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The main purpose of this research is to present a solution that enable to manage efficient and reliable way, all of the information in relation to control, tracking and the hospital equipment maintenance. So, was taken as an object of study of Engineering Department of the Central Hospital of the Air Force of Peru, which presents a lot of administrative deficiencies character in its internal processes of reception, record and closing of Work Orders as well as the preventive and corrective maintenance of the hospital equipment of the HCFAP.The contemplated solution comprises from analysis and design to the development of some use cases more significant of the application. / El presente trabajo de investigación tiene como propósito fundamental presentar una solución que permita administrar de forma eficiente y confiable toda la información respecto al control, seguimiento y mantenimiento del equipamiento hospitalario. Para ello se tomó como objeto de estudio al Departamento de Ingeniería del Hospital Central de la Fuerza Aérea del Perú, el cual presenta muchas deficiencias de carácter administrativo en sus procesos internos de recepción, registro y cierre de Órdenes de Trabajo así como el mantenimiento preventivo y correctivo de los equipos hospitalarios del HCFAP. La solución contemplada abarca desde el análisis y diseño hasta el desarrollo de algunos casos de uso más significativos de la aplicación.

Submitted by Fabio Sobreira Campos da Costa (fabio.sobreira@ufpe.br) on 2016-08-05T13:45:36Z No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) 2016 02 Dissertação V18.pdf: 847550 bytes, checksum: b3b34305dd3687f0d1a2e2aa1a8ef506 (MD5) / Made available in DSpace on 2016-08-05T13:45:36Z (GMT). No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) 2016 02 Dissertação V18.pdf: 847550 bytes, checksum: b3b34305dd3687f0d1a2e2aa1a8ef506 (MD5) Previous issue date: 2016-02-19 / CAPEs / A terceirização da manutenção e a adesão da garantia estendida para equipamentos hospitalares tem se tornado uma tendência ao longo das últimas décadas, pois estão relacionadas com a crescente complexidade e modernização dos dispositivos médicos, bem como, com a recorrente prática da exclusividade do fabricante na realização da manutenção. Geralmente, o relacionamento entre a instituição de saúde e o fabricante é conduzido por meio de um documento, especificando questões como: nível de confiabilidade, desempenho operacional, disponibilidade, duração da garantia, preço da manutenção, penalidades e a política de manutenção a ser implementada. Sendo assim, a presente dissertação estuda quantitativamente o problema de garantia estendida para equipamentos hospitalares, por meio da junção de duas ferramentas: o jogo de Stackelberg, designado para estruturar a forma de relacionamento entre as empresas, e o Processo de Renovação Generalizado, responsável processo de falha – reparo do equipamento (reparo imperfeito). Um cenário foi criado para a aplicação de tais métodos. Inicialmente, o fabricante ao vender um equipamento hospitalar também oferece duas possibilidades para a execução da manutenção: a primeira, garantia estendida, e a segunda, serviço sob demanda. Posteriormente, a decisão do hospital é influenciada pela estrutura de preços imposta do fabricante, a confiabilidade do equipamento e o seu grau de aversão ao risco, visto que as falhas do dispositivo são eventos aleatórios. Para ilustrar tal situação, realiza-se um exemplo numérico com dados de falha e reparo de um Angiográfo. O equilíbrio do modelo implica na maximização do lucro esperado do fabricante e o hospital decidindo pela adesão da garantia estendida. Adicionalmente, comparando as soluções do reparo imperfeito com os cenários de reparos perfeito e mínimo, observou-se similaridade nas estratégias para os casos de reparos imperfeito e perfeito, enquanto que, na relação entre os reparos imperfeito e mínimo as estratégias darse- ão de maneira oposta. Finalmente, o lucro esperado do fabricante diminui conforme aumenta o número médio de falhas. / The outsourcing of maintenance and the acquisition of extended warranty for hospital equipment has become a trend over the past few decades, since they are related to the growing complexity, modernization of medical devices and the recurring practice of the manufacturer's exclusivity in performing maintenance services. Generally, the relationship between the health institution and the manufacturer is conducted through a document specifying the following issues: level of reliability, operating performance, availability, warranty period, maintenance price, penalties and maintenance policy to be implemented. Under these circumstances, this thesis analyzes the problem of the extended warranty for clinical equipment by joining two tools: the Stackelberg game, designed to model the relation between companies and the Generalized Renewal Process, employed for modeling failure-repair process (imperfect repair). A scenario was created for the application of such methods. Initially, the manufacturer intends to sell a medical equipment and also offers two maintenance possibilities: first, an extended warranty, and second, maintenance services on demand. Subsequently, the hospital's decision is influenced by manufacturer's price structure, equipment reliability and the degree of risk aversion, since the failures occurrences of the device are random events. To illustrate this situation, an application example with failure and repair data of an Angiography equipment is presented. The equilibrium of model implies in expected profit maximization for the manufacturer and hospital chooses the extended warranty option. In addition, by comparing the solutions of the imperfect repair with perfect and minimal repair scenarios, a similarity in the strategies adopted in cases of imperfect and perfect repairs was observed, while the strategies were opposite when comparing imperfect and minimal repairs. Finally, the expected profit of the manufacturer decreases as the average number of failures increases.

(in English): The aim of this diploma thesis was an integrated analysis of satisfaction for pediatric patients aged 14 - 19 years at the Faculty Hospital Brno, which created a basic pattern of variables for a further investigation of satisfaction of adolescent patients in hospitals and other healthcare facilities. Simultaneously, the work focused on recommendations of how to improve the satisfaction of patients in A & E (accident and emergency) and internal departments. In the Czech Republic there are several different studies that deal with the satisfaction element, which are ordered by medical facilities, so they can improve the satisfaction of their patients, based on the results. Satisfaction surveys of pediatric patients are not yet common, as the international standardisation is still in progress. Investigative study of the published articles on various research was undertaken for the theoretical basis of this study. The results gained from the study can be used as a base in further evaluations of pediatric patients satisfaction in health institutions. The thesis also recommends to the Faculty Hospital Brno how to increase pediatric patients satisfaction in the future. The research of satisfaction of patients in the pediatric department of the Faculty Hospital Brno showed that the dependent...

(in English): The aim of this diploma thesis was an integrated analysis of satisfaction for pediatric patients aged 14 - 19 years at the Faculty Hospital Brno, which created a basic pattern of variables for a further investigation of satisfaction of adolescent patients in hospitals and other healthcare facilities. Simultaneously, the work focused on recommendations of how to improve the satisfaction of patients in A & E (accident and emergency) and internal departments. In the Czech Republic there are several different studies that deal with the satisfaction element, which are ordered by medical facilities, so they can improve the satisfaction of their patients, based on the results. Satisfaction surveys of pediatric patients are not yet common, as the international standardisation is still in progress. Investigative study of the published articles on various research was undertaken for the theoretical basis of this study. The results gained from the study can be used as a base in further evaluations of pediatric patients satisfaction in health institutions. The thesis also recommends to the Faculty Hospital Brno how to increase pediatric patients satisfaction in the future. The research of satisfaction of patients in the pediatric department of the Faculty Hospital Brno showed that the dependent...