Dissertations / Theses on the topic 'Medical equipment management'
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Dhillon, Simron. "Oceanside Durable Medical Equipment." Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10116155.
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Oceanside Durable Medical Equipment (DME) is an accredited start-up company that will offer a comprehensive line of the latest medical supplies and equipment to patients in Long Beach, California. This company will focus on the distribution of leading medical equipment brands to patients who are in need of support for short-term and chronic health conditions. Durable medical equipment can offer help outside of the hospital environment and aid in a better quality of life.
With more than 2.4 million individuals over 60 years old in Southern California, there appears to be a large market and opportunity for this company. Oceanside DME will contract with leading medical equipment manufacturers and healthcare providers to deliver patients with quality products. A rapidly growing market for medical equipment will allow Oceanside DME to create a presence in this healthcare industry.
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Binder, Joshua R. (Joshua Robert) 1974. "Supply base segmentation and management at a medical equipment manufacturer." Thesis, Massachusetts Institute of Technology, 2004. http://hdl.handle.net/1721.1/34750.
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Thesis (M.B.A.)--Massachusetts Institute of Technology, Sloan School of Management; and, (S.M.)--Massachusetts Institute of Technology, Dept. of Mechanical Engineering; in conjunction with the Leaders for Manufacturing Program at MIT, 2004.Includes bibliographical references.
This thesis proposes an approach to supply base management that relies on differentiation between categories of suppliers. The objective of this thesis is to illustrate, through a real company's example, how profitability analysis can be combined with more typical supply base management approaches to improve a company's bottom line. The central innovation in the proposed approach is the use of an indication of suppliers' impact on company profits to segment the supply base. Previous work on supplier segmentation uses factors such as amount spent at the supplier and the importance of the purchased products to distinguish between suppliers. This thesis builds upon those approaches by adding an analysis of the profit contribution from the supplier and the cost of managing the supplier. Suppliers that cost a lot to manage and contribute little profit require improvement or become targets for supply base reduction. Suppliers that work to reduce the customer's cost of managing them and contribute positively to the customer's bottom line deserve reinforcement and stand as examples for the rest of the supply base. The approach proposed in this thesis provides managers with a tool to evaluate and improve the profitability and performance of their supply base.
by Joshua R. Binder.
S.M.
M.B.A.
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Kunzler, Jayson S. (Jayson Scott) 1973. "Order fulfillment model for medical equipment installation materials." Thesis, Massachusetts Institute of Technology, 2001. http://hdl.handle.net/1721.1/89316.
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Thesis (S.M.)--Massachusetts Institute of Technology, Dept. of Mechanical Engineering; and, (S.M.)--Massachusetts Institute of Technology, Sloan School of Management; in conjunction with the Leaders for Manufacturing Program at MIT, 2001.Includes bibliographical references.
by Jayson S. Kunzler.
S.M.
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Sanchez, Joaquin A., Richard A. Nixon, Sergio Chávez, Joaquin A. Sanchez, Richard A. Nixon, and Sergio Chávez. "Medical equipment management through the use of radio frequency identification (RFID)." Thesis, Monterey, California. Naval Postgraduate School, 2004. http://hdl.handle.net/10945/9914.
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MBA Professional ReportApproved for public release, distribution is unlimited
MBA Professional Report
Approved for public release, distribution is unlimited
The purpose of this MBA project is to identify the potential value of Radio Frequency Identification (RFID) use in the management of medical equipment at Naval Medical Center San Diego (NMCSD). In doing so, our project seeks to derive potential benefits through the use of RFID technology by comparing a group of medical equipment items that are tracked within NMCSD. The project includes a discussion of additional potential uses of RFID infrastructure within the Military Healthcare System, and possible resulting benefits. Ultimately, the project will determine the financial viability and practicality of implementing RFID.
The purpose of this MBA project is to identify the potential value of Radio Frequency Identification (RFID) use in the management of medical equipment at Naval Medical Center San Diego (NMCSD). In doing so, our project seeks to derive potential benefits through the use of RFID technology by comparing a group of medical equipment items that are tracked within NMCSD. The project includes a discussion of additional potential uses of RFID infrastructure within the Military Healthcare System, and possible resulting benefits. Ultimately, the project will determine the financial viability and practicality of implementing RFID.
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Cameron, Nancy G. "Project Management: Collaboration Between Nurse Leaders and Medical Equipment Project Managers." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/7051.
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Segura, Roca Gislé. "Risk Management in MedicalDevices: Hazard Identificationand Verification of MitigationControls." Thesis, KTH, Medicinteknik och hälsosystem, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-272731.
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During this project, the risk management of a medical device under development that deals with drug administration has been done. The aim of the project is to evaluate if part of the device is safe according to the current regulations in Sweden. The complexity of the risk management processes, particularly in healthcare, together with the lack of standardised methods to develop these kind of processes leads to a need of new tools to reduce the time, resources and complexity in this stage of the development. That is why two tools have been used and tested in order to assess the suitability under medical device development regulation conditions: the Hazard Ontology (HO) and a Fault Injection System(FIS). HO is a novel tool used to identify all hazards and threads from a predefined system in a structured way. On the other hand, FIS is a testing technique that aims to help with the study of systems when they are under faulty conditions. To ensure that the current regulations in Sweden regarding medical device are fulfilled, the EN ISO 14971 has been used as a guide for the methods applied during the work. The results of the project are exposed for every step of the process. At the end, the main result of the risk management process is a list of the mitigation measures that must be included as safety specifications of the device. Both tools, HO and the FIS, have proofed to be suitable with the current regulations as well as being useful for the process. HO gave as output a list of the main hazards of the system and the FIS have been used in the verification step of the mitigation measures. Three mitigation measures to test with the FIS has been chosen. They deal with faults regarding a speed sensor, a potentiometer and the PWM signal controlling the motor. The mitigation measures have been verified for both PWM signal and the potentiometer faults. However ,a faulty condition that leads to an unsafe behaviour has been found for the speed sensor. Therefore, we demonstrated that the medical system under study has still many control measures to implement, verify or improve before it can be said that it is a safe medical device.Under detta projekt, har en riskhantering av medicinsk utrustning som hanterar läkemedel gjorts. Målet med projektet är att utvärdera om utrustningen är säker enligt de svenska bestämmelserna. Komplexiteten med riskhanteringsprocessen, speciellt inom sjukvård, tillsammans med brist på standardiserade metoder för utveckling av dessa typer av processer leder till behov av nya verktyg för att minska tiden, resurserna och komplexiteten i detta skede av utvecklingen. Det är därför två verktyg som har använts och testats för att bedöma lämpligheten under de bestämmelserna för medicinsk utrustnings utvecklingsförhållande: Riskontologin (HO) och felinjektionssystem(FIS). HO är en ny metod som används för att identifiera alla faror och hot för ett identifierat system på ett strukturerat sätt. Å andra sidan är FIS en testteknik vars syfte är att hjälpa att studera systemet när det är under felaktiga förhållande. För att försäkra sig att de svenska bestämmelserna rörande medicinsk utrustning är uppfyllda, har EN ISO 1497 använts som en guide för de metoder som applicerats under projektet. Resultatet av projektet är synligt för varje steg av processen. Till slut, är det huvudsakliga resultatet av riskhanteringsprocessen en lista av de mildrande åtgärder som måste vara inkluderade som säkerhetsspecifikation av utrustningen. Båda verktyg, HO och FIS, har visat sig vara lämpliga med nuvarande bestämmelser och användbara för processen. HO gav oss, som data en lista med de huvudsakliga farorna av systemet och FIS användes i verifieringssteget av de mildrande åtgärder. Tre begränsningsåtgärder att testa med FIS har valts.De åtgärdar de fel för hastighetssensor, en potentiometer och PWM signalen som driver motorn. De begränsningsåtgärderna har verifierats för både PWM-signalenoch potentiometerfelen. Emellertid har ett felaktigt tillstånd som leder till ett osäkert beteende hittats. Därmed visade vi att det medicinska system som studeras fortfarande har många kontrollåtgärder för att genomföra, kontrollera eller förbättra innan det kan sägas att det är en säker medicinteknisk produkt.
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Diaconu, Karin-Daniela. "Methods for medical device and equipment procurement in low and middle-income countries." Thesis, University of Birmingham, 2016. http://etheses.bham.ac.uk//id/eprint/7063/.
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40-70% of medical devices and equipment in low- and middle-income countries (LMICs) are broken, unused or unfit for purpose: ad-hoc, undiscerning and inefficient procurement methods and processes contribute towards this problem. This thesis presents the findings of four original studies on medical device and equipment procurement within LMICs. Chapter I reports findings of a systematic literature review on procurement and prioritization methods; recommendations from reviewed literature are synthesised. Chapter II describes fieldwork conducted in The Gambia and Romania to explore the processes and dynamics behind medical device procurement in contrasting settings. Findings suggest procurement processes are strongly influenced by political/cultural power dynamics; health technology assessment evidence is rarely considered. Chapter III discusses the feasibility of conducting medical device specific economic evaluations for informing procurement planning. A case study on the costeffectiveness of alternative treatment interventions for femur-shaft fracture fixation in Sub-Saharan Africa is presented. Chapter IV consists of a critical appraisal of the medical device specific elements of the One Health Tool for health system planning. The thesis concludes with a discussion contextualizing the findings and suggestions for further research.
