Discussion on Management Model of Medical Equipment Maintenance in Hospital

With the development of technology, medical equipment plays a more important role in the modern hospital. Medical equipment provides images, physiological results or other schematics of the patients to help doctors deal with the routines. It is also the major tool to the lab assistant in the clinical teaching and studies. It becomes one of a symbol of the technological level in modern hospital. The director of the hospital should establish an effi cacious management pattern to manage the medical equipment, so that it will be operated in good condition to insure the safety of the patients. Since the maintenance is an important part of medical equipment management, it is significant that the hospital should establish a system to fit for itself. The study reviews the issues in hospital medical equipment maintenance management, the development of the maintenance management model and the characteristics, as well as the status at home and abroad. The research has been fi nished by using literature research method, questionnaire survey method and data analysis method. Then we analyze the current status of hospital medical equipment maintenance management model to fi nd the problems. Based on the authentic and effective data from the survey, we can deduce the overview about the maintenance model in Beijing. The paper discusses the advantages and the disadvantages between the different model, and it makes suggestions on the follow aspects, such as system management, quality management, personnel management, cost management, information management perspective.

Study of Enterprise Equipment Maintenance Management Integrated Information System Based on B/S

Equipment maintenance management integrated information system is an important constituent part of enterprise IMS (Intelligent Manufacture System). The system should make the best of all kinds of information sources around the enterprise, and meet the demand for agile production. This paper presents an implementation scheme of Integrated Equipment Maintenance Management Information System Based on Internet/Intranet and gives component division scheme of each tier. This scheme adopts a three-tiers mode of B/S (Browser/Server) and software programming module based on software reusing technology. This makes the system integrated and open, makes maintenance and updating convenient, and largely increases software safety and reusability.

On Syllabus Design for the Specialty of Electromechanical Equipment Maintenance and Management in Vocational College

We carried out researches on the syllabus design for the specialty of electromechanical equipment maintenance & management in vocational college. Our researches involve the following aspects: (1) The training objective of the specialty; (2) the curriculum system; (3) The teaching methodology; and (4) Field training.

The Application Value of Sanitary Wipes and Medical Alcohol+Gauze Disinfection Method in the Management and Use of Medical Equipment

Objective:To analyze the effect of sanitary wipes and medical alcohol+gauze disinfection methods on the management and use of medical equipment in hospitals.Methods:From February 2023 to August 2023,80 anorectal surgery medical instruments and equipment were randomly sampled as observation samples,and they were grouped using the random number table method(40 instruments in each group).One group was managed with sanitary wipes and medical alcohol+gauze disinfection method(observation group),and the other group was managed with medical alcohol+gauze disinfection method(control group).The degree of contamination on the surface of instruments and equipment and the staff satisfaction of both groups was noted and compared.Results:After cleaning and disinfection,the relative luminescence luminosity(RLU)value of the surface contamination of the sample instruments and equipment decreased significantly(P<0.05);and after cleaning and disinfection,the relative luminescence luminosity(RLU)of the observation group’s instruments and equipment decreased significantly,and the value was lower than that of the control group,(P<0.05);the results of the nursing job satisfaction questionnaire showed that the scores of each survey item in the observation group were higher than those in the control group,(P<0.05).Conclusion:Integrating sanitary wipes and medical alcohol+gauze disinfection method into the management and use of medical equipment not only improves the disinfection of medical instruments but also improves the job satisfaction of nursing staff.Therefore,this method should be popularized.

Development of a Framework for Equipment Health Management in the Mining Industries in Zambia

The Zambian mining industry is crucial to the national economy but struggles with inconsistent equipment maintenance practices. This study developed an Equipment Maintenance Management Framework (EMMF) tailored to the industry’s needs. Using surveys, interviews, and on-site visits at eight major mining companies, we identified significant variations in maintenance strategies, CMMS usage, and reliability engineering. The EMMF prioritizes predictive maintenance, efficient CMMS implementation, ongoing training, and robust reliability engineering to shift from reactive to proactive maintenance. We recommend adopting continuous improvement practices and data-driven decision-making based on performance metrics, with a phased EMMF implementation aligning maintenance with strategic business objectives. This framework is poised to enhance operational efficiency, equipment reliability, and safety, fostering sustainable growth in the Zambian mining sector.

