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Medical technologies and assets are one of the main drivers of increasing healthcare cost. The rising number and complexity of medical equipment have forced hospitals to set up and regulate medical equipment management programs to ensure critical devices are safe and reliable. The purpose of this paper is to gain insights into maintenance management-related activities for medical equipment. The paper proposes applying a tailored reliability-centered maintenance (RCM) approach for maintenance activities selection for medical equipment. Such approach will support assets management teams in enhancing operation, decrease risk and cost, and ultimately improve health of patients served by these equipment.

The traditional RCM approach will be used with a focus on criticality reduction. By criticality, the authors refer to the severity of failures and occurrence. The proposed method relies on the use of reliability growth analysis for opportunity identification followed by a thorough failure mode and effect analysis to investigate major failure modes and propose ways to reduce criticality. The effectiveness of the proposed method will be demonstrated using a case of one of the leading obstetric and gynecological hospitals in United Arab Emirates and in the Gulf Cooperation Council region.

The case examines the relationship between the current practice of planned preventive maintenance and the failure rates of the equipment during its life span. Although a rigorous preventive maintenance program is implemented in the hospital under study, some critical equipment show an increasing failure rates. The analysis highlights the inability of traditional time-driven preventive maintenance alone in preventing failures. Thus, a systematic RCM approach focused on criticality is more beneficial and more time and cost effective than traditional time-driven preventive maintenance practices.

The study highlights the need for utilizing RCM approach with criticality as the most important prioritization criterion in healthcare. A proper RCM implementation will decrease criticality and minimize the risk of failure, accidents and possible loss of life. In addition to that, it will increase the availability of equipment, and reduce cost and time.

This paper proposes a maintenance methodology that can help healthcare management to improve availability and decrease the risk of critical medical equipment failures. Current practices in healthcare facilities have difficulty identifying the optimal maintenance strategy. Literature focused on medical maintenance approach selection is rather limited, and this paper will help in this discussion. In addition to that, the Association for the Advancement of Medical Instrumentation supports the initiative of adopting RCM on a large scale in healthcare. Therefore, this paper address the gap in the literature for medical equipment maintenance and the work is in line with the recommendation of leading healthcare association. The paper also presents statistical review of the total number of received maintenance work orders during one full year in the hospital under study. The analysis supports the need for more research to examine current practice and propose more effective maintenance approaches.

The purpose of this paper is to focus on finding the optimal maintenance interval and the minimum maintenance cost for redundant system, considering environment factors.

The authors propose a decision model with environment-based preventive maintenance for the repairable redundant system. Referring to the k-out-of-n model and Proportional Hazard Model, the reliability analysis is completed for the redundant system affected by internal and external issues. Meanwhile, the maintenance cost for the redundant system is divided into two categories: the fixed maintenance cost involving whole system replacement at the time of system failure, and the cost to replace failure components when the system still functions.

Upon the required reliability analysis, an optimal maintenance interval that minimizes the average maintenance cost per unit time is identified. The simulation results indicate that the optimal maintenance interval with consideration of environmental factors is significantly shorter than that without consideration of these factors, with the maintenance cost increase within 10 percent.

The redundant systems have widely been used in industries including the aero craft control system and warship power system. The model could be applied in the more real case considering the types of components and the operation environment, and help production managers better maintain machines by increasing the safety and reliability of the redundant model with the more frequent inspection.

Previous research of redundant system always focuses on internal degradation, while ignoring the reliability analysis for a redundant system with various multiple components under the influence of environment. However, this work could fill the theoretical gap, i.e. simultaneously consider both environmental and internal factors for a redundant system with non-homogeneous components. Meanwhile, the proposed superior model increases the reliability and safety of the k-out-of-n model with reasonable cost. Production managers could benefit a lot from this as well.

The purpose of this paper is to present a case study on the use of performance-based contracting in the outsourcing of a reliability-centered maintenance program of a Gulf oil refinery.

A case study method is used whereby data are collected through semi-structured interviews, informal discussions with executives from the participant companies, in addition to official documents and secondary materials.

The case analysis reveals the use of a risk–reward payment scheme and key performance indicators (KPIs) deployed to support the management of the outsourced maintenance function. The financial incentive scheme was clearly designed to motivate the outsourcing contractor to achieve more financial benefits when meeting a defined set of KPIs while also delivering operating cost savings and other qualitative benefits to the outsourcing company. Managing the outsourced function also involved the use of routine budgetary control systems, in addition to other informal control mechanisms such as trust, knowledge sharing, mutual understanding and co-operation between the two collaborative partners.

The evidence presented in the case description and analysis may assist in increasing the understanding of how outsourcing relationships in maintenance business are managed and evaluated. The case findings may also provide the opportunity for further research investigating the use of performance measurement systems and incentive-based schemes in a variety of maintenance contracts.