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Remmelzwaal, Bastiaan Leendert. "Technological learning and capacity building in the service sector of developing countries : the case of medical equipment management." Thesis, University of Sussex, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.296618.
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Lee, Sang-Young. "The role of design in home-based health-care equipment." Thesis, De Montfort University, 2000. http://hdl.handle.net/2086/4807.
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Lyons, Elizabeth. "An exploration of comfort and discomfort amongst children and young people with severe physical, learning and communication difficulties who depend on postural management equipment." Thesis, Northumbria University, 2013. http://nrl.northumbria.ac.uk/13338/.
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The natural response to the intrusive bodily sensation of discomfort is positional change. The purpose of this study was to explore how children and young people with profound physical, learning and communication difficulties, largely dependent on others to gauge their need for positional change, have their comfort needs met when using postural management equipment. Thirteen qualitative case studies were undertaken. Nine of the participants attended a special needs education primary or secondary school, two were in transition to school and two attended day services. All participants had a neurodevelopmental disability, with each being the focus of one case study. Parents, teachers, therapists and key support staff were interviewed, and the school or day centre routines of the children and young people were observed, with selective video recording. Single case and cross case analyses were undertaken. The findings showed threats to comfort include the restrictive nature of various accessories, hastiness of care tasks producing positioning errors and the procedural stretching of tissues prior to application. Opportunities for lessening discomfort included scheduled daily routines and time out of postural management equipment. Equipment use for the children and young people in this study was intrinsically coupled with care giving. Attentive caregivers read the behavioural expressions of the children and young people and reassuringly responded, safeguarding them from discomforting experiences. This maximised each individual‘s adaptive functioning, without compromising the benefits of postural support. This study highlights that the same item of equipment can be both comfortable and uncomfortable. Given the social and interactional world in which the children and young people live and learn, and the complex nature of their difficulties, it is others who must accept responsibility for ensuring their optimal level of comfort.
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Garcia-Villarreal, Enrique. "The critical success factors for original equipment manufacturers within medical technology supply chains in Germany : a case study and action research investigation." Thesis, Loughborough University, 2018. https://dspace.lboro.ac.uk/2134/33529.
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The medical technology sector in Germany is considered an innovative, fast-growing and promising industry, being third behind the USA and Japan as the biggest market in the world, worth 17.1 billion euros. Consequently, supply chain success is of high importance. This research identified the Critical Success Factors (CSFs) for Original Equipment Manufacturers that are involved within medical technology supply chains in Germany. This thesis begins with a full literature review on Supply Chain Management (SCM) in the medical technology sector and presents the current state of academic discussion on CSFs in this context. The literary analysis identified that most academic research focuses on developing theory based on supply chains of the manufacturing sector with the consumer market as their primary concern, with limited insights into Medical Technology Supply Chains (MTSCs). This was a main driver for the exploration of the drivers and barriers extant in this sector. Two studies were designed to address the identified research gaps. The first study was a qualitative research using multiple case studies and was divided in two phases. Phase A involved 15 German manufacturers of medical technology products and focused on identifying the CSFs in this sector. Phase B involved 14 German manufacturers and uncovered issues and weaknesses of their current SCM strategies by means of an assessment tool developed specially for this study. The second study consisted of an action research project, using interviews and participative workshops to develop an understanding on how organisations in this sector can improve operations using the CSFs concept while offering insights into the actual implementation of SCM strategies and the behavioural aspects of change management in this context. The findings extend theory and provide insights into real-world practitioner challenges and priorities. The outcomes of this study propose that the prioritised combination of the identified CSFs leads to better performance of OEMs in the German MTSC sector, which shifts our understanding of how practitioners prioritise CSFs. Furthermore, this thesis addresses the qualitative knowledge gap around the relational aspects of implementing SCM practices within this sector, while exploring relationships between stakeholders during the process of introducing these changes. These findings challenge existing generic assumptions about supply chain CSFs, as well as adding to SCM, CSF, and medical technology research and knowledge.
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Riedberg, Sander. "An assessment of a novel installation procedure of patient moniotoring equipment at New Karolinska Solna." Thesis, KTH, Systemsäkerhet och organisation, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-202208.
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Patient monitoring equipment is evolving from smaller, less complex, installation systems to- wards large, complex, systems that require much resources. This led to the development of a new installation procedure involving a so called Delivery Center (DC). Introducing the DC instal- lation procedure affects all stakeholders, and this thesis aimed to assess how the DC installation procedure was perceived by those involved in it. It also investigated if there existed groupings among the participants who share points of views, and whether or not the DC should be kept. The study used Q-Methodology in order to retrieve opinions among employees at Philips who were involved in the installation of Philips patient monitoring equipment at New Karolinska Solna Phase 4. This study has shown that all involved persons to the DC installation procedure are positive to it. Although significant differences has been shown within the studied group, a positive atti- tude towards the concept of the DC has been found. The specific areas of quality management, environmental aspects, the work environment and the efficiency and utilizations of resources have been addressed. This study has also shown that within the participants of this study there exists three distinct groupings based on their opinions. The groups focuses respectively on processes, project planning and on the work environment. These groupings are shown to all have their own characteristics. Understanding them and taking them into consideration can likely make all participants more positive towards a future DC, and could also potentially make it even more efficient. The results shows that from the perspective of the involved stakeholders, a future DC should be kept, and it has also shown a number of areas where there is room for improvement.Patientmonitoreringsutrustning håller på att utvecklas från mindre, låg-komplexa installation- ssystem mot större, komplexare, system som kräver mycket resurser. Detta har lett till utvecklin- gen av ett nytt installationsförfarande som involverar ett så kallat leveranscenter. Introduktionen av en leveranscenter-baserat installationsförfarande påverkar alla inblandade, och detta exam- ensarbete ämnade att utvärdera hur det leveranscenter-baserade installationsförfarandet upp- fattades av de involverade. Det undersökte också om det existerade grupper bland deltagarna som delar åsikter, och undersökte huruvida leveranscentret borde behållas. Arbetet använde Q-Methodology för att samla in åsikter bland alla de anstälda på Philips som var involverade i installationen av Philips patientmonitoreringsutrustning vid Nya Karolinska Solnas fas 4. Denna studie har visat att alla involverade personer i det leveranscenter-baserade installa- tionsförfarande är positivt inställda till det. Även om signifikanta skillnader bland de studerade grupperna har uppfattats, har en positiv attityd gentemot konceptet med leveranscentret hittats. De specifika områdena kvalitetshantering, miljöpåverkan, arbetsmiljö och effektivitet och uttnyt- jande av resurser har adresserats. Denna studie har också visat att det bland studiedeltagarna finns tre distinkta grupper baserat på åsikter. Grupperna fokuserar på processer, projektplaner- ing och arbetsmiljö. Grupparna har uppvisat egna karaktärsdrag. Förståelse för grupperna och att beakta dem kan troligen göra alla deltagarna än mer positiva gentemot ett framtida lever- anscenter, och även göra det effektivare. Resultaten visar att utifrån deltagarnas perspektiv att ett framtida leveranscenter bör behållas, och det visar även att det finns ett antal områden där det finns utvecklingspotential.
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Love, Janine Ann. "Respiratory management of the mechanically ventilated spinal cord injured patient in a critical care unit." Thesis, Nelson Mandela Metropolitan University, 2013. http://hdl.handle.net/10948/d1008451.
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Background: Spinal Cord Injuries (SCIs) are traumatic, life-changing injuries that can affect every aspect of an individual's life and can lead to death if not treated timeously and appropriately. Respiratory complications occur frequently after the SCI and are the leading cause of mortality and morbidity. Respiratory complications are predictable based on the neurological level of impairment of the spinal cord lesion; the higher the neurological injury, the more severe the respiratory complication. Changes in pulmonary function, poor cough, hypersecretion, immobility and bronchospasm all contribute to the development of respiratory complications. If the patient is unable to protect his/her airway or if respiratory failure occurs, mechanical ventilation is often required. Many patients require prolonged ventilation and subsequently need to go for tracheostomies. The critical care nurse plays an important role in the early identification of complications and can, therefore, act to limit and prevent these complications, which may be a direct result from the injury or treatment modality such as mechanical ventilation. Respiratory management has been promoted in preventing and treating respiratory complications and is associated with better prognosis in the SCI patient. Design and method: The research study aims to explore and describe existing literature and to make recommendations for the respiratory management of a mechanically ventilated spinal cord injured patient in a critical care unit (CCU). A systematic review was undertaken with clear inclusion and exclusion criteria. Ethical principles were maintained throughout the study. The quality of the study was ensured by critically appraising data that was utilized in the systematic review. It is envisaged that the results from this systematic review will improve the respiratory management of the SCI patient and prevent any variations in practice. Results: Were presented under the following themes: priorities of care for the SCI patient in the acute phase, during the critical care phase and preventative care. Conclusion: The SCI patient regardless of the neurological level or completeness of injury should be admitted to the CCU for intensive ventilatory, cardiopulmonary support and hemodynamic monitoring in order to detect and prevent respiratory complications. The use of larger tidal volumes is associated with improved comfort and less dyspnea however if a patient has acute lung injury or ARDS the use of low tidal volumes 6ml/kg is recommended. Prevention and early identification of respiratory complications is associated with improved outcomes for the SCI patient.
