ABSTRACT
Having introduced the principles that underpin a healthcare technology management system, we go on to describe the attributes of an ideal system. We propose a model that takes both a strategic and an operational view of healthcare technology managment. e solution proposed provides a clear ‘line of sight’ view of the responsibility and accountability
4.4.4 Asset Management: Decommissioning – ‘Dispose of It Right’ 173 4.4.4.1 Residual Value 174 4.4.4.2 Disposal Compliant with Environmental Regulations 174
4.5 HTM Principles 174 4.5.1 Introduction to HTM in Practice 177 4.5.2 Denition 1: e Medical Device Policy 181 4.5.3 Denition 2: e Medical Device Committee 181 4.5.4 Denition 3: e Strategic HTM Plan 182 4.5.5 Denition 4: e MDC Action Plan 182 4.5.6 Denition 5: Healthcare Technology Management Programmes 182 4.5.7 Denition 6: e Equipment Support Plan 182 4.5.8 Summary 182
4.6 Mapping the HTM System Proposed in is Book to ISO 55000 183 4.7 Conclusion 184 References 186 Self-Directed Learning 186 Case Studies 187 Case Study CS4.1: Medical Device Conguration 187 Case Study CS4.2: Medical Equipment Training for Clinical Sta 189 Case Study CS4.3: Fluid Warmer Cabinet Incident; Bought It Wrong, Used It Wrong 191 Case Study CS4.4: Teamwork and the Disposal of Physically Large Medical Equipment 193 Case Study CS4.5: A Near-Miss Breach of Patient Data Condentiality 195
from the hospital Board through the executive, the Clinical Engineering Department (CED) and end users, and nally to the person receiving care. e system is holistic in that it is concerned with supporting clinical outcomes and corporate goals as well as achieving excellence in the management of the equipment itself. e system proposed in Section 4.4 allows for the principles set out in the rst three sections of this chapter to be implemented. Whilst the solution may challenge some clinical engineers to extend their role further from the traditional maintenance one into the roles of supporting and advancing care, it is based on current thinking around how an organization manages assets to deliver better value. It is closely aligned with the ISO 55000 asset management standard. We have dened key elements of a holistic HTM system and named these appropriately for medical equipment management, whilst ensuring they map onto the key elements suggested in ISO 55000.
