Maintenance Policies Optimization of Medical Equipment in a Health Care Organization

2019 ◽  
pp. 143-157 ◽  
Author(s):  
Juan Ignacio Roig ◽  
Andrés Gómez ◽  
Isabel Romero ◽  
María Carmen Carnero
Keyword(s):  
Working Conditions ◽  
Medical Equipment ◽  
Health Care Organization ◽  
Healthcare Organization ◽  
Care Quality ◽  
Care Organization ◽  
Computerized Maintenance Management System ◽  
Patient Waiting Time ◽  
Maintenance Policies ◽  
Electromedical Equipment

The aim of this chapter is to minimize the corrective breakdowns produced in the electromedical equipment of a healthcare organization. To this, an optimization plan of maintenance policies will be developed. This plan includes the creation of preventive maintenance datasheets. The data used in this research has been obtained from the computerized maintenance management system, which is owned by the healthcare organization. Different types of rankings have been made in the stocks to prioritize items by family of equipment and by average work orders by equipment generated. The maintenance tasks are optimized to preserve the satisfactory working conditions and the performance of equipment in the healthcare organization optimizing available resources. All of this is intended to anticipate the maintenance activity to breakdowns and to prevent the care quality from diminishing by increasing the patient waiting time by unavailability of medical equipment in the treatments and diagnostic tests.

Maintenance Policies Optimization of Medical Equipment in a Health Care Organization

2018 ◽  
pp. 3698-3710
Author(s):  
Juan Ignacio Roig ◽  
Andrés Gómez ◽  
Isabel Romero ◽  
María Carmen Carnero
Keyword(s):  
Working Conditions ◽  
Medical Equipment ◽  
Health Care Organization ◽  
Healthcare Organization ◽  
Care Quality ◽  
Care Organization ◽  
Computerized Maintenance Management System ◽  
Patient Waiting Time ◽  
Maintenance Policies ◽  
Electromedical Equipment

The aim of this chapter is to minimize the corrective breakdowns produced in the electromedical equipment of a healthcare organization. To this, an optimization plan of maintenance policies will be developed. This plan includes the creation of preventive maintenance datasheets. The data used in this research has been obtained from the Computerized Maintenance Management System which owned by the healthcare organization. Different types of rankings have been made in the stocks to prioritize items by family of equipment and by average work orders by equipment generated. The maintenance tasks are optimized to preserve the satisfactory working conditions and the performance of equipment in the healthcare organization optimizing available resources. All of this is intended to anticipate the maintenance activity to breakdowns and to prevent the care quality from diminishing by increasing the patient waiting time by unavailability of medical equipment in the treatments and diagnostic tests.

scholarly journals Electronic medical record in cardiology: a 10-year Italian experience

2015 ◽  
Vol 61 (4) ◽  
pp. 317-323
Author(s):  
Clara Carpeggiani ◽  
Alberto Macerata ◽  
Maria Aurora Morales
Keyword(s):  
Health Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
System Integration ◽  
Health Care Quality ◽  
Care Center ◽  
Health Care Organization ◽  
Tertiary Care ◽  
Care Quality ◽  
Care Organization

SummaryObjectives:the aim of this study was to report a ten years experience in the electronic medical record (EMR) use. An estimated 80% of healthcare transactions are still paper-based.Methods:an EMR system was built at the end of 1998 in an Italian tertiary care center to achieve total integration among different human and instrumental sources, eliminating paper-based medical records. Physicians and nurses who used EMR system reported their opinions. In particular the hospital activity supported electronically, regarding 4,911 adult patients hospitalized in the 2004- 2008 period, was examined.Results:the final EMR product integrated multimedia document (text, images, signals). EMR presented for the most part advantages and was well adopted by the personnel. Appropriateness evaluation was also possible for some procedures. Some disadvantages were encountered, such as start-up costs, long time required to learn how to use the tool, little to no standardization between systems and the EMR technology.Conclusion:the EMR is a strategic goal for clinical system integration to allow a better health care quality. The advantages of the EMR overcome the disadvantages, yielding a positive return on investment to health care organization.

