Acta Mechanica Slovaca 2013, 17(3):42-48 | DOI: 10.21496/ams.2013.031

Availability as an Operational Efficiency Indicator of Medical Equipment

Gleb Donin*, Peter Kneppo
Department of Biomedical Technology, Faculty of Biomedical Engineering, Czech Technical University in Prague, Nám. Sítná 3105, 272 01 Kladno, Czech Republic

The problem of operational efficiency assessment of purchased medical equipment is becoming critical, due to increasing public spending on medical devices. It has been shown that a significant amount of medical equipment is not in an operable state, for many different reasons. Commonly used complex operational efficiency indicators take the standby and down states of medical equipment into account together, as they do not have the potential to provide separate analyses of the efficiency of medical device management at healthcare facilities. Thus, the goal of this study was to identify and describe indicators for a more detailed assessment of operational efficiency of medical equipment in terms of different causes of the standby state. Systematization of causes of the standby state was implemented based on the performance data of different types of medical equipment. Managerial availability was developed as a measure of the operational efficiency of medical equipment, based on separating the standby state from the down state. Additional operational efficiency indicators found on components of standby time of medical equipment were suggested. The proposed indicators were calculated for some types of medical equipment as examples of its application. Proposed managerial availability levels and corresponding thresholds were suggested.

Keywords: Medical equipment; operation efficiency; availability; efficiency indicator

Published: October 31, 2013  Show citation

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Donin, G., & Kneppo, P. (2013). Availability as an Operational Efficiency Indicator of Medical Equipment. Acta Mechanica Slovaca, 17(3), 42-48. doi: 10.21496/ams.2013.031
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    References

    1. Cheng, M. (2003). Medical device regulations: global overview and guiding principles. World Health Organization, Geneva.
    2. World Health Organization (2010). Medical devices: managing the mismatch: an outcome of the priority medical devices project. World Health Organization, Geneva.
    3. Skinner, B. (2013). Medical devices and healthcare costs in Canada and 65 other countries, 2006 to 2011. Canadian Health Policy, pp. 1-15.
    4. Nejvyšší kontrolní úřad (2013). Peněžní prostředky určené na rozvoj a obnovu materiálně-technické základny fakultních nemocnic. Věstník Nejvyššího kontrolního úřadu, vol. 2, pp. 163-172.
    5. Godfrey, P. (2002). Overall equipment effectiveness. Manufacturing Engineer, vol. 81, no. 3, pp. 109-112. Go to original source...
    6. World Health Organization (2011). Medical equipment maintenance programme overview. World Health Organization, Geneva.
    7. Katukoori, V. K. (2007). Standardizing Availability Definition. University of New Orleans. New Orleans.
    8. Szawłowski, S., Borgoń, J., Gładyś, S. (2007). Operational Availability Of The Technical Object. Journal of Polish CIMAC, vol. 2, no. 1.
    9. Pryor, G. A. (2008). Methodology for estimation of operational availability as applied to military systems. ITEA Journal, vol. 29, no. 4, pp. 420-428.
    10. Wahed, M. A., Sharawi, A. A., Badawi, H. A. (2010). Modeling of medical equipment maintenance in health care facilities to support decision making. 2010 5th Cairo International Biomedical Engineering Conference, pp. 202-205. Go to original source...
    11. Lo, M. (2004). Benchmarking biomedical equipment maintenance in Hospital Authority (HA). 3rd IEE Seminar on Appropriate Medical Technology for Developing Countries. pp. 13/1-13/5. Go to original source...
    12. Van Horenbeek, A., Pintelon, L. (2014). Development of a maintenance performance measurement framework-using the analytic network process (ANP) for maintenance performance indicator selection. Omega, vol. 42, no. 1, pp. 33-46. Go to original source...
    13. Medhat, N., Samy, S. A., Wahed, M. A., Mohamed, A. S. A. (2008). Medical Equipment Quality Assurance by Making Continuous Improvement to the System. 2008 Cairo International Biomedical Engineering Conference. pp. 1-4. Go to original source...
    14. Dharmaratne, G. S. K., Jayawardana, A. K. L., Gunatunga, M. W. (2010). Integrated Logistic Support and Equipment Availability in Government Hospitals of a Developing Country. Sri Lankan journal of Management, vol. 15, no. 2, 3 & 4, pp. 79-102.
    15. De Ron, A. J., Rooda, J. E. (2005). Equipment Effectiveness: OEE Revisited. IEEE Transactions on Semiconductor Manufacturing, vol. 18, no. 1, pp. 190-196. Go to original source...
    16. ČSN EN 13306 (2011). Údržba - Terminologie údržby. Český normalizační institut. Praha.
    17. Naeem, H. Bin (2012). Fusion of Operations, Event-log and Maintenance Data. A Case Study for Optimizing Availability of Mining. Luleå University of Technology. Luleå.
    18. Oechsner, R., Pfeffer, M., Pfitzner, L. (2002). From overall equipment efficiency (OEE) to overall Fab effectiveness (OFE). Materials Science in Semiconductor Processing, vol. 5, no. 4-5, pp. 333-339. Go to original source...
    19. Cook, D. (1997). A protocol for the measurement of downtime of medical equipment. British journal of radiology, vol. 70, pp. 279-290. Go to original source...
    20. Somanathan, A., Hanson, K., Dorabawila, T., Perera, B. (2000). Operating Efficiency in Public Sector Health Facilities in Sri Lanka: Measurement and Institutional Determinants of Performance. Partnership for Healthcare Reform Project. Bethesda.
    21. Rewar, S. (2012). Research paper:-hospital information system in clinical engineering department. International Journal of Scientific and Engineering Research, vol. 3, no. 8, pp. 797-802.
    22. Xia, L., Zhao, M., Rong, L., Pang, R. (2009). Research on equipment maintenance decision system based on health management. 2009 8th International Conference on Reliability, Maintainability and Safety, pp. 653-657. Go to original source...
    23. Cruz, A. M. (2013). Evaluating record history of medical devices using association discovery and clustering techniques. Expert Systems with Applications, vol. 40, no. 13, pp. 5292-5305. Go to original source...

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