Abstract
A hospital is expected to be in good operating condition all the time every time of the year. Therefore its systems’ reliabilities should be very high, sometimes even reaching 99%. This paper presents a case study on the reliability of the air conditioning system that supplies conditioned air to the surgical departments or operating theatres of a hospital in Malaysia. This air conditioning system is divided into two, namely the main chilled water system and nine dedicated air handling systems that serves nine surgical departments. A total of nine distinct systems RS1-A1 to RS1-A9 were identified and analyzed for their reliabilities.

Abstract
Nowadays predictive maintenance is the powerful technical in diverse fields, requiring both state of the art
equipment and highly qualified engineers and technician involved. The role of software used is extremely
important for the success of new technologies. The newest and the most advanced technologies available
appear to have no limits.
Recognizing the growing severity of air, water and ground pollution, caused by industrial and due to welfare
expansion, and considering increasing vehicle population, this study can contribute to restore the better air
quality in the hospitals and at the same time to improve the maintenance management.
The studies of effects of pollution in hospital areas will allow enhance the role of efficient maintenance
management. Sometimes they characterize the problem as how to determine the importance of the observed
levels of pollution to the biological system. One difficulty is a prediction of future consequences of same kinds
of pollutants.
This paper presents a possible route to create ecologically clean methods in asset management, inside hospital
applications.
Rapid simultaneous multi-emission indicators determination, including noise, can to be implemented in hospital
areas, by different detection techniques (atomic absorption spectrometry, mass spectrometry, termography,
noise analysis, ultrasonography, vibration analysis, laser, plasma, particles in lubricating oil). The choice of
appropriate indicators correlated with dysfunctions occurrence is an important step. In addition, the complexity
increases, when the investigation is associated with poor quality of medical air in a hospital location, as
consequence of the urban pollution. The concentration of same gases peaked at rush hours within the day.
In hospital rooms, detection limits and precision must to be defined at low values in way to preserve the correct
services operation.
Our goal tries to join a balanced maintenance administration with the mitigation of indicators of condition with
risk of provoking environmental impacts. In the control absence, such impacts can contribute to the worsening
of hospital healthy conditions.
This strategy offers a useful diagnostic tool to determine the existence of abnormal equipment operation.
Presently, integrated systems used in maintenance management are common tools at the maintenance
departments of industrial organizations, as well as in hospital and hospitality fields, among others. However,
their contribution to the benefit of these organizations is sometimes questionable, as the maintenance
diagnosis is a prerequisite to the success of these systems, to achieve long live and the better operation
conditions. This is the main reason for his introduction in hospital areas, with great probability of much more
successful. At the same time, ought to be recognized that the improvement of the maintenance management
will be achieved through good planning, better organization and the introduction of fault diagnosis systems.
The team that presents this paper is making his research and development around that wide spectrum of a new
vision.
The base of development is an integrated system for hospital terology management, called SMITH (Farinha,
1994)[1], that permits to manage the maintenance in general, including on-condition maintenance, but it is
modular enough to permit to associate new features, namely this last approach, in order to maintain the system
up-to-date and, always possible, to anticipate the future.
In this case, we may use on-line monitoring of state indicators or to generate optimal inspection strategies for
randomly failing system, whose state is hidden. In this way, it is possible to maximize the production cycle and
anticipated some dysfunction. To make this, we use hardware tools that can easily be found in the market,
associated with usual software tools, in order to develop a solution that represents a new approach in this field.
The methodologies are based on Hidden Markov Models, associated the respective algorithms in the SMITH.

ABSTRACT
A Global System for Information , BMS, and Computer Assisted Maintenance

The Teaching Hospital Virgen de las Nieves, has in operation an advanced System for Computer Assisted Maintenance . On the other we have a global system for data acquisition and alarm control ( SCADA ) with a Central Control of a modern Building Management System. From this Centre , continuously supervised by the Maintenance Service personnel of the Hospital, we control 25% of all equipment and installations .
The critical alarms are transmitted not only to the Central Control but also to cellular phones of maintenance supervisors by means of instant sms messages
With the system we manage the automatic information , to control and monitor the operation of the equipment in a reliable way without need to introduce manually the maintenance data for working orders. These orders are automatically generated triggered by alarms or operating time records. This way we are in advance to prevent the equipment failure, nearly the capacities of a predictive maintenance
In summary , our Global Maintenance System is a very modern and efficient tool to control the technical installations of the Hospital, increasing its reliability

Abstract

The present paper has the main aim of illustrating some main results obtained from a wide electrical load research performed on a large metropolitan hospital in the city of Rome in Italy.
The reported results demonstrate how important is an accurate load monitoring activity in order to identify typical demand and consumption patterns of individual load aggregations or areas that results functionally homogeneous.
The availability of load diagrams allows identify effective strategies of load and energy management as well as operational or functional inefficiencies in the electric load that can be easily and cheaply resolved with preventative maintenance interventions and retro-commissioning actions.

