Volume 22, Issue 1 (Spring 2025)                   Sci J Iran Blood Transfus Organ 2025, 22(1): 66-79 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Fallah Tafti M, Haji Beigi B, Akbari Dehbalaei M, Karimi G. Evaluation of the impact of preventive maintenance system on the safe operation of emerency power system of some centers of Iranian Blood Transfusion Organization using energy Tracking and Barrier Analysis method in 2023. Sci J Iran Blood Transfus Organ 2025; 22 (1) :66-79
URL: http://bloodjournal.ir/article-1-1538-en.html
Evaluation of the impact of preventive maintenance system on the safe operation of emerency power system of some centers of Iranian Blood Transfusion Organization using energy Tracking and Barrier Analysis method in 2023
M. Fallah Tafti * , B. Haji Beigi , M. Akbari Dehbalaei , Gh. Karimi
Keywords: Maintenance, Engine, Equipment, Electrical Safety
Full-Text [PDF 913 kb]   (86 Downloads)     |   Abstract (HTML)  (311 Views)
Full-Text:   (62 Views)



Sci J Iran Blood Transfus Organ 2025;22 (1): 66-79
Original Article
 



Sci J Iran Blood Transfus Organ 2025;22 (1): 66-79
Original Article
 
Evaluation of the impact of preventive maintenance system
on the safe operation of emerency power system of some
centers of Iranian Blood Transfusion Organization using
energy Tracking and Barrier Analysis method in 2023
 ‎
Fallah Tafti M.1, Haji Beigi B.1, Akbari Dehbalaei M.1, Karimi Gh.1

 
1Blood Transfusion Research Center, High Institute For Research and Education in Transfusion Medicine, Tehran, Iran



Abstract
Background and Objectives
The preventive maintenance management system is to reduce breakdowns and increase the safety of electrical equipment in the operation process of medical centers and medical services. This survey was conducted with the aim of identifying and assessing the risk of hazards during the year 2023.

Materials and Methods
This study is descriptive and aims to investigate the performance of the preventive maintenance system in 15 bases belonging to 10 blood transfusion centers in Alborz, Kermanshah, Hamadan, Ilam, Yazd, Bandar Abbas, Sanandaj, Arak, Semnan and Mazandaran through the review of compiled checklists, periodical visit documents and the performance quality of the physical structure of diesel generators in the facility system were done through visual observation and questioning of 17 operators and officials of the installations department of these bases using the method of energy tracking and obstacle analysis, and was analyzed with SPSS21 software

Results
The results of this study showed that the establishment of the equipment maintenance system, despite the fact that more than 26.5% of these bases do not have experienced and trained technical forces, has been able to provide effective support for 86.4% of medical equipment and about 68.8% of facility equipment within the framework of defined standards and guidelines.

Conclusions 
The establishment of the preventive maintenance management system in these bases has been able to take on the role of identifying the risk factors in the operation process of the emergency power system with the aim of ensuring the safety of users, equipment and the activity structure of the bases.

Key words: Maintenance, Engine, Equipment, Electrical Safety


Received:  11 Feb 2025
Accepted: 10 Mar 2025



Correspondence: Fallah Tafti M., PhD in Medical Engineering. Assistant Professor of Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine.
P.O.Box: 14665-1157, Tehran, Iran. Tel: (+9821) 82052176; Fax: (+9821) 82052176
E-mail:
1- Acridine Orange
1- Biological safety cabinet
1- Platelet Concentrate
2- Food and Drug Administration
3- Normal Skin Flora
4- Platelet Rich Plasma-Platelet Concentrate
5- Eosin-Methylene blue
6- Thioglycolate
1- Acridine Orange
1- Biological safety cabinet
1- Platelet Concentrate
2- Food and Drug Administration
3- Normal Skin Flora
4- Platelet Rich Plasma-Platelet Concentrate
5- Eosin-Methylene blue
6- Thioglycolate
m.falah@ibto.ir


