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Yeni bir Hastaneye Ait Medikal Cihazların Bakım Önceliklendirmesine Yönelik Kümeleme Tabanlı bir Yaklaşım

Yıl 2023, , 993 - 1001, 29.12.2023
https://doi.org/10.53433/yyufbed.1294093

Öz

Medikal cihazlar hastalıkların önlenmesi, teşhisi ve tedavisinde oldukça önemli olup, bu cihazların ihtiyaç halinde kullanılabilir durumda olması bir hastanenin operasyonlarının sürekliliği için hayati önem teşkil etmektedir. Bu nedenle, hastaneler mevcut medikal cihazları çalışır durumda tutmak için bakım planları oluşturmalı ve uygulamalıdır. Bakım planlarının etkinliğinin artırılmasında ise cihazların bakım önceliklerinin belirlenmesi oldukça önemlidir. Öte yandan, bir hastanede yüzlerce medikal cihaz olduğu bir durumda her bir cihaz için ayrı bir bakım önceliği tayin etmek oldukça zordur. Bu anlamda, medikal cihazları gruplandırmak ve grup bazlı bakım öncelikleri oluşturmak bakım planlaması açısından daha faydalı olacaktır. Bu çalışmada yeni bir hastaneye ait medikal cihazların bakım önceliklendirmesine ilişkin yeni bir yaklaşım önerilmiştir. Bu kapsamda ilk olarak bakım önceliklendirmesinde kullanılacak nitelikler tanımlanmış ve analitik hiyerarşi süreci (AHS) ile ağırlıklandırılmıştır. Daha sonra, medikal cihazlar nitelikleri baz alınarak veri kümeleme ile gruplandırılmıştır. Son olarak, medikal cihaz kümelerine ilişkin bakım öncelikleri küme merkezlerinin ağırlıklı toplamı alınarak belirlenmiştir.

Kaynakça

  • Aronson, J. K., Heneghan, C., & Ferner, R. E. (2020). Medical devices: Definition, classification, and regulatory implications. Drug Safety, 43(2), 83-93. doi:10.1007/s40264-019-00878-3
  • Azadi Parand, F., Tavakoli-Golpaygani, A., & Rezvani, F. (2021). Medical device risk assessment based on ordered weighted averaging aggregation operator. Journal of Biomedical Physics and Engineering, 11(5), 621-628. doi:10.31661/jbpe.v0i0.1133
  • Fennigkoh, L., & Smith, B. (1989). Clinical equipment management. JCAHO PTSM Series, 2, 5-14.
  • Han, J., Pei, J., & Tong, H. (2022). Data Mining: Concepts and Techniques. Cambridge, MA, USA: Morgan Kaufmann.
  • Houria, Z. B., Masmoudi, M., Hanbali, A. A., Khatrouch, I., & Masmoudi, F. (2016). Quantitative techniques for medical equipment maintenance management. European journal of industrial engineering, 10(6), 703-723. doi:10.1504/EJIE.2016.081017
  • Hutagalung, A. O., & Hasibuan, S. (2019). Determining the priority of medical equipment maintenance with analytical hierarchy process. International Journal of Online and Biomedical Engineering, 15(10), 107-120. doi:10.3991/ijoe.v15i10.10920