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Förster, Anna, Ambika Linder, and Sandra Nyqvist. "Konsekvenser av oplanerade verksamhetsavbrott orsakat av fel på medicinteknisk utrustning : En studie inom Länssjukhuset i Kalmar med fokus på drift, säkerhet och kvalitet." Thesis, Linnéuniversitetet, Ekonomihögskolan, ELNU, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-10608.
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Title: The issue of unplanned stoppages caused by failure in medical technology equipment – A study within the hospital of Kalmar with a focus on manage-ment, security and quality Author: Anna Förster, Ambika Linder, Sandra Nyqvist Tutor: Thomas Karlsson Institution: Linnaeus School of Business and Economics - Linnaeus University Kalmar Date: 2011-01-14 Purpose: The purpose of this study was to examine unplanned stoppages caused by medical technology equipment failure in the healthcare operation within the hospital of Kalmar. Our study is based on a number of specifically selected incidents which show the consequences these disruptions cause in management, security and quality within the operation. Our intention was also to examine what role the medical technology department of the hospital plays in the care production operation during these unplanned stoppages. Method: Through a qualitative study we have generated material from a number of interviews with staff working in the hospital of Kalmar. These interviews have given us a deeper perspective of a number of cases that we have chosen to study more closely and which relate to unavailable medical technology equipment. The interviewed respondents have contributed with their knowledge about the current incidents. From a hermeneutical interpretive perspective we have based on knowledge received about the subject, connected the collected empirics with our theoretical frame of reference. Conclusion: We see that management is affected negatively in situations where medical technology equipment has been unavailable, because of an ineffective use of resources in terms of rooms, equipment and personnel. In the cases studied we consider patient security to be relatively good. Nevertheless, the quality within the hospital of Kalmar is affected negatively during these unplanned stoppages, due to service dissatisfaction among some of the patients. Finally we conclude that care staff show a good level of confidence in the medical technology department as a support function and that their availability is highly appreciated. Keywords: Medical technology equipment, unplanned stoppage, maintenance, management, security, quality
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Rosa, Diego Antonio de Oliveira. "Gerenciamento de risco aplicado a procedimentos de ensaios de equipamentos eletromédicos." Universidade de São Paulo, 2012. http://www.teses.usp.br/teses/disponiveis/3/3142/tde-12062013-165607/.
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Os laboratórios de ensaios, para melhor avaliarem os equipamentos eletromédicos, precisarão implantar no seu sistema de gestão, o processo de Gerenciamento de Risco. Este novo tema está prescrito na edição da Norma ABNT NBR IEC 60601-1:2010 Requisitos Gerais para Segurança Básica e Desempenho Essencial que entrará em vigor a partir de 2012 no Brasil. A presente pesquisa tem como objetivo apresentar resumidamente as etapas do processo utilizado para implantar o Gerenciamento de Risco nos procedimentos de ensaios de equipamentos eletromédicos, visando atender aos novos requisitos da série de Normas ABNT NBR IEC 60601/80601 objetivando a melhoria contínua do Sistema de Gestão de laboratórios de ensaios acreditados pelo INMETRO. O método utilizado para o desenvolvimento deste trabalho consistiu no estudo detalhado das duas edições brasileiras da Norma Geral, de Normas Colaterais, a da Norma Particular de bomba de infusão e controladores, bem como a Norma ABNT NBR ISO 14971:2009. Após o estudo destas Normas, foram analisados alguns arquivos de Gerenciamento de Risco fornecidos por fabricantes de equipamentos eletromédicos e realizado o estudo de algumas ferramentas utilizadas para o desenvolvimento do Gerenciamento de Risco como, por exemplo, FMEA, FTA e HAZOP. Também foram realizados treinamentos com a equipe do laboratório de ensaio para sua capacitação. Com esta série de atividades, foi possível o desenvolvimento e implantação dos necessários procedimentos de ensaios na DEC-LEB/EPUSP e a validação dos mesmos. Para a validação desses procedimentos foi utilizada uma bomba de infusão, juntamente com todos os seus documentos acompanhantes. O resultado final obtido foi a capacitação da DEC-LEB/EPUSP para a realização de ensaios conforme as novas edições das Normas que incorporam Gerenciamento de Risco em suas prescrições, concluindo-se que os laboratórios de ensaios deverão incluir os devidos procedimentos com cuidado e capacitação de seus recursos humanos.To better evaluate the medical electrical equipment the laboratories for testing will need to deploy in its management system, the process of Risk Management. This new theme is prescribed in the edition of ABNT NBR IEC 60601-1:2010, which will take effect from 2012 in Brazil. This research aims to show brief the process used to implement the Risk Management procedures for testing medical electrical equipment, to meet the new requirements of the series of ABNT NBR IEC 60601/80601 aiming at continuous improvement of the management systems of laboratories for testing accredited by INMETRO. The method used for the development of this research was the detailed study of two Brazilian editions of the General Standard, Collateral Standards, Particular Standard of infusion pumps and controllers, as well as the ABNT NBR ISO 14971:2009. After studying these Standards, some Risk Management files provided by manufacturers of medical electrical equipment were analyzed and performed the study of some tools used for the development of Risk Management, for example, FMEA, FTA and HAZOP. Trainings were also conducted to the whole laboratory for testing team. With these activities, it was possible to develop and deploy the necessary testing procedures in DEC-LEB/EPUSP and validate procedures for testing. An infusion pump for the validation of these procedures was used, along with all its accompanying documents. The final result was the training of DEC-LEB/EPUSP team for testing as new editions of the standards that incorporate Risk Management in their prescriptions, concluding that laboratories for testing must include appropriate procedures and training of their human resources.
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Callerström, Emma. "Clinicians' demands on monitoring support in an Intensive Care Unit : A pilot study, at Capio S:t Görans Hospital." Thesis, KTH, Skolan för teknik och hälsa (STH), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-202541.
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Patients treated at intensive care units (ICUs) are failing in one or several organs and requireappropriate monitoring and treatment in order to maintain a meaningful life. Today clinicians inintensive care units (ICUs) manage a large amount of data generated from monitoring devices.The monitoring parameters can either be noted down manually on a monitoring sheet or, for some parameters, transferred automatically to storage. In both cases the information is stored withthe aim to support clinicians throughout the intensive care and be easily accessible. Patient datamanagement systems (PDMSs) facilitate ICUs to retrieve and integrate data. Before managinga new configuration of patient data system, it is required that the ICU makes careful analysis ofwhat data desired to be registered. This pilot study provides knowledge of how the monitoringis performed in an Intensive Care Unit in an emergency hospital in Stockholm.The aim of this thesis project was to collect data about what the clinicians require and whatequipment they use today for monitoring. Requirement elicitation is a technique to collectrequirements. Methods used to collect data were active observations and qualitative interviews.Patterns have been found about what the assistant nurses, nurses and physicians’ require of systems supporting the clinician’s with monitoring parameters. Assistant nurses would like tobe released from tasks of taking notes manually. They also question the need for atomized datacollection since they are present observing the patient bed-side. Nurses describe a demanding burden of care and no more activities increasing that burden of care is required. Physicians require support in order to see how an intervention leads to a certain result for individual patients.The results also show that there is information about decision support but no easy way to applythem, better than the ones used today. Clinicians state that there is a need to be able to evaluatethe clinical work with the help of monitoring parameters. The results provide knowledge about which areas the clinicians needs are not supported enough by the exciting tools.To conclude results show that depending on what profession and experience the clinicians have the demands on monitoring support di↵ers. Monitoring at the ICU is performed while observing individual patients, parameters from medical devices, results from medical tests and physical examinations. Information from all these sources is considered by the clinicians and is desired to be supported accordingly before clinicians commit to action resulting in certain treatment,diagnosis and/or care.Patienter som vårdas på intensivvårdsavdelningar har svikt i ett eller flera organ. Övervakning sker av patienterna för att kunna bidra till den vård som behövs för att upprätthålla ett meningsfullt liv. Idag hanterar sjukvårdpersonal en stor mängd data som genereras från övervakningsutrustning och system förknippade med övervakningsutrustning. Övervakningsparameterar kan antecknas förhand på ett övervakningspapper eller direkt sparas i digitalt format. Parameterarna sparas med syfte att vara ett lättillgängligt underlag under hela intensivvårdsprocessen. Patient data management systems (PDMSs) förenklar hämtning och integrering av data på exempelvis intensivvårdsavdelningar. Innan en ny konfiguration av ett patientdatasystem erhålls, är det eftersträvnadsvärt att intensivvårdsavdelningen analyserar vilken datasom skall hanteras. Detta examensarbete bidrog till kunskap om hur övervakning utförs på en intensivvårdsavdelning, på ett akutsjukhus i Stockholm. Målet med detta examensarbete var att insamla data om vad klinikerna behöver och vilken utrustning och system som de använder idag för att utföra övervakning. Behovsframkallning är en teknik som kan användas för att insamla krav. I detta projekt insamlades data genom aktivaobservationer och kvalitativa intervjuer. Mönster har hittats bland undersköterskornas, sjuksköterskornas och läkarnas behov av teknisksupport från system och utrustning som stödjer sjukvårdspersonalen under övervakningen av en patient. Undersköterskor uttrycker ett behov av att bli avlastade från uppgifter så som att manuellt skrivaner vitala parametervärden. De ifrågasätter behovet av automatiserad datahämtning eftersom de ständigt är närvarande bredvid patienten. Sjuksköterskor beskriver en hög vårdtyngd och önskaratt inte bli tillägnade fler aktiviteter som ökar den vårdtyngden. Läkare beskriver ett behov av ökat stöd för hur en interversion leder till resultat för individuella patienter. Resultaten visar attdet finns information om möjliga kliniska beslutsstöd utan givet sätt att applicera dessa, bättre än de sätt som används idag. Sjukvårdspersonalen hävdar att det det finns ett behov av att utvärdera det kliniska arbetet med hjälp av övervakningsparametrar. Resultaten utgör kunskap om vilka områden som sjukvårdpersonalens behov inte har stöd av nuvarnade verktyg. Resultaten visar att beroende på vilken profession och erfarenhet som sjukvårdspersonalen har, är behoven olika. På intensivvårdsavdelningen sker övervakning då enskilda patienter visuellt observeras såväl som övervakningsparametrar från medicintekniska produkter, resultat från medicinska tester och fysiska examinationer. Det finns behov att integrera och presenterainformation från dessa källor givet kunskap om att sjukvårdpersonalen fattar beslut på dessa som resulterar i behandling, diagnostik och/eller vård.
