The course objective is to let the student obtain competences on: the issues related to the acquisition and management of biomedical equipment, and of relevant data in the management of health systems; information systems (accounting, maintenance management etc..); today's standards on storage and transmission of medical data. At the end of the course, it is predicted that the student will also master probability models associated to the maintenance of biomedical equipment.
teacher profile teaching materials
Clinical engineering: glossary of terms; definition and classification of medical devices; national and international outlook of clinical engineering; clinical engineering competences. Inventory, national classification of medical devices (CND); global medical device nomenclature (GMDN). Entity-relationship diagram models.
Operating principles of a selection of medical devices; reading, comprehension and writing of the technical specifications.
PART 2
Management and maintenance of medical devices: probability theory fundamentals for the maintenance of medical devices: reliability and availability; failure rate, and other relevant indicators; costs and times; maintenance strategies, roles and duties.
PART 3
Life Cycle Cost Analysis (LCCA) in the healthcare sector; health technology assessment: indicators of clinical efficacy (QALY, DALY); economic burden. Risk evaluation and minimisation; relevant indicators.
Regulations in the healthcare sector (national level), and comparison at the international level; WHO directives and recommendations. Bismarck-Beveridge and mixed models.
PART 4
Efficiency of a healthcare structure: indicators for outpatients and inpatients;
Further readings:
- C. LAMBERTI, W. RAINER. LE APPARECCHIATURE BIOMEDICHE E LA LORO GESTIONE, PATRON EDITORE, 1998.
- F. PINCIROLI, S. BONACINA. APPLICAZIONI DI SANITÀ DIGITALE, POLIPRESS, 2009.
Programme
PART 1Clinical engineering: glossary of terms; definition and classification of medical devices; national and international outlook of clinical engineering; clinical engineering competences. Inventory, national classification of medical devices (CND); global medical device nomenclature (GMDN). Entity-relationship diagram models.
Operating principles of a selection of medical devices; reading, comprehension and writing of the technical specifications.
PART 2
Management and maintenance of medical devices: probability theory fundamentals for the maintenance of medical devices: reliability and availability; failure rate, and other relevant indicators; costs and times; maintenance strategies, roles and duties.
PART 3
Life Cycle Cost Analysis (LCCA) in the healthcare sector; health technology assessment: indicators of clinical efficacy (QALY, DALY); economic burden. Risk evaluation and minimisation; relevant indicators.
Regulations in the healthcare sector (national level), and comparison at the international level; WHO directives and recommendations. Bismarck-Beveridge and mixed models.
PART 4
Efficiency of a healthcare structure: indicators for outpatients and inpatients;
Core Documentation
Slides, exercises and other material freely available for students on the University moodle platform.Further readings:
- C. LAMBERTI, W. RAINER. LE APPARECCHIATURE BIOMEDICHE E LA LORO GESTIONE, PATRON EDITORE, 1998.
- F. PINCIROLI, S. BONACINA. APPLICAZIONI DI SANITÀ DIGITALE, POLIPRESS, 2009.
Reference Bibliography
- T. D'ALESSIO, G. MEUCCI, R. SOMMA. I metodi dell'affidabilità. Teorie, strumenti ed applicazioni per l'analisi dell'affidabilità di componenti e sistemi, FRANCO ANGELI. 1987.Type of delivery of the course
Frontal theory lessons, and guided exercises. Approximately you will have one 2 hour guided exercise every 4 hours of theory lessons (may vary). You are (strongly) encouraged to attend both lessons and guided exercises.Type of evaluation
You can choose whether to participate to the intermediate evaluations. In case of participation to intermediate evaluations: 2 Intermediate evaluations. For each intermediate evaluation (total duration 2 hrs, written exam): exercises, short essay questions, multiple-choice questions. An optional interview after the evaluation can be performed on request. In case of participation to the traditional exam: Written part (total duration 2 hrs): exercises, short essay questions. Oral interview (at least two questions). Text of intermediate tests and traditional written exams are available online on the University moodle platform. NOTE: due to changes in the assessment modalities resulting from the COVID-19 emergency, the written part in the summer exams rounds is replaced by a part of the oral interview, which may include the resolution of exercises.