{"id":1236,"date":"2018-11-02T09:48:23","date_gmt":"2018-11-02T06:48:23","guid":{"rendered":"https:\/\/medibim.com.tr\/TR\/?p=1236"},"modified":"2023-10-20T18:37:20","modified_gmt":"2023-10-20T15:37:20","slug":"biyomedikal-metroloji-sure-analizi","status":"publish","type":"post","link":"https:\/\/www.medibim.com.tr\/TR\/biyomedikal-metroloji\/biyomedikal-metroloji-sure-analizi\/","title":{"rendered":"Biyomedikal Metroloji S\u00fcre Analizi"},"content":{"rendered":"\r\n

Biyomedikal Metroloji S\u00fcre Analizi<\/h1>\r\n

Time Analysis of Biomedical Metrology and Test<\/h2>\r\n
\u00dclkemizde verilen t\u0131bbi cihazlar\u0131n biyomedikal metroloji \u00f6l\u00e7\u00fcmleri,\u00a0 test, deney ve kalibrasyon hizmetlerine dair bir referans olmas\u0131 ve hizmetin do\u011fru bir \u015fekilde al\u0131nd\u0131\u011f\u0131na dair bir g\u00f6sterge olmas\u0131 bak\u0131m\u0131ndan bu \u00e7al\u0131\u015fma yap\u0131lm\u0131\u015f ve yay\u0131nlanm\u0131\u015ft\u0131r.<\/em><\/pre>\r\n\r\n\r\n\r\n\r\nBiyomedikal Metroloji \u00f6l\u00e7\u00fcmlerinin s\u00fcre analizi ile ilgili Nazif \u0130lker Sezdi (Medibim Biyomedikal) ve\u00a0 Do\u00e7.Dr. Mana Sezdi (\u0130stanbul \u00dcniversitesi) taraf\u0131ndan yap\u0131lan \u00e7al\u0131\u015fmaya ait bildiri a\u015fa\u011f\u0131da verilmi\u015ftir.\r\n\r\n\r\n\r\n\r\n\r\n\u00d6zet\u00e7e<\/em>\u2014 Bu bildiride, biyomedikal metroloji\r\nhizmetlerinin denetlenmesi mercek alt\u0131na al\u0131nm\u0131\u015f, denetlemelerde en \u00e7ok dikkat\r\nedilmesi gereken noktalardan biri olan \u00f6l\u00e7\u00fcm s\u00fcreleri analiz edilerek,\r\ndenetleme mekanizmas\u0131na destek vermek \u00fczere niceliksel bir parametre\r\ngeli\u015ftirilmi\u015ftir. Her bir kalem t\u0131bbi cihaz i\u00e7in ayr\u0131lacak \u00f6l\u00e7\u00fcm s\u00fcresi\r\nbilindi\u011fi takdirde, toplu metroloji hizmet al\u0131mlar\u0131n\u0131n olas\u0131 ne kadarl\u0131k bir\r\ns\u00fcreci kapsad\u0131\u011f\u0131 hesaplanabilecek, b\u00f6ylelikle de s\u00f6zkonusu hizmetin maliyeti\r\ndaha kabul edilebilir boyutlarda hesaplanabilecektir. Bu nedenle sa\u011fl\u0131k hizmeti\r\nsa\u011flay\u0131c\u0131 kurumlar\u0131n \u00f6l\u00e7\u00fcm s\u00fcresi fakt\u00f6r\u00fcn\u00fc hesaba katarak \u00f6l\u00e7\u00fcm takvimlerini\r\nve maliyetlerini planlamalar\u0131 \u00f6nemlidir.\r\n\r\n\r\n\r\n\r\n\r\nAnahtar Kelimeler \u2014 biyomedikal metroloji; kalibrasyon; test\r\ns\u00fcre analizi.