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Faraday, Bruce Douglas History Australian Defence Force Academy UNSW. "Half the battle : the administration and higher organisation of the AIF 1914-1918." Awarded by:University of New South Wales - Australian Defence Force Academy. School of History, 1997. http://handle.unsw.edu.au/1959.4/38693.
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Administration of armies has been sadly neglected in historical studies but the ability of the AIF to develop an efficient system of administration and to fit into the equally efficient British system, had much to do with the success of the AIF, especially late in the war. The various Empire governments had made some preparations for an alliance system of fighting in the event of a major war, but in practice these needed a great deal of adjustment. This thesis examines the manner in which the dominions and Britain planned for a possible war and the way in which changes had to be made in practice. It examines the manner in which the AIF developed a system and the many facets of this system, which had developed a remarkable degree of efficiency by the end of the war. Because the AIF and CEF were so alike in size, composition and in the problem they faced, a recurring theme of the thesis is a comparison between the two. It embraces the following: a. Prewar preparation for a combined empire army. b. The organisation of the administrative system of the AIF and the manner this improved through the war. c. The organisation and problems of the CEF administrative system d. The development of a system of capitation to pay for the services supplied to the AIF and CEF. e. Supply of equipment. f. Manner in which both forces worked to maintain their forces. g. The manner in which both forces catered for the needs of the individual soldiers. h. Supply in the field i. Medical administration in the AIF j. The administration in the AIF k. The administration of discipline in the AIF l. The demobilisation of the AIF.
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Rocha, Leticia Santos da. "Sistema de custeio baseado em atividades para gerenciamento do processo de manutenção de equipamentos medico-assistenciais." [s.n.], 2005. http://repositorio.unicamp.br/jspui/handle/REPOSIP/260546.
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Orientador: Jose Wilson Magalhães BassaniTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Engenharia Eletrica e de Computação
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Resumo: O Centro de Engenharia Biomédica (CEB) da Universidade Estadual de Campinas (UNICAMP) gerencia as atividades de manutenção (corretivas e preventivas) de um parque de cerca de 10.000 equipamentos médicos da área de saúde da Universidade, que inclui dois hospitais, dois centros médicos e uma escola de medicina. Para controlar estes serviços, o setor de Engenharia Clínica do CEB possui um sistema de gerenciamento baseado em uma máquina de estados, no qual todas as ordens de serviço (OS) são caracterizadas por trajetórias compostas pelos estados pelos quais cada OS passa durante a sua execução. Os estados são microprocessos ativados para solução de tarefas específicas. Cada mudança entre microprocessos é denominada, neste sistema, transicão. A nossa hipótese de trabalho foi que seria possível implementar no CEB um método de cálculo do custo das OS utilizando a técnica de custeio por atividade (Activity Based Costing, ABC). Para testar esta hipótese, tomamos as atividades (unidades fundamentais para a composição do custo ABC) equivalentes às transicões. Com esta abordagem fomos capazes de extrair o custo ABC das ordens de serviço, calcular o custo dos serviços prestados, exercitar o conceito de lucratividade (simulando valores de venda para cada OS com base no mercado), explicitar os custos das atividades dos indivíduos dentro dos diversos setores do CEB e estudar o impacto sobre o serviço (conjunto de atividades) de um determinado excedente "planejado", mediante o oferecimento de serviços para o mercado. Tendo em vista a possibilidade de calcular lucros para cada tipo de OS, pudemos estudar a aplicação de um processo de decisão, usando a técnica processo de hierarquia analítica (Ana/ytic Hierarchy Process, AHP) para decidir sobre a escolha da manutenção feita por terceiros ou feita pela equipe da casa. Os exercícios de cálculo de custos em diferentes condições ilustram a possibilidade de uso do ABC para gerenciamento baseado em atividade (Activity Based Management, ABM) e resultaram valores compatíveis com a realidade do sistema público universitário de saúde (e.g. custo das OS, custo do trabalho e atividades no CEB). Concluímos que a estratégia adotada de equivalência entre atividades e transições viabiliza e facilita a implementação do sistema ABC (o que confirma a nossa hipótese) e que, tendo em vista os preços praticados no mercado, um excedente da venda de serviço pode ser gerado, mesmo em um sistema público de saúde como o da UNICAMP, no qual os custos, essencialmente fixos (e.g. pessoal, depreciação, custos gerais), não podem ser reduzidos de modo trivial
Abstract: The Center for Biomedical Engineering (CEB) at 8tate University of Campinas (UNICAMP) manages the maintenance activities (corrective and preventive) of about 10,000 medical devices for the health care area of the university, which is comprised by two hospitais, two medical centers and a medicine school. In order to control these maintenance activities, the Clinical Engineering department makes use of a state machine-based management system in which the service orders (80) are characterized by trajectories (sequence of states) constructed while the 80 is processed. The states are microprocesses, which are activated to solve specific tasks. Each transition between two microprocesses (the state transition) is named, in short, a transition. We worked under the hypothesis that it would be feasible to implement at CEB a method for 80 costing based on the Activity-Based Costing (ABC) technique. To test our hypothesis, we made activity, fundamental token for ABC, equivalent to transition. With this approach, we were able to extract the ABC cost of each 80, to estimate cost for a specific service proposal, to exercise the concept of profitability by simulating selling costs for each 80 based in the current market, to explicit activity costs for individual jobs in CEB, and to study the impact of offering external services upon the total amount of activities of a certain "planned profit". By the analysis of 80 involving third party services, we studied the possibility of using the Analytic Hierarchy Process (AHP) technique to choose between third party or in-house services. The different conditions of ABC application in the present work iIIustrated the possibility of using ABC for Activity-Based Management (ABM), with results compatible with the expected figures for a public university health system (which validated our hypothesis). We conclude that our strategy of equivalence between activity and transition made the ABC feasible and relatively simple. We also found that according to the current market prices it is possible to envisage profit even in a health system such as in UNICAMP, in which costs are essentially fixed (e.g. staff, depreciation, general costs)
Doutorado
Engenharia Biomedica
Doutor em Engenharia Elétrica
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Stallard, Derek. "A systematic column performance comparison for the confirmation of opioids used in pain management by LC-MS." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/honors/189.
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In this study, three different chromatographic column chemistries (C18, Pentafluorophenyl (PFP), Hydrophilic Interaction Chromatography (HILIC)) were compared under optimal conditions to determine which stationary performed best in the separation and detection of a mixture of opioids using LC-MS. Furthermore, these stationary phases were examined in three different column technologies – traditional silica, porous shell, and porous polymer (PRP). The PRP column had the best peak shape for all 13 opioids and dominated for later-eluting compounds. In terms of column reproducibility, the Hamilton C18 column had the lowest %RSD values. The Kinetex HILIC produced the most theoretical plates and best resolution for polar compounds as did the Hamilton C18 for nonpolar compounds. Finally, Kinetex PFP and Hamilton PRP both demonstrated themselves as viable alternatives to the C18 column chemistry for analysis of this drug class.
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Piccinini, Patricia Strapasson. "Sistema de informação para gerenciamento de equipamentos médicos-hospitalares." Universidade Tecnológica Federal do Paraná, 2016. http://repositorio.utfpr.edu.br/jspui/handle/1/1870.
