INTRODUCTION TO CLINICAL ENGINEERING
lecture 1
Course Guidelines
Course Title: Clinical Engineering Systems Management.
Course Code: HUM 461
Level/ Semester: 4th / 1st
Course aim:
Identify relationship between the clinical engineering and
manufacturing of medical equipment.
Identify healthcare technology management including
maintenance of medical equipment.
Identify acquisition of medical equipment, stage of
collecting data and technical specifications, and vendor
evaluation.
References
• Clinical Engineering
By: YADIN DAVID
• Clinical Engineering Handbook
By: Joseph Dyro
• The Biomedical Engineering
Handbook
By: Joseph D. Bronzino
Assessment pattern
Quiz (1) 8
Quiz (2) 8
Assignments 4
Attendance 4
Mid-term exam 16
Final exam 60
Total 100
Evolution of clinical
engineering
Engineers were first encouraged to enter the
clinical scene during the late 1960s.
During the 1970s, a major expansion of clinical
engineering occurred.
Today, clinical engineers are an integral part of
the health care delivery team. In fact, their role is
multifaceted.
Medical Technology
Past medical technology
Medical Technology
Present medical technology
Medical Technology
Present medical technology
Basic Definitions
Clinical Engineering
Clinical Engineering
Is the division of biomedical engineering
specialized in the support and advancement
of patient care by applying engineering and
management skills to health care
technology.
Clinical Engineer
Clinical Engineer
According to American College of
Clinical Engineering (ACCE):
Clinical Engineer (CE) is a professional who
supports and advances patient care by applying
engineering and management skills to health
care technology.
Biomedical Engineering
Technician
Biomedical engineering technician
Biomedical Engineering Technician (BMET) is a
person who responsible for direct support ,
services, and repairs of all medical equipment in
the hospital.
Also, he/she answers the call when the medical
equipment fails to function.
CE Staff Qualification
Biomedical Equipment Technicians (BMET)
Associate Degree in Technology or higher, military or manufacturer
training.
Certified Biomedical Equipment Technician (CBET).
Specialties: General Biomedical, Laboratory, Medical Imaging.
Rankings: Level I, II, III … higher level reflects more experience,
education and/or specialization.
Able to use conventional electronic trouble-shooting instruments.
Clinical Engineers (CE)
Bachelor or Masters of Science Degree in Engineering.
Experience in the usage of computer is desirable.
Manager
Clinical Engineer.
Master’s in Business Administration … or business education .
Supervisory skills are needed.
Clinical Engineer (CE)
The role of Clinical Engineer (CE)
To assure high quality, safe, and cost-
effective, environment for patients, care
givers, employees, visitors, relative to life
support, diagnostic, therapeutic, and
analytical devices and systems to support
patient care.
Clinical Engineering Fundamentals
Core functions of a clinical engineering
department are
Technology management
Equipment management
Information management
Maintenance management
Quality management
Safety management
Risk management
Administration
Clinical Engineering Management
Loop
Range of Clinical Engineer
Interaction
Clinical engineer usually works with
Physicians
Nurses
Radiology technicians
Clinical laboratory technologists
Patients
Vendors of medical equipment
Contractors who service medical equipment
Hospital administration
Other engineers ( mechanical, electrical, …)
Regulation agencies
Range of Clinical Engineer Interaction
Hospital Organization and the
Role of Clinical Engineering
In the hospital, management organization has
evolved into a diffuse authority structure, The three
primary components are:
The governing board (trustees),
Hospital administration (CEO and administrative staff),
The medical staff organization.
The role of the governing board and the chief
executive officer are briefly discussed below to
provide some insights regarding their individual
responsibilities and their interrelationship.
Governing Board (Trustees)
• Establishing the policies of the institution
• Providing equipment and facilities to conduct patient
care
• Ensuring that proper professional standards are defined
and maintained (i.e., providing quality assurance)
•Coordinating professional interests with administrative,
financial, and community needs.
• Providing adequate financing by securing sufficient
income and managing the control of expenditures
• Providing a safe environment
• Selecting qualified administrators, medical staff, and
other professionals to manage the hospital
Hospital Administration
• Preparing a plan for accomplishing the institutional objectives,
as approved by the board.
• Selecting medical chiefs and department directors to set
standards in their respective fields.
• Submitting for board approval an annual budget reflecting both
expenditures and income projections.
• Maintaining all physical properties (plant and equipment) in safe
operating condition.
• Representing the hospital in its relationships with the
community and health agencies.
• Submitting to the board annual reports that describe the nature
and volume of the services delivered during the past year.
Controlling cost, complying with governmental regulations.
Ensuring that the hospital conforms to professional norms,
which include guidelines for the care and safety of patients.
Note that : within this organizational structure, the director of clinical
engineering reports directly to the vice president of medical support
services.
.services
CE Department
Organization
CE Department
Organization
CE Department
Organization
Clinical Engineering Center