    References:
  1. Amin[MF1]  NM, Mahdi J, Parvin A, Forough ZD. Evaluation of the safety conditions of shiraz university of medical sciences educational hospitals using safety audit technique. Payavard Salamat 2012; 6(1): 31-9. [Article in Farsi]
  2. Khalooei A, Mehdipour Rabori M, Nakhaee N. Safety condition in hospitals affiliated to Kerman University of Medical Sciences, 2010. Health and Development Journal 2013; 2(3): 192-202. [Article in Farsi]
  3. Banerjee M. Kolkata: 40-dead in fire at AMRI hospital: unforgivable crime saysmamata; 2011. Available from: https://www.bbc.com/news/world-asia-india-16104610.
  4. Williamson A, Feyer AM. The causes of electrical fatalities at work. Journal of Safety Research 1998; 29(3): 187-96.
  5. Fam I, Kianfar A, Mahmoudi Sh. Evaluation of  the relationship between job stress and unsafe acts with occupational accidents in a vehicle manufacturing plant. Avicenna Journal of Clinical Medicine 2008; 15(3): 60-6.
  6. Fallah Tafti M, Golestani Shishvan R, Fallah Tafti E, Karimi G. Evaluation of the effect of preventive maintenance management system on the activity of medical equipment of Iranian Blood Transfusion Centers (IBTO). Sci J Iran Blood Transfus Organ 2021; 18(3): 215-23. [Article in Farsi]
  7. Jadidi RA, Bayati A, Arab MR. The effect of medical equipment maintenance management system implementation on Valie–Asr hospital costs situated in Arak: 2006. J Arak Uni Med Sci 2008; 11(4): 41-8. [Article in Farsi]
  8. Tavakolli A., Khosravi S., An Assessment of Maintenance Management of Medical Equipment at Pasteur Hospital in Bam,  Sadra Medical Journal, 2020;347-354.
  9. Mohammed FT, guidelines and practical methods in managing the maintenance of medical equipment, Publications of the Research Center and Higher Institute of Blood Transfusion Medicine1390; 88-105.
  10. World Health Organization. Maintenance and Repair of laboratory,diagnostic,imaging and  hospital   equipment 1994; Available from: https:/ /iris. who. int/ handle/ 10665/40508.
  1. Mohammad FT, basic requirements in the maintenance management of cold chain medical equipment, Blood Transfusion Research Center and Higher Educational Research Institute of Blood Transfusion Medicine 2015; 239-234.
  2. Fallah Tafti M, Karimi G, Azadbakht A. Qualitative evaluation of the facility system management and electrification network of Iran's blood transfusion centers (IBTO). Sci J Iran Blood Transfus Organ 2023; 20 (1): 34-43. [Article in Farsi]
  3. Helena Rusak Joanna Nazark Jaroslaw Makal Marcin S ulkowski , Electrical Installations  in the Building –Designing,  Bialystok University of Technology Bialystok 2023; 25-86.
  4. Fallah Tafti M, Mosavi Hosseini K, Golestani Shishvan R. Study of the process of maintaining medical equipment in Iranian blood centers. Sci J Iran Blood Transfus Organ 2022; 19(1): 52-60. [Article in Farsi]
  5. Ginsburg G. Human factors engineering: A tool for medical device evaluation in hospital procurement decision-making. Journal of Biomedical Informatics 2004; 38(3): 213-9.
  6. How to Organize a System of Healthcare Technology Management. Available from: https:// f.hubspotusercontent30. net/ hubfs/ 8702981/ HCT%20 Guide%201%20-%20 How %20 to%20 Organize %20 a%20System %20 of %20 Healthcare %20 Technology %20 Management.pdf.
  7. Darling RB. Medical Instrumentation Electrical Safety and Grounding, EE-436. Available from: https:/ /www. ece.uw. edu/abet/?id=4336.
  8. DOE handbook electrical safety. Available from: https://ehss.energy.gov/deprep/2004/TB04A30A.PDF.
  9. Da Sotharoth, Study Guide to Electrical Safety Basics OSHA, OSHAcademy Course 715 Study Guide, 2013; 16-64.
  10. BASIC ELECTRICAL SAFETY, Effects of Electricity on the Human Body, U.S. Department of Labor, OSHA Office of Training and Education, 2009; 28-31.
  11. Ortiz-Posadas  MR,  Vernet-Saavedra  EA.    Electrical
safety priority index for medical equipment. Conf Proc IEEE Eng Med Biol Soc 2006; Suppl: 6614-7.
