Medical Equipment Replacement Prioritization Indicator Using Multi-criteria Decision Analysis

Mora-García, Tlazohtzin R.; Piña-Quintero, Fernanda; Ortiz-Posadas, M. R.

doi:10.1007/978-3-030-01132-1_31

Cited by 8 publications

(6 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…14 However, very little has been published regarding when MEs should be replaced in clinical practice. For this purpose, some authors have developed mathematical models to prioritize the replacement based on device functional status, [15][16][17][18][19][20] others focus on cost-utility analysis and results are reported in terms of intermediate outcomes, such as success rate, complication rate, procedure duration, diagnostic performance, and level of measurement. 12 Justifying the request for MEs replacement either with mathematical models, or based on a limited institutional budget, or even just a cost analysis, does not provide enough information for decision-making to replace medical devices, particularly high-tech ones.…”

Section: Discussionmentioning

confidence: 99%

“…17 Mora, Piña & Ortiz in 2018 developed an indicator considering technical and economic aspects, that provides the functionality condition of the MEs and determines its replacement priority integrating factors as purchase cost at present, maintenance cost, consumables cost and depreciation. 18 Tobey proposed that the replacement should be accomplished through a systematic, evidence-based methodology to replace equipment in a prioritized fashion. Some key factors for replacement are evaluating and scoring these parameters, computerized maintenance, as well as, management system, standards, among others.…”

Section: Wwwmedigraphicorgmxmentioning

confidence: 99%

See 1 more Smart Citation

Metodología para la sustitución de equipos médicos de alta tecnología, aplicando la evaluación económica y el análisis del proceso empresarial

Navor-Galeana¹,

Pineda²,

Sandoval³

et al. 2022

Investigación en Discapacidad

View full text Add to dashboard Cite

Introduction: decision-making about when MEs replacement should take place is a traditional hospital challenge due to its high cost for health institutions and the risk it could represent in any existing medical care practice or procedure. The Health Technology Assessment (HTA) for MEs allows prioritizing its replacement in a hospital. Most MEs replacement evaluations focus solely on cost analyses; however, these evaluations do not consider the full role that MEs play in the healthcare processes In this sense, the investment cost of the equipment and other critical factors to evaluate the process, costs and productivity must be considered either. Objective: this paper proposes a methodology to support the decision to replace or not MEs, based on economic evaluation and business process analysis. Material and methods: cost-effectiveness, intermediate effectiveness, and process workflow analysis are applied. The best MEs alternative is identified through a decision-tree and time indexes, productivity and performance indicators. This methodology was tested by evaluating, as a case study, whether it is necessary to replace the sterilizers/washing machine that are in the last stage of their lifecycle, operating in our Central Sterilization Units. Results: the methodology presented in this paper has a high potential to detect delays, measure efficiency, productivity and costs of the processes, and even, based on the workflow analysis, to be able to improve the processes where MEs are operating. Conclusion: furthermore, HTA-based MEs replacement methodology allows to generate cost-effective information for decision-making at the management level.How to cite: Navor-Galeana NP, Pineda C, Sandoval H, Gutiérrez-Martínez J. Methodology for the replacement of high-tech medical equipment, applying economic evaluation and business process analysis.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Wwwmedigraphicorgmxmentioning

confidence: 99%

Metodología para la sustitución de equipos médicos de alta tecnología, aplicando la evaluación económica y el análisis del proceso empresarial

Navor-Galeana¹,

Pineda²,

Sandoval³

et al. 2022

Investigación en Discapacidad

View full text Add to dashboard Cite

show abstract

“…Ben Houria et al ( 16 ) developed a multicriteria decision model based on AHP, TOPSIS and MILP methods to select the best maintenance strategy for the equipment by quantitatively ranking the different maintenance strategies of the equipment according to their importance. Mora-García T et al ( 17 ) using an assessment tool based on multicriteria decision analysis, 12 indicators were defined for technical and economic aspects, resulting in the Medical Equipment Replacement Priority Indicator (MERUPI), which provides supporting criteria for deciding which medical equipment should be replaced and for the purchase plan. Faisal M et al ( 18 ) proposed an analytical hierarchy processes -group decision-making (AHP-GDM) model, which includes 11 quantitative and qualitative indicators as primary and secondary criteria to prioritize medical equipment replacement priorities.…”

Section: Introductionmentioning

confidence: 99%

Transforming medical equipment management in digital public health: a decision-making model for medical equipment replacement

Huang,

Lv,

Huang

et al. 2024

Front. Med.

