Total Productive Maintenance: A Safety Approach to Optimize the Anesthesia Device Outcomes

Mkalaf, Khelood A.

doi:10.1109/icitm48982.2020.9080374

Cited by 4 publications

(10 citation statements)

References 21 publications

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“…The risks that may expose patients' life while obtaining treatment can be classified into three types: death, injury, and misdiagnosis [9]. In the context of the ventilator device treatment advantages and the probability of risk that may expose the patient during treatment.…”

Section: Risks Associated With Ventilator Failurementioning

confidence: 99%

Application of Overall Equipment Effectiveness for Optimizing Ventilator Reliability in Intensive Care Units and Emergency Departments

Mkalaf

Al-Hadeethi

2023

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Healthcare organizations seek to offer a comprehensive medical services system framework with safety and high quality. This needs continuously developing integrated governance systems that provide safe, reliable, and maintaining high-quality care and value-based care for patients. In addition to improving access to health services in time, increasing efficiencies in providing medical services, reducing the risk-based medical services, and selecting a suitable maintenance policy for maintaining the medical devices. This paper adopted a quantitative analysis method based on Reliability-Based Maintenance (RCM) to comprehensively evaluate the overall medical equipment's effectiveness. RCM is an integrated approach to continuous improvement of the maintenance programs because it can predict early medical equipment failure and determine the mean time between failures. It also assesses the risk level to the patient's life in case of a medical equipment breakdown while provisioning medical services. This study targeted biomedical engineering, intensive care units, and emergency departments at 24 public hospitals in a top 20 OECD country. It selected these departments due to the rise in the rate of patients needing ventilator equipment availability during COVID-19, risk based on the sudden breakdown of the ventilator machines, and increasing the annual budget percentage required to provide medical services, where 239 of the ventilator equipment were investigated. Staff Experience-based Evidence was adopted to collect data by interviewing staff and distributing the survey. The study found that the average OEE for ventilator devices in Intensive Care Units and Emergency Departments was 63%. The device's performance was rated at 65%, while its availability and quality rate were both rated at 100%. These findings suggest that the use of the OEE metric has improved ventilator device reliability and performance in selected hospitals. The OEE metric may have potential benefits for improving the performance of other medical devices as well.

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Section: Risks Associated With Ventilator Failurementioning

confidence: 99%

Application of Overall Equipment Effectiveness for Optimizing Ventilator Reliability in Intensive Care Units and Emergency Departments

Mkalaf

Al-Hadeethi

2023

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“…Thus, most hospitals need to apply an effective maintenance program for their medical device. That reduces the risk to a patient's life includes; death, injury, and misdiagnosis [19,20]. Therefore, biomedical engineering must be verified for calibration, safety, and reliability for all medical devices especially those that are used in life-ordeath situations.…”

Section: Safe Medical Servicesmentioning

confidence: 99%

“…Medical devices can be classified according to their level of performance into three types: critical, important, and essential. Each type contains a level of risk that may harm the patient's life, ranging from high to low risk [19][20][21]9].…”

Section: Levels Of Risk To Patients' Livesmentioning

confidence: 99%

Application the Risk-Based Maintenance for Optimizing the Overall Medical Devices Safety

Mkalaf

2022

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The purpose of this study was to identify risks to patients as a result of sudden device failure during the delivery of medical treatment services. Which, can affect the reputation of hospitals following the exposure of patients' lives to various risks like death, injury, and misdiagnosis. Furthermore, a sudden failure will lead to increased economic losses as a result of increased maintenance costs. Of (20) medical devices, (6) high-risk devices were selected, such as a ventilator, diathermy, anesthesia, BiPAP, oxygen concentrator, and electrosurgical devices. A quantitative statistical analysis based on risk-based maintenance is used to evaluate the effectiveness of the reliability of the medical device and its risks to patient lives. The results show that the reliability of the chosen medical device has declined, with higher maintenance costs due to excessive maintenance or the type of maintenance policy used. Therefore, this study provides evidence that hospitals must adopt a risk-based maintenance approach to prevent sudden failure while in service. In addition, these medical devices have various complex parts that must adopt a combination of maintenance schedules. Based on Risk-Based Maintenance's experience in improving patient safety in public hospitals in the 20 most successful OECD countries.

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“…A government body's delivery of a service can be considered as a process of producing value for a number of different stakeholders, [12] furthermore, the stakeholders will participate at different points in the value-network and therefore will interact with different government systems [12]. [18] defines maintenance as the actions intended for preserving something in or returning it to the physical state deemed appropriate to fulfil production objective, while the maintenance concept is a set of different types of maintenance policies and actions and the overall planned and supported decision structure. [19] Maintenance is a mixture of all technical, administrative and managerial activities during the life cycle of an entity, intended to maintain or restore it to a state in which it can accomplish the required purpose [20].…”

Section: Service Delivery Of Watermentioning

confidence: 99%

“…In other words, to optimise the specified equipment capacity, engineering decisions and related activities are required, where the ability to perform a specified function is the ability to implement a specified function within a range of performance levels that can relate to strength, speed, efficiency, safety and responsiveness [3]. The aim of maintenance activities is to plan necessary inspections, repairs and replacements and to provide management with information on the causes of defects and damage in the manufacturing sector [18]. [21] there are two types of maintenance: preventive maintenance and corrective maintenance.…”

Section: Service Delivery Of Watermentioning

confidence: 99%

Maintenance of Municipality Infrastructure: A Case Study on Service Delivery in Limpopo Province at South Africa

Emily¹,

Muyengwa²

2021

AJOR

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Total Productive Maintenance: A Safety Approach to Optimize the Anesthesia Device Outcomes

Cited by 4 publications

References 21 publications

Application of Overall Equipment Effectiveness for Optimizing Ventilator Reliability in Intensive Care Units and Emergency Departments

Application of Overall Equipment Effectiveness for Optimizing Ventilator Reliability in Intensive Care Units and Emergency Departments

Application the Risk-Based Maintenance for Optimizing the Overall Medical Devices Safety

Maintenance of Municipality Infrastructure: A Case Study on Service Delivery in Limpopo Province at South Africa

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