  1. Webster JG. Medical Safety, Medical instrumentation application and design. 4th ed. USA: Wiley; 2008.
  2. TEKSAN, OPERATION AND MAINTENANCE MANUAL FOR DIESEL GENERATOR SETS, EVERLASTING COMPANY, 2018; 6-54.
  3. Perkins 4000 Series 4016 – 61TRG3 Model 2500KVA-6.6 KV, Perkins diesel generator maintenance instructions. Available from: https://nmp-co.com/wp-content/uploads/perkins/4016-61TRG3.pdf.
  4. Shirali G, Adl J. How to perform energy trace & barrier analysis (ETBA) in industries? a case study in Isomax unit of Tehran refinery. Salāmat-i kār-i Īrān 2006; 3(1): 43-9.
  5. Standard M. Procedure for performing a failure mode, effect and criticality analysis MIL-STD 1629A. Department of Defense, Washington, DC; 1980. Avilable from: https:// elsmar. com/ pdf_ files/ Military %20 Standards/mil-std-1629.pdf.
  6. Mehrabi MA, Omidiandost A, Shorabi Y, Poursadeghiyan M. Risk assessment by ETBA method in one of the MDF building factories in the city of Kermanshah-Iran. Eng Appl Sci 2015; 22(3): 160.
  7. International Standard for Electrical Safety of Medical Equipment (IEC 60601-1), Data Science Electronic Library, 2019. Available from: https:// webstore. iec. ch/p-preview/info_iec60601-1-1% 7Bed 2.0%7 Den_d.pdf.
  8. Ericson CA. Hazard analysis techniques for system safety. USA: John Wiley & Sons; 2015. p. 55-168[MF2] .
  9. Walsh TJ. Total quality management, the ISO 9002 protocol and reconditioned diagnostic imagine Equeipment. proceding of  National Froum; 1996; 7-137.
  10. Matsumura, Fumiyoshi, Osamu Ohnishi, and Haruki, N., 1983, Quality Improvement of Igniter Hybrid IC by Using FMEA. No. 830410. SAE Technical Paper.
  11. Muhammet G. A review of occupational health and safety risk assessment approaches based on ulti-criteria decision-making methods and their fuzzy versions. Human and Ecological Risk Assessment 2018; 24(1):
    1-38.
  12. Bahreini R, Doshmangir L, Imani A. Factors Affecting Medical Equipment Maintenance Management: A Systematic Review. Journal of Clinical and Diagnostic Research 2018; 12(4): 1-7.
  13. Fallah Tafti M, Mosavi Hosseini K, Golestani Shishvan R. Study of the process of maintaining medical equipment in Iranian blood centers. Sci J Iran Blood Transfus Organ 2022; 19(1): 52-60. [Article in Farsi]
  14. Ginsburg G. Human factors engineering: A tool for medical device evaluation in hospital procurement decision-making. Journal of Biomedical Informatics 2004;  38(3): 213-9.
  15. Keys Repair and maintenance of diesel generators - industrial electricity; 2022. Available from: https://e-power.niazerooz.com.
  16. Maintenance and repair of diesel generators 2017.
  17. https://dizelsanat.com, ISO 8528 – International Diesel Generator Standards; 2023. Available from: https:// www.saadico.com.
  18. Service and maintenance information for diesel generators, Farjam Industrial Group; 2021. Available from: https://fgdiesel.com.
  19. Elhamnia R, Zare Fallahdoost A, Hassanzadeh Moghadam Abatari M, Basiri M. The importance of the role of medical equipment engineering unit in hospitals and equipment maintenance management. CIVILICA 2018; 25-43.
  20. Topham  S. Preventive maintenance and repair: Clinical engineering principle  and practice. J Clin  Engineer 1998; 17(2): 49-57.
  21. Halbwachs H. Maintenance and the life expectancy  of health  care equipment, in developing  economies.   Health Estate J 2000; 54(2): 26-31.
  22. August J. Preventive Maintenance. J Med Engineer 2001; 4: 1-8.
  23. Topham S. Preventive Maintenace and Repair, clinical Engineering principle and practice U.S. 2001; 25-43.
  24. Jadidi R. Survey of medical equipment of Arak hospitals. Iran University of Medical Sciences Journal 1997; 3: 1-5. [Article in Farsi]
 [MF1]بند 2
 [MF2]مورد 4














































































































































