This thesis deals with the development of a standard Medical Imaging Equipment Management System (MIEMS) in the public hospitals of Bangladesh. Management of medical imaging equipment has become an important component of health service delivery in Bangladesh.
Present State-of-Art
As a result, patients suffer from the inferior management of medical imaging equipment in the public and private hospitals [12, 13]. The purpose of this study is to outline an improvement in the management of biomedical imaging equipment in Health Services under the Ministry of Health and Welfare of the Government of Bangladesh that provides for the safe and reliable operation of medical imaging equipment used in the treatment of patients in all public hospitals. and Health Centers of the country.
Medical Equipment
It is expected that the proposed research will be useful to understand the importance of MIEMS for the non-technical policy makers who are and who will be engaged in the chain of health services. The result of the research will be useful to improve the awareness of the equipment users and develop a friendly relationship between the personnel associated with the health care system.
Medical Imaging Equipments
A typical coronary angiography apparatus and the corresponding cardiac imaging examination are shown in Fig. Transducer pulse controls - varies the amplitude, frequency and duration of the pulses emitted by the transducer probe.
Measuring System and Sources of Errors in the Measurements
The initial phenomenon of the excited electron is comparable to the photoelectric effect and (especially with gamma radiation) the Compton effect. The computer reconstructs and displays a two-dimensional image of the relative spatial count density on a monitor.
Concept of Standard MIEMS
2 Figure Unexpectedly The room air cooler and air cooler and CPU temperature dehumidifier are not installed without proper functional load calculation due to lack of design. 3 Patient Patient Some patients become physiological organs Management management fear due to and circulatory system.
Relationship of MIEMS with Patient Treatment
The purpose of health technology management professionals is to ensure that the equipment and systems used in patient care are functional, secure and properly configured to meet the standard level of medical care. Equipment is designed to limit the potential for loss, harm, or damage to the patient, provider, visitor, and facilities through various means of pre- and during-acquisition analysis, monitoring, and anticipating equipment life-cycle problems, and collaboration by parties that manufacture, design, edit, or recommend safe medical devices and systems [30].
Analysis by a doctor and
Different Phases of MIEMS
If commissioning by the suppliers is required, the process must be monitored by internal technical staff so that any technical matters can be recorded and logged. No payment to the supplier should be made until satisfactory performance has been confirmed by the internal technical staff.
Typical MIEM Cycle
Meals available for work = Total hours - (off-duty and on-duty absences) Meals available for maintenance = Meals available for work - (administrative support hours, technical training hours, supervisory hours and travel hours) (x) De-conimissioning and Disposal: It most of the medical equipment in developing countries is old and there is often a shortage of spare parts, it may not be realistic to assume that the old equipment can be replaced within a short period of time. It would be wise to repair the existing old equipment to maintain the continuity of the healthcare system.
Objectives of the Study
Providing proposals to the Government of Bangladesh for the recruitment of biomedical engineers and technicians in the health sector. Develop a handbook to help non-technical policy makers easily understand the importance of a biomedical imaging equipment management system.
Outlines of the Thesis
Medical Equipment Management Plan, Duke University Health System, including Duke University Hospital, Duke PDC's, Clinical Laboratories, Durham Regional Hospital, and Duke Health Raleigh Hospital, 2011. Chong, "Medical Equipment Management System Framework for the Internal Clinical Engineering Department," IEEE EMBS 32nd Annual International Conference, Buenos Aires, Argentina, August 31 - September 4, 2010. National Journal and Medical Imaging, Diagnosis and Cross Validation of Bangladeshi Patient and Existing Bangladesh Government Medical Equipment Management System, Juize 2010 Report .
34;Improvement of Medical Imaging Equipment Management System in Public 1-lospitals of Bangladesh", Proceedings of the Int'l Conference on Biomedical. Unfortunately, no Biomedical Engineering workforce in the form of medical imaging equipment management system has been increased so far in this important sector [1 ] As a result, patients suffer from the poor management of medical imaging equipment in the public hospitals [ 2 , 3 ].
A national evaluation is a prerequisite for improving the existing medical imaging equipment management system.
Status of Present MIEMS
- Medical Imaging Equipment Planning (MIEP)
- Equipment Incoming Inspection
- Equipment Inventory and Documentation
- Commissioning and Acceptance
- Skill development through in-service education and training
- Monitoring of use and Performance (MUP)
- Equipment decommissioning and disposal (EDD)
The World Health Organization (WHO) is leading and monitoring health services internationally and according to the WHO standard, there are 10 stages of the Biomedical Equipment Management System (BMEMS). The MIEMS standard is considered by WHO [2]. Considering the real situations of our country, in chapter IV (4.1) a proposal for improving the current planning of medical imaging equipment (MIEP) is presented. It is suggested that technical personnel graduated in the branch of Biomedical Engineers can be involved in the procurement of equipment.
Due to less attention and lack of knowledge in procurement procedure, proper management of MIE is not possible. The existing and standard status of continuing education and training is shown in Table 2.7 [8]. Only two posts of biomedical engineers and one post of diploma technician have been created since 1987 [1] .the total number of equipment.