HEALTHCARE 2019

2020 ◽  
pp. 52-60
Author(s):  
V. I. Matveev
Keyword(s):  
Medical Equipment ◽  
Surgical Navigation ◽  
Health Care Organization ◽  
Care Organization ◽  
Navigation Systems ◽  
Resonance Imaging ◽  
X Ray ◽  
Modern System ◽  
Magnetic Therapy ◽  
Surgical Navigation Systems

The article provides a brief description of the exhibition "Healthcare 2019", which was attended by 630 companies from 30 countries and 71 cities in Russia. It was possible to get acquainted with the modern system of health care organization, the necessary simple and complex medical equipment, numerous accessories and consumables. The exhibition presented: medical x-ray equipment of wide application (computer tomographs, mammographs, mobile devices), magnetic resonance imaging, ultrasound medical equipment, microscopes, endoscopic equipment, surgical navigation systems, as well as magnetic therapy, thermography and radiothermometry. The companies showed the best examples of modern medical equipment.

Benchmarking of the Maintenance Service in Health Care Organizations

2017 ◽  
pp. 1-25
Author(s):  
María Carmen Carnero
Keyword(s):  
Health Care ◽  
Health Care Organizations ◽  
Health Care Organization ◽  
Care Quality ◽  
Care Staff ◽  
Care Organization ◽  
Analytic Hierarchy ◽  
Maintenance Service ◽  
Hierarchy Process

The support services of health care organizations, such as maintenance, have not traditionally been considered important from the perspective of care quality. Nevertheless, the degree of excellence in maintenance significantly influences availability, maintenance costs and safety of facilities, medical equipment, patients and care staff. Thus, it would be of great importance for health care organizations to apply benchmarking to their maintenance processes, as do other processing companies, in order to determine the quality of maintenance provided, and compare it to other, similar, organizations. This would also allow all the continuous improvement processes to be controlled, and actions for radical improvement to be carried out by comparing performance with that of companies in other sectors. This chapter describes a multicriteria model integrating a fuzzy Analytic Hierarchy Process with utility theory to obtain a valuation for the Maintenance Service of a Health Care Organization over time.

scholarly journals Use of more than one electronic medical record system within a single health care organization

2012 ◽  
Vol 03 (04) ◽  
pp. 462-474 ◽  
Author(s):  
J. Fellner ◽  
C. Dugowson ◽  
D. Liebovitz ◽  
G. Fletcher ◽  
T. Payne
Keyword(s):  
Health Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Health Care Organization ◽  
Electronic Medical Record System ◽  
Healthcare Organization ◽  
Care Organization ◽  
Data Types ◽  
Record System ◽  
Medical Record System

SummaryHealthcare organizations vary in the number of electronic medical record (EMR) systems they use. Some use a single EMR for nearly all care they provide, while others use EMRs from more than one vendor. These strategies create a mixture of advantages, risks and costs. Based on our experience in two organizations over a decade, we analyzed use of more than one EMR within our two health care organizations to identify advantages, risks and costs that use of more than one EMR presents. We identified the data and functionality types that pose the greatest challenge to patient safety and efficiency. We present a model to classify patterns of use of more than one EMR within a single healthcare organization, and identified the most important 28 data types and 4 areas of functionality that in our experience present special challenges and safety risks with use of more than one EMR within a single healthcare organization. The use of more than one EMR in a single organization may be the chosen approach for many reasons, but in our organizations the limitations of this approach have also become clear. Those who use and support EMRs realize that to safely and efficiently use more than one EMR, a considerable amount of IT work is necessary. Thorough understanding of the challenges in using more than one EMR is an important prerequisite to minimizing the risks of using more than one EMR to care for patients in a single healthcare organization. Citation: Payne T, Fellner J, Dugowson C, Liebovitz D, Fletcher G. Use of more than one electronic medical record system within a single health care organization. Appl Clin Inf 2012; 3: 462–474http://dx.doi.org/10.4338/ACI-2012-10-RA-0040

scholarly journals CAUSES OF MIGRATION AND WORKING CONDITIONS ABROAD AMONG PHYIOTHERAPISTS

2021 ◽  
Vol 66 (2) ◽  
pp. 5-17
Author(s):  
MÁRIA VIZSY ◽  
RÓBERT PÓNUSZ ◽  
MONIKA SÉLLEYNÉ GYURÓ ◽  
LUCA FANNI KAJOS ◽  
PÉTER TARDI ◽  
...  
Keyword(s):  
Health Care ◽  
Working Conditions ◽  
Health Care Organization ◽  
Influential Factors ◽  
Care Organization ◽  
Online Questionnaire ◽  
Financial Conditions ◽  
Factors Influencing ◽  
Monthly Salary