A Discussion on setting up the socialized Medical Equipment Maintenance Organization

This paper analyzes the main current characteristics of three operational modes of medical equipment maintenance (depending on the hospital maintenance capability, the manufacturers who produce and sell the plants, and the part-time organizations), and points out their common problems which are that all the three modes are not comprehensive, specialized, and socialized maintenance service organizations that are suitable to hospitals.

Design of a Web-based Medical Equipment Management System for Clinical Engineering

Objective: Medical equipment safety in clinical use has been an increasingly concerned issue in China. This paper aims to design and implement a web-based medical equipment maintenance system to be used at clinical engineering department, orienting to the improvement of quality and efficiency of technology service so as to meet the 2010 regulations homologated with China's Ministry of Health. Methods: The system adopted three-layer structure based on B/S mode with oracle database and ASP.NET development technologies. Based on risk management and inclusion criteria for maintenance, the software system modules consist of hospital equipment inventory management, personnel information management, breakdown maintenance, preventive maintenance(PM) and analysis graphical representations.Results: An user friendly web interface was provided for easy and secure access to the system. Medical equipment management activities from log-in to acceptance test to maintenance services were implemented. Conclusion: The application of this system has achieved benefits for the risk management of medical equipment.

Manual on the management, maintenance and use of blood cold chain equipment

The blood cold chain is a series of interconnected activities involving equipment, personnel and processes that are critical for the safe storage and transportation of blood form collection to transfusion. Breaks in the cold chain happen for many reasons, such as equipment that does not meet standards of quality and safety, is unsuitable for blood storage, or is not properly maintained or repaired.

Building Services Equipment and Effective Maintenance Culture:The Experts Standpoint

Effective management and maintenance of building equipment can yield more sustainable delivery of building services systems with buildings/facilities.Buildings generally provide habitation,security,comfort and indeed habitat for social and recreational activities.All over the world,buildings/facilities play very vital role in the economic development of any nation.Building equipment is classified as refrigerator,pump,lift and escalator systems,HVAC(heat ventilation and air-conditioning)systems,extractor fans as well as water and firefighting equipment among others.In this paper,the roles of maintenance culture within building equipment were examined in pursuit of achieving effective services delivery.More often than not,maintenance of building equipment option is sometimes played down but with emphasis on achieving optimum performance without recourse to striking a balance between the above indices.The paper also examines immediate and remote causes associated with maintenance management practices within building infrastructure systems(equipment)in this investigation.Experts’opinions were sought for their understanding,barriers and commitment of sustainability agenda in pursuit of building equipment maintenance ethics and the way forward.The achievable outcomes from this study demonstrate that optimum services delivery of building equipment relied on efficient management and maintenance culture options as best practices.

Characteristics and management strategy of the devices configured in Baosteel's domestically-integrated 60000 m^3/h air separation unit

Baosteel＇ s No. 8 air separation unit（ASU） is the first domestically-integrated 60 000 m^3/h ASU. This paper describes the mechanical equipment, the design and the configuration characteristics of this unit. The potential failure modes of the mechanical devices are deduced via analyses on the failure history of similar devices in other ASUs. Finally, this paper also brings up suggestions on daily maintenance, overhaul and purchases of spare parts.

