The Role of Clinical Engineers in JAPAN- A Case of ASO Iizuka Hospital –June 7 | 10:00-11:00
Hiroki Igeta, MSc, BEng, CCE
ASO Iizuka Hospital
Japan Association for Clinical Engineers (JACE)© 2015 Association for the Advancement of Medical Instrumentation www.aami.org

1

ASO Iizuka HospitalASO Iizuka Hospital
Establishment :Hospital Division :Beds :
Wards :
Staff:

August 1918
Community Health Care Support Center
1116 beds
32 wards
Physician279
Nurse1104
Technician
524(Clinical Engineer63)
Administrator, etc.
525
Total2432

Clinical Department: 39
Internal Medicine, Hepatic Medicine, Gastrointestinal Medicine, Respiratory Medicine,Endocrine & Diabetic Medicine, Blood Medicine, Primary Care Medicine, Psychosomatic Internal Medicine,Collagen Diseases &Rheumatism Medicine, Radiology, Psychiatry, Pediatrics, Nephrology, Cardiology,Surgery, Digestive Organ Surgery, Respiratory Organ Surgery, Pediatric Surgery, Orthopedics,
Dermatology, Plastic Surgery, Urology, Obstetrics & Gynecology, Ophthalmology, Otorhinolaryngology,
Neurosurgery, Neurology, Cardiovascular Surgery, Dentistry & Oral Surgery, KANPO medicine, Anesthesia,
Rehabilitation, Pathology, Emergency Section, etc.

Department of Clinical Engineering
Established in 1990

AIH has 63 registered clinical engineers【 Objectives of Establishment 】• Efficient and safe use of medical equipment• To improve the level of service for our patientsby our standardized clinical techniquesApheresis Center
Endoscopy Center

Cardiac Cath. Lab

Dept. of Clinical Engineering

ICU

ME Center(management and maintenance)

HBOT

NICU

HD Center
Operation Room
Cardiac Rhythm Management(Pacemaker, ICD, CRT)

Kaita Hospital(Group Hospital)

Central Supply System for Common Medical Equipment(ME Center)
LendTo the stock

Clinical site

ReturnPass
Fixing/Repairing

Cleaning/Checking upError

Trouble Response SystemWards, Outpatient Departments, Lab. etc.
ReturnOn-site Service

Request for Checking
and/or Repairing

Dept. of Clinical Engineering（ME Center）
Checking and/or Repairing
Severe Trouble, failure
Verification of returned device
Negotiation for the priceSettlement

Contract for repairing
Arrangement of the alternative
devices

Manufacturers
ProvidersNumber of Repairs and Periodic Inspections
(%)
5000

100.0
in-hospitalby manufacturer

in-hospital rate

4500

95.0

4000

90.0

3500

85.0

3000

80.0

2500

75.0200070.0

1500

65.0

1000

60.0

500

55.0050.0
2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

Radiological equipment is not includedTotal Management System for Medical Equipment<Management by Database><Inspection at Delivery >•Equipment information (model, S/N, etc)•

Checking the certificate of quality•

Checking the certificate of safety•

Checking the labeling documents•

Arrangement of user trainingetc.

•

Resource information•

Maintenance history and plan•

Management of labelling documents•

Lending information•

Controlling of stock parts•

Manufacturer, Provider Information•

Channel control of telemeterEfficient Management•

Browsing system for device stock status•

Browsing system for labeling document

Education (Usage and Safety)

New Residents

New Nurses

Staff Nurses• Common Medical Equipment• Ventilator• Defibrillator• Hyperbaric Oxygen Therapy• Hemodialysis• Cardiac Pacemaker• Surgical equipment
Any Clinical Staffetc.

Patient Education, Explanation

Kids Seminar(promotion and awareness building)Clinical Roles

Hemodialysis Center

Hyperbaric Oxygen Therapy

Intensive Care Unit

Cardiovascular Surgery(Perfusion)Operation RoomCatheterization Laboratory

Current Situation• Advancement of medical equipment• Hospital needs a good management to provide
patients with securer and safer medical care.
• Promotion of team medical care

CEs are needed at many clinical area

Example

Endoscopy Center
RoomTower
Endoscope

101487(upper(lower(bronco(others47 )
28 )
5)
7)

Physician17

Case(upper(lower(others1643210807)4544)
1081)

Role of CE in Endoscopy Center
Device Management•••

MaintenanceCategorization of Device Information
Infection Prevention

Patient Data Management••Image Management
FilingClinical Field•••

Assistance for the Procedure
Patient Care
Capsule Endoscopy Interpretation

Efficient Human Resource Management
Number of Case

Number of Staff

18000

4016000

35NsCE
Resident

14000

3012000

2510000
2080001560001040005200000201020112012

2013year

2014

2015

Physiciancase

Number of CEs in AIH
Number of Staff

70
60
504030

周産期病センター
NICU
心カテ室
Cath. Lab, Pacemaker
内視鏡センター
Endoscopy Center
ＩＣＵ
ICU
Group Hospital
頴田病院出向
HBOT
高気圧酸素室Operation Room
手術室
Maintenance
機器管理(MEセンター)
HD, Apheresis
透析センター20100year

License / Certification
<National License>
CE63

RN

2LPN

<Certificate>Arrhythmia Treatment CE Specialty

1

HBOT CE Specialty

1

1ME Technologist

2MT

2

Gastroenterological Endoscopy Technician

2Care Worker

1

Capsule Endoscopy Interpretation Technician

2Respiratory Therapist

11

Certified Dialysis Therapist

6Perfusion Technician

3

HBOT Technician

5etc.

Advantages•••

Appoint the right person for the right position and role
To be able to perform advanced procedures safely
Quick and accurate response to device trouble

Disadvantage•May limit or give unequal opportunity of experience toresidents, junior physicians and nurses.

Our Kaizen Activities

Kaizen: Improvement

Aims: Improving the quality of medicine and service.
Efficient Management.

TQM: Total Quality Management

TOYOTA Production SystemLean Management

Kaizen Workshop

Device Development

Innovation Promotion Office
Established in 2012••••

Needs and Ideas Management
Intellectual Property Management
Education (Awareness Building)
Medical Engineering Partnership(local governments, University and AIH)
• Cooperation with Partner Institutes

Dr. Fogarty

Director

PhysicianManager

Clinical Engineer
Assistant Manger & Chief Researcher

Clinical Engineer

Conclusion• Management of medical equipment(property management, maintenance)• Medical equipment operation• Expanding the fields especially clinical fields• May play the key roles in medical device
development• Important contributors to patient safety andefficient hospital management

Thank you for your attention