\r\n\r\n\r\n\r\n\r\n\r\nAbstract<\/em>\u2014 In\r\nthis paper, the inspection of biomedical metrology services has been examined,\r\nand a quantitative parameter has been developed to support the control\r\nmechanism by\u00a0 analyzing the\r\nmeasurement\u00a0 time that is one of the most\r\nimportant points in audits. If the measurement time to be allocated for each\r\nitem of medical device is known, the time of the total metrology service can be\r\ncalculated. So that the cost of the service can be calculated in more\r\nacceptable dimensions. For this reason, it is important for health care\r\nproviders to plan their measurement schedules and costs by taking into\r\nconsideration the measurement time factor.\r\n\r\n\r\n\r\n\r\n\r\nKeywords \u2014 biomedical metrology; calibration; test time\r\nanalysis.\r\n\r\n\r\n\r\n\r\n
I. Giri\u015f<\/h3>\r\n\r\n\r\n\r\n\r\nT\u00fcrkiye\u2019de Biyomedikal Metroloji hizmetlerinin d\u00fczenlemeleri Sa\u011fl\u0131k\r\nBakanl\u0131\u011f\u0131 b\u00fcnyesinde \u0130l Sa\u011fl\u0131k M\u00fcd\u00fcrl\u00fckleri ve T\u00fcrkiye \u0130la\u00e7 ve T\u0131bbi Cihaz\r\nKurumu (T\u0130TCK) b\u00fcnyesindeki ilgili departmanlar taraf\u0131ndan y\u00fcr\u00fct\u00fclmektedir.\r\nSa\u011fl\u0131k hizmeti veren kurumlar\u0131n bu hizmeti zaman\u0131nda ve eksiksiz almas\u0131 i\u00e7in\r\nson y\u0131llarda bir\u00e7ok yeni d\u00fczenlemeler yap\u0131lm\u0131\u015ft\u0131r.\r\n\r\n\r\n\r\n\r\n\r\nT\u0130TCK taraf\u0131ndan 25.06.2015 tarihinde ve 29397 say\u0131 ile Resmi Gazete\u2019de\r\nyay\u0131nlanan \u201cT\u0131bbi Cihazlar\u0131n Test, Kontrol ve Kalibrasyonu Hakk\u0131nda Y\u00f6netmelik\u201d,\r\nhizmet sa\u011flay\u0131c\u0131lar\u0131n \u015fartlar\u0131n\u0131 belirlemi\u015f, bu kapsamda metroloji hizmeti\r\nveren kurumlar\u0131n sadece bu hizmeti verebilece\u011fini, kapsam harici bak\u0131m ve\r\nservis hizmeti veremeyece\u011fini bildirmi\u015ftir [1-2].\r\n\r\n\r\n\r\n\r\n\r\n\u0130laveten, 2014 y\u0131l\u0131nda, bug\u00fcn Kamu Hastaneler M\u00fcd\u00fcrl\u00fc\u011f\u00fc ad\u0131yla \u0130l Sa\u011fl\u0131k\r\nM\u00fcd\u00fcrl\u00fcklerine ba\u011flanm\u0131\u015f olup o g\u00fcnk\u00fc ad\u0131yla Kamu Hastaneler Birli\u011fi Genel\r\nSekreterli\u011fi olan kurulu\u015f b\u00fcnyesinde \u201cBiyomedikal Metroloji K\u0131lavuzu\u201d ile genel\r\nolarak kapsam belirlenmi\u015f ve \u00f6l\u00e7\u00fcm prosed\u00fcr ve y\u00f6ntemlerine dair standartlara\r\nat\u0131f yap\u0131lan bir dok\u00fcman yay\u0131nlanm\u0131\u015f ve ayn\u0131 dok\u00fcman 2016 y\u0131l\u0131nda revize\r\nedilmi\u015ftir [3].