THE PRELIMINARY ATTEMPT TO DEVELOP PREVENTIVE-PREDICTIVE MAINTENANCE

This paper presents a conception of Preventive-Predictive Maintenance, describes a living instance which combines the technology of equipment condition supervising and failure diagnosing with the system of computer aided equipment management, and then es

EXPLORATION ON THE DEVELOPMENT OF COMPUTER AIDED EQUIPMENT MAINTENANCE MANAGEMENT SYSTEMS

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Repercussions of COVID-19 pandemic on solid waste generation and management strategies

It has been over ten months since the beginning of the 2019 coronavirus disease(COVID-2019),and its impact on solid waste management,especially medical waste,is becoming clearer.This study systematically reviews the potential influences of the COVID-19 pandemic on medical waste,personal protection equipment waste and municipal solid waste(MSW),and discusses the corresponding measures and policies of solid waste management in typical countries.The results show that the generation of medical waste from the pandemic increased significantly,with 18%‒425%growth.It is estimated that the daily output of COVID-19 medical waste increased from 200 t/d on Feb.22 to over 29000 t/d at the end of September 2020 throughout the world.The use of personal protective equipment will continue to grow in the long-term,while the blockade and isolation measures greatly reduced the volume of commercial waste,especially for tourist cities,and part of this waste was transferred to household waste.Residents’attitudes and behavior toward food waste have changed due to the COVID-19 pandemic.In response to the pandemic,international organizations and several countries have issued new policies and guidelines and adjusted their management strategies for medical waste and MSW treatment.The pandemic has brought specific challenges to the disposal capacity of medical waste worldwide.It has also brought about the stagnation of policies related to the reduction of plastic products and waste recycling.This study will provide some useful information for managers and governmental officials on effective solid waste management during and after the COVID-19 pandemic.

以监护仪、输液泵、注射泵为例对全院级医疗设备集中管理模式的实践与探索

目的 探讨建立全院级生命支持类医疗设备集中管理模式的可行性,提高医疗设备精细化管理水平。方法 以我院为主体,选取监护仪、输液泵、注射泵3类设备,从运行模式、绩效分析两个方面建立运行制度,成立医疗设备集中管理中心,实施全院级集中管理。选取2021年7—10月数据作为对照组,选取2022年7—10月数据作为研究组,比较两组数据中3类设备的使用效率,以及两组数据中监护仪的维修周期。结果 实施集中管理后,输注泵使用效率提升9.37%(P﹤0.05),监护仪使用效率提升15.07%(P﹤0.05),监护仪平均维修周期缩短55.93%(P﹤0.05)。结论 医疗设备的集中管理模式可以提升设备使用效率、降低运行成本、降低管理难度,各医疗机构应不断优化管理措施,促进医疗设备的精细化管理。

基于RFID的医疗设备远程管理系统设计

为提高医院内设备定位精度,设计基于RFID的医疗设备远程管理系统。通过阅读器、电子标签和处理器组成RFID节点,引入AS3992芯片作为核心芯片,实现数据处理和编码,执行远程指令。采用自由空间传播模型计算路径损耗产生值,通过三角定位数学方法计算待定标签位置,采用RFID定位方法确定标签的最近邻居,实现医疗设备的远程定位。实验结果表明,在没有障碍物的情况下,所提系统设备定位误差少于1 m,在有障碍物的情况下,定位误差在2 m左右,证明所提出系统定位准确性较高,满足系统的设计需求。

基于区块链技术的医疗设备采购管理系统的设计与实现

目的针对传统采购资料易丢失和被篡改,无法保证采购数据安全性的问题,设计一套基于区块链技术的医疗设备采购管理系统。方法系统采用Python编程语言设计,使用Django框架、SQLite数据库,基于区块链技术构建区块链服务器、采购人客户端、采购机构客户端、供应商客户端、监管机构客户端,将整个采购过程中的数据全部进行区块化处理,使得所有数据保存完整,不能被随意窜改,最终实现具有防篡改特性并支持溯源的医疗设备采购管理系统。结果该系统各模块以及防篡改机制均通过测试验证;各模块的平均响应时间均<2 s,响应速度快;模拟网络及身份验证安全测试的结果显示,其安全性能均满足要求。结论将区块链技术应用于医疗设备采购管理系统是可行的方案,其保证了整个采购流程中产生的数据完整可靠并防止被篡改,使得采购信息能够在系统中完整留痕,从而对医疗设备的采购进行全方位管理。