View full text Add to dashboard Cite

IntroductionIn the rapidly evolving field of digital public health, effective management of medical equipment is critical to maintaining high standards of healthcare service levels and operational efficiency. However, current decisions to replace large medical equipment are often based on subjective judgments rather than objective analyses and lack a standardized approach. This study proposes a multi-criteria decision-making model that aims to simplify and enhance the medical equipment replacement process.MethodsThe researchers developed a multi-criteria decision-making model specifically for the replacement of medical equipment. The model establishes a system of indicators for prioritizing and evaluating the replacement of large medical equipment, utilizing game theory to assign appropriate weights, which uniquely combines the weights of the COWA and PCA method. In addition, which uses the GRA method in combination with the TOPSIS method for a more comprehensive decision-making model.ResultsThe study validates the model by using the MRI equipment of a tertiary hospital as an example. The results of the study show that the model is effective in prioritizing the most optimal updates to the equipment. Significantly, the model shown a higher level of differentiation compared to the GRA and TOPSIS methods alone.DiscussionThe present study shows that the multi-criteria decision-making model presented provides a powerful and accurate tool for optimizing decisions related to the replacement of large medical equipment. By solving the key challenges in this area as well as giving a solid basis for decision making, the model makes significant progress toward the field of management of medical equipment.

show abstract

“…It has been shown that the use of multidimensional criteria produces more e cient and relevant evaluation mechanisms for electromedical equipment [11,12].…”

mentioning

confidence: 99%

Medical Equipment Technological Assessment at Fatebenefratelli-Sacco Hospital: an ad hoc Replacement Priority Index

Grasso,

Cimolin,

Orsi

et al. 2024

Preprint

View full text Add to dashboard Cite

The latest report of the Osservatorio Parco Installato (OPI) highlights the widespread state of obsolescence of electromedical equipment in Italy; in this context, Sacco hospital has implemented an internal strategy of management and evaluation of such equipment, in order to improve the planning of purchases, for greater profitability and efficiency of the service. The hospital has devised its own evaluation strategy for the installed park, developing an ad hoc model for multi-presidio public structures in which there is an outsourced management of the maintenance of electromedical equipment. The model, based on the synergy between a technical Replacement Priority Index (RPI) and a clinical RPI, aims to be quickly upgradable and able to grasp the urgency of replacing an equipment based on the state of the others of the same type. The strategy, given the heterogeneity of the group involved and the parameters analyzed, is based on the Multi-Criteria Decision Analysis (MCDA); the specific weights of the parameters have been assigned thanks to an internal survey in which the various industry experts have drawn up their ranking of importance of the parameters considered. The goal is therefore the search for total harmony between health and decision-making bodies, providing for the involvement of nurses, active engine of hospitals, and doctors, to outline a shared strategy of technological modernization and better use of the resources offered by the Piano Nazionale di Resistenza e Resilienza (PNRR) and D. lgs. 34/2020, next step of the project in progress.

show abstract

Medical Equipment Replacement Prioritization Indicator Using Multi-criteria Decision Analysis

Cited by 8 publications

References 0 publications

Metodología para la sustitución de equipos médicos de alta tecnología, aplicando la evaluación económica y el análisis del proceso empresarial

Metodología para la sustitución de equipos médicos de alta tecnología, aplicando la evaluación económica y el análisis del proceso empresarial

Transforming medical equipment management in digital public health: a decision-making model for medical equipment replacement

Medical Equipment Technological Assessment at Fatebenefratelli-Sacco Hospital: an ad hoc Replacement Priority Index

Contact Info

Product

Resources

About