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Os equipamentos médicos, sob regime da Vigilância Sanitária, compreendem todos os equipamentos de uso em saúde com finalidade médica, odontológica, laboratorial ou fisioterápica, utilizados direta ou indiretamente para diagnóstico, terapia, reabilitação ou monitorização de seres humanos. A manutenção desses equipamentos é atribuída a área de engenharia clínica. A engenharia clínica atua no desenvolvimento, gerenciamento, manutenção, incorporação e capacitação dos equipamentos médicos-hospitalares (EMH) dentro do hospital, visando contribuir com a qualidade de vida dos pacientes. Para melhorar a gestão destes equipamentos, aliou-se a informática, por meio dos sistemas de informação à área de manutenção. Os softwares destinados à área hospitalar existentes, são na maioria comerciais, caros e estão voltados à gestão dos pacientes, gestão de leitos e prontuários. A existência dos sistemas de informatização com a finalidade de auxiliar na manutenção, pode reduzir o tempo e o custo destinado a esta atividade. O objetivo deste estudo é analisar e implementar um sistema de informação para gerenciamento de manutenção de EMH. Este sistema é 100% Web, multiplataforma, que usa um método de priorização para manutenções preventiva e corretivas. Foram criados formulários personalizados para cada EMH visando a padronização de como serão armazenadas as soluções de cada manutenção. Para o desenvolvimento do sistema, foi aplicada a Análise Orientada a Objetos, por meio de técnicas da engenharia de software. O código do sistema foi desenvolvido usando a linguagem de programação PHP, utilizando um framework frontend Bootstrap e um banco de dados PostgreSQL. Com o sistema pronto foram criados métodos de testes de software disponibilizando roteiros para testar a usabilidade do software. Comparando o SIGEMH e outros softwares disponíveis no mercado, foi constatado que a maioria contempla os aspectos gerenciais de EMH, enquanto que o SIGEMH tem como meta a priorização e a padronização de formulários referentes às manutenções. Algumas funcionalidades existentes no outros softwares não foram desenvolvidas, mas implementou-se novas funcionalidades, tais como: o armazenamento de normas técnicas e manuais para pesquisas on-line, a padronização dos formulários pós manutenção e o método de priorização que define as ordens dos equipamentos para a realização dos serviços.The medical equipment, under sanitary vigilance rules, comprehend all equipment in use in the health field with medical, odontological, laboratorial or physiotherapeutic purpose, which are used either directly or indirectly for diagnosis, therapy, rehabilitation, or monitoring of human beings. The maintenance of these equipment is attributed to the clinical engineering area. The clinical engineering acts on development, management, maintenance and capacitation of medical-hospital equipment (MHE), within the hospital, aiming to contribute to the patients? quality of life. In order to improve the management of these equipment, it has allied with informatics, by means of information systems in the maintenance field. Most of the existing softwares for the hospital area are commercial, expensive and are meant to patients, beds and medical records managing. The existence of informatization systems with the aim of helping maintenance may cut down the time and the cost for this activity. The purpose of this study is to analyze and to implement an information system for managing the maintenance of MHE. This system is 100% Web, multiplatform, and uses a prioritizing method for preventive and corrective maintenance. Customized forms were created for each MHE, aiming the standardization of storage of solutions for each maintenance. For the developing of the system, the Object Oriented Analysis was applied, with techniques of software engineering. The system code was developed using PHP programming language, using a Bootstrap frontend framework and a PostgreSQL database. When the system was ready, software testing methods were created, providing itineraries to test the software?s usability. Comparing to SIGEMH and other softwares on the market, it was found that the majority regards the managing aspects of MHE, while SIGEMH aims the prioritization and standardization of forms relative to maintenance. Some functionalities present in other softwares were not developed, but new functionalities were implemented, such as: storage of technical rules and manuals for online searching, standardization of post-maintenance forms and the method which defines the order of equipment for service execution.
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Pelletier, Christine. "Application des techniques d'aide à la décision à la planification sanitaire régionale." Phd thesis, Université Joseph Fourier (Grenoble), 1999. http://tel.archives-ouvertes.fr/tel-00004845.
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La planification sanitaire régionale consiste à répartir dans l'espace régional les ressources sanitaires rares (équipement lourd, personnel, ...) entre différentes structures sanitaires existantes ou non, afin d'"optimiser" la réponse aux besoins en soins de la population régionale. Cette répartition s'effectue dans un contexte décisionnel multidimensionnel, dont les dimensions médicale, économique et celles relatives à l'aménagement du territoire. Depuis une quarantaine d'années, la recherche de méthodes rationnelles applicables à la planification sanitaire a permis l'investigation de nombreuses voies de modélisation, et la proposition de méthodes variées. Malgré leur multitude, aucune d'entre elles n'a acquis de légitimité auprès des planificateurs. Trois motifs expliquent ce phénomène: le caractère restrictif de la définition donnée au système de santé, la complexité des techniques mathématiques utilisée, souvent obscures pour les non initiés, et le rôle passif réservé au planificateur. Le travail présenté dans ce mémoire propose la formalisation d'un outil interactif d'aide à la planification sanitaire. Cette formalisation s'appuie sur une approche globale du système de santé, à partir de laquelle nous avons établit une définition de la planification sanitaire. A l'issue de cette formalisation, nous proposons un outil HERO qui lie un Système d'Information Géographique (SIG) avec un outil de résolution multiobjectif. Via le SIG, l'outil informe le planificateur sur l'état de santé de la population ainsi que sur les mécanismes de production et de consommation de soins. L'outil de résolution multiobjectif assiste ce dernier dans l'élaboration d'un plan en lui fournissant un moyen d'évaluation de la pertinence de ses choix dans la répartition spatiale des ressources. Le fonctionnement de HERO est illustré sur un exemple utilisant des données du Bas-Rhin (France).
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KAO, CHEN-KAI, and 高振凱. "Establishment of Medical Equipment Management System Based on Equipment Lifecycle Planning." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/2hh325.
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碩士逢甲大學
生醫資訊暨生醫工程碩士學程
105
The management of medical equipments is a very important part in hospitals. Equipments are usually required for current scientific evidence and medical diagnosis. The equipments must be maintained within a reasonable range of tolerant error such that the value of the equipments could thus be enhanced. The value of the equipments is indispensable in the design of the equipment management process. In the life cycle, there are many aspects that need to be managed. In order to make the management more efficient, the information management system is an indispensable tool. The equipment life cycle includes procurement, installation, operation, maintenance and scrapping. The detailed item includes budget review, applicable evaluation, purchase bargaining, medical evaluation, acceptance file, daily inspection, bad notification, use survey, instrument maintenance, instrument calibration, maintenance, the obsoleteness assessment and waste disposal. The management of medical equipments is the complete life cycle of equipments presented. The equipment life cycle is very important for the planning direction of the information management system. The information management system has many design considerations, including equipment procurement evaluation, equipment property, equipment function classification, equipment risk classification, supplier, maintenance planning, quality control planning, equipment scrap, and so on. In addition, if the communication of information can be built in multiple subsystems, the management can be improved to be more effective and more convenient. The e-process management can also be completed gradually. This paper takes the performance quality of the equipments in hospital as the first priority. The operation design and the performance appraisal for the e-process management have been accomplished in this thesis. With the management of hospital equipments, achieves the efficiency in management and the reduction of management mistake have been achieved. The finished system may also manifest the equipment quality report for the users and achieve the win-win goal of the users and the equipment manager.
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Chien, Chia-Hung, and 錢嘉宏. "A Web-based Medical Equipments Management Based on Equipment Service Life-Cycle Model." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/29677058197702365487.
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博士國立臺灣大學
電機工程學研究所
99
In the hospital, management of medical equipments is a series of activities from budget planning to equipment disposing. The overall activities focus on issues such as quality, safety, performance, cost, and profit. An efficient and effective management system is necessary for supervising these goals. In this study, we show how to use a low cost web-based information model based on equipment life-cycle to finish the job. The operations information of medical equipment can be systematic collected and revealed at different life-cycle stages. Audit indicators are used to continually monitoring real operation conditions and improve related adverse events. Through this mechanism, the management integrity, medical care quality, and patient’s safety will be improved. This system consists of four sections namely; the surveillance of maintenance quality, the central regulatory, the utilization benefit, and its emergency response. Quick and effective decision marking becomes possible by useful operating status from the analysis and supervising of quality control, user satisfaction survey, utilization rate, and revenue contribution provided by the system. The framework of this model has worked well in the NTUH by the increase in availability and efficiency of equipments used.
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Yao-Tsung, Tao, and 陶耀宗. "Study of Computerized Maintenance and Management Systems for Medical Equipment in Medical Centers." Thesis, 2005. http://ndltd.ncl.edu.tw/handle/01549142290403427381.
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碩士南台科技大學
高階主管企管碩士班
93
Medical equipments appear in different forms in hospitals, depending on the level of technical development. From this point of view, it is essential to build up management systems for the equipment, and computerized maintenance appears to be the best way. In Taiwan, medical centers hold the leading position. The effects of developing computerized system have been positive. However, the obtained computerized system which controls medical equipment maintenance still attains weaknesses, and this study is focused on the problem of medical equipment maintenance and the building of a computerized maintenance system for obtaining complete functioning of the whole system. In the study, we examine the experience of one medical center in southern Taiwan and find that its implementation of a computerized medical equipment maintenance system contains many shortcomings and it’s further improvement remains to be an on-going challenge. We found that the key factors to success are the management skill and attitude of the medical engineering specialists. Because most hospitals ignore the importance of computerization, the medical engineering specialists need to play an active role to implement a computerized system and realize the benefits of the system. This study also deals with important issue of how specialists need to focus on, not only the technical task, but also their management skill. Performance efficiency is resulted from good management skill. Since the computerized system is an essential management tool, it is necessary to enhance the specialists’ knowledge of statistics and computer science to strengthen their management ability. It is advised that specialists do not rely solely on their technical skills, but also remember the importance of good management, since special skills are most effective when used in cooperation with good management.
