Application Service Provider was designed and put online, featuring surveys to establish the most useful indicators to evaluate the quality of the service. This model was implemented in 10 separate hospitals. As a result, the service cost-acquisition cost ratio in these cases was reduced from 16.14% to 6.09% in the period 2001-January 2003.

Advanced clinical engineering workshops in Central America.

Over the past ten years the American College of Clinical Engineering has conducted numerous Advanced Clinical Engineering Workshops in developing countries around the world. Most of the recent workshops have been conducted in Latin America and the Caribbean in cooperation with the Pan American Health Organization, an affiliate of the World Health Organization. This presentation describes workshop objectives and topics. It also describes the author's participation in workshops conducted in Costa Rica (2002) and El Salvador (2003).

Uso y mantenimiento del módulo sanitario / Use and maintenance of sanitary module

El Manual "Uso y mantenimiento del módulo sanitario", contiene información sobre la importancia de la higiene en la disposición de escretas, tecnología apropiada para el saneamiento, sus componentes, orientaciones para el uso correcto y mantenimiento. Este instrumento educativo pretende ser una guía para quienes promueven la salud ambiental, de manera que las personas, familias y comunidades como efecto multiplicador puedan hacerlo suyo las recomendaciones, para disfrutar de los beneficios que proporciona un ambiente higiénico