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Abstract(s)
Esta tese tem como objetivo abordar a importância da engenharia clínica (EC) num hospital, expondo o estudo de caso do Centro Hospitalar do Baixo Vouga E.P.E. (CHBV) em Aveiro, o qual é sustentado pelo estágio curricular realizado na empresa HWMed, no Porto. Nesta tese, são demonstrados quais os fatores, ao longo da história que impulsionaram a existência e evolução da EC até à atualidade. Ao longo desta tese são apresentadas as funções desta área, os desafios enfrentados e as vantagens que esta detém numa unidade de cuidados de saúde. são ainda abordadas as diferenças nos modelos de atuação, apresentando uma comparação entre o modelo japonês, chinês, americano e europeu. O papel da EC tem por base a gestão de equipamentos médicos, garantindo que estes estão conforme as normas nacionais e internacionais e seguros para a sua utilização nos cuidados de saúde ao doente. Para além disso, também atua em áreas como gestão de contratos, promove uma otimização e redução de custos e realiza manutenções, quer preventivas, quer corretivas. Por fim, um engenheiro clínico está presente desde a aquisição de um equipamento médico até à sua desativação. No entanto, a falta de consciencialização da sua importância e até a falta de recursos hospitalares, são alguns desafios que a EC enfrenta na sua implementação. O estudo de caso do CHBV, é apresentado como um exemplo concreto da EC implementada com sucesso num ambiente hospitalar. Através dos serviços da HWMed, uma empresa especializada em EC e consultoria, foram criados procedimentos e processos para a gestão de equipamentos médicos, de manutenção preventiva e corretiva, calibração, gestão de riscos e de inventário, entre outros. Em suma, esta tese serve como suporte e formação no âmbito da EC, demonstrando este domínio como sinónimo de melhoria contínua e mostrando resultados evidentes em como a sua implementação num ambiente hospitalar promove a qualidade no atendimento e a segurança dos doentes.
This thesis aims to address the importance of clinical engineering (CE) in a hospital, exposing the case study of the Centro Hospitalar Baixo Vouga E.P.E. (CHBV), in Aveiro, which is supported by the curricular internship conducted in the company HWMed, in Porto. In this thesis, it is demonstrated which factors, throughout history, have driven the existence and evolution of the CE up to the present day. This paper will cover the functions of this area, the challenges it faces and the benefits it offers to a healthcare facility. The differences in models of action are also addressed, presenting a comparison between the Japanese, Chinese, American and European models. The CE´s responsibility is to maintain medical equipment and ensure it complies with national and international standards and is safe to be used in patient care. Additionally, it operates in areas such as contract management performs, promotes optimization and cost reduction, and performs both preventive and corrective maintenance. Finally, a clinical engineer is present from the acquisition of medical equipment to its decommissioning. However, the lack of awareness of its importance and even the lack of hospital resources are some challenges that the CE faces in its implementation. The case study of the CHBV is presented as a concrete example of CE successfully implemented in a hospital environment. Procedures and processes for the management of medical equipment, preventive and corrective maintenance, calibration, risk evaluation and inventory management, among other things, were developed thanks to the assistance of HWMed, a company that specializes in CE and consulting. In summary, this thesis serves as support and training in the scope of CE, demonstrating this domain as synonymous with continuous improvement, and showing clear results in how its implementation in a hospital environment promotes quality of care and patient safety.
This thesis aims to address the importance of clinical engineering (CE) in a hospital, exposing the case study of the Centro Hospitalar Baixo Vouga E.P.E. (CHBV), in Aveiro, which is supported by the curricular internship conducted in the company HWMed, in Porto. In this thesis, it is demonstrated which factors, throughout history, have driven the existence and evolution of the CE up to the present day. This paper will cover the functions of this area, the challenges it faces and the benefits it offers to a healthcare facility. The differences in models of action are also addressed, presenting a comparison between the Japanese, Chinese, American and European models. The CE´s responsibility is to maintain medical equipment and ensure it complies with national and international standards and is safe to be used in patient care. Additionally, it operates in areas such as contract management performs, promotes optimization and cost reduction, and performs both preventive and corrective maintenance. Finally, a clinical engineer is present from the acquisition of medical equipment to its decommissioning. However, the lack of awareness of its importance and even the lack of hospital resources are some challenges that the CE faces in its implementation. The case study of the CHBV is presented as a concrete example of CE successfully implemented in a hospital environment. Procedures and processes for the management of medical equipment, preventive and corrective maintenance, calibration, risk evaluation and inventory management, among other things, were developed thanks to the assistance of HWMed, a company that specializes in CE and consulting. In summary, this thesis serves as support and training in the scope of CE, demonstrating this domain as synonymous with continuous improvement, and showing clear results in how its implementation in a hospital environment promotes quality of care and patient safety.
Description
Keywords
Engenharia clínica Manutenção preventiva Manutenção corretiva Gestão de tecnologias médicas Redução de custos Clinical engineering Preventive maintenance Corrective maintenance Medical technologies management Cost reduction