基于C/S架构和物联网技术的可移动医疗设备共享调配系统的设计与应用

目的 设计一个可移动医疗设备高效管理与临床科室共享调配相结合的医疗设备共享管理平台,实现可移动医疗设备使用的全过程管理。方法 基于C/S架构,利用物联网技术优化整合现有医疗设备大数据资源,结合医院需求,构建可移动医疗设备共享调配系统,实现医疗设备共享管理、预约借用、统计分析等核心功能。通过比较系统上线前后呼吸机调配次数、平均调配时间、呼吸机使用率、单台呼吸机日均收入4个指标,分析系统应用效果。结果 系统上线后,呼吸机调配次数明显增加、平均调配时间明显降低,呼吸机使用率、单台呼吸机日均收入明显升高,且差异均有统计学意义(P﹤0.05),表明系统对提高呼吸机调配效率与使用效率有促进作用。结论 可移动医疗设备共享调配系统优化了医院设备管理流程,实现了医疗资源的统一调配,有效满足临床紧急抢救时医疗设备调配使用的相关需求,提高了医疗设备周转率以及设备管理人员的工作效率,有助于医院节约人员成本、降低采购费用,为医院管理者制定相关决策提供数据支撑。

JCI理念为框架的模式在消毒供应室医用器械管理中的应用效果

目的 探讨国际医疗卫生机构认证联合委员会(JCI)理念为框架管理模式在消毒供应室医用器械管理中的应用效果。方法 采用随机数字表法将2019年1月至2020年1月在消毒供应室工作的30例医护人员,随机分为对照组和试验组,每组15例。对照组采用常规管理模式,试验组采用以JCI理念为框架的管理模式。观察2组护理服务质量、综合素质、医护人员满意度和器械管理效果进行评价。结果 2组护理质量比较,试验组护理流程、质量监管、安全意识、感染风险评分显著高于对照组(P<0.05)。2组管理前综合素质评分比较,差异无统计学意义(P>0.05)。2组管理后安全知识掌握、主动服务意识、风险防控能力和专业素养均高于管理前,差异均有统计学意义(P<0.05)。试验组管理后安全知识掌握、主动服务意识、风险防控能力和专业素养均高于对照组,差异均有统计学意义(P<0.05)。试验组医务人员满意率,灭菌、清洗、检查、包装、发放和回收合格率明显高于对照组,差异均有统计学意义(P<0.05)。结论 JCI理念为框架管理模式在消毒供应室医用器械管理中的应用效果良好,能有效提高护理质量与护理安全性,增加医护人员满意度,可用于医疗管理之中。

基于数字孪生的装备维修保障平台

维修保障是装备运行使用的重要部分,装备的维修保障能力直接影响其效能的发挥。而基于历史故障数据的传统维修保障方式很难实现实时精确保障,使得装备效能发挥受到了影响。数字孪生技术的发展为装备运行使用过程中的全资可视化、装备状态实时感知、故障快速预测并诊断、维修方案智能化制定及验证、维修指导以及按需训练培训等提供了良好的实现条件。文中在研究装备维修保障对象、业务领域及寿命期保障内容的基础上,设计一种装备维修保障数字孪生模型,分析装备数字孪生体组成以及需要管理的元素;在分析装备维修保障孪生数据流的基础上,提出了装备维修保障数字孪生平台框架;最后针对装备维修保障数字孪生体的构建及使用,分析了数字孪生平台实现的关键技术。研究成果可指导装备维修保障数字孪生体建设工作的开展,实现装备实时、精确保障。

成本控制背景下医院医疗设备的维修保养措施研究

随着我国卫生事业的不断发展,医疗服务水平的不断提升,医疗设备的维护工作受到越来越多的关注。医疗设备的成本控制非常重要,直接影响着医院的医疗水平,也影响着患者的治疗效果,对于提高医院的运营水平具有至关重要的作用。基于此,本研究对成本控制背景下的医疗设备维护保养进行较为详尽的探讨。