Hospitals Facilities Planning And Management Pdf Download
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Effective maintenance management of medical equipment is one of the major issues for quality of care, for providing cost-effective health services and for saving scarce resources. This study aimed to develop a comprehensive checklist for assessing the medical equipment maintenance management (MEMM) in the Iranian hospitals.
Developing an assessment checklist for MEMM provide a comprehensive framework for the proper implementation of accurate assessment of medical equipment maintenance. This checklist can be used to improve the profitability of health facilities and the reliability of medical equipment. In addition, it is implicated in the decision-making in support of selection, purchase, repair and maintenance of medical equipment, especially for capital equipment managers and medical engineers in hospitals and also for the assessment of this process.
The maintenance of medical equipment is important for reducing dispatch costs, reducing patient dissatisfaction, timely patient treatment, and reducing mortality and risks during patients care [4]. It is an integral part of the life cycle of the device. Usually, much more money is spent on maintaining equipment over than on its procurement [6]. Maintenance is defined as any action which helps hospitals to provide an adequate level of service and to protect or promote the performance of their equipment to operate regularly and efficiently. Therefore, maintenance management is a fundamental aspect of hospital management [7].
Good maintenance management to have well planned and implemented programs that hospitals can minimize breakdowns or failures of the medical device. This is particularly critical in developing countries for providing good healthcare services and saving scarce resources and alternatives. The equipment maintenance management of the hospital not only makes them easily accessible when needed but also increases their reliability and reduces their failure rate [4, 8]. Despite the importance of maintenance, there was no clear system of maintenance. The guidelines are not properly performed in many countries including Iran. In addition, there is a lack of information about the assessment and evaluation of medical equipment decisions [9].
A survey indicated that nearly 60% of the total cost of a hospital involves medical equipment [8]. Wang et al. have demonstrated that the most common cause of medical equipment downtime is poor maintenance, planning, and management [3]. One study indicates that nearly 1% of the total hospital budget is spent on maintenance costs [10]. The literatures have indicated that a 500-bed hospital spends typically around $5 million/year [6]. A study of world health organization (WHO) has shown that nearly half of medical devices in developing countries are operated incorrectly or are not maintained properly due to inappropriate management policy. On the other hand, the potential to manage and maintain medical equipment in these countries remains rather weak [11].
Medical equipment plays a significant role in the hospital system; hence, the purchase, maintenance and replacement of medical equipment are key factors in hospitals to implement medical care service. Thus, to assure the quality of healthcare delivery medical devices, use-safety assessment of the maintenance management in hospitals is imperative [12]. To achieve these objectives, hospitals must develop assessment checklists which identify the performance status of medical equipment maintenance. It is essential for managers and engineers, not only to enhance hospital capability but also to predict the risks related to sudden failure. Given the lack of single and comprehensive checklists for maintenance management, the purpose of the current research is to design and develop assessment checklists for medical equipment maintenance management (MEMM).
Herrera-Galán [16] evaluated the performance of the maintenance function through management audits and their implementation in five hospitals. The aspects evaluated include equipment availability, response to a service request, monitoring and control of biomedical equipment, staff training, quality of work executed by the maintenance technicians, the workload of maintenance technicians, control of the work executed by the maintenance technicians, the effectiveness of annual maintenance planning and department performance. The results of this research show that the audit technique is a valuable checklist in the performance assessment of a hospitals. The application of the proposed method evidenced that the most critical component in the results of a management audit is the human resource [16].
The maintenance and its management constitute a checklist that ensures the equipment performance. There exist four criteria in which the hospitals coincide that they should improve, even though each of them in different measure and sub-criterion. These criteria are an organization of maintenance; human resources; planning, programming and control of the maintenance and corrective maintenance. These criteria are among the sub-categories of maintenance management assessment checklists [18].
According to the current results, documentation and service are two dimensions of MEMM. The problems of some hospitals in MEMM were introduced from the aspects of maintenance time, maintenance record, maintenance service and self-maintenance. Some measures were proposed including simplifying maintenance process through PDCA, information maintenance record, cooperating with the third-party maintainer and establishing self-maintenance team, so that precision and information medical equipment management can be realized to maximize the benefit of medical equipment management [20].
We need a comprehensive assessment checklist that covers all aspects of medical equipment maintenance management in hospitals. In this regard, the identification of influential factors is essential. Eighty-nine factors were identified that affect MEMM. Five of the factors were found related to resources item, 12 factors related to service, 4 factors related to education, 15 of these factors regarding quality control, 19 factors related to inspection, 12 factors related to information bank and 22 factors were dedicated to management. These factors are implicated in decision-making in support of selection, purchase, repair and maintenance of medical equipment, especially for capital equipment managers and medical engineers in hospitals and also for the assessment of this process. Identification and classification of influential factors can be of help for raising critical alerts about the types of equipment more prone to maintenance problems [14].
The commercial and institutional sector is the second largest consumer of publicly supplied water in the U.S., accounting for 17 percent of the withdrawals from public water supplies. This sector includes a variety of facility types such as hotels, restaurants, office buildings, schools, hospitals, laboratories, and government and military institutions. Each facility type has different water use patterns depending on its function. The chart below shows how water is used in different commercial and institutional facilities.
Approximately seven percent of the total water use in commercial and institutional facilities in the U.S. takes place in hospitals and other health care facilities. The largest uses of water in hospitals are cooling equipment, plumbing fixtures, landscaping, and medical process rinses.
Industrial facilities can use many of the best management practices described in WaterSense at Work (308 pp, 6 MB, About PDF) to analyze the water used by technologies, systems, and processes in their facilities. For example, industrial facilities often use water to move products, change or maintain temperature, clean equipment, or prevent drying between the stations of a manufacturing assembly line.
Social work administrators are proactive leaders in public and private agencies that provide services to clients. Many elements of this area of social work practice are common to administration in other organizations. However, administration and management also require knowledge about social policy and the delivery of social services, vision for future planning, an understanding of human behavior, and commitment to social work ethics and values.
It is up to a hospital facilities team to ensure that equipment is thoroughly inspected and repaired to ensure compliance with healthcare regulations. Here are three specific ways that a strong asset management plan can help your team comply with safety regulations and better serve patients.
A building infrastructure management platform can be used to help your team build out a reliable asset management program. Your facilities team can use an inspections application to simplify inspection rounds, compile inspections results in a single source of truth and even create work orders based on anything that fails inspection.
Click the image below to watch a video demonstration on how a building infrastructure management platform can enable your facilities department to improve safety, ensure compliance and ultimately improve the quality of care for all patients in your organization.
Facilities Management is composed of multiple departments and determines its service levels and associated activities in alignment with industry standards. We are committed to excellence in all aspects of facilities management with our goal to be proactive in identifying and resolving problems within your buildings and across the campus. 153554b96e
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