scholarly journals Evaluation and optimization of CES performances: application of Pareto principle to KPIs

2021 ◽  
Vol 4 (1) ◽  
pp. 14-21
Author(s):  
Alessia Cecchini ◽  
Grazia Maria Pia Masselli ◽  
Sergio Silvestri

In recent times the approach to health care has been mostly influenced by the growing number of biomedical equipment used in hospitals, which needs the presence of the Clinical Engineering Service (CES). The aim of this work is to suggest a methodology to improve the performance of a CES through the application of Pareto principle to main Key Performance Indicators (KPIs). The methodology is applied by focusing on the use of KPIs that represent a quantifiable measure of achieving goals set by an organization. In this study five KPIs are considered: Uptime, MTTR (mean time to repair), PPM (percentage preventive maintenance), MTBF (mean time between failures) and the COSR (cost of service ratio). The first three indicators express the measure of CES efficiency in ensuring regular maintenance. The first step consists in retrieving data related to work orders for the years 2015-2016 on 6000 installed devices, carried out by a management software. The second step is to get the results through the use of an environment for numerical calculation and statistical analysis. In order to identify the main critical issues that may be present, three indicators (Uptime, MTTR and MTBF) are analyzed by applying the Pareto principle (i.e. 20% of the causes produce 80% of the effects). Considering the totality of work orders, therefore, it is possible to concentrate on only 20% of them in order to focus on a small group to understand the correlations between them. Identifying these characteristics means identifying the main critical issues that are present, on which action must be taken, and which affect 80% of the overall behavior. The COSR and PPM indicators, instead, suggest distribution models that allow to focus attention on the most critical devices. In conclusion, the way to analyze the results is obtained, when possible, by applying Pareto principle. Therefore, a CES will be able to focus on a few causes of poor performance. The achievement of these results could allow the standardization of the method used, enabling it to be applied to any healthcare system.

2014 ◽  
Vol 48 (3) ◽  
pp. 25-42 ◽  
Author(s):  
Narayanaswamy Vedachalam ◽  
Gidugu Ananada Ramadass ◽  
Malayath Aravindakshan Atmanand

AbstractThis paper reviews the latest advancements in subsea technologies associated with the safety of deep-water human occupied vehicles. Human occupied submersible operations are required for deep-water activities, such as high-resolution bathymetry, biological and geological surveys, search activities, salvage operations, and engineering support for underwater operations. As this involves direct human presence, the system has to be extremely safe and reliable. Based on applicable IEC 61508 Standards for health, safety, and environment (HSE), the safety integrity level requirements for the submersible safety systems are estimated. Safety analyses are done on 10 critical submersible safety systems with the assumption that the submersible is utilized for 10 deep-water missions per year. The results of the analyses are compared with the estimated target HSE requirements, and it is found that, with the present technological maturity and safety-centered design, it is possible to meet the required safety integrity levels. By proper maintenance, it is possible to keep the mean time between failures to more than 9 years. The results presented shall serve as a model for designers to arrive at the required trade-off between the capital expenditure, operating expenditure, and required safety levels.


Actuators ◽  
2019 ◽  
Vol 8 (3) ◽  
pp. 54 ◽  
Author(s):  
Suzana Lampreia ◽  
Valter Vairinhos ◽  
Victor Lobo ◽  
José Requeijo

This paper describes the analysis, from a statistical point of view, of a maritime gas turbine, under various operating conditions, so as to determine its state. The data used concerns several functioning parameters of the turbines, such as temperatures and vibrations, environmental data, such as surrounding temperature, and past failures or quasi-failures of the equipment. The determination of the Mean Time Between Failures (MTBF) gives a rough estimate of the state of the turbine, but in this paper we show that it can be greatly improved with graphical and statistical analysis of data measured during operation. We apply the Laplace Test and calculate the gas turbine reliability using that data, to define the gas turbine failure tendency. Using these techniques, we can have a better estimate of the turbine’s state, and design a preventive observation, inspection and intervention plan.


2009 ◽  
Vol 58 (4) ◽  
pp. 589-596 ◽  
Author(s):  
Y.H. Michlin ◽  
G.Y. Grabarnik ◽  
E. Leshchenko

2015 ◽  
Vol 22 (7) ◽  
pp. 1247-1280 ◽  
Author(s):  
Prashant M. Ambad ◽  
Makarand S. Kulkarni

Purpose – The purpose of this paper is to propose a warranty-based bilateral automated multi-issue negotiation approach. Design/methodology/approach – A methodology for bilateral automated negotiation process is developed considering the targets such as warranty attractiveness, warranty cost, mean time between failures, spare parts cost to the end user over the useful life of the life. The negotiation methodology is explained using different cases of negotiation. The optimization for each negotiation step is carried out using genetic algorithm with elitism strategy. Findings – The result after optimization indicates that the desired target values are achieved and manufacturer obtained desired profit margin. Practical implications – Application of automated negotiation model is illustrated using a real life case of an automobile engine manufacturer. The proposed approach helps the manufacturer of any product to develop a methodology for carrying out the negotiation process. The approach also results into taking warranty-related decisions at the design stage. Originality/value – This paper contributes in proposing a generalized methodology for warranty-based negotiation in which the negotiation is carried out between the manufacturer and the customer.


Author(s):  
AVINASH SAXENA ◽  
SHRISHA RAO

Degradation analysis is used to analyze the useful lifetimes of systems, their failure rates, and various other system parameters like mean time to failure (MTTF), mean time between failures (MTBF), and the system failure rate (SFR). In many systems, certain possible parallel paths of execution that have greater chances of success are preferred over others. Thus we introduce here the concept of probabilistic parallel choice. We use binary and n-ary probabilistic choice operators in describing the selections of parallel paths. These binary and n-ary probabilistic choice operators are considered so as to represent the complete system (described as a series-parallel system) in terms of the probabilities of selection of parallel paths and their relevant parameters. Our approach allows us to derive new and generalized formulae for system parameters like MTTF, MTBF, and SFR. We use a generalized exponential distribution, allowing distinct installation times for individual components, and use this model to derive expressions for such system parameters.


2013 ◽  
Vol 67 (6) ◽  
pp. 1389-1395 ◽  
Author(s):  
Y. Alfiya ◽  
A. Gross ◽  
M. Sklarz ◽  
E. Friedler

On-site greywater (GW) treatment and reuse is gaining popularity. However, a main point of concern is that inadequate treatment of such water may lead to negative environmental and health effects. Maintenance of single-family home GW systems is usually performed by home owners with limited professional support. Therefore, unless GW systems are reliable, environmental and public health might be compromised. This study is aimed at investigating the reliability of on-site recirculated vertical flow constructed wetlands (RVFCW) in 20 single-family homes. In order to ensure reliability, the failure-tree approach was adopted during the design and construction of the systems. The performance of the systems was monitored for 1.5 years, by evaluating treated GW flow and quality, and by recording all malfunctions and maintenance work. Only 39 failures occurred during this period, of which four caused irrigation with impaired quality GW, while the rest led to no irrigation. The mean time between failures (MTBF) was 305 days; two out of the 20 systems suffered from seven malfunctions (each), while nine systems did not fail at all. Thus, it can be postulated that if on-site GW treatment systems are designed with the right controls, and if scheduled (basic and relatively infrequent) maintenance is performed, GW reuse can be safe to the environment and human health.


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