A Conceptual Framework to determine Medical Equipment Maintenance in Hospital Using RCM Method

Abstract

Maintenance services are performed to ensure the equipment is operating according to manufacturer standard and maintained at a desired level of quality. The implementation of maintenance services may prevent unexpected breakdown and disruption of operations in a hospital. However, there were numbers of cases reported on the frequent breakdown of medical equipment even though the maintenance program is in place and practised. Therefore, the reliability of the maintenance services was questioned especially when the breakdowns occurred after the maintenance services being performed. This paper proposes a conceptual framework to determine the accurate maintenance program for medical equipment in the hospital using Reliability Centred Maintenance (RCM) method. The recommendation from the RCM will assist to identify the root cause of the breakdown and minimize the number of breakdown for medical equipment in the hospital. RCM process is known as one of the most effective maintenance approaches to reduce the number of maintenance activities and hence minimizing the cost of maintenance incurred.

Prioritisation Assessment and Robust Predictive System for Medical Equipment: A Comprehensive Strategic Maintenance Management

“…The output of this system was divided into three priority levels, and the quantities of medical equipment at each level are tabulated in Table 6 . The clustering analysis of the replacement programme demonstrated that the low priority medical equipment consists of active units with the majority of 96% below ten ( 10 ) years as tabulated in Table 9 . The manufacturer still provided the support service, and the service provider required only one time of PPM frequency, while the routine inspection was annually conducted.…”

“…The combination of 16 novel features, which are ( 1 ) age, ( 2 ) function, ( 3 ) PM status, ( 4 ) missed PPM, ( 5 ) maintenance requirement, ( 6 ) maintenance complexity, ( 7 ) downtime, ( 8 ) operations, ( 9 ) number of failures, ( 10 ) response time, ( 11 ) repair time, ( 12 ) backup and alternative unit, ( 13 ) maintenance cost, ( 14 ) asset status, ( 15 ) obsolescence, and ( 16 ) asset condition was used for prioritisation assessment and prediction of medical equipment's comprehensive strategic maintenance management. The system development measured 13,352 various types of medical equipment used in Malaysian public health clinic facilities.…”

“…The labelled data for each strategic maintenance management was divided into a subset of datasets for training and validation purposes to evaluate the performance of each classifiers' models and protect against overfitting. Therefore, the cross-validation value was set to 10 ( 10 )-folds. The outputs of models' training by considering all parameters were recorded.…”

“…This dependency is vulnerable to electronic discharge that may cause unstable conditions and endanger users and patients. Hence, managing medical equipment maintenance is vital to ensure that the medical equipment operates according to the manufacturer's specification and guarantees patients and users' safety ( 10 ). Proper maintenance implementation can prevent possible failure or breakdown that affects the healthcare operations and may cause severe injury to the patients.…”

A Systematic Review of Medical Equipment Reliability Assessment in Improving the Quality of Healthcare Services

“…Maintenance management of medical equipment is crucial to ensure that a machine operates in accordance with manufacturer specifications and guarantees the patients and users safety (10). Failure of medical equipment may affect the healthcare services effectiveness and cause severe injury to the patients and harm the environment (11).…”