Introduction: The migration of health professionals severely affects the current number of physicians and professionals in a country. Aim: The aim of our work was to investigate the reasons for the departure of physiotherapists already working abroad, to learn the working conditions abroad, and to explore the conditions for returning home. Method: Our data were obtained by a self-edited, online questionnaire survey. The number of items in our sample was 112 (N = 112) physiotherapists working abroad. Our research was conducted between November 2018 and February 2019. Results: Results of the most influential factors of migration were as follows: 62.5% (70 people) had a lack of financial reward, 55.4% (62 people) had a sense of uncertainty about the future, 49.1% (55 people) did not trust the Hungarian health care organization. The monthly salary of professionals working abroad varied between 1001-2000 Euros in 38.4% (43 people), between 2001 and 3000 in 38.4% (43 people) and was over 3000 Euros in 23.2% (26 people). 76.8% (86 people) didn''t take a second job because they didn''t need it. Factors influencing return were the following: 1) in 69.6% (78 people) “more favorite financial conditions”, 2) in 51.8% (58 people) “better working conditions”, 3) in 42.9% (48 people) “a better organized health care system. Conclusion: Physiotherapists working abroad have left mainly due to a better quality of life, a more predictable vision and more favorite financial conditions, and a change in these conditions would encourage them to return home the most.

scholarly journals Impact of the COVID-19 Pandemic on the Hospital: Inpatient’s Perceived Quality in Spain

2021 ◽  
Vol 8 ◽  
pp. 237437352199862
Author(s):  
Julio J Lopez-Picazo ◽  
Inmaculada Vidal-Abarca ◽  
Dolores Beteta ◽  
Mercedes López-Ibáñez ◽  
Elisa García-Vázquez
Keyword(s):  
Health Care ◽  
Health Care Quality ◽  
Health Care Organization ◽  
Perceived Quality ◽  
Care Quality ◽  
Point Of View ◽  
Care Organization ◽  
Perceived Quality Of Care ◽  
Ethical Approval

Although the Coronavirus disease 2019 (COVID-19) pandemic has generated a large amount of studies, the patient-perceived quality of care (PQ) in this context is still not well known, so more studies intending to focus on this issue are strongly needed. This study assesses changes on PQ in patients hospitalized in Spain during the first month of the COVID-19 pandemic and investigates differences between those admitted for this cause and the rest a descriptive study using the “Net Promoters Score” and the hospital regular monitoring plan. Due to this point of view, ethical approval is not applicable. Four PQ dimensions (nurse, physician, and nurse assistant actions [NA], and discharge information [DI]) were measured in all COVID patients (57) and in a sample of non-COVID patients (60) discharged at home during the first month of the pandemic, and also compared with another sample (384) from an immediately previous period. The COVID patients scored worse (8.2) than non-COVID ones (9.0; P < .0001), especially in NA and DI, and were more likely to be detractors (odds ratio [OR]: 3.05, P < .0001) and less to be promoters (OR: 0.64, P < .05). Global and DI net promoters score values before the pandemic were higher than afterward. In conclusion, the COVID-19 pandemic negatively and significantly influenced the health care quality as perceived by inpatients, both in COVID and in non-COVID ones, but more intensely in the former. As a health care organization, this knowledge meant an opportunity from improvement and to be better qualified to face the pandemic.

Intelligent Processing of Loosely Structured Documents as a Strategy for Organizing Electronic Health Care Records

1993 ◽  
Vol 32 (04) ◽  
pp. 265-268 ◽  
Author(s):  
D. J. Essin
Keyword(s):  
Health Care ◽  
Health Care Organization ◽  
Database Systems ◽  
Relevant Information ◽  
Full Potential ◽  
Care Organization ◽  
Intelligent Processing ◽  
Data Interchange ◽  
Structured Documents ◽  
Health Care Records

AbstractLoosely structured documents can capture more relevant information about medical events than is possible using today’s popular databases. In order to realize the full potential of this increased information content, techniques will be required that go beyond the static mapping of stored data into a single, rigid data model. Through intelligent processing, loosely structured documents can become a rich source of detailed data about actual events that can support the wide variety of applications needed to run a health-care organization, document medical care or conduct research. Abstraction and indirection are the means by which dynamic data models and intelligent processing are introduced into database systems. A system designed around loosely structured documents can evolve gracefully while preserving the integrity of the stored data. The ability to identify and locate the information contained within documents offers new opportunities to exchange data that can replace more rigid standards of data interchange.

Effective and cost-efficient health care organization in cataract patient

2018 ◽  
Vol 5 (2) ◽  
pp. 119-127
Author(s):  
Monika Raulinajtys-Grzybek ◽  
Renata Wachowicz ◽  
Arnold Maciejewski
Keyword(s):  
Health Care ◽  
Health Care Organization ◽  
Care Organization ◽  
Cataract Patient ◽  
Cost Efficient
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