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Wang, Yi-Ya, and 王怡雅. "The Development of Mobile APP for Medical Equipment Maintenance Management System." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/46yccy.
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碩士中原大學
生物醫學工程研究所
106
The motivation in this research is to develop a medical equipment mobile APP maintenance management system based on Android. This APP provide a portability platform for biomedical engineers gain access the information about the medical devices maintenance services and monitoring tools at point of care. Prior to the development of mobile platform, it strived to improve the work efficiency of biomedical engineer in the hospital. This system also provided wellspring of resources such as ability to download troubleshooting PDF and instruction manual for 5 different kinds of identity. The ease for the user to gain access instruction manual at their fingertips by eliminating troubleshoot can thereby reduce the amount of instrument to be repaired effectively. Moreover, the system has suited the needs of domestic hospitals through the study of evaluation. Biomedical can now interpret the reason behind the faulty devices based on the statistical analysis evaluated by the system and helping relevant hospital and manufacture personnel to improve the medical devices usage method with minimal malfunction rate, in thereby, improve the overall work efficiency of the hospital. According to different type of user, they have limited authorization to gain access the certain section of medical devices management system such as application of maintenance, maintenance record, pie chart analysis based on device failure, preventative of device failure, three-level services records, vendor service sector, instruction manual, troubleshooting and feedback evaluation. In order to fulfill the demands of “JCT Foundation Hospital Evaluation and Medical Quality Policy Council” and “Medical Unit Operations”, the whole system is developed from the field trip research in hospital since March of 2017.
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Dennis and 陳博言. "Characteristics of medical institutions and sales management research - the Taiwan medical equipment industry case studies." Thesis, 2006. http://ndltd.ncl.edu.tw/handle/39420262734392605663.
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碩士輔仁大學
國際創業與經營管理學程碩士在職專班
94
Because the Taiwan medical establishment by the Health of Department comments the graduation system, but has the medicine center, the region and the local hospital three kind of medical establishment type. This different medical establishment type has the different purchase characteristic according to the health bureau request standard. The medical supplier really has the essential ponder different sale management pattern reason to be supposed this different purchase characteristic, this also is a subject which this research wants to discuss. This research goal is needs to discuss the medical supplier, between in which sale management and the different medical establishment's difference, but analyzes induces suits the different medical establishment type the sales management pattern. Firstly, case company regarding medicine center, region and local hospital altogether six hospital cases by case analysis way, purchase characteristic and between sales management pattern this two construction surface compared with different type hospital difference. Finally, and develops the proposition, proposes the conclusion and the suggestion. Because the health bureau comments differently to the different equipment demand characteristic, therefore has the medicine center to stress studies the medical level, has stresses the general medical service the region hospital, also has stresses basic unit of area hospital the primary medical service. Furthermore, different has the different organization scale and the purchase behavior characteristic and the referential target significance because of the medical establishment. Therefore the case company uses different sales management because of the different medical establishment characteristic. This research expectation establishes one to conform to the different medical establishment type sales management pattern, refers for the medical supplies of same business.
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羅美緣. "A Study on The ISO Quality Knowledge Management System of Medical Equipment Industry." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/35502295186147240430.
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碩士國立彰化師範大學
資訊管理學系所
102
In a trends for knowledge economy, as well as the development of information and communication technology, and highly applications era, every business organizations have to face rapidly changing, diverse and complex, and competitive business environment. Many business organizations also have deep sense "knowledge" is the most important strategic assets and core values is one of the main sources of competitive advantage. "Knowledge Management" is to respond effectively to rapidly changing market conditions and intense competition in the only way, in particular, the effective use of information technology will enable business organizations intangible knowledge assets liquidity "expertise" to make effective management, and accelerated transformed core value of the weapon and strategy, the market maintain a competitive advantage and sustainable development key elements. Medical equipment industry as the most popular and important one of the biotech industry, and medical equipment with people's health, health and life more fairly close and important relationship, quality management system is to maintain product quality and the most direct key role. In practice, the use of information technology, building industry characteristics meet ISO quality and effective knowledge management system is to enhance and maintain quality assurance professional core knowledge and skills the most direct and effective way, but also can not be ignored and the current urgent important work, but also in order to enhance the production of medical equipment, performance and competitiveness. Based on the above key demand, the research mainly discusses the construction of medical devices industry ISO quality knowledge management system. The research on the use of literature analysis and prototyping system design method, first through literature review to understand the ISO quality management system standard operation procedures and mechanisms for knowledge management and knowledge management systems develop successful models; then medical equipment industry ISO Quality Management System characteristics and related quality assurance expertise based knowledge management through acquisition, storage, sharing, application and creation of knowledge management processes such as the five concepts and methods of import, the final application of information technology actually construct a set of effective, safe medical equipment industry needs to "ISO quality knowledge Management system" for validation. The results showed that the ISO quality knowledge management system has to provide business organizational quality knowledge management, information support of case and statistical analysis, customers and suppliers management, online education and training, internal and external expertise to obtain and community sharing features such benefits. The results not only provide medical equipment industry in the assess and development for quality knowledge management systems as a reference, while the quality knowledge management system functionality and research of integration support systems were also helpful.
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JEN, CHUNG CHIEH, and 任中杰. "Risk Management, Taxation Plan And Entrance Approaches for Aesthetic Medical Equipment in China." Thesis, 2003. http://ndltd.ncl.edu.tw/handle/17243852063935948098.
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Yu, Jui-Hsiang, and 余瑞祥. "An Application of RFID Technology to Medical Equipment Management-Example of A Public Hospital." Thesis, 2006. http://ndltd.ncl.edu.tw/handle/93389697889991835137.
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碩士元智大學
資訊管理學系
94
Since the implementation of the National Health Insurance System (NHIS) in 1995, versatile healthcare services have been offered to the public. However, in recent years, because of the financial difficulty, the Bureau of National Health Insurance has adopted several control methods such as total amount of expenditure and self-initiated program in order that NHIS can be operated under planned budget. Those actions have created severe impacts on normal operations for the local medical facilities; that is, high profit era can no longer appear. Especially for the public medical facilities, they have more restrictions imposed by the law, so they can not freely manipulate their funds like other private medical facilities. In addition, they are also facing the decrease of the government budget year by year and the trend of downsizing the personnel. Consequently, top management level of each public medical facuility has to figure out ways for example how to effectively use advanced technology on managing medical related operations in order to save on costs. Recently, the RFID technology has been successfully applied on several fields such as warehouse management, safety management, asset management, and so on. This thesis is to study the relevant costs occurred before and after the implementation of the RFID technology in managing high price medical equipments. Our purpose is to see whether it is profitable for introducing RFID into medical assest management. After analyzing possible sources of relevant cost, we conducted some field experiments using RFID to collect required data. Analysis based on experiment results demonstrate that using RFID technology in medical equipment management can not only decrease the relevant handling costs, but also increase the medical quality in terms of the avoidance of interferring in-patients and the enhancement of the privacy for in-patients.
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Bliznzkov, Zhivko. "Methodology for a global approach and development of an integrated system for medical equipment management." Thesis, 2003. http://nemertes.lis.upatras.gr/jspui/handle/10889/3371.
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Hsu, Hao-Kun, and 許浩堃. "Development of a Mobile Tracking and Management System for Medical Equipment Based on 12-lead ECGs." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/7m77q4.
Full textAbstract:
碩士臺北醫學大學
醫學資訊研究所
104
As wireless LAN technology matures,the use of Mobile Medical Equipment Tracking Management system is worth exploring.This article sets to use a medical tracking management system for tracking on mobile medical equipments.As long as Medical equipment tracking management system is on wireless LAN and connected to the terminal of the wireless base,the position of the medical device can be tracked.Therefore there is no need for extra software or hardware installation as long as there is signal for uploading.The user can use this tracking management system to obtain the location and receive information they need.Our article suggest this Mobile Medical Equipment Tracking Management system is both beneficial to administrator and other personal use.
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Lei, Meng Ru, and 雷孟儒. "A Study on Channel Management Strategy for Biotech ＆Medical Equipment Industry – The Case Study of the X Distributor." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/80333569077970490438.
