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Ribeiro, João Pedro Rodrigues - One of the best experts on this subject based on the ideXlab platform.

  • Aplicação da metodologia RCM em equipamentos de tomografia computorizada e da especialidade de imagiologia
    Instituto Politécnico de Lisboa Escola Superior de Tecnologia da Saúde de Lisboa, 2019
    Co-Authors: Ribeiro, João Pedro Rodrigues
    Abstract:

    Mestrado em Engenharia Biomédica.É geralmente reconhecido que as Unidades de Cuidados de Saúde (UCS) são alvo de uma fatura anual considerável com origem nos seus Serviços de Manutenção Interna (SMI). É também reconhecido que a gestão da manutenção de equipamentos biomédicos, como, por exemplo, os da especialidade de imagiologia, são objeto de procedimentos de manutenção, ao longo do seu ciclo de vida, definidos e implementados unicamente pelos seus fabricantes. Embora a Manutenção Centrada na Fiabilidade (RCM) seja aplicada com sucesso há muito tempo em equipamentos da área industrial, proporcionando melhorias significativas em eficácia e eficiência, não o é contudo em equipamentos biomédicos da área da saúde. Verifica-se mesmo uma quase inexistência de estudos ou análises na gestão deste tipo de equipamentos. Surge assim uma oportunidade para esta dissertação, face à necessidade, de garantir níveis elevados de fiabilidade, disponibilidade, segurança e economia nesta vertente de equipamentos biomédicos. É com este objetivo que o presente trabalho foi desenvolvido, recorrendo-se aos conceitos e metodologia RCM para os aplicar a um equipamento da especialidade de imagiologia, especificamente, a um equipamento de Tomografia Computorizada (TC). Esta abordagem, embora fazendo uso de metodologias de análise já existentes e conhecidas na engenharia da manutenção, incorpora atualmente uma nova revolução industrial – a Indústria 4.0. Neste sentido, face aos contínuos avanços tecnológicos proporcionados pela digitalização e sensorização, reforça-se a necessidade de implementar políticas de manutenção adequadas a cada momento do ciclo de vida de um qualquer equipamento, proporcionando fiabilidade e disponibilidade otimizadas e contribuindo para a minimização dos custos de manutenção. A ampola de raios X de um modelo específico de TC foi selecionada para esta análise, tendo em conta o seu comportamento em falha devido a vários modos concorrentes. Na impossibilidade de implementação de sensorização e, logo, de adoção da política de manutenção preventiva condicionada online, explorou-se a possibilidade de adoção da política de manutenção preventiva sistemática. Tendo em conta a natureza estocástica do problema, recorreu-se à técnica de simulação de Monte-Carlo, de modo a analisar o comportamento em falha resultante do conjunto dos vários modos atuantes na ampola e determinar a periodicidade ótima económica da sua substituição preventiva. No seguimento da vertente económica, esta análise foi estendida a duas outras circunstâncias comuns e complementares em manutenção de equipamentos: - Antecipar ou não a substituição preventiva de um componente, aproveitando a paragem do equipamento ao qual pertence, quando ocorre uma falha noutro componente; - Manter um componente crítico caro (ampola de raios X) em stock ou adquiri-lo somente de cada vez que se verificar a sua falha. O caso aqui estudado permitiu concluir como é importante para os utilizadores de equipamentos médicos realizarem os seus próprios estudos, recorrendo a métodos científicos comprovados, de modo a adaptarem continuamente as políticas de manutenção às condições específicas que se possam deparar durante a fase de exploração daqueles, na prossecução da máxima disponibilidade, segurança e eficiência económica.ABSTRACT - It is generally recognized that in Health Care Units the internal maintenance service usually results in a significant annual bill. In a similar way, the management of Biomedical Equipment is also under maintenance procedures throughout their life cycle, usually defined and implemented by their manufactures. As an example of this, we have imaging Equipment. Although Reliability Centred Maintenance (RCM) methodology has been successfully applied for a long time upon industrial Equipment, providing significant improvements in efficiency and effectiveness, the same is not verified in Biomedical Equipment for health purposes. It is verified a lack of studies or analysis about the management of this type of Equipment. Based on this, raises an opportunity for this dissertation to fulfill the necessity of assuring high levels of reliability, availability, safety, and economy in the Biomedical Equipment field. It is with this purpose that the present work was developed using the concepts and RCM methodology upon a specific imaging Equipment, a Computed Tomography (CT) scan. This approach uses existing and known methodologies in the field of maintenance engineering, including some recent concepts regarding the fourth industrial revolution - Industry 4.0. In this sense and facing the continuous technological advances using digitalization and sensing instrumentation, there is an increased need to implement adequate maintenance policies in every stage of an Equipment life cycle, providing optimized reliability and availability contributing to the minimization of maintenance costs. For this analysis, we selected an X-ray tube of a specific CT model considering its failure behavior due to several competing modes. In the impossibility to implement a sensor system and, therefore, to adopt an online condition-based maintenance policy, it was explored the possibility of adopting a systematic preventive maintenance policy. Considering the stochastic nature of the problem the Monte-Carlo simulation technique was used in order to analyze the failure behavior resulting from all several modes acting on the X-ray tube and to determine the optimal economic periodicity of its preventive substitution. In the scope of the economic aspect this analysis was extended to other two common and complementary circumstances about Equipment maintenance: - To anticipate, or not, the preventive replacement of a certain component by using the moment when the Equipment stops when a failure occurs in any other component; - To keep an expensive critical component (X-ray tube) in stock or to purchase it only each time it is found to be defective. The case study under analysis shows how important is for the users of the medical device to carry out their own studies using proven scientific methods in order to continuously adapt maintenance policies to specific conditions that may arise during the Equipment’s life cycle and pursuing maximum availability, safety, and economic efficiency.N/

