EAC Regional Centre of Excellence for Vaccines, Immunization, and Health Supply Chain Management, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Research Department, Institut National de Santé Publique, Bujumbura, Burundi.
BMC Public Health. 2024 Nov 22;24(1):3245. doi: 10.1186/s12889-024-20601-x.
Along with developments in the clinical domain, medical equipment is becoming more sophisticated, and it needs to function at peak efficiency. In this case, hospitals should priorities the prompt and effective maintenance of life-saving equipment. The purpose of the study was to determine medical equipment maintenance practices, to find out an important factor that influences on-site medical equipment maintenance practices and to suggest possible areas for improvement.
This was a cross-sectional descriptive quantitative research design conducted from November 2022 to February 2023. Data were collected using self-administered structured questionnaires. A sample size of 212 respondents was determined using Slovin's Formula (N/ 1+ Ne²) from a population size of 450. A convenience sample technique was used to select the participants. An exploratory factor analysis was performed to test the inter-relationship between variables, Bartlett's test of sphericity(p = 0,000) indicated a significant correlation, The Kaiser-Meyer- Olkin measure of sample adequacy was 0.800, and this value indicated the appropriateness of the data. A desk review and observational checklist were used.
In this study, a descriptive statistic was performed under three objectives: the overall grand mean value of medical equipment maintenance practice was 2.11, and it showed the practices were uninfluential; the overall grand mean value of factors influencing medical equipment maintenance practices was 3.61, and the identified factors were influential; and lastly, the overall grand mean value of root causes of medical equipment maintenance failures was 3.565, and the identified factors were found to be influential factors.
The findings showed that medical equipment maintenance practice was a weekly practice; factors influencing medical equipment maintenance practice and the root causes of medical equipment maintenance failure were identified as influential factors. Corrective maintenance and outsourcing were the main maintenance practices observed, along with a lack of biomedical personnel, inadequate information aboutdevices, a lack of periodical inspection and prevention, design and implementation, and inappropriate medical equipment.
随着临床领域的发展，医疗设备变得越来越复杂，需要保持最高效率。在这种情况下，医院应优先考虑及时有效地维护救生设备。本研究的目的是确定医疗设备维护实践，找出影响现场医疗设备维护实践的重要因素，并提出可能的改进领域。
这是一项 2022 年 11 月至 2023 年 2 月进行的横断面描述性定量研究设计。使用自我管理的结构化问卷收集数据。根据人口规模（450），使用斯洛文公式（N/1+Ne²）确定了 212 名受访者的样本量。采用方便抽样技术选择参与者。进行探索性因子分析以测试变量之间的相互关系，巴特利特球形检验（p=0.000）表明存在显著相关性，Kaiser-Meyer-Olkin 样本充分性测量值为 0.800，表明数据合适。使用桌面审查和观察清单。
在这项研究中，根据三个目标进行了描述性统计：医疗设备维护实践的总体总体平均值为 2.11，表明实践没有影响；影响医疗设备维护实践的因素的总体总体平均值为 3.61，确定的因素具有影响力；最后，医疗设备维护故障的根本原因的总体总体平均值为 3.565，确定的因素被认为是影响因素。
研究结果表明，医疗设备维护实践是每周进行一次的实践；确定了影响医疗设备维护实践的因素和医疗设备维护故障的根本原因，这些因素被认为是影响因素。观察到的主要维护实践包括纠正性维护和外包，同时还存在缺乏生物医学人员、设备信息不足、缺乏定期检查和预防、设计和实施以及不适当的医疗设备等问题。
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