  • Jamshidi, A., Rahimi, S. A., Ait-kadi, D., & Ruiz, A. (2015). A comprehensive fuzzy risk-based maintenance framework for prioritization of medical devices. Applied Soft Computing, 32, 322-334. doi:10.1016/j.asoc.2015.03.054
  • Lipušček, I., Bohanec, M., Oblak, L., & Zadnik Stirn, L. (2010). A multi-criteria decision-making model for classifying wood products with respect to their impact on environment. The International Journal of Life Cycle Assessment, 15(4), 359-367. doi:10.1007/s11367-010-0157-6
  • Mahfoud, H., El Barkany, A., & El Biyaali, A. (2016). A hybrid decision-making model for maintenance prioritization in health care systems. American Journal of Applied Sciences, 13(4), 439-450.
  • Medical Device Coordination Group. (2021). Guidance on classification of medical devices. https://health.ec.europa.eu/system/files/2021-10/mdcg_2021-24_en_0.pdf
  • Saaty, T. L. (1980). The Analytic Hierarchy Process. New York: McGraw-Hill.
  • Taghipour, S., Banjevic, D., & Jardine, A. K. S. (2011). Prioritization of medical equipment for maintenance decisions. Journal of the Operational Research Society, 62(9), 1666-1687. doi:10.1057/jors.2010.106
  • Tavakoli, M., Mesbahi, R., Nayeri, S., & Jolai, F. (2022). Risk assessment of medical devices used for COVID-19 patients based on a Markovian-based Weighted Failure Mode Effects Analysis (WFMEA). Scientia Iranica, 1-30. doi:10.24200/sci.2022.57493.5266
  • Tawfik, B., Ouda, B. K., & Abd El Samad, Y. M. (2013). A fuzzy logic model for medical equipment risk classification. Journal of Clinical Engineering, 38(4), 185-190. doi:10.1097/JCE.0b013e3182a90445
  • Vijaya, V., Sharma, S., & Batra, N. (2019). Comparative study of single linkage, complete linkage, and Ward method of agglomerative clustering. Paper presented at the International Conference on Machine Learning, Big Data, Cloud and Parallel Computing, Faridabad, India.
  • Ward, J. H. (1963). Hierarchical grouping to optimize an objective function. Journal of the American Statistical Association, 58(301), 236-244. doi:10.1080/01621459.1963.10500845
  • Zamzam, A. H., Al-Ani, A. K. I., Wahab, A. K. A., Lai, K. W., Satapathy, S. C., Khalil, A., Azizan, M. M., & Hasikin, K. (2021). Prioritisation assessment and robust predictive system for medical equipment: A comprehensive strategic maintenance management. Frontiers in Public Health, 9, 782203. doi:10.3389/fpubh.2021.782203