\r\n\r\n\r\n\r\n\r\n\r\nT\u0130TCK\u2019n\u0131n yay\u0131nlam\u0131\u015f oldu\u011fu y\u00f6netmeli\u011fe ba\u011fl\u0131 olarak her ne kadar \u00f6ng\u00f6r\u00fclen\r\ntakvimden biraz gecikmeli olsa da Biyomedikal Metroloji \u00d6l\u00e7\u00fcmleri yapacak\r\npersonelin Uzman Sertifikal\u0131 e\u011fitimleri 2017 y\u0131l\u0131 itibariyle ba\u015flam\u0131\u015f ve sahada\r\nbu hizmeti verecek uzman insan kayna\u011f\u0131n\u0131n sa\u011flanmas\u0131na d\u00f6n\u00fck \u00e7al\u0131\u015fmalar\r\nyap\u0131lm\u0131\u015ft\u0131r [4]. T\u00fcm bunlar, sahada sa\u011fl\u0131k hizmetlerinin kalitesini ciddi bir\r\n\u015fekilde etkileyecek olan te\u015fhis ve tedavide kullan\u0131lan medikal cihazlar\u0131n do\u011fru\r\n\u00f6l\u00e7\u00fcm yapt\u0131klar\u0131n\u0131n do\u011frulanmas\u0131na d\u00f6n\u00fck \u00e7al\u0131\u015fmalard\u0131r.\r\n\r\n\r\n\r\n\r\n\r\nAncak hizmet kalitesinin tespiti bir\u00e7ok y\u00f6n\u00fcyle eksik kalmaktad\u0131r. Sahada\r\nhizmet sa\u011flay\u0131c\u0131 kurumlar\u0131n bu hizmeti naylon etiketleme ile suistimal\r\nettikleri bilinmektedir. Buna kar\u015f\u0131l\u0131k hizmet alan tarafta da verilen fiyat\r\nsebebiyle sat\u0131n alma s\u00fcre\u00e7leri bak\u0131m\u0131ndan bu dar kapsaml\u0131 hizmete raz\u0131 olundu\u011fu\r\nda ayr\u0131 bir ger\u00e7ektir.\r\n\r\n\r\n\r\n\r\n\r\nHalen, verilen hizmetin do\u011fru ve g\u00fcvenilir oldu\u011funun tespitine dair bir\r\ny\u00f6ntem geli\u015ftirilmemi\u015ftir.\r\n\r\n\r\n\r\n\r\n\r\nBu bildiride,\r\nbiyomedikal metroloji hizmetinin denetlenme s\u00fcrecinde ya\u015fanan eksiklikler\r\n\u00fczerinde durulmu\u015f, bu eksikliklerin giderilmesinde bir basamak atlanmas\u0131n\u0131\r\nsa\u011flayacak s\u00fcre analizi \u00e7al\u0131\u015fmas\u0131 yap\u0131larak bilginize sunulmu\u015ftur.\r\n\r\n\r\n\r\n\r\n
II. Biyomedikal metrolojide denetim eksikli\u011fi<\/h3>\r\n\r\n\r\n\r\n\r\nBiyomedikal metrolojide denetim eksikli\u011finin ilk sebebi, sa\u011fl\u0131k hizmeti\r\nsa\u011flay\u0131c\u0131lar\u0131 taraf\u0131nda, al\u0131nan biyomedikal metroloji hizmetinin do\u011frulu\u011funu\r\ntespit edecek uzman insan kayna\u011f\u0131n\u0131n olmamas\u0131d\u0131r. Ayr\u0131ca sat\u0131n alma s\u00fcre\u00e7lerinin\r\nfiyata dayal\u0131 al\u0131m yapmas\u0131, hizmet veren tarafta do\u011fru firma-do\u011fru hizmet-do\u011fru\r\n\u00f6l\u00e7\u00fcm se\u00e7imini zorla\u015ft\u0131rmaktad\u0131r.