  • Aplicação da metodologia RCM em equipamentos de tomografia computorizada e da especialidade de imagiologia
    Instituto Superior de Engenharia de Lisboa - Escola Superior de Tecnologia da Saúde de Lisboa, 2019
    Co-Authors: Ribeiro, João Pedro Rodrigues
    Abstract:

    Trabalho final de mestrado para obtenção do grau de mestre em Engenharia BiomédicaÉ geralmente reconhecido que as Unidades de Cuidados de Saúde (UCS) são alvo de uma fatura anual considerável com origem nos seus Serviços de Manutenção Interna (SMI). É também reconhecido que a gestão da manutenção de equipamentos biomédicos, como, por exemplo, os da especialidade de imagiologia, são objeto de procedimentos de manutenção, ao longo do seu ciclo de vida, definidos e implementados unicamente pelos seus fabricantes. Embora a Manutenção Centrada na Fiabilidade (RCM) seja aplicada com sucesso há muito tempo em equipamentos da área industrial, proporcionando melhorias significativas em eficácia e eficiência, não o é contudo em equipamentos biomédicos da área da saúde. Verifica-se mesmo uma quase inexistência de estudos ou análises na gestão deste tipo de equipamentos. Surge assim uma oportunidade para esta dissertação, face à necessidade, de garantir níveis elevados de fiabilidade, disponibilidade, segurança e economia nesta vertente de equipamentos biomédicos. É com este objetivo que o presente trabalho foi desenvolvido, recorrendo-se aos conceitos e metodologia RCM para os aplicar a um equipamento da especialidade de imagiologia, especificamente, a um equipamento de Tomografia Computorizada (TC). Esta abordagem, embora fazendo uso de metodologias de análise já existentes e conhecidas na engenharia da manutenção, incorpora atualmente uma nova revolução industrial – a Indústria 4.0. Neste sentido, face aos contínuos avanços tecnológicos proporcionados pela digitalização e sensorização, reforça-se a necessidade de implementar políticas de manutenção adequadas a cada momento do ciclo de vida de um qualquer equipamento, proporcionando fiabilidade e disponibilidade otimizadas e contribuindo para a minimização dos custos de manutenção. A ampola de raios X de um modelo específico de TC foi selecionada para esta análise, tendo em conta o seu comportamento em falha devido a vários modos concorrentes. Na impossibilidade de implementação de sensorização e, logo, de adoção da política de manutenção preventiva condicionada online, explorou-se a possibilidade de adoção da política de manutenção preventiva sistemática. Tendo em conta a natureza estocástica do problema, recorreu-se à técnica de simulação de Monte-Carlo, de modo a analisar o comportamento em falha resultante do conjunto dos vários modos atuantes na ampola e determinar a periodicidade ótima económica da sua substituição preventiva. No seguimento da vertente económica, esta análise foi estendida a duas outras circunstâncias comuns e complementares em manutenção de equipamentos: - Antecipar ou não a substituição preventiva de um componente, aproveitando a paragem do equipamento ao qual pertence, quando ocorre uma falha noutro componente; - Manter um componente crítico caro (ampola de raios X) em stock ou adquiri-lo somente de cada vez que se verificar a sua falha. O caso aqui estudado permitiu concluir como é importante para os utilizadores de equipamentos médicos realizarem os seus próprios estudos, recorrendo a métodos científicos comprovados, de modo a adaptarem continuamente as políticas de manutenção às condições específicas que se possam deparar durante a fase de exploração daqueles, na prossecução da máxima disponibilidade, segurança e eficiência económica.It is generally recognized that in Health Care Units the internal maintenance service usually results in a significant annual bill. In a similar way the management of Biomedical Equipment are also under maintenance procedures throughout their life cycle, usually defined and implemented by their manufactures. As an example of this we have the imaging Equipment. Although Reliability Centred Maintenance (RCM) methodology has been successfully applied for a long time upon industrial Equipment, providing significant improvements in efficiency and effectiveness, the same is not verified in Biomedical Equipment for health purposes. It is verified a lack of studies or analysis about the management of this type of Equipment. Based on this, raises an opportunity for this dissertation to fulfil the necessity of assuring high levels of reliability, availability, safety, and economy in the Biomedical Equipment field. It is with this purpose that the present work was developed using the concepts and RCM methodology upon a specific imaging Equipment, a Computed Tomography (CT) scan. This approach uses existing and known methodologies on the field of maintenance engineering, including some recent concepts regarding the fourth industrial revolution - Industry 4.0. In this sense and facing the continuous technological advances using digitalisation and sensing instrumentation, there is an increased need to implement adequate maintenance policies in every stage of an Equipment life cycle, providing an optimized reliability and availability contributing to the minimisation of maintenance costs. For this analysis we selected an X-ray tube of a specific CT model considering its failure behaviour due to several competing modes. In the impossibility to implement a sensor system and, therefore, to adopt an online condition based maintenance policy, it was explored the possibility of adopting a systematic preventive maintenance policy. Considering the stochastic nature of the problem the Monte-Carlo simulation technique was used in order to analyse the failure behaviour resulting from all several modes acting on the X-ray tube and to determine the optimal economic periodicity of its preventive substitution. In the scope of the economic aspect this analysis was extended to other two common and complementary circumstances about Equipment maintenance: - To anticipate, or not, the preventive replacement of a certain component by using the moment when the Equipment stops when a failure occurs in any other component; - To keep an expensive critical component (X-ray tube) in stock or to purchase it only each time it is found to be defective. The case study under analysis shows how important is for the users of medical device to carry out their own studies using proven scientific methods in order to continuously adapt maintenance policies to specific conditions that may arise during the Equipment’s life cycle and pursuing maximum availability, safety, and economic efficiency.N/

Alison L Wong - One of the best experts on this subject based on the ideXlab platform.

  • design and preliminary validation of a mobile application based expert system to facilitate repair of medical Equipment in resource limited health settings
    Medical Devices : Evidence and Research, 2018
    Co-Authors: Alison L Wong, Kelly M Lacob, Madeline G Wilson, Stacie M Zwolski, Soumyadipta Acharya
    Abstract:

    Background One of the greatest barriers to safe surgery is the availability of functional Biomedical Equipment. Biomedical technicians play a major role in ensuring that Equipment is functional. Following in-field observations and an online survey, a mobile application was developed to aid technicians in troubleshooting Biomedical Equipment. It was hypothesized that this application could be used to aid technicians in Equipment repair, as modeled by repair of a pulse oximeter. Methods To identify specific barriers to Equipment repair and maintenance for Biomedical technicians, an online survey was conducted to determine current practices and challenges. These findings were used to guide the development of a mobile application system that guides technicians through maintenance and repair tasks. A convenience sample of technicians in Ethiopia tested the application using a broken pulse oximeter task and following this completed usability and content validity surveys. Results Fifty-three technicians from 13 countries responded to the initial survey. The results of the survey showed that technicians find Equipment manuals most useful, but these are not easily accessible. Many do not know how to or are uncomfortable reaching out to human resources. Thirty-three technicians completed the broken pulse oximeter task using the application. All were able to appropriately identify and repair the Equipment, and post-task surveys of usability and content validity demonstrated highly positive scores (Agree to Strongly Agree) on both scales. Discussion This research demonstrates the need for improved access to resources for technicians and shows that a mobile application can be used to address a gap in the access to knowledge and resources in low- and middle-income countries. Further research will include prospective studies to determine the impact of an application on the availability of functional Equipment in a hospital and the effect on the provision and safety of surgical care.

Jenny Dankelman - One of the best experts on this subject based on the ideXlab platform.

  • availability procurement training usage maintenance and complications of electrosurgical units and laparoscopic Equipment in 12 african countries
    BJS Open, 2020
    Co-Authors: R M Oosting, Linda S G L Wauben, June Madete, Reinou S Groen, Jenny Dankelman
    Abstract:

    Background Strategies are needed to increase the availability of surgical Equipment in low‐ and middle‐income countries (LMICs). This study was undertaken to explore the current availability, procurement, training, usage, maintenance and complications encountered during use of electrosurgical units (ESUs) and laparoscopic Equipment. Methods A survey was conducted among surgeons attending the annual meeting of the College of Surgeons of East, Central and Southern Africa (COSECSA) in December 2017 and the annual meeting of the Surgical Society of Kenya (SSK) in March 2018. Biomedical Equipment technicians (BMETs) were surveyed and maintenance records collected in Kenya between February and March 2018. Results Among 80 participants, there were 59 surgeons from 12 African countries and 21 BMETs from Kenya. Thirty‐six maintenance records were collected. ESUs were available for all COSECSA and SSK surgeons, but only 49 per cent (29 of 59) had access to working laparoscopic Equipment. Reuse of disposable ESU accessories and difficulties obtaining carbon dioxide were identified. More than three‐quarters of surgeons (79 per cent) indicated that maintenance of ESUs was available, but only 59 per cent (16 of 27) confirmed maintenance of laparoscopic Equipment at their centre. Conclusion Despite the availability of surgical Equipment, significant gaps in access to maintenance were apparent in these LMICs, limiting implementation of open and laparoscopic surgery.

  • barriers to availability of surgical Equipment in kenya
    Global Clinical Engineering Journal, 2019
    Co-Authors: R M Oosting, Linda S G L Wauben, Salome W Mwaura, June Madete, Reinou S Groen, Jenny Dankelman
    Abstract:

    Background & Objective:The need for surgery is currently not met in Sub-Saharan Africa, requiring both extra workforce and surgical Equipment. Currently, there is a gap in the availability of surgical Equipment which, among others, limits the provision of safe surgery. To design strategies to increase availability, the use of surgical Equipment in this context needs to be understood. This study aims to: 1) identify the different phases surgical Equipment goes through during its lifespan (i.e. the surgical Equipment journey) in Kenya, and to 2) identify barriers that are perceived by Biomedical Equipment technicians (BMETs).   Material & Methods:Seven semi-structured in-depth interview sessions were conducted with a total of 17 BMETs working in Kenya. Participants worked in six different hospitals (four public, one private and one mission). Interviews were conducted between December 2016 and December 2018. Participants were asked to describe or draw the surgical Equipment journey and describe the perceived barriers during this journey. Results:The surgical Equipment journey consists of three phases: procurement, usage, and disposal. Stakeholders involved in the surgical Equipment journey are users, BMETs, procurement officers, local distributors and in case of donations, donation agencies. Bureaucracy during procurement, difficulties to obtain consumables and spare parts (especially for donated Equipment), cleaning with heavy chemicals, and usage in challenging environments were identified as barriers during the surgical Equipment journey.   Conclusion:Sustainable interventions at multiple organisational levels are required to optimize the surgical Equipment journey in hospitals in Kenya. Different strategies that can be applied in parallel to increase availability of surgical Equipment in Kenya were identified by the participants in this study: policies on donations, procurement of durable Equipment, more well-trained BMETs and university-trained Biomedical engineers, and designs and business models that fit the local use in Kenya and presumably other countries in Sub-Saharan Africa.