Full textAbstract:
碩士國立中正大學
高階主管管理碩士在職專班
102
Abstract In recent years, the development trend of the medical equipment industry is significant, The authorities actively promoted the biotech medical equipment, set the resource integration platform,and made a cross-sectorial coordination in order to construct a better environment for industrial development. The implementation of National Health Insurance (NHI) and the increase of national income accelerated the needs of medical market.However, the consumer consciousness and the development of internet age resulted in the great challenge for medical equipment manufacturers to face the transformation of market and management strategies. This study aimed to investigate the current products which are actively developed and the key factors of future success for medical industry,including the exploration of the distribution channel management of medical equipment industry. Through the enterprise’s channel strategies,the researcher aimed to understand how to create value from the channels and promote the exchange of products. Besides, the enterprises coordinated the supply and demand to offer more choices for the consumers. Lastly, the study aimed to analyze the consuming behavior in the market and understand consumers decision –making from their shopping habits, preference and various choices This study adopted the case study analysis.In consideration of the medical industry transformation, the implement of National Health Insurance (NHI), the distributors’ channels and product competition, and the management among consumer, the case distributor concluded the major problems from interior and exterior environments. Through the interview with higher-ranking managers, the researcher aimed to under-stand the company’s decision-making factors. The case company framed the goals of their future channel management strategies in consideration of the strength and weakness of the interior and the threat from the exterior environment. The results were as follow. They are the diversification of products, the professional employee training,expansion of working capital financing strategy, the alliance of marketing channel management, the reposition of customers’ relations, and the integration of upstream and downstream companies. Above all , the goal is to enhance the management performance and their competitiveness. The scales of domestic medical markets were small, and many companies belong to small and medium sized business. Based on results, the researcher trys to change the predicament of the case company, and help the company to achieve the goal of sustainable development.
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Liu, Pu Cheng, and 劉卜誠. "Design and Implementation of a Clinical Trial Management System for Assisting the Development of Intelligent Medical Devices and Equipment." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/17044565699715844984.
Full textAbstract:
碩士長庚大學
工業設計研究所
97
Medical Devices and equipments have longer lifecycle than normal industrial products, that is because medical Devices and equipments needed to pass through lots of laboratory evaluation. These test including safety test, function test, and clinical trial. Medical Devices and equipments have direct and close relationship to the users, and it might cause great danger without notice. Therefore Department of Health takes it seriously to verification. Expensive cost and uncertain margin for stockholders will be the disadvantage due to the property of such a long lifecycle, so this study first focus on discussing lifecycle of Medical Devices and equipments, and how to brief the step through system implementation. This study focused on the process of clinical trail starting from IRB application, project management, and ending by data collection. The aim is to establish a complete vital data database to represent the core value of how clinical trial system assists the development of intelligent medical devices and equipment. System prototyping in the chapter 4, and the case study in the chapter 5. The case study shows some benefits. The application system not only provides the benefit for shorten the process (compared with traditional IRB application), but also provides assistant service in the process of application. During the project, project management functions properly and accurately to guarantee the quality of project. In the end of test project, the system will not only function automatically to collect data from multiple intelligent medical devices but also output an online questionnaire, which is designed for collection of users’ opinion, for accomplishment of the final report. The further system should implement to original medical devices, and the information safety should be discussed when subjects involved. To make sure the whole process will not against the medical ethics.
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Chen, Mei-Yun, and 陳美雲. "The Study of The Key Success Factor for The Risk of Management - In the case of Taiwan Medical Equipment Supplier." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/08334426337744343482.
Full textAbstract:
碩士淡江大學
管理科學學系企業經營碩士在職專班
100
While the national economy standards increase gradually in the overall gross national product (GDP) growth and the health relative measures gradually improved, and progress, the population is showing aging phenomena. Thus, it shows increasingly high requirements for the quality of medical care and health care needs. Taiwan’s manufacturer structure of the overall market economy is smaller, inadequate funding of clinical research, so most of the business emphasis on home health care medical equipment manufacturing and most of them are OEM manufacturing mode. Hence, it is unable to grasp the key technologies and materials with only a few brands and the domestic market is small. Therefore, actively introduce international brands of medical technology, medical equipment, high-quality, product diversification, etc., to provide people better care and protection is the trend of the future. Since the implementation of universal health insurance system, the Bureau of National Health Insurance replace the public civilians became the major paying customer of the medical institutions. This completely changed the business ecosystem of hospitals. Adjustment of the Bureau of National Health Insurance system will result in their environment-related medical equipment, instruments industries upstream and downstream firms have to change, whether in this stage revenue or future level of business strategy are producing dramatic changes and the increase in complexity between firms. This study focuses on the case of a company in the process of change in the domestic medical equipment industry related risk factors discussed information analysis to collect the relevant information of the medical devices industry, and establish an internal process improvement, the introduction of staff training and domestic and foreign new product imports. Designed based on the relevant subject headings in-depth interviews to be confirmed, to ensure that the enterprises to be sustainable.
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Fei, Kuang-Ming, and 費廣明. "The Influences of Supplier Relationship Management on Information-based Purchasing-Using the Pharmaceutical and Medical Equipment Industry in Central Taiwan as example." Thesis, 2006. http://ndltd.ncl.edu.tw/handle/86hf32.
Full textAbstract:
碩士靜宜大學
管理碩士在職專班
94
Supplier Relationship Management (SRM) has been an oncoming territory in Business Administration, transforming from an indistinct concept, since the information-based of supply chain management in the past few years. This is a part of the automation of commerce and related technological processes to evaluate the implementation of the contact. Looking backward to the researches about SRM, we come to discover that the research results have turned aside to the relationship management between both customers & supplier and upstream & downstream business, but seldom focus on the topics of how to achieve the purchasing value thru SRM in the pharmaceutical and medical equipment industry. The objective of this research is to show the relationship between SRM and efficiency of purchasing. Based on the analysis, long-termed partner relationship, integration of the information system, involvement of the supplier and the consistent factors all have a positive effect on electronic purchasing value. If we cannot resolve the inefficiency that caused by the integration of the information system of the dealers and suppliers, then we cannot amplify the value of electronic purchasing. So we suggest that pharmaceutical and medical equipment dealers should choose those suppliers who has the converged quality concept with the dealers and willing to has a long-termed cooperate relationship, thus we can achieve the purchasing value thru the integration of the information system and elevating the exclusive investing degree of the supplier.
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Palmeira, Luísa Rodrigues Palma Rato. "Scenario Planning and Multicriteria Analysis in the acquisition of a sophisticated medical equipment: The Case of Instituto Português de Oncologia." Master's thesis, 2016. http://hdl.handle.net/10362/22041.
Full textAbstract:
Healthcare management is a process that is becoming more and more challenging. Due to constant changes, either economic, political, social or others, the healthcare industry suffers certain uncertainties in their services. One of the challenges is the increase in costs of medical equipment, which is also associated with a fast evolution of technology and lack of good practices of procurement. Being one of the most valuable sources for any company, technology is especially important in healthcare, since it helps to improve the diagnostic and quality of the service provided. But, with the current economic crisis, hospitals are suffering budget cuts, affecting the options available in terms of technology. Hence, the job of healthcare managers is becoming more difficult, but also increasing in importance, since a good decision in necessary to please both customer, and employer. In this work, the case of Instituto Português de Oncologia de Lisboa will be analysed, where the decision to either acquire, or not, a new computerized axial tomography is being considered. Scenario Planning and the Multicriteria Decision Analysis were the methodology implemented. It was concluded that the best option for IPO is to replace their old computerized axial tomography by a new one, with a leasing contract, instead of direct acquisition.
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Santos, Tiago Jorge Cavaco dos. "Organization and management of maintenance indexed to risk factors in healthcare environment." Master's thesis, 2016. http://hdl.handle.net/10400.26/18443.
Full textAbstract:
Currently, in a similar way to the policies adopted by the organizations, the hospitals lay an enormous effort in the search of the maximum efficiency of the organizational flows. This results in the improvement of the provided services and patient safety, taking into account the profitability of the physical resources and economic conditions. To achieve these goals, it is necessary not only to increase the efficiency of medical equipment throughout their life cycle, but also to prevent the risks associated with their handling, with emphasis on patient safety. The concepts of maintenance management and risk assessment have been evolving towards the adequacy of the policies most adapted to the nature of the facilities and equipment, whether by economic, functional or other classification. The concept of risk in a hospital environment is very diverse. There are physical, chemical, biological and psychosocial risks. Although all risks are important for the safety and well-being of patients, this dissertation/project focuses mainly on biological risks (infections due to viruses, fungi, bacteria and parasites), and physical risks with a special focus on electrical risk. These risks can be partially indexed to the organization and management of the maintenance of hospital facilities and equipment, as this can help to prevent risks; However, with a good evaluation and management of these, maintenance costs can be reduced and unexpected interventions can be avoided. In this context, this article analyzes the main electrical and biological risks, in order to establish a cause-effect relationship with the maintenance policies carried out by the institutions.
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Breen, Liz, Y. Xie, and T. Cherrett. "Where are you? A preliminary examination of the track and trace mechanisms in place to facilitate effective closed-loop medical equipment retrieval in the National Health Service (NHS) (UK)." 2016. http://hdl.handle.net/10454/8664.
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yesThe National Health Service (UK) is wholly accountable and heavily scrutinised for its strategy, activity, performance and spending (Appleby, 2016; NHS Confederation, 2016; Parliament UK, 2010), and much research has been undertaken as to its effectiveness at managing its operations and its competency in doing so (Gov.Uk, 2016; National Audit Office, 1999)). The impact of not performing adequately combined with threats such as funding cuts (King’s Fund, 2016), government intervention and private sector competition; has led to uncertainty and disillusion with the sustainability of the service (Hunter, 2016). Based on current economic concerns, this paper chooses to focus on the area of Medical Equipment Loans Services where products are released to patients to aid therapeutic rehabilitation and physical mobility. The aim of this study is to examine the process of product retrieval in a multi-case study analysis and consider how value-added technologies can be used to improve retrieval success rates.