\r\n\r\n\r\n\r\n\r\n\r\nSat\u0131n alma s\u00fcre\u00e7lerinin ayr\u0131lmaz bir par\u00e7as\u0131 olan \u015fartname konusu ise,\r\nbug\u00fcn ya t\u00fcm firmalar\u0131 i\u00e7erecek \u015fekilde ya da sadece tek bir firmay\u0131 i\u015faret\r\nedecek \u015fekilde yap\u0131lmaktad\u0131r. Bu durum ya hizmetin \u00e7ok ucuza al\u0131nmas\u0131n\u0131 ya da\r\nkamu ihale kanununa ayk\u0131r\u0131 bir \u015fekilde olmas\u0131na ra\u011fmen tek bir firmay\u0131 i\u015farete\r\nederek hizmetin pahal\u0131 al\u0131nmas\u0131na sebep olunmaktad\u0131r. Her iki durumda da kamu\r\nzarar\u0131 olu\u015fmakta ilkinde tam olarak hizmet al\u0131namamakta, di\u011ferinde ise\r\nrekabetten uzak bir durum olu\u015ftu\u011fundan pahal\u0131 hizmet al\u0131nmaktad\u0131r.\r\n\r\n\r\n\r\n\r\n\r\nSat\u0131n alma hizmet al\u0131m\u0131 ihalelerinde yakla\u015f\u0131k maliyetin \u00e7ok alt\u0131ndaki\r\n\u00fccretlere bu hizmetlerin verilmesinin temel sebebi de i\u015fin ifas\u0131n\u0131 ger\u00e7ekten\r\n\u00f6l\u00e7ebilecek, de\u011ferlendirecek ve aksi durumda ceza unsuru olu\u015fturacak bir\r\n\u015fartnamenin olmamas\u0131d\u0131r.\r\n\r\n\r\n\r\n\r\n\r\nBiyomedikal metroloji\r\nhizmet sa\u011flay\u0131c\u0131lar\u0131 son y\u0131llarda kamu otoriteleri taraf\u0131ndan ciddi bir denetim\r\ns\u00fcrecine sokulmu\u015f ve buna kar\u015f\u0131l\u0131k teknik ve insan kayna\u011f\u0131 olarak kendilerini\r\nyetkin duruma getirmi\u015flerdir, ancak buna kar\u015f\u0131l\u0131k hizmet alan tarafta, bu\r\nhizmetin alma \u015fekline d\u00f6n\u00fck bir haz\u0131rl\u0131k ve tedbir yeterince sa\u011flanmam\u0131\u015ft\u0131r.\r\n\r\n\r\n\r\n\r\n\r\n\u00d6zellikle a\u015fa\u011f\u0131da belirtilen konular, hizmet alan tarafta yeterince\r\ndenetlenmemektedir:\r\n\r\n\r\n\r\n\r\n\r\n\u2022\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ayn\u0131 seri numaral\u0131 test\r\ncihaz\u0131n\u0131n farkl\u0131 ve birbirine uzak yerlerde ayn\u0131 g\u00fcn test i\u00e7in kullan\u0131ld\u0131\u011f\u0131,\r\n\r\n\r\n\r\n\r\n\r\n\u2022\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ayn\u0131 personelin ayn\u0131 g\u00fcn\r\ni\u00e7inde birbirinden \u00e7ok uzak noktalarda test yapt\u0131\u011f\u0131,\r\n\r\n\r\n\r\n\r\n\r\n\u2022\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Test cihazlar\u0131n\u0131n\r\nkiralamalar\u0131n ayn\u0131 tarihlerde farkl\u0131 firmalara yap\u0131ld\u0131\u011f\u0131,\r\n\r\n\r\n\r\n\r\n\r\ngibi konular kontrole ve suiistimale a\u00e7\u0131k noktalar olarak kendini\r\ng\u00f6stermektedir.