Soumyadipta Acharya - One of the best experts on this subject based on the ideXlab platform.

  • design and preliminary validation of a mobile application based expert system to facilitate repair of medical Equipment in resource limited health settings
    Medical Devices : Evidence and Research, 2018
    Co-Authors: Alison L Wong, Kelly M Lacob, Madeline G Wilson, Stacie M Zwolski, Soumyadipta Acharya
    Abstract:

    Background One of the greatest barriers to safe surgery is the availability of functional Biomedical Equipment. Biomedical technicians play a major role in ensuring that Equipment is functional. Following in-field observations and an online survey, a mobile application was developed to aid technicians in troubleshooting Biomedical Equipment. It was hypothesized that this application could be used to aid technicians in Equipment repair, as modeled by repair of a pulse oximeter. Methods To identify specific barriers to Equipment repair and maintenance for Biomedical technicians, an online survey was conducted to determine current practices and challenges. These findings were used to guide the development of a mobile application system that guides technicians through maintenance and repair tasks. A convenience sample of technicians in Ethiopia tested the application using a broken pulse oximeter task and following this completed usability and content validity surveys. Results Fifty-three technicians from 13 countries responded to the initial survey. The results of the survey showed that technicians find Equipment manuals most useful, but these are not easily accessible. Many do not know how to or are uncomfortable reaching out to human resources. Thirty-three technicians completed the broken pulse oximeter task using the application. All were able to appropriately identify and repair the Equipment, and post-task surveys of usability and content validity demonstrated highly positive scores (Agree to Strongly Agree) on both scales. Discussion This research demonstrates the need for improved access to resources for technicians and shows that a mobile application can be used to address a gap in the access to knowledge and resources in low- and middle-income countries. Further research will include prospective studies to determine the impact of an application on the availability of functional Equipment in a hospital and the effect on the provision and safety of surgical care.

Albarracín Rojas, Julián David - One of the best experts on this subject based on the ideXlab platform.

  • Implementation of an evaluation and training system for cleaning and disinfection of Biomedical Equipment in ICU services I and II of the San José de Popayán University Hospital
    Escuela de Medicina y Ciencias de la Salud, 2021
    Co-Authors: Albarracín Rojas, Julián David
    Abstract:

    Introducción: El Hospital Universitario San José de Popayán es, gracias al acuerdo número 02 del 4 de febrero de 2004 y a la aprobación por parte del concejo municipal de Popayán, “una entidad pública, descentralizada del orden municipal, con personería jurídica, patrimonio propio y autonomía administrativa”, su principal misión es “ofrecer a la población servicios de salud de alta complejidad con desarrollo tecnológico apropiado en condiciones de eficiencia y oportunidad, con garantía de calidad y a costo razonable”. Actualmente el hospital cuenta con más de 80 servicios habilitados, en donde 33 de ellos cuentan con el certificado de la Comisión de Verificación del Área de Calidad de los Servicios de la Secretaría de Salud Departamental. Aunque el área de mantenimiento de la institución cuenta con un gran grupo conformado por ingenieros biomédicos, técnicos, ingenieros industriales y civiles aún el trabajo que les corresponde realizar es bastante. Debido a la contingencia por la que el país y el mundo están pasando en la institución ha ingresado nuevo personal como enfermeros, auxiliares de enfermería y fisioterapeutas, lo cual ha provocado la necesidad de organizar capacitaciones orientadas a la limpieza y desinfección de los equipos biomédicos. Capacitaciones que en conjunto acuerdo entre el departamento de ingeniería y el comité de infecciones de la institución se orientaron hacia el servicio de cuidados intensivos para adultos. Objetivo: El objetivo principal de este proyecto es establecer los lineamientos necesarios que garanticen una debida limpieza y desinfección de los equipos biomédicos dentro de los servicios de cuidados intensivos I y II del Hospital Universitario San José de Popayán, garantizando además su divulgación de forma presencial, física y digital dentro de la institución. Metodología: La realización del proyecto se constituyó de varias fases, la primera de ellas enfocada a la definición de los aspectos generales del proyecto, en donde se indagó al personal del departamento de ingeniería biomédica , al comité de infecciones y al personal dentro de la UCI I y II del hospital. La segunda fase se basó en la recopilación de los manuales de usuario de los equipos que se seleccionaron dentro de los servicios mencionados con anterioridad. Seguido a esto, la siguiente fase consistió en diseñar las capacitaciones y realizar el material de apoyo que sería de ayuda durante las mismas. Una vez se completaron las fases anteriores se inició a diseñar el instrumento de evaluación que daría una idea del nivel de conocimiento del personal asistencial, personal que sería evaluado antes y después de recibir las capacitaciones ya diseñadas. Por último vendría la fase de analizar y comparar los resultados obtenidos en los exámenes aplicados y además la digitalización del material de apoyo desarrollado. Resultados: En los resultados expuestos en el documento se encuentran en primer lugar los resultados de la primera y segunda evaluación de conocimientos y posteriormente la comparación entre estos. Después, se muestran las pruebas de normalidad realizadas y la prueba de estadística de rangos de signos de Wilcoxon aplicada con ayuda del software estadístico SPSS ® (Statistical Package for the Social Sciences). Por último se mencionan los resultados finales de la digitalización y publicación del material de apoyo. Conclusión: El sistema de evaluación y capacitación desarrollado junto con los lineamientos establecidos en él demostraron ser una buena herramienta para mejorar el conocimiento del personal asistencial encargado de la limpieza y la desinfección de los 8 equipos biomédicos dentro de los servicios de UCI I y II de la institución. Lo anterior, soportado en el análisis estadístico llevado a cabo con los resultados de los pre y post test, en donde se evidenció una diferencia estadísticamente significativa en la percepción de conocimientos del personal evaluado