Materiel management Q's & A's: management audit.
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Computerized maintenance management systems (CMMS) are used by clinical engineering departments to collect, store, analyze and report data on the repair and maintenance performed on medical devices and other equipment. Evaluation of commercial CMMS require a careful requirements analysis and then a comprehensive evaluation of the products available in the marketplace that can come the closest to meeting those requirements. This paper provides a comprehensive list of evaluation questions to use to determine the best software system for a clinical engineering department's needs.
A survey of the clinical engineering sector in Bulgaria was carried out, within the context of the 1996 Phare Partnership Program, with the aim to provide a reflection of the current situation concerning the management of biomedical technology and investigate the relevant needs in hospitals. The survey was initiated by the Institute of Biomedical Technology (INBIT) in Patras, Greece, with the active support of national organizations, educational institutions and other parties that share involvement in the overall management of medical devices in Bulgaria. This paper summarizes the results of the survey, giving an insight into the situation in the field and providing the basis for a more thorough study on the Biomedical Technology and Clinical Engineering sectors in Bulgaria.
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When nurses get involved in IT selection, the resulting system supports their work and saves the organization time and money.
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The role of the hospital biomedical engineer is described with reference to design and development of equipment and its maintenance, provision of a technical advisory service, and teaching.
This article describes a contemporary pharmaceutical and clinical pharmacy program at a major university medical center in The Netherlands. The service components described illustrate practice concepts on an international basis. The number of professional personnel and their training vary considerably among the nations, and this requires imagination in adapting practice concepts in various countries. Several types of technical persons are used to support the professional role of the pharmacist at Sint Radboud Hospital. Pharmaceutical research and international liaison are high priorities in the department of clinical pharmacy. Primary differences at Sint Radboud, as compared with U.S. hospitals, are the use of various supportive personnel and a continuing drug analysis/quality control program for commercial pharmaceuticals.
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Gentamicin and tobramycin were compared for cost effectiveness in the treatment of adult patients with serious infections in a general medical service. We used data from a randomized double-blind trial in which the only observed difference between the clinical effects of these aminoglycosides was the incidence of nephrotoxicity (26% with gentamicin and 12% with tobramycin). According to 1984 cost data, the combined average drug and nephrotoxicity costs per patient were $127 for tobramycin and $72 for gentamicin. An extensive sensitivity analysis--varying frequency and cost of nephrotoxicity, dialysis requirements, aminoglycoside acquisition costs, and length of hospitalization--showed gentamicin to be more cost effective than tobramycin, unless hospitalization is prolonged by an average of at least 15 days for patients with severe nephrotoxicity or at least 3 days for all patients with moderate or severe nephrotoxicity.
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