The case study presents new empirical evidence on the use of performance risk–reward payment schemes in the management of an outsourcing relationship. Findings reported in the study will add to the existing literature on maintenance performance measurement and management practices in outsourcing relationships.

The purpose of this paper is to propose a practical method of performing maintenance in the offshore industry where engineers have to manage problems such as the high cost of operations, assuring an high availability of the plant, safety on board and environmental protection. Indeed an efficient maintenance method it is necessary in order to offer methods and criteria to select the rights maintenance strategies keeping in to account the environmental, safety and production constrains.

The paper provides an overview of reliability centered maintenance (RCM) and reliability, availability, maintainability methodologies and an integration of the two methodologies in a particular case study in the oil and gas sector.

This paper suggests an improvement of the well-established RCM methodology applicable to industries with high priority level. It is proposed an integration between a reliability analysis and an availability analysis and an application on the offshore oil and gas industry.

The methodology provides an excellent tool that can be utilized in industries, where safety, regulations and the availability of the plant play a fundamental role.

The proposed methodology provides a practical method for selecting the best maintenance strategy considering the equipment redundancy and sparing, the asset’s performance over long time scales, and the system uptime, downtime and slowdowns.

Reliability centered maintenance (RCM) is a process used to determine activities to be taken to ensure an asset continues to perform asset's function in asset's present operating context by identifying asset's function, failure modes that could preclude performing asset's intended function, prioritizing failure modes and determining effective preventative maintenance tasks that can be cost effectively and efficiently implemented to reduce the likelihood of a failure.

A comprehensive survey of literature was undertaken to examine the current industry state of practice. Various industries were examined to better understand applications of RCM within the various industry sectors and determine those industries that RCM has not historically been readily adopted. A case study example of RCM applied to radial gates for water control in open channel canals for water conveyance is presented to demonstrate a civil infrastructure application.

The results found that RCM has been used since RCM's inception in the airline industry during the 1960s to reduce the cost of maintaining aircrafts. Over the past 40 years, an assortment of industries has begun implementing cost effective preventative maintenance tasks identified during RCM analysis. However, there is a noticeable lack of civil assets being analyzed by RCM, such as water conveyance systems and other civil infrastructure systems vital to the health and well-being of today's societies.

The comprehensive literature review of the current state of practice will provide a better understanding of the various applications of RCM to facilitate RCM's application to other industries, thereby reducing failure due to early identification of maintenance tasks. An example RCM demonstrates the application to a radial gate, used in water conveyance for the drinking water and irrigation sectors, which have not historically used RCM for developing maintenance strategies.

The purpose of this paper is to present a literature review on human factors in aircraft maintenance and to analyze and synthesize the findings in the literature on human factors engineering in aircraft maintenance.

The review adopts a threefold approach: searching and collecting the scientific literature; sorting them on the basis of relevance and applications; and review of the scientific evidences. Broad areas of aircraft maintenance regulations are identified and each area was explored to study the level of scientific growth and publications. Notable theories, models and concepts are being summarized.

Application of human factor principles in aviation spread beyond the technical arena of man-machine interface. The discipline has created a great impact on aircraft design, operations and maintenance. Its applications have percolated into design of aircraft maintenance facilities, task cards and equipment. Human factor concepts are being used for maintenance resource management. The principles are applied to shape the safety behavior and culture in aviation maintenance workplace. Nevertheless, the review unfolds immense potential for future research.

Research outcomes of non-aviation studies are also reviewed and consolidated to extend the applications to the aviation industry.

This review would be a consolidated source of information confining to the physical aspect of human factors engineering in aircraft maintenance. It is intended to serve as a quick reference guide to the researchers and maintenance practitioners.

It brought out the benefits of adopting the principles of human factor engineering in aircraft maintenance. Application of human factor philosophy ensures enhanced safety in air transport, personal safety and well-being of maintenance personnel.

This is a unique review based on aircraft maintenance regulations that are baseline performance standards made mandatory by regulatory authorities. Therefore, the review has been considered to be made on aircraft maintenance regulatory requirements that surpass corporate or competitive strategies in aviation maintenance organization.

Deploying an effective maintenance strategy across an organization stands out as an essential risk mitigation measure that plays a critical role toward improving the reliability and availability of production facilities. The purpose of this paper is to propose a simple, yet well-structured approach toward prioritizing maintenance actions as part of a reliability centered maintenance (RCM) implementation plan, and selecting the most important subset of those actions subject to time and budget constraints.

A comprehensive RCM actions prioritization methodology is proposed using four criteria: severity, benefit to cost ratio, customer satisfaction, and easiness of action implementation. The method utilizes fuzzy inference system (FIS) to incorporate subject matter experts’ feedback into the decision-making process. The output of the FIS, which takes the form of a numerical weight that assesses the relative importance of each criterion, is then fed into a binary integer program that selects the optimal maintenance actions out of a set of possible actions.