antes y después de recibir las capacitaciones, hecho que demuestra la efectividad del proyecto y del trabajo realizado.Introduction: The San José de Popayán University Hospital is, thanks to agreement number 02 of February 4, 2004 and the approval by the municipal council of Popayán, “a public, decentralized entity of the municipal order, with legal status, its own patrimony and administrative autonomy ”, its main mission is“ to offer the population highly complex health services with appropriate technological development in conditions of efficiency and opportunity, with a guarantee of quality and at a reasonable cost ”. Currently, the hospital has more than 80 authorized services, where 33 of them have the certificate of the Verification Commission of the Service Quality Area of ​​the Departmental Health Secretariat. Although the maintenance area of ​​the institution has a large group made up of Biomedical engineers, technicians, industrial and civil engineers, the work that they have to do is still quite a lot. Due to the contingency that the country and the world are going through, the institution has entered new personnel such as nurses, nursing assistants and physiotherapists, which has led to the need to organize training aimed at cleaning and disinfecting Biomedical Equipment. Trainings that in conjunction with an agreement between the engineering department and the institution's infection committee were oriented towards the intensive care service for adults. Objective: The main objective of this project is to establish the necessary guidelines that guarantee proper cleaning and disinfection of Biomedical Equipment within the intensive care services I and II of the San José de Popayán University Hospital, also guaranteeing its dissemination in person, physical and digital within the institution. Methodology: The implementation of the project consisted of several phases, the first of them focused on the definition of the general aspects of the project, where the staff of the Biomedical engineering department, the infection committee and the personnel within the ICU were questioned. and II from the hospital. The second phase was based on the compilation of the user manuals of the Equipment that were selected within the services mentioned above. Following this, the next phase consisted of designing the trainings and creating the support material that would be helpful during them. Once the previous phases were completed, the design of the evaluation instrument began to give an idea of ​​the level of knowledge of the healthcare personnel, personnel that would be evaluated before and after receiving the training already designed. Finally, the phase of analyzing and comparing the results obtained in the applied exams and also the digitization of the support material developed would come. Results: In the results presented in the document, the results of the first and second knowledge evaluation are found first and then the comparison between them. Then, the normality tests performed and the Wilcoxon sign rank test applied with the help of the statistical software SPSS ® (Statistical Package for the Social Sciences) are shown. Finally, the final results of the digitization and publication of the support material are mentioned. Conclusion: The evaluation and training system developed together with the guidelines established in it proved to be a good tool to improve the knowledge of the healthcare personnel in charge of cleaning and disinfection of the 8 Biomedical Equipment within the ICU I and II services of the institution. The foregoing, supported by the statistical analysis carried out with the results of the pre and post tests, where a statistically significant difference was evidenced in the perception of knowledge of the evaluated personnel before and after receiving the training, a fact that demonstrates the effectiveness of the project and the work carried out