1- Acridine Orange
1- Biological safety cabinet
1- Platelet Concentrate
2- Food and Drug Administration
3- Normal Skin Flora
4- Platelet Rich Plasma-Platelet Concentrate
5- Eosin-Methylene blue
6- Thioglycolate
1- Acridine Orange
1- Biological safety cabinet
1- Platelet Concentrate
2- Food and Drug Administration
3- Normal Skin Flora
4- Platelet Rich Plasma-Platelet Concentrate
5- Eosin-Methylene blue
6- Thioglycolate
1- Acridine Orange
1- Biological safety cabinet
1- Platelet Concentrate
2- Food and Drug Administration
3- Normal Skin Flora
4- Platelet Rich Plasma-Platelet Concentrate
5- Eosin-Methylene blue
6- Thioglycolate
1- Acridine Orange
1- Biological safety cabinet
1- Platelet Concentrate
2- Food and Drug Administration
3- Normal Skin Flora
4- Platelet Rich Plasma-Platelet Concentrate
5- Eosin-Methylene blue
6- Thioglycolate
Type of Study: Research | Subject: Blood Transfusion
Published: 2025/02/28
References
1. Amin NM, Mahdi J, Parvin A, Forough ZD. Evaluation of the safety conditions of shiraz university of medical sciences educational hospitals using safety audit technique. Payavard Salamat 2012; 6(1): 31-9. [Article in Farsi]
2. Khalooei A, Mehdipour Rabori M, Nakhaee N. Safety condition in hospitals affiliated to Kerman University of Medical Sciences, 2010. Health and Development Journal 2013; 2(3): 192-202. [Article in Farsi]
3. Banerjee M. Kolkata: 40-dead in fire at AMRI hospital: unforgivable crime saysmamata; 2011. Available from: https://www.bbc.com/news/world-asia-india-16104610.
4. Williamson A, Feyer AM. The causes of electrical fatalities at work. Journal of Safety Research 1998; 29(3): 187-96. [DOI:10.1016/S0022-4375(98)00015-2]
5. Fam I, Kianfar A, Mahmoudi Sh. Evaluation of the relationship between job stress and unsafe acts with occupational accidents in a vehicle manufacturing plant. Avicenna Journal of Clinical Medicine 2008; 15(3): 60-6.
6. Fallah Tafti M, Golestani Shishvan R, Fallah Tafti E, Karimi G. Evaluation of the effect of preventive maintenance management system on the activity of medical equipment of Iranian Blood Transfusion Centers (IBTO). Sci J Iran Blood Transfus Organ 2021; 18(3): 215-23. [Article in Farsi]
7. Jadidi RA, Bayati A, Arab MR. The effect of medical equipment maintenance management system implementation on Valie-Asr hospital costs situated in Arak: 2006. J Arak Uni Med Sci 2008; 11(4): 41-8. [Article in Farsi]
8. Tavakolli A., Khosravi S., An Assessment of Maintenance Management of Medical Equipment at Pasteur Hospital in Bam, Sadra Medical Journal, 2020;347-354.
9. Mohammed FT, guidelines and practical methods in managing the maintenance of medical equipment, Publications of the Research Center and Higher Institute of Blood Transfusion Medicine1390; 88-105.
10. World Health Organization. Maintenance and Repair of laboratory,diagnostic,imaging and hospital equipment1994; Available from: https:/ /iris. who. int/ handle/ 10665/40508.
11. Mohammad FT, basic requirements in the maintenance management of cold chain medical equipment, Blood Transfusion Research Center and Higher Educational Research Institute of Blood Transfusion Medicine 2015; 239-234.
12. Fallah Tafti M, Karimi G, Azadbakht A. Qualitative evaluation of the facility system management and electrification network of Iran's blood transfusion centers (IBTO). Sci J Iran Blood Transfus Organ 2023; 20 (1): 34-43. [Article in Farsi]
13. Helena Rusak Joanna Nazark Jaroslaw Makal Marcin S ulkowski , Electrical Installations in the Building -Designing, Bialystok University of Technology Bialystok 2023; 25-86.
14. Fallah Tafti M, Mosavi Hosseini K, Golestani Shishvan R. Study of the process of maintaining medical equipment in Iranian blood centers. Sci J Iran Blood Transfus Organ 2022; 19(1): 52-60. [Article in Farsi]
15. Ginsburg G. Human factors engineering: A tool for medical device evaluation in hospital procurement decision-making. Journal of Biomedical Informatics 2004; 38(3): 213-9. [DOI:10.1016/j.jbi.2004.11.008] [PMID]
16. How to Organize a System of Healthcare Technology Management. Available from: https:// f.hubspotusercontent30. net/ hubfs/ 8702981/ HCT%20 Guide%201%20-%20 How %20 to%20 Organize %20 a%20System %20 of %20 Healthcare %20 Technology %20 Management.pdf.
17. Darling RB. Medical Instrumentation Electrical Safety and Grounding, EE-436. Available from: https:/ /www. ece.uw. edu/abet/?id=4336.
18. DOE handbook electrical safety. Available from: https://ehss.energy.gov/deprep/2004/TB04A30A.PDF.
