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Selection of Maintenance Strategies in an Operating Theatre

Selection of Maintenance Strategies in an Operating Theatre
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Author(s): María Carmen Carnero (University of Castilla-La Mancha, Spain & University of Lisbon, Portugal)and Andrés Gómez (University of Castilla-La Mancha, Spain)
Copyright: 2021
Pages: 35
Source title: Advanced Models and Tools for Effective Decision Making Under Uncertainty and Risk Contexts
Source Author(s)/Editor(s): Vicente González-Prida (University of Seville, Spain & National University of Distance Education, Spain)and María Carmen Carnero (University of Castilla-La Mancha, Spain)
DOI: 10.4018/978-1-7998-3246-1.ch001

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Abstract

The aim of this chapter is to select the most suitable combination of maintenance policies in the different systems that make up an operating theatre: air conditioning, sterile water, power supply, medicinal gases, and operating theatre lighting. To do so, a multicriteria model will be developed using the Measuring Attractiveness by a Categorical Based Evaluation Technique (MACBETH) approach considering multiple decision centres. The model uses functional, safety, and technical-economic criteria, amongst which is availability. Mean availability for repairable systems has been measured to assess this criterion, using Markov chains from the data obtained over three years from the subsystems of a hospital operating theatre. The alternatives considered are corrective maintenance; preventive maintenance together with corrective maintenance by means of daily, weekly, monthly, and yearly programmes; periodical predictive maintenance together with corrective maintenance; and corrective together with preventive and predictive maintenance.

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