The implementation of the developed methodology is demonstrated using a real-life example of a hydraulic brake system circuit that is used in construction equipment. The computational results illustrate the validity of the proposed approach and indicate that the selection of which maintenance actions to carry out is impacted by the relative importance (i.e. weight) of the considered criteria.

The work presented in this paper provides the decision makers with a systematic procedure that helps in selecting the most relevant maintenance actions instead of making the selection in a complete ad hoc manner or based merely on subjective opinions.

The purpose of this paper is to create a framework to provide a scalable maintenance program for unmanned aircraft systems (UAS) in order to choose the most suitable and feasible maintenance strategy in terms of reliability.

The paper opted for a reliability-centered maintenance-based approach to develop the framework using a UAS as the starting point of the research. A linear and user-friendly design of the methodology based on a Boolean flowchart was chosen in order to lead the analyst through the process avoiding as much as possible subjectivity decision-making issues. Finally, the framework was, on the component level, performed by a UAS company gathering feedback on its applicability.

An agile and structured decision-making framework for developing scalable maintenance program of UAS is provided. The proposed solution gives the opportunity to tailor the maintenance strategy to the technical characteristics, considering not only the single component but also situations and conditions in which the machine will operate.

Because of the chosen research approach, the framework is potentially applicable to every UAS. A first trial of the method was run on a multirotor vehicle equipped with eight electric brushless motors. Further studies focused on different UAS will be mandatory in order to obtain comparable and robust findings and a reliable approach.

This study offers a different scheme to elaborate a specific maintenance solution related to the characteristics of the system. It strives to remedy the drawbacks of the traditional approach for a manned aircraft not completely suitable for systems with such different functions, features and tasks. The authors believe that the method presented in this paper will provide a new selection tool for choosing maintenance actions based on the features of the UAS.

This paper provides a new and usable solution to include the maintenance actions in the management of pioneering products. In spite of the maintenance program representing an essential aspect to provide reliable assets, frameworks to create programs and to help manufacturers and users are still difficult to find or to apply to different UAS. This gap enhances the misunderstanding that the maintenance is not required or essential for the unmanned aircrafts management.

Effective maintenance management of medical equipment is one of the major issues for quality of care and cost-effectiveness especially in modern hospitals. An effective medical equipment maintenance management (MEMM) consists of adequate planning, management and implementation. This is essential for providing good health services and saving scarce resources. Considering the importance of the subject, the purpose of this paper is to extract the influential factors on MEMM using a qualitative approach.

Documents review and interviews were main methods for data collection. Semi structured interviews were conducted with a purposive sample of 14 clinical engineers with different degree of education and job levels. Interviews were voice recorded and transcribed verbatim. Qualitative data were analyzed using a content analysis approach (inductive and deductive) to identify the underlying themes and sub-themes.

Factors influencing an effective and efficient MEMM system categorized in seven themes and 19 sub-themes emerged. The themes included: “resources,” “quality control,” “information bank,” “education,” “service,” “inspection and preventive maintenance” and “design and implementation.”

The proposed framework provides a basis for a comprehensive and accurate assessment of medical equipment maintenance. The findings of this study could be used to improve the profitability of healthcare facilities and the reliability of medical equipment.

The purpose of this paper is to demonstrate how Internet of Things (IoT) technology can enable highly distributed elevator equipment servicing by using remote-monitoring technology to facilitate a shift from traditional corrective maintenance (CM) and time-based maintenance (TBM) to more predictive, condition-based maintenance (CBM) in order to achieve various benefits.

Literature review indicates that CBM has advantages over conventional CM and TBM from a theoretical perspective, but it depends on continuous monitoring enhancement via advanced IoT technology. An in-depth case study was carried out to provide practical evidence that IoT enables elevator firms to achieve CBM.

From a theoretical perspective, the CBM of elevators makes business sense. The challenges lie in data collection, data analysis and decision making in real-world business contexts. The main findings of this study suggest that CBM can be commercialized via IoT in the case of elevators and would improve the safety and reliability of equipment. It would, thus, make sense from technological, process and economic perspectives.

Our longitudinal real-world case study demonstrates a practical way of making the CBM of elevators widespread. Integrating IoT and other advanced technology would improve the safety and reliability of elevator equipment, prolong its useful life, minimize inconvenience and business interruptions due to equipment downtime and reduce or eliminate major repairs, thus greatly reducing maintenance costs.

The main contribution of this paper lies in the empirical demonstration of the benefits and challenges of CBM via IoT relative to conventional CM and TBM in the case of elevators. The authors believe that this study is timely and will be valuable to firms working on similar research or commercialization strategies.