Maintenance in hospitals with less than 200 beds: efficiency indicators

Gómez-Chaparro, Miguel; García-Sanz-Calcedo, Justo; Aunión-Villa, Juan

doi:10.1080/09613218.2019.1678007

Cited by 23 publications

(6 citation statements)

References 34 publications

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“…Figure 2 displays examples of defects in hospital buildings. The findings on the types of defects are similar to the previous findings [ 21 – 23 , 31 , 32 ]. The interviewees ranked water seepage as one of the most repulsive defects in hospital buildings.…”

Section: Analysing the Results Of The Interviewssupporting

confidence: 91%

Defect management of hospital buildings

et al. 2021

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Healthcare organisations are increasingly recognising the need to improve building performance in order to improve health care delivery, profits, and to reduce penalties. Hospital maintenance organisations are under constant pressure to plan maintenance work due to a shortage of funds on account of huge catalogues of defects in hospital buildings. While investments in hospital building maintenance are increasing, the requirement to increase building performance and user satisfaction is also increasing. The nature of building faults and the factors that influence hospital building maintenance management in Malaysia were explored. Primary data were collected through structured interview techniques involving six hospital maintenance organisations. According to the results of a survey interview involving six hospitals, water seepage, cracks, peeling paint, broken ironmongery, pipe leakage, damaged plasterboard, and discoloured paint are all widespread in hospital structures, according to the results of a survey interview involving six private and public hospitals. The key aspects that determine the maintenance management practise of hospital buildings are user attitudes, misuse/abuse, weather, and bad maintenance practice. The data revealed that hospital building users are demanding improved building performance through enhanced maintenance management service delivery. Implicit in the findings of this research is the lack of effective maintenance organisations. It is necessary to reorganise the hospital's maintenance organisations. From an ontological standpoint, the main findings of this study are generalizable to other hospitals and building typologies in and outside of Malaysia.

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Section: Analysing the Results Of The Interviewssupporting

confidence: 91%

Defect management of hospital buildings

et al. 2021

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“…The use of Markov chains for preventive maintenance planning is, therefore, part of a strategy based on circular economy [42], meeting savings and emission reduction targets. The outcome of this research is useful for planning the maintenance of healthcare centers, guaranteeing an appropriate level of maintenance according to the failures, and can be extrapolated to other buildings in the tertiary sector with similar complexity [43].…”

Section: Discussionmentioning

confidence: 99%

Scheduling of Preventive Maintenance in Healthcare Buildings Using Markov Chain

2020

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The optimization of maintenance in healthcare buildings reduces operating costs and contributes towards increasing the sustainability of the healthcare system. This paper proposes a tool to schedule preventive maintenance for healthcare centers using Markov chains. To this end, the authors analyzed 25 healthcare centers belonging to the three Healthcare Districts of Spain and built between 1985 and 2005. Markov chains proved useful in choosing the most suitable maintenance policies for each healthcare building without exceeding a specific degradation boundary, which enabled achieving an ideal maintenance frequency and reduced the use of resources. Markov chains have also proven useful in optimizing the periodicity of routine maintenance tasks, ensuring a suitable level of maintenance according to the frequency of the failures and reducing the cost and carbon footprint. The healthcare centers observed during the study managed to save more than 700 km of journeys, reduce emissions in its operations as a whole by 174.3 kg of CO2 per month and increase the overall efficiency of maintenance operations by 15%. This approach, therefore, renders it advisable to plan the maintenance of healthcare buildings.

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“…Igos et al analysed the environmental impact of wastewater from sanitary buildings [40] y studied the elimination of pharmaceuticals [41]. Furthermore, García-Sanz-Calcedo et al demonstrated the high potential for global warming associated with the construction of health centres [42] and the influence of the management of the energy consumption of a hospital with the reduction of its environmental impact [43].…”

Section: Uncertainty Management Of Knowledge About Environmental Mech...mentioning

confidence: 99%