A Clustering-based Approach for Maintenance Prioritization of Medical Devices in a New Hospital

Yıl 2023, , 993 - 1001, 29.12.2023
https://doi.org/10.53433/yyufbed.1294093

Öz

Medical devices are fundamental to preventing, diagnosing and treating disease and high availability of them is vital for the uninterrupted operation of a hospital. That is why hospitals should plan and carry out maintenance activities to keep their medical devices in a healthy operating condition. The effectiveness of these activities can be increased by determining the maintenance priorities of devices. On the other hand, setting individual priorities for each device becomes complicated when a hospital has hundreds of medical devices. In this concern, grouping medical devices and determining group-based maintenance priorities will be more advantageous for maintenance planning. In this study, a novel approach is proposed for the maintenance prioritization of medical devices in a new hospital. In the proposed approach, first prioritization attributes are defined and weighted using the analytical hierarchy process (AHP). Then, medical devices are grouped based on the predetermined attributes by using data clustering. Finally, maintenance priorities of medical device clusters are determined based on the weighted sum of cluster centers.

Kaynakça

  • Aronson, J. K., Heneghan, C., & Ferner, R. E. (2020). Medical devices: Definition, classification, and regulatory implications. Drug Safety, 43(2), 83-93. doi:10.1007/s40264-019-00878-3
  • Azadi Parand, F., Tavakoli-Golpaygani, A., & Rezvani, F. (2021). Medical device risk assessment based on ordered weighted averaging aggregation operator. Journal of Biomedical Physics and Engineering, 11(5), 621-628. doi:10.31661/jbpe.v0i0.1133
  • Fennigkoh, L., & Smith, B. (1989). Clinical equipment management. JCAHO PTSM Series, 2, 5-14.
  • Han, J., Pei, J., & Tong, H. (2022). Data Mining: Concepts and Techniques. Cambridge, MA, USA: Morgan Kaufmann.
  • Houria, Z. B., Masmoudi, M., Hanbali, A. A., Khatrouch, I., & Masmoudi, F. (2016). Quantitative techniques for medical equipment maintenance management. European journal of industrial engineering, 10(6), 703-723. doi:10.1504/EJIE.2016.081017
  • Hutagalung, A. O., & Hasibuan, S. (2019). Determining the priority of medical equipment maintenance with analytical hierarchy process. International Journal of Online and Biomedical Engineering, 15(10), 107-120. doi:10.3991/ijoe.v15i10.10920
  • Jamshidi, A., Rahimi, S. A., Ait-kadi, D., & Ruiz, A. (2015). A comprehensive fuzzy risk-based maintenance framework for prioritization of medical devices. Applied Soft Computing, 32, 322-334. doi:10.1016/j.asoc.2015.03.054
  • Lipušček, I., Bohanec, M., Oblak, L., & Zadnik Stirn, L. (2010). A multi-criteria decision-making model for classifying wood products with respect to their impact on environment. The International Journal of Life Cycle Assessment, 15(4), 359-367. doi:10.1007/s11367-010-0157-6
  • Mahfoud, H., El Barkany, A., & El Biyaali, A. (2016). A hybrid decision-making model for maintenance prioritization in health care systems. American Journal of Applied Sciences, 13(4), 439-450.
  • Medical Device Coordination Group. (2021). Guidance on classification of medical devices. https://health.ec.europa.eu/system/files/2021-10/mdcg_2021-24_en_0.pdf
  • Saaty, T. L. (1980). The Analytic Hierarchy Process. New York: McGraw-Hill.
  • Taghipour, S., Banjevic, D., & Jardine, A. K. S. (2011). Prioritization of medical equipment for maintenance decisions. Journal of the Operational Research Society, 62(9), 1666-1687. doi:10.1057/jors.2010.106
  • Tavakoli, M., Mesbahi, R., Nayeri, S., & Jolai, F. (2022). Risk assessment of medical devices used for COVID-19 patients based on a Markovian-based Weighted Failure Mode Effects Analysis (WFMEA). Scientia Iranica, 1-30. doi:10.24200/sci.2022.57493.5266
  • Tawfik, B., Ouda, B. K., & Abd El Samad, Y. M. (2013). A fuzzy logic model for medical equipment risk classification. Journal of Clinical Engineering, 38(4), 185-190. doi:10.1097/JCE.0b013e3182a90445
  • Vijaya, V., Sharma, S., & Batra, N. (2019). Comparative study of single linkage, complete linkage, and Ward method of agglomerative clustering. Paper presented at the International Conference on Machine Learning, Big Data, Cloud and Parallel Computing, Faridabad, India.
  • Ward, J. H. (1963). Hierarchical grouping to optimize an objective function. Journal of the American Statistical Association, 58(301), 236-244. doi:10.1080/01621459.1963.10500845
  • Zamzam, A. H., Al-Ani, A. K. I., Wahab, A. K. A., Lai, K. W., Satapathy, S. C., Khalil, A., Azizan, M. M., & Hasikin, K. (2021). Prioritisation assessment and robust predictive system for medical equipment: A comprehensive strategic maintenance management. Frontiers in Public Health, 9, 782203. doi:10.3389/fpubh.2021.782203
Toplam 17 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Mühendislik
Bölüm Mühendislik ve Mimarlık / Engineering and Architecture
Yazarlar

Hülya Güçdemir 0000-0002-1993-5848

Mehmet Ali Ilgın 0000-0003-1765-2470

Yayımlanma Tarihi 29 Aralık 2023
Gönderilme Tarihi 8 Mayıs 2023
Yayımlandığı Sayı Yıl 2023

Kaynak Göster

APA Güçdemir, H., & Ilgın, M. A. (2023). A Clustering-based Approach for Maintenance Prioritization of Medical Devices in a New Hospital. Yüzüncü Yıl Üniversitesi Fen Bilimleri Enstitüsü Dergisi, 28(3), 993-1001. https://doi.org/10.53433/yyufbed.1294093