  • Implementación de un sistema de evaluación y capacitación de limpieza y desinfección de equipos biomédicos en los servicios de UCI y II del hospital universitario San José de Popayan
    'Revista Mexicana de Ingenieria Biomedica', 2021
    Co-Authors: Albarracín Rojas, Julián David
    Abstract:

    Es: Introducción: El Hospital Universitario San José de Popayán es, gracias al acuerdo número 02 del 4 de febrero de 2004 y a la aprobación por parte del concejo municipal de Popayán, “una entidad pública, descentralizada del orden municipal, con personería jurídica, patrimonio propio y autonomía administrativa”, su principal misión es “ofrecer a la población servicios de salud de alta complejidad con desarrollo tecnológico apropiado en condiciones de eficiencia y oportunidad, con garantía de calidad y a costo razonable”. Actualmente el hospital cuenta con más de 80 servicios habilitados, en donde 33 de ellos cuentan con el certificado de la Comisión de Verificación del Área de Calidad de los Servicios de la Secretaría de Salud Departamental. Aunque el área de mantenimiento de la institución cuenta con un gran grupo conformado por ingenieros biomédicos, técnicos, ingenieros industriales y civiles aún el trabajo que les corresponde realizar es bastante. Debido a la contingencia por la que el país y el mundo están pasando en la institución ha ingresado nuevo personal como enfermeros, auxiliares de enfermería y fisioterapeutas, lo cual ha provocado la necesidad de organizar capacitaciones orientadas a la limpieza y desinfección de los equipos biomédicos. Capacitaciones que en conjunto acuerdo entre el departamento de ingeniería y el comité de infecciones de la institución se orientaron hacia el servicio de cuidados intensivos para adultos. Objetivo: El objetivo principal de este proyecto es establecer los lineamientos necesarios que garanticen una debida limpieza y desinfección de los equipos biomédicos dentro de los servicios de cuidados intensivos I y II del Hospital Universitario San José de Popayán, garantizando además su divulgación de forma presencial, física y digital dentro de la institución. Metodología: La realización del proyecto se constituyó de varias fases, la primera de ellas enfocada a la definición de los aspectos generales del proyecto, en donde se indagó al personal del departamento de ingeniería biomédica , al comité de infecciones yal personal dentro de la UCI I y II del hospital. La segunda fase se basó en la recopilación de los manuales de usuario de los equipos que se seleccionaron dentro de los servicios mencionados con anterioridad. Seguido a esto, la siguiente fase consistió en diseñar las capacitaciones y realizar el material de apoyo que sería de ayuda durante las mismas. Una vez se completaron las fases anteriores se inició a diseñar el instrumento de evaluación que daría una idea del nivel de conocimiento del personal asistencial, personal que sería evaluado antes y después de recibir las capacitaciones ya diseñadas. Por último vendría la fase de analizar y comparar los resultados obtenidos en los exámenes aplicados y además la digitalización del material de apoyo desarrollado. Resultados: En los resultados expuestos en el documento se encuentran en primer lugar los resultados de la primera y segunda evaluación de conocimientos y posteriormente la comparación entre estos. Después, se muestran las pruebas de normalidad realizadas y la prueba de estadística de rangos de signos de Wilcoxon aplicada con ayuda del software estadístico SPSS ® (Statistical Package for the Social Sciences). Por último se mencionan los resultados finales de la digitalización y publicación del material de apoyo. Conclusión: El sistema de evaluación y capacitación desarrollado junto con los lineamientos establecidos en él demostraron ser una buena herramienta para mejorar el conocimiento del personal asistencial encargado de la limpieza y la desinfección de los 8 equipos biomédicos dentro de los servicios de UCI I y II de la institución. Lo anterior, soportado en el análisis estadístico llevado a cabo con los resultados de los pre y post test, en donde se evidenció una diferencia estadísticamente significativa en la percepción de conocimientos del personal evaluado antes y después de recibir las capacitaciones, hecho que demuestra la efectividad del proyecto y del trabajo realizado.En: Introduction: The San José de Popayán University Hospital is, thanks to agreement number 02 of February 4, 2004 and the approval by the municipal council of Popayán, “a