Public hospitals in Bangladesh have not developed a procedure for decommissioning and disposing of medical imaging equipment.
Public Hospitals in Bangladesh
Safety and calibration test Regular exercise Not done correctly Inventory of spare parts and consumables Yes. It is well known that equipment decommissioning and disposal (EDD) is associated with a medical equipment management system that is not well established in the health services of Bangladesh. As a result, the existing management lacks sufficient knowledge of EDD and most of the important positions in the hospital are occupied by condemnation equipment.
- DHAI1
- Specialized Hospitals
- District Hospitals and medical collage hospitals
- Upazila Hospitals
- Introduction
- MIEMS Data Comparison
- References
- Introduction
- Improvement approaches
- Medical Imaging Equipment Planning (MIUP)
- Equipment incoming inspection (Eli)
- Equipment Commissioning and Acceptance (ECA)
- Monitoring of use and Performance
- Skill developed through In-service Education and Training
- Equipment decommissioning and disposal
Study of current MIEMS of different developed countries is a prerequisite to compare the existing medical imaging equipment management system (MIEMS) in the public hospitals of Bangladesh. 34;Improvement of Medical Imaging Equipment Management System in Public Hospitals of Bangladesh", Proceedings of the Int'l Conference on Biomedical Engineering (ICoBE2012), Penag, Malaysia, February 2012. In subsection 3.2 large percentages of deviation from existing medical imagery management system (MIEMS) of Bangladesh with respect to MIEMS of developed countries.
So, improving the existing MIEMS system in public hospitals of Bangladesh is a national ownership requirement. Step 3: Compare the existing medical imaging equipment management system in Bangladesh with the standard biomedical equipment management system in developed countries. Step 4: The different output between (ii) and (i) will be "an approach to improving the management system of medical imaging equipment in Bangladesh".
The proposed layout of medical imaging equipment in public hospitals of Bangladesh is shown in Table 4.1. The proposed detailed subdivision system of medical imaging equipment maintenance management (MIEMM) is shown in Fig. Finally, the working methodology of the medical imaging equipment maintenance management system (MIEMM) is shown in Fig.
Inputs
Processors
Improvement methodology of present Electro Medical Organizations under the Health Ministry of Bangladesh Government
- MIEM Unit of National Electro medical Maintenance Workshop and Training Center in Dhaka
- Medical Engineering Section of Eighteen Districts Electro medical Maintenance Workshop
As a result, most government hospitals do not know which organization is responsible for managing medical equipment. Currently four organizations are responsible for managing the maintenance of all types of medical equipment in public hospitals in Bangladesh. From the study, it was found that more than 570 public Hospitals in Bangladesh have used different types of medical equipment.
Medical Equipment Management Origination was founded in 1982 but meanwhile the number of hospitals has increased rapidly. On the other hand, hospital activity related to medical equipment in public hospitals closes at 14:00. Cold Chain Division of EPI into one incorporated Bio-Medical Engineering Division, abbreviated as "NIBMEM" (National Institute of Biomedical Equipment Management) & Network for the purpose of managing Bio-Nedical/Electro-Medical Equipment of public hospitals of Bangladesh.
Establish three divisional level BMED offices in the Dhaka metropolitan area; one at Sher-e-Bangla Nagar, one at Old City near DMCI-1 and one at NEMEMW to provide biomedical equipment management services at a specialist and medical tertiary hospital in the greater Dhaka area.
National and International Biomedical Engineers consult should be appointed to increase the capacity of existing Biomedical Equipment Management System (BMEMS). From study and practical experiment it was found that the existing MIEMS in the public hospitals of Bangladesh is negligible with respect to MIEMS of developed countries. At that time, about 200 numbers of X-ray machines were used in the Health Services and the total maintenance technical staff was 05 numbers.
Currently, more than 2500 numbers of shophistic equipments in different categories are used in the public hospitals of Bangladesh, but only one trained biomedical engineer is in this section and other three technical persons are hired in this section from other sections of this organization. In the developed countries, the ratio of maintenance staff to equipment is 1:50 including biomedical engineers as per WHO standard. Since more than 80% biomedical technical personnel are involved in MIEMS, other phases are ultimately directly affected due to great shortage of biomedical personnel, and on the other hand, patient and operator safety could not be guaranteed.
In chapter I the objective of the study is described and the author thinks that MIEMS will be improved depending on the awareness of the government. Considering the real facts and the benefits to the nation, the authors have presented a suitable proposal to overcome the problems as titled “Improving the Management System of Medical Imaging Equipment of Bangladesh.
Suggestions/Recommendation for Future Work
He/she could then combine some of the tasks of both the radiation protection officer and the radiation protection supervisors. An example of the structural organization of radiation protection in a large hospital is given in. Review new uses of radiation sources that may lead to changes in the radiation protection program;.
Guidance on Radiation Protection according to the X-Ray Ordinance and the German Radiation Protection Ordinance. According to § 40 of the Radiation Protection Ordinance, all persons in the control area must carry a personal dosimeter. Installation and changes that may affect radiation protection must be reported to the radiation protection officer.
The instructor will submit it to the radiation protection officer (RPO) in charge of the department.
