INTRODUCTION
In current of technology that build up aggressively nowadays, most of the companies
world wide are tightening their economical belt to reduce costs while convince high
services quality and safety. Maintenance excellence can be achieved by making
rational maintenance decision balancing costs and industrial performance. It is worth
mentioning that the amount rising, so that maintenance become complexity and out of
suppose amount. In addition, to maintenance expenditure, medical devices are
frequently involved in patient incidents. Therefore, a legal obligation is imposed upon
healthcare organization and clinic engineering to ensure the high-level safety and
reliability of the medical device. Futhermore, this study reviews various important
aspects of medical equipment maintenance, analyses different research unnecessary
modeling literature and propose directions to develop suitable tools for better medical
devices management.
Due to performance maintenance evolution, time-based maintenance is the first aspect
of PM that consist of scheduled activities of maintenance and part of replacement for
less failure in maintenance managements. Like nowadays, “prognostics” concept had
been introduced by maintenance management community to predict failure before its
happen. In this context, predictive maintenance (Pdm) is a condition-based
maintenance (CBM) policy that include prognostics in its decision process. But, due
in the rising information of technology, there still some issues not considered in the
literature and it improper for business context. The major of researches in this domain
just put forward how to evaluate and improve devices reliability in their design or
manufacturing phase without considering reliability and maintenance strategies in
their operating context.
Even though many equipment management program (MEMPs) have been well
planned and executed in health care organization for many years, there still not
achieved on target in providing an optimized PM consider reliability, cost and safety
for service delivery. The paper had carry out a risk-based prioritization tools in
preventing maintenance inspection. The paper also highlight that on one the most
criticized problems of clinical maintenance management is the obsolescence of
medical devices. They also change the mathematics model into complicated problems
that involve unclear reference and at the same time affecting replacement decisions in
both quantitative and qualitative parameters. In addition, the duration and difficulties
to concentrate in the criteria assessment are the main weakness. Apart from this, the
foremost finding of this study is that equipment flowing strictly the manufacture;s
recommended interval for PM is less reliable than the one of the same model with less
preventive interventions.
CONCLUSION
Since not much has been presented in this field, we deeply analyzed ten aspect in
determine a model of maintenance optimization problems which are : maintenance
policies and actions, maintenance objectives, maintenance effectiveness, modeling
deterioration, system information and configuration, data sources and optimization
techniques. The foremost finding of this study is the necessity of further research in
maintenance optimization modeling in the healthcare. instead if merely following
standards, reliability concept maintenance and total productive maintenance concept
represent a significant step for a better of performance levels. Risk-based
prioritization method are widely used only to identify the critical medical device and
not for true PM optimization issues. Minimal and perfect repair assumption are the
main shortcoming of a wide range of maintenance optimization model in the
literature. So that, the imperfect maintenance is less addressed to assess MEMP’s
effectiveness.