Abstract
The maintenance software allows the recording and management of several processes involved in the
maintenance operations of any company. It provides detailed information about maintenance of equipments,
facilities, resources, spare parts and so on. A useful approach for a modern maintenance is the ability to
integrate on condition maintenance modules. In the future, with the rapid development of wireless technology,
like zigbee, bluetooth, wi-fi, we ought to expect a common healthcare tool to perform automatic diagnosis and
report as well remote managing including for calibration of equipments. This approach could be achieved
through monitoring the most important variables, like temperature, number of working hours of equipment or
any other acting parameter.
The developed platform presented in this article, SMITH (Healthcare Terology Integrated Modular System for
Hospital) uses open source software as the base technology, like the operating system, Linux, and the
database system, PostgreSQL. It uses a client-server approach, using IDE windows technology, made in
Delphi and web based access through php/apache. SMITH is a tool that integrates the main modules of a
strong maintenance management system. The SMITH is exploited by users with group privileges like:
administration, maintenance, stocks, working maintenance technicians, quality department, production
department and end users. In each access, users have different features associated with the group they
belong. Some of these can use the Gantt module to graphically plan/see work orders, interventions, plans, etc.
For on-condition monitoring (CM module), SMITH includes features for time series analysis using regression
methods, support vector regression, and ARIMA models. The CM module can forecast time series to predict
when the monitored variables reach some critical point and, with this information it gives an alert that the limit is
closer. The SMITH can receive data using different methods to acquire the critical information from the
equipment. The main methodology monitors critical variables using Simple Network Management Protocol, with
an Ehternet hardware designed especially for easy sensor data acquisition integration, built with adaptive lowpass
filters and adaptive amplifiers/attenuators, however the system can integrate any acquisition hardware
with tcp/ip connectivity.
With this approach we believe that we are given a real contribution for a new way to manage the maintenance
and to increase the reliability of equipment and facilities.

LA CALIDAD EN EL SERVICIO DE INGENIERIA DEL HOSPITAL UNIVERSITARIO SAN CECILIO A PARTIR DE ISO 9001-2008

San Cecilio University Hospital (hereinafter HUSCO), through its Department of General Services began one year ago in the Engineering Area, a program of quality management activities aligned with the social requirements and guidelines regarding the SAS Quality Plan, being aware that Engineering and the Electromedical Services , as logistical support, must ensure the production of healthcare, enhancing their effectiveness.
All with the necessary independence from the Maintenance and Management structure and from the Electromedical and Industrial infrastructure.
Therefore we decided to manage all the demands imposed from the systematization of ISO 9001-2008, as a rule that will guide our Quality Management System through the set of key factors of the Standard.
The activities inherent in the Standard have been developed in the following phases:
- Phase I: Analysis of current situation and planning milestones.
- Phase II: Process and documentation.
- Phase III: Implementation.
- Phase IV: Certification.

At the time of planning, we considered our objectives and strategies
- The requirements imposed on us by the future Hospital, with a 2011 horizon
- Business Process Reengineering. Analyzing and reviewing what we did and how we wanted to focus our activity.
- Ensure planning activities. To the extent to know what to do and how we can assign tasks (who) and schedules (when)
- To provide records to register activities and results
- Define competences and responsibilities, to the extent that one does not exist without the other.
- Continuous improvement process

GESTIÓN EFICAZ DE LOS SERVICIOS GENERALES:
APLICACIÓN INFORMÁTICA PARA CUADRO DE MANDOS
Andrés Tornero Castillo
Director de Servicios Generales y Medio Ambiente
Empresa Pública Hospital Alto Guadalquivir

ABSTRACT

Facility Management is a discipline whose purpose is to support the
healthcare organizations as regards the management and operation of its
facilities and all services associated with them, not to mention other services
that support the staff of the Organization.
The Importance of Facility Management is recognized by the European
Center for Standardization, which contemplates that discipline in their
standardization processes. Up to now two standards have been edited, the
15221 / 1 and 15221 / 2,
The correct and efficient management of the General Services under the
responsibility of the Facility Manager is critical , since is the second paragraph
of costs in most organizations. It can generate savings that can reach in global
models, 20% according to some authors.
The Public Enterprise Hospital Alto Guadalquivir, an Organization whose
management model processes requires a strict control over them, considers
necessary to incorporate to the Facility Management modern management
tools that bring added value and optimize resources through timely
processing of information for effective management

An Evaluation to locate Main Issues and Activity Fields of Healthcare Engineering in Europe

Author : Cristoph Hartung, ECCHE, Hemmingen, Germany

ABSTRACT

ECCHE mailed a questionnaire to all national European Societies, which are Members of
IFHE, asking them to rank 18 pre-selected topics by considering circumstances as follows:

• Rank, whether your present professional concern is more likely to be strongly or to be weakly linked with the listed item.
• Rank, whether the listed item appears to be very important or rather unimportant for healthcare engineering on a European level.
• If applicable, indicate of item(s) which could cause overlapping.

11 questionnaires were returned. Results thus must be ranked as averaged societies’ individual assessments.