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Chen, Ya-Fang, and 陳雅芳. "The Influence of Human Resources Management on Organizational Commitment from the Social Exchange Perspective - An Empirical Study of Sales Representatives in the Medical Equipment Industry." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/52594328899498706495.
Full textAbstract:
碩士國立成功大學
高階管理碩士在職專班
97
The purpose of this study was to explore the impact of human resource management, trust, and responsibility on organizational commitment. “People” is the most important asset of enterprises. Enterprises need to utilize the effectiveness of human resource to enhance their competitiveness and further maintain their profitability, growth, and sustainability. Organizational commitment can be used to predict employee’s job performance and turnover behavior and serve as an indicator of organizational effectiveness. The relationship between job performance and organizational commitment has been studied in many previous studies. However, this relationship has been seldom investigated from the perspective of the social exchange theory. Therefore, this study was designed to examine whether human resource management influences organizational commitment through the mediation of trust and responsibility as mentioned in the social exchange theory. The research subjects were sales representatives in the medial equipment industry. Of the 260 questionnaires distributed, 215 were returned, and 201 were valid. The valid response rate was 77.3%. The collected sample was analyzed using descriptive analysis, confirmatory factor analysis, reliability analysis, and structural equation modeling. Empirical results showed that all the proposed hypotheses were supported. Therefore, training and motivation in human resource practices as well as trust and responsibility in the social exchange theory all have significant and positive influence on organizational commitment. Trust and responsibility, in particular, are important mediators. Through trust and responsibility, enterprises can enhance the influence of human resource practices on organizational commitment. Thus, the important function of the social exchange theory in corporate organizations was reaffirmed. This was another contribution of this study.
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Nierste, Michael Keith. "Knowledge Management For Quality Improvement of Service Methods - A Case Study of a Laboratory Instrument." Thesis, 2010. http://hdl.handle.net/1805/2149.
Full textAbstract:
KNOWLEDGE MANAGEMENT FOR QUALITY IMPROVEMENT OF SERVICE METHODS - A CASE STUDY OF A LABORATORY INSTRUMENT
A systematic method can extrapolate tacit knowledge (hidden or subjective knowledge) so that it can become objective and discernable. This process focused on discovering causes of failures by extricating data from medical equipment service software cases closed by telephone by field service personnel. Their responses to observed failures were compared to troubleshooting guides in use by telephone support personnel to find new processes that would increase effectiveness of telephone support staff. We asked “What are indicators of device failure reported in technical support calls?” and then “What factors contribute to user reported device failures identified by callers to technical support?” A series of interviews with veteran personnel were used to validate responses from the “phone closed” cases along with ideas pulled from a review of documentation. Analysis of one hundred seventy three cases yielded over five hundred recommendations to make the telephone support personnel’s responses more accurate, consistent and reliable.
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Amaral, Vanessa Alexandra Duarte Tavares. "A gestão de risco em procedimentos cirúrgicos de urologia: os eventos adversos com equipamentos médicos em equipas cirúrgicas." Master's thesis, 2010. http://hdl.handle.net/10071/3952.
Full textAbstract:
Os equipamentos médicos são hoje um componente determinante na prestação de
cuidados de saúde. Não só têm contribuído para a melhoria do diagnóstico e da
terapêutica de várias doenças, potenciando o extraordinário desenvolvimento das
ciências médicas e das suas inúmeras especialidades, mas têm também contribuído
para níveis de complexidade e risco cada vez maiores. Num momento em que a
segurança dos doentes, ou as consequências decorrentes da falta da mesma, se destaca
como um problema de crucial preocupação a nível mundial, compreender o papel que
os equipamentos médicos desempenham neste campo emerge de enorme importância.
Neste sentido, pretendeu-se com este estudo conhecer a ocorrência de eventos adversos
em bloco operatório e compreender as suas origens com foco na dimensão tecnológica.
Para compreender melhor esta realidade, este estudo abordou ainda as vertentes da
cultura organizacional e da cultura de equipa. Foi assim adoptado como metodologia
de investigação o estudo de caso, seleccionando-se dois procedimentos cirúrgicos em
urologia no Centro Hospitalar Lisboa Norte. Como método de recolha de dados
adoptou-se entrevistas e observação directa e os dados foram analisados por meio da
análise de conteúdo. Concluiu-se que a avaria dos equipamentos médico-cirúrgicos é o
sintoma efectivo de disfuncionamentos organizacionais. A fadiga, distracção ou falta
de atenção e falta de comunicação entre a equipa cirúrgica foram os problemas-chave e
problema raiz identificados. É sobre estas causas potenciadoras de acidentes que se
devem centrar as acções de melhoria, visando a consequente redução de eventos
adversos e melhoria da prestação de cuidados de saúde.Medical equipment has now become a crucial component in the provision of health care. Not only have contributed to improving the diagnosis and treatment of various diseases, thus enhancing the extraordinary development of medical science and its many specialties, but have also contributed to levels of complexity and risk increasing. At a time when patient safety, or the consequences of the lack of it, stands out as an issue of crucial concern worldwide, understand the role that medical equipment play in this field emerging of great importance. In this sense, it was intended with this study to understand the occurrence of adverse events in the operating room and understand their origins with a focus on the technological dimension. To better understand this reality, this study has also addressed the aspects of organizational culture and team culture. It was adopted as the research methodology case study, selecting two surgical procedures in urology at the Centro Hospitalar Lisboa Norte. As a method of data collection was adopted interviews and direct observation and the data were analyzed using content analysis. It was concluded that the breakdown of medical and surgical equipment is the symptom of effective organizational dysfunctions. Fatigue, distraction or lack of attention and lack of communication between the surgical team were the key problems and root problem identified. It's about these potential causes of accidents should focus on measures to improve, seeking a consequent reduction of adverse events and improving the delivery of health care
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Wei, Yuh Fen, and 魏毓芬. "Purchase Decision Making and Management of Precious Medical Equipments." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/91752664972990674449.
Full textAbstract:
碩士國立清華大學
工業工程與工程管理學系
104
With the raising awareness of disease prevention and healthcare as well as the popularization of social security, people in Taiwan tend to seek for higher quality of medication. For these reasons, more selections of medical treatments appeared to fulfill the mass. Due to the competitive pressure, hospitals have not only improved their service and medical technology, but also many new and valuable equipment were invested and introduced to medical treatments. According to the statistics of National Health Insurance Administration (NHI) for high capital expenditure equipments including CT (Computerized Tomography) and MRI (Magnetic Resonance Imaging) stands for the largest proportion of our health insurance expense and is increasing annually. Despite that NHI has establish the policy of global budget system to raise the payment condition, hospitals still regularly eliminate and purchase valuable equipment at no cost in order to meet the needs of medical treatment and to improve the accuracy of medical detective rate. For this way, hospitals can not only gain the trust of people but also mainly to increase their revenue in a more rapid way and balance between expenditure. There are great varieties of medical equipment in a hospital and many of them are valuable equipment. Every year, great amount of budget will be spent on the purchase of new equipment and signing maintenance contracts. Up to now, few thesis focus on the management or the decision making of purchasing medical equipment. This study aims to apply the concept of Total Resource Management (TRM) to build up the structure of resource managing and the decision making of investing medical equipment in hospitals. By PCDA cycle, we can continuously control the efficiency of valuable equipment upon its clinical usage. Medical departments can promptly adjust their strategies of resource using and improve their services and furthermore, to evaluate the right timing for purchasing valuable equipment. Then, we will focus on the overall benefit evaluation for MRI machines in a specific regional hospital. By applying Simple Multi-Attribute Ranking Technique (SMART) in UNISON Decision Analysis Framework, we are able to analyze the purchase of new machines in a more systematic way. Form this study, we will find out positive effects for valuable equipment management as well as improving the quality of medical treatments in the hospitals to increase competitiveness.
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KŘIVÁNKOVÁ, Petra. "Logistické zajištění zdravotnického zásahu v místě hromadného neštěstí." Master's thesis, 2007. http://www.nusl.cz/ntk/nusl-54746.
Full textAbstract:
The theme of my diploma is the Logistic indemnity of medical interference within the area of multiple victim accidents. The world was struck by natural disasters during its long history. As well as the strengthening of natural disasters, the appearance of the disasters caused by human activity has been increasing in recent times, and at present and their after-affects are more destructive. This diploma is taken as a overall cross {--} sectional study of the topic of logistic indemnity of medical interference within the area of multiple victim accidents. After a brief approach of the history of prehospital care the diploma is focused on legislative regulation of this theme including processing of emergency plans and traumatological plans, financing of crisis set-ups, special training, procedure of salvage and liquidation operations of the units of integrated rescue systems and logistic indemnity of medical interference in the form of material and technical special equipment including human sources and psychological support. This diploma also includes some special problems of this topic (e.g. processing of traumatological plans, financing of crisis set-ups, labels of multiple victim accidents).