19. Da Sotharoth, Study Guide to Electrical Safety Basics OSHA, OSHAcademy Course 715 Study Guide, 2013; 16-64.
20. BASIC ELECTRICAL SAFETY, Effects of Electricity on the Human Body, U.S. Department of Labor, OSHA Office of Training and Education, 2009; 28-31.
21. Ortiz-Posadas MR, Vernet-Saavedra EA. Electrical safety priority index for medical equipment. Conf Proc IEEE Eng Med Biol Soc 2006; Suppl: 6614-7. [DOI:10.1109/IEMBS.2006.260901] [PMID]
22. Webster JG. Medical Safety, Medical instrumentation application and design. 4th ed. USA: Wiley; 2008.
23. TEKSAN, OPERATION AND MAINTENANCE MANUAL FOR DIESEL GENERATOR SETS, EVERLASTING COMPANY, 2018; 6-54.
24. Perkins 4000 Series 4016 - 61TRG3 Model 2500KVA-6.6 KV, Perkins diesel generator maintenance instructions. Available from: https://nmp-co.com/wp-content/uploads/perkins/4016-61TRG3.pdf.
25. Shirali G, Adl J. How to perform energy trace & barrier analysis (ETBA) in industries? a case study in Isomax unit of Tehran refinery. Salāmat-i kār-i Īrān 2006; 3(1): 43-9.
26. Standard M. Procedure for performing a failure mode, effect and criticality analysis MIL-STD 1629A. Department of Defense, Washington, DC; 1980. Avilable from: https:// elsmar. com/ pdf_ files/ Military %20 Standards/mil-std-1629.pdf.
27. Mehrabi MA, Omidiandost A, Shorabi Y, Poursadeghiyan M. Risk assessment by ETBA method in one of the MDF building factories in the city of Kermanshah-Iran. Eng Appl Sci 2015; 22(3): 160.
28. International Standard for Electrical Safety of Medical Equipment (IEC 60601-1), Data Science Electronic Library, 2019. Available from: https:// webstore. iec. ch/p-preview/info_iec60601-1-1% 7Bed 2.0%7 Den_d.pdf.
29. Ericson CA. Hazard analysis techniques for system safety. USA: John Wiley & Sons; 2015. p. 55-168 .
30. Walsh TJ. Total quality management, the ISO 9002 protocol and reconditioned diagnostic imagine Equeipment. proceding of National Froum; 1996; 7-137.
31. Matsumura, Fumiyoshi, Osamu Ohnishi, and Haruki, N., 1983, Quality Improvement of Igniter Hybrid IC by Using FMEA. No. 830410. SAE Technical Paper. [DOI:10.4271/830410]
32. Muhammet G. A review of occupational health and safety risk assessment approaches based on ulti-criteria decision-making methods and their fuzzy versions. Human and Ecological Risk Assessment 2018; 24(1): 1-38. [DOI:10.1080/10807039.2018.1424531]
33. Bahreini R, Doshmangir L, Imani A. Factors Affecting Medical Equipment Maintenance Management: A Systematic Review. Journal of Clinical and Diagnostic Research 2018; 12(4): 1-7. [DOI:10.7860/JCDR/2018/31646.11375]
34. Fallah Tafti M, Mosavi Hosseini K, Golestani Shishvan R. Study of the process of maintaining medical equipment in Iranian blood centers. Sci J Iran Blood Transfus Organ 2022; 19(1): 52-60. [Article in Farsi]
35. Ginsburg G. Human factors engineering: A tool for medical device evaluation in hospital procurement decision-making. Journal of Biomedical Informatics 2004; 38(3): 213-9. [DOI:10.1016/j.jbi.2004.11.008] [PMID]
36. Keys Repair and maintenance of diesel generators - industrial electricity; 2022. Available from: https://e-power.niazerooz.com.
37. Maintenance and repair of diesel generators 2017.
38. https://dizelsanat.com, ISO 8528 - International Diesel Generator Standards; 2023. Available from: https:// www.saadico.com.
39. Service and maintenance information for diesel generators, Farjam Industrial Group; 2021. Available from: https://fgdiesel.com.
40. Elhamnia R, Zare Fallahdoost A, Hassanzadeh Moghadam Abatari M, Basiri M. The importance of the role of medical equipment engineering unit in hospitals and equipment maintenance management. CIVILICA 2018; 25-43.
41. Topham S. Preventive maintenance and repair: Clinical engineering principle and practice. J Clin Engineer 1998; 17(2): 49-57.
42. Halbwachs H. Maintenance and the life expectancy of health care equipment, in developing economies. Health Estate J 2000; 54(2): 26-31.
43. August J. Preventive Maintenance. J Med Engineer 2001; 4: 1-8.
44. Topham S. Preventive Maintenace and Repair, clinical Engineering principle and practice U.S. 2001; 25-43.
45. Jadidi R. Survey of medical equipment of Arak hospitals. Iran University of Medical Sciences Journal 1997; 3: 1-5. [Article in Farsi]
Add your comments about this article : Your username or Email:
CAPTCHA
Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Scientific Journal of Iran Blood Transfus Organ

Designed & Developed by : Yektaweb