Publications by authors named "Andrew Smale"

We present a standardized test methodology and results for our evaluation of the Carefusion Alaris PC infusion pump, comprising the model 8015 PC Unit and the model 8100 Large Volume Pump (LVP) module. The evaluation consisted of basic suitability testing, internal component inspection, surface temperature measurement of selected internal components, and critical performance testing (infusion rate accuracy and occlusion alarm pressure) during conditions of typical hyperbaric oxygen (HBO₂) treatment in our facility's class A multiplace chamber. We have found that the pumps pose no enhanced risk as an ignition source, and that the pumps operate within manufacturer's specifications for flow rate and occlusion alarms at all stages of HBO₂ treatments, up to 4.

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This paper presents results of a Capital Equipment Management Plan undertaken at a major acute hospital in Australia. By classifying existing equipment using a threshold replacement value into Major and Minor items, detailed planning information was collected for 527 items of Major equipment representing 80% of the hospital's total equipment stock. A number of meaningful views of this significant asset base are presented, and a prioritisation method used to provide recommendations for future equipment replacement and acquisition for a 5 year planning period.

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The management of medical technology raises a range of complex issues including those associated with planning, prioritisation, and procurement. In Australia there is a significant and developing interest at National, State, and Hospital levels in issues relating to the effective management of medical technology, with drivers including service planning & cost management, access & equity, and factors associated with the ongoing use of old equipment. Surveys undertaken by the authors and reported elsewhere have now been used to develop a 5 year equipment replacement and procurement model to predict required funding levels.

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Medical technology in Australian public hospitals has a replacement cost of approximately A$3 billion. The management of this invaluable asset suggests the need for a planning framework to facilitate equipment replacement and acquisition decisions, an accurate inventory of technology assets, and an implementation process to enable prioritisation and the allocation of funds. The authors report on work associated with the initial phases of planning process development and identify issues that need to be resolved in relation to the implementation phase.

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