Abstract
The concern for patient safety and regulatory requirements classically based on manufacturers’ recommendations discouraged evidence based maintenance, and thus limited the possibility of maintenance optimization within healthcare organization. Although, the need for preventive maintenance and its appropriate frequency have been debated extensively for decades, very few studies have been conducted to revise healthcare maintenance strategy and improve the effectiveness of clinical engineers work, as well as focus on tasks that could provide the highest return for their limited resources. In this paper, the shift from a compliance-based to a goal-based approach is well established in an improved proportional delay time framework taking into account hidden nature of failures, the influence of the utilization rate and maintenance effectiveness on medical devices degradation. To illustrate the model capabilities, a real case study from the healthcare domain is presented, the model parameters are estimated entirely using the collected maintenance data. Then, the optimal maintenance policy is determined by a multi-objective optimization to achieve the desired cost effectiveness.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Mahfoud, H., El Barkany, A., El Biyaali, A.: Medical maintenance performance monitoring: a roadmap to efficient improvement. Int. J. Product. Qual. Manag. (2016, in press)
Mahfoud, H., El Barkany, A., El Biyaali, A.: Preventive maintenance optimization in healthcare domain: status of research and perspective. J. Qual. Reliab. Eng. 2016, 1–10 (2016)
Wang, B.: Medical equipment maintenance: management and oversight. Synth. Lect. Biomed. Eng. 7(2), 1–85 (2012)
Wang, B., Fedele, J., Pridgen, B., Williams, A., Rui, T., Barnett, L., Granade, C., Helfrich, R., Stephenson, B., Lesueur, D.: Evidence-based maintenance: part I. measuring maintenance effectiveness with failure codes. J. Clin. Eng. 35(3), 132–144 (2010)
Wang, B., Fedele, J., Pridgen, B., Williams, A., Rui, T., Barnett, L., Granade, C., Helfrich, R., Stephenson, B., Lesueur, D.: Evidence-based maintenance: part II. comparing maintenance strategies using failure codes. J. Clin. Eng. 35(4), 223–230 (2010)
Wang, B., Fedele, J., Pridgen, B., Williams, A., Rui, T., Barnett, L., Granade, C., Helfrich, R., Stephenson, B., Lesueur, D.: Evidence-based maintenance: part III. enhancing patient safety using failure code analysis. J. Clin. Eng. 36(2), 72–84 (2011)
Khalaf, A.B., Hamam, Y., Alayli, Y., Djouani, K.: The effect of maintenance on the survival of medical equipment. J. Eng. Des. Technol. 11(2), 142–157 (2013)
Ridgway, M.G.: Manufacturer-recommended PM intervals: is it time for a change? Biomed. Instrum. Technol. 43(6), 498–500 (2009)
Wang, B., Rui, T., Koslosky, J., Fedele, J., Balar, S., Hertzler, L.W., Poplin, B.: Evidence-based maintenance. J. Clin. Eng. 38(3), 108–116 (2013)
Ridgway, M.: Classifying medical devices according to their maintenance sensitivity: a practical, risk-based approach to PM program management. Biomed. Instrum. Technol. 35(3), 167–176 (2001)
Wang, W.: A delay time based approach for risk analysis of maintenance activities. Saf. Reliab. 23(1), 103–113 (2002)
Wang, W., Banjevic, D., Pecht, M.: A multi-component and multi-failure mode inspection model based on the delay time concept. Reliab. Eng. Syst. Saf. 95(8), 912–920 (2010)
Wang, W.: An inspection model for a process with two types of inspections and repairs. Reliab. Eng. Syst. Saf. 94(2), 526–533 (2009)
Christer, A.H.: Developments in delay time analysis for modelling plant maintenance. J. Oper. Res. Soc. 50, 1120–1137 (1999)
Van Oosterom, C., Elwany, A., Çelebi, D.: Optimal policies for a delay time model with postponed replacement. Eur. J. 232, 186–197 (2014)
Wang, W.: An overview of the recent advances in delay-time-based maintenance modelling. Reliab. Eng. Syst. Saf. 106, 165–178 (2012)
Lopes, R., Cavalcante, C., Alencar, M.: Delay-time inspection model with dimensioning maintenance teams: a study of a company leasing construction equipment. Comput. Ind. 88, 341–349 (2015)
Wang, W.: A joint spare part and maintenance inspection optimisation model using the delay-time concept. Reliab. Eng. Syst. Saf. 96, 1535–1541 (2011)
Taghipour, S., Banjevic, D.: Periodic inspection optimization models for a repairable system subject to hidden failures. IEEE Trans. Reliab. 60(1), 275–285 (2011)
Taghipour, S., Banjevic, D., Jardine, A.K.S.: Periodic inspection optimization model for a complex repairable system. Reliab. Eng. Syst. Saf. 95(9), 944–952 (2010)
Dohi, T., Kaio, N., Osaki, S.: Preventive maintenance models: replacement, repair, ordering, and inspection. In: Handbook of Reliability Engineering, pp. 349–366. Springer, London (2003)
Wang, H., Pham, H.: Optimal imperfect maintenance models. In: Handbook of Reliability Engineering, pp. 397–414. Springer, London (2003)
Mahfoud, H., El Barkany, A., El Biyaali, A.: Reliability assessment of degradable systems under imperfect maintenance and utilisation rate: a case study. Int. J. Eng. Res. Africa 26, 184–194 (2016)
Nazemi, E., Shahanaghi, K.: Developing an inspection optimization model based on the delay-time concept. J. Ind. Eng. (2015)
Olumuyiwa, A.O.: A decision support model to improve rolling stock maintenance scheduling based on reliability and cost. Stellenbosch University (2014)
McCollin, C.: Intensity functions for nonhomogeneous Poisson processes. Encycl. Stat. Qual. Reliab. (2007)
Mahfoud, H., El Barkany, A., El Biyaali, A.: A hybrid decision-making model for maintenance prioritization in health care systems. Am. J. Appl. Sci. 13(4), 439–450 (2016)
Coello, C., Lamont, G., Van Veldhuizen, D.: Evolutionary algorithms for solving multi-objective problems (2007)
Mahfoud, H., El Barkany, A., El Biyaali, A.: Cost effectiveness of healthcare maintenance policy: a new proportional delay time model. Int. J. Perform. Eng. 12(5), 433 (2016)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this paper
Cite this paper
Mahfoud, H., Elbarkany, A., El Biyaali, A. (2018). An Enhanced Delay Time Model to Support Evidence Based Maintenance in Healthcare Domain. In: Abraham, A., Haqiq, A., Ella Hassanien, A., Snasel, V., Alimi, A. (eds) Proceedings of the Third International Afro-European Conference for Industrial Advancement — AECIA 2016. AECIA 2016. Advances in Intelligent Systems and Computing, vol 565. Springer, Cham. https://doi.org/10.1007/978-3-319-60834-1_18
Download citation
DOI: https://doi.org/10.1007/978-3-319-60834-1_18
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-60833-4
Online ISBN: 978-3-319-60834-1
eBook Packages: EngineeringEngineering (R0)