public, decentralized entity of the municipal order, with legal status, its own patrimony and administrative autonomy ”, its main mission is“ to offer the population highly complex health services with appropriate technological development in conditions of efficiency and opportunity, with a guarantee of quality and at a reasonable cost ”. Currently, the hospital has more than 80 authorized services, where 33 of them have the certificate of the Verification Commission of the Service Quality Area of ​​the Departmental Health Secretariat. Although the maintenance area of ​​the institution has a large group made up of Biomedical engineers, technicians, industrial and civil engineers, the work that they have to do is still quite a lot. Due to the contingency that the country and the world are going through, the institution has entered new personnel such as nurses, nursing assistants and physiotherapists, which has led to the need to organize training aimed at cleaning and disinfecting Biomedical Equipment. Trainings that in conjunction with an agreement between the engineering department and the institution's infection committee were oriented towards the intensive care service for adults. Objective: The main objective of this project is to establish the necessary guidelines that guarantee proper cleaning and disinfection of Biomedical Equipment within the intensive care services I and II of the San José de Popayán University Hospital, also guaranteeing its dissemination in person, physical and digital within the institution. Methodology: The implementation of the project consisted of several phases, the first one focused on the definition of the general aspects of the project, where the staff of the Biomedical engineering department, the infection committee and the personnel within ICU I were investigated. and II from the hospital. The second phase was based on the compilation of the user manuals of the Equipment that were selected within the services mentioned above. Following this, the next phase consisted of designing the trainings and creating the support material that would be helpful during them. Once the previous phases were completed, the design of the evaluation instrument began to give an idea of ​​the level of knowledge of the healthcare personnel, personnel that would be evaluated before and after receiving the training already designed. Finally, the phase of analyzing and comparing the results obtained in the applied exams and also the digitization of the support material developed would come. Results: In the results presented in the document, the results of the first and second knowledge evaluation are found first and then the comparison between them. Then, the normality tests performed and the Wilcoxon sign rank test applied with the help of the statistical software SPSS ® (Statistical Package for the Social Sciences) are shown. Finally, the final results of the digitization and publication of the support material are mentioned. Conclusion: The evaluation and training system developed together with the guidelines established in it proved to be a good tool to improve the knowledge of the healthcare personnel in charge of cleaning and disinfection of the 8 Biomedical Equipment within the ICU I and II services of the institution. The above, supported by the statistical analysis carried out with the results of the pre and post tests, where a statistically significant difference was evidenced in the perception of knowledge of the evaluated personnel before and after receiving the training. that demonstrates the effectiveness of the project and the work carried out.1. INTRODUCCIÓN 2. OBJETIVOS 3. METODOLOGÍA 3.1. Problema a solucionar 3.2. Fases del proyecto 3.2.1. Aspectos generales del proyecto 3.2.2. Recopilación de manuales de servicio 3.2.3. Diseño de capacitaciones y material de apoyo 3.2.4. Diseño del instrumento de evaluación 3.2.5. Primera evaluación de conocimientos 3.2.6. Capacitaciones 3.2.7. Segunda evaluación de conocimientos 3.2.8. Comparación estadística entre los resultados de las evaluaciones 3.2.9. Digitalización del material de apoyo 4. RESULTADOS 4.1 Primera evaluación 4.2 Segunda evaluación 4.3 Comparación de los resultados de la primera y segunda evaluación 4.4 Prueba de normalidad y selección de prueba estadística 4.5 Prueba de rangos con signo de Wilcoxon 4.6 Digitalización y publicación del material de apoyo 5. DISCUSIÓN 6. RECOMENDACIONES Y TRABAJOS FUTUROS 7. CONCLUSIONES REFERENCIAS ANEXOSPregradoIngeniero(a) Biomédico(a