Functional Requirements and Conceptual Design for a Computerized System of Traceability of Medical Equipment for Nursing

Authors

  • Josefina Gutierrez-Martinez Instituto Nacional de Rehabilitación "Luis Guillermo Ibarra Ibarra" Author
  • Araceli Bernal-Gonzalez Instituto Nacional de Rehabilitacion "Luis Guillermo Ibarra Ibarra" Author
  • Claudia Patricia Quiroz-Flores Instituto Nacional de Rehabilitacion "Luis Guillermo Ibarra Ibarra" Author

DOI:

https://doi.org/10.46842/ipn.cien.v23n2a03

Keywords:

health informatics system, medical equipment, traceability, nursing, biomedical engineer

Abstract

Currently, healthcare uses very complex medical equipment, particularly for life-support. Although medical equipment helps to improve care, it is not without risks; events can occur as a result of failures, malfunction or user error. The Department of Biomedical Engineering is responsible for the management of medical equipment in Hospitals to guarantee safety and quality in patient care; nursing is not involved in this process. This paper proposes a methodology to identify the functional requirements to design a computer system, called Nursing Medical Equipment System (NMES) to support the traceability of maintenance, training and monitoring of medical equipment; to comply with one of the fourpronged approach policy concerned to medical equipment use, issued by the World Health Organization. A survey was conducted among 24 nurses from Intensive Care Units of three hospitals, from this survey and additional information provided by the Department Biomedical Engineering, the software components were designed. The conceptual design was based on the unified modeling language methodology and a three-tier architecture (client-server model) was proposed for its implementation. NMES consists of the following modules: inventory, track work order, maintenance logbook, quick reference, and technovigilance. NMES supports nursing staff to get involved in the functioning status of medical equipment, raise awareness in the nursing staff regarding the importance of having technical support from the DBE in their daily work process, in order to contribute to the continuous improvement of care delivered to patients.

References

Word Health Organization, "What is a health technology?," 2018. [Online]. Available: http://www.who.int/health-technology-assessment/about/healthtechnology/en/. [Accessed: 14-Mar-2019].

Word Health Organization, "Medical Device," 2018. [Online]. Available: http://www.who.int/medical_devices/en/. [Accessed: 14-Mar-2019].

G. Powell-Cope, A. L. Nelson, E. S. Patterson, "Patient Care Technology and Safety," in Patient Safety and Quality: An Evidence-Based Handbook for Nurses, H. RG, Ed. Agency for Healthcare Research and Quality, 2008, pp. 207-220.

P. Alvarez., B. Bartz, I. Bernstein, Estándar Mundial de Trazabilidad en el Sector Salud (GTSH), GS1 Argentina. Versión 1, Argentina, pp. 1-38, 2009.

M. S. Unluturk, "Advanced Nurse-Patient Communication System," J. Med. Syst., vol. 36, no. 4, pp. 2529-2536, 2012.

E. A. McConnell, "How and What Staff Nurses Learn About the Medical Devices They Use in Direct Patient-Care," Res. Nurs. Health, vol. 18, no. 2, pp. 165-172, 1995.

B. Joseph, The Biomedical Engineering Handbook. Medical Devices and Systems, Third ed., Hartford, Connecticut, USA: CRC Press Taylor & Francis Group, 2006.

Food & Drug Administration, Guidance for Industry and Food and Drug Administration Staff, 2016.

MicroMain Corporation, "What is a CMMS?," 2017. [Online]. Available: https://www.micromain.com/what-is-a-cmms/. [Accessed: 15-Mar-2019].

M. Ridgway, M. Ridgway, "Optimizing Our PM Programs," Biomed. Instrum. Technol., vol. 43, no. 3, pp. 244-254, 2009.

M. E. Bruley, F. A. Koch, "Medical device accidents: nursing and clinical engineering roles during a collaborative investigation," Biomed. Instrum. Technol. / Assoc. Adv. Med. Instrumentation., Suppl, pp. 61-64, 2005.

P. D. Sheriff, Fundamentals of N-Tier, Third ed., PDSA Inc, 2006.

C. L. Lindgren, L. G. Elie, E. C. Vidal, A. Vasserman, "Transforming to a Computerized System for Nursing Care," CIN Comput. Informatics, Nurs., vol. 28, no. 2, pp. 74-78, 2010.

A. F. Dowling, "Nursing information systems," J. Med. Syst., vol. 9, no. 1-2, pp. 1-3, 1985.

L. L. Labbadia et al., "Sistema informatizado para gerenciamento de indicadores da assistência de enfermagem do hospital São Paulo," Rev. da Esc. Enferm., vol. 45, no. 4, pp. 1013-1017, 2011.

R. Rachmawaty, "The Development of the Electronic Nursing Record System (ENRS) In The Hospital Setting: An Integrative Literature Review," Am. J. Heal. Sci., vol. 6, no. 1, p. 1, 2016.

H. Moghaddasi, R. Rabiei, F. Asadi, N. Ostvan, "Evaluation of nursing information systems: Application of usability aspects in the development of systems," Healthc. Inform. Res., vol. 23, no. 2, pp. 101-108, 2017.

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Published

10-09-2024

How to Cite

Functional Requirements and Conceptual Design for a Computerized System of Traceability of Medical Equipment for Nursing. (2024). Científica, 23(2), 109-117. https://doi.org/10.46842/ipn.cien.v23n2a03