Discussion on the Problems Existing in the Maintenance of Hospital Medical Devices and the Maintenance Management Strategy

2021 ◽  
2015 ◽  
Vol 170 ◽  
pp. 272-281 ◽  
Author(s):  
Nahdatul Arm Abd Rani ◽  
Mohamad Rizal Baharum ◽  
Anis Rosniza Nizam Akbar ◽  
Abdul Hadi Nawawi

Author(s):  
Farah Beniacoub ◽  
Fabrice Ntwari ◽  
Jean-Paul Niyonkuru ◽  
Marc Nyssen ◽  
Stefaan Van Bastelaere

AbstractThis study documents the setup and roll-out of a Computerized Maintenance Management System (CMMS) in Burundi’s resource constrained health care system between 1/04/2017 and 31/03/2020. First, in 2017 a biomedical assets ontology was created, tailored to the local health system and progressively mapped on international GMDN (Global Medical Devices Nomenclature) and ICMD (International Classification and Nomenclature of Medical Devices) classifications. This ontology was the cornerstone of a web-based CMMS, deployed in the Kirundo and Muramvya provinces (6 health districts, 4 hospitals and 73 health centers).During the study period, the total number of biomedical maintenance interventions increased from 4 to 350 per month, average corrective maintenance delays were reduced from 106 to 26 days and the proportion of functional medical assets grew from 88 to 91%.This study proves that a sustainable implementation of a CMMS is feasible and highly useful in low resource settings, if (i) the implementation is done in a conducive technical environment with correct workshops and maintenance equipment, (ii) the active cooperation of the administrative authorities is ensured, (iii) sufficient training efforts are made, (iv) necessary hardware and internet connectivity is available and (v) adequate local technical support can be provided.


Author(s):  
S. Koneczny ◽  
U. Matern

Ergonomics in the operating room (OR) is an unsolved problem for users and engineers. Deficiencies of the OR as a workplace cause potential hazards for the patient as well as for the OR staff. To detect those conditions a checklist for the OR was developed and as a first step evaluated in a German hospital. Medical technical devices were found to be lacking in usability due to such as unclear symbols, impracticability, hindrances and insufficient ease in handling. Also the positioning of devices in the OR shows ergonomic problems that in most cases necessitates an unavoidable awkward working posture for the employees that causes pain. The checklist can be used as a basic tool for the implementation of usability into the engineering process and design of new medical devices as well as for the usability testing of the final product.


2019 ◽  
Vol 9 (3) ◽  
pp. 219-232 ◽  
Author(s):  
Daton Medenou ◽  
Latif A. Fagbemi ◽  
Roland C. Houessouvo ◽  
Thierry R. Jossou ◽  
Mêtowanou H. Ahouandjinou ◽  
...  

2019 ◽  
Vol 35 (S1) ◽  
pp. 37-38
Author(s):  
Ronald Alexis Rivas ◽  
Benicio Grossling ◽  
Pedro Galvan

IntroductionHealth technologies are fundamental in an operational health system. Medical devices, in particular, are crucial for disease prevention, diagnosis, treatment and rehabilitation. Recognizing this important role of health technologies, the World Health Assembly adopted, in May 2007, resolution WHA60.29, which addresses issues arising from inadequate installation and use of health technologies, as well as the need to formulate national strategies for the implementation of evaluation, planning, procurement and management systems for health technologies, in collaboration with personnel dedicated to the evaluation of health technologies and biomedical engineering. Maintenance management computer systems and software have evolved to help maintain medical equipment and control associated costs. A Computerized Maintenance Management System contains a database about an organization's maintenance operations.MethodsThe pilot study of observational and descriptive design will include all the medical/laboratory equipment that the Research Institute of Health Sciences (IICS) has that meets the inclusion criteria. The work will be carried out at the IICS, which aims to develop a computerized system for the maintenance of equipment that allows the linking of Quick Response (QR) codes to an application (WebApp) by means of cameras in smartphones, able to relate each QR code (attached to a medical/laboratory equipment) to its corresponding URL, and thus able to access all the technical information of each IICS team and therefore monitor their maintenance (preventive, corrective, predictive), history, spare parts, budgets, and technical specifications.ResultsWe have a database of all medical devices installed in the research center; we look forward to developing the program to include the data. The project focuses on the effective tool for decision making regarding the evaluation of the installed sanitary technology and those that will be installed.ConclusionsThe study proposes an effective solution for maintenance management, using data that supports administrative decisions regarding the acquisition of equipment in the future; that is, the system can contribute when it comes to evaluating installed and acquired sanitary technology.


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