\r\n\r\n\r\n\r\n\r\n\r\nSa\u011fl\u0131k Bakanl\u0131\u011f\u0131 Sa\u011fl\u0131kta Kalite Sistemi denetim kitap\u00e7\u0131\u011f\u0131nda ise\r\nbiyomedikal metroloji hizmet al\u0131m\u0131n\u0131 sadece tek bir sayfada; etiketin \u015feklini\r\ntarif eden bir maddede tarif etmi\u015ftir, bu durum denetlemelerde al\u0131nan hizmetin\r\nsadece etiketinin kontrol\u00fcn\u00fcn yap\u0131laca\u011f\u0131 gibi bir yanl\u0131\u015f y\u00f6nlendirmeye sebep\r\nolmaktad\u0131r [5].\r\n\r\n\r\n\r\n\r\n\r\nBir yanda \u015fartnamede\r\nher \u00f6l\u00e7\u00fcm-muayene s\u0131ras\u0131nda hizmet alan tarafa ait bir personelin bu i\u015fleme\r\nrefakat edece\u011fi s\u00f6ylenirken, di\u011fer tarafta personel eksikli\u011fi sebebiyle sahaya\r\n3-4 ya da daha fazla personel ile giden hizmet sa\u011flay\u0131c\u0131, ayn\u0131 anda iki ya da\r\n\u00fc\u00e7 farkl\u0131 yerde olamamaktad\u0131r.\r\n\r\n\r\n\r\n\r\n\r\nHizmet alan tarafta personellerin g\u00fcn i\u00e7i mesai saatleri de kurumdan kuruma\r\nfarkl\u0131l\u0131k g\u00f6stermekte, 08:00-12:00, 13:00-17:00 mesai saatleri genel olarak\r\nuygulanmamaktad\u0131r. Ameliyathanelerin \u00f6l\u00e7\u00fcmleri mesai saatleri d\u0131\u015f\u0131nda yap\u0131lmas\u0131\r\ngerekti\u011finden, bu mesai saatleri d\u0131\u015f\u0131nda personeller \u00f6l\u00e7\u00fcmlere refakat i\u00e7in\r\ngelmemektedir. Oysa buna kar\u015f\u0131l\u0131k \u015fartname gere\u011fi belli bir s\u00fcresi olan i\u015fin\r\nbitirilmesi de metroloji hizmeti sa\u011flay\u0131c\u0131 kurumu zor durumda b\u0131rakmaktad\u0131r.\r\n\r\n\r\n\r\n\r\n\r\nHer bir medikal cihaz\u0131n test, kontrol ve muayenesine ait bir prosed\u00fcr ve bu\r\nprosed\u00fcre ba\u011fl\u0131 olarak bir zaman maliyeti vard\u0131r.\r\n\r\n\r\n\r\n\r\n\r\nDi\u011fer taraftan bu\r\neksikli\u011fi bir nebze de olsa giderecek olan kontrol mekanizmas\u0131, \u00f6l\u00e7\u00fcm s\u00fcresinin\r\ntespitidir.\r\n\r\n\r\n\r\n\r\n\r\nBu zaman maliyetleri do\u011frultusunda bir hastanede bulunan medikal cihazlara\r\nait cihaza ula\u015fma s\u00fcresi haricinde sadece \u00f6l\u00e7\u00fcm s\u00fcresi hesap edilebilir.\r\n\r\n\r\n\r\n\r\n\r\nBu s\u00fcreye ilave olarak; cihaz\u0131n ait oldu\u011fu ya da kay\u0131t edildi\u011fi yerde olup\r\nolmad\u0131\u011f\u0131, personelin mesai ba\u015flama saati, \u00f6\u011fle yeme\u011fi aral\u0131\u011f\u0131 ve mesai bitimi, ve\r\npersonelin \u00f6zellikle ameliyathanelerdeki cihazlar\u0131n \u00f6l\u00e7\u00fcm\u00fc i\u00e7in gerekli olan\r\nmesai saatleri d\u0131\u015f\u0131ndaki \u00f6l\u00e7\u00fcmleri, genel s\u00fcreyi olduk\u00e7a fazla etkilemektedir.\r\n\r\n\r\n\r\n\r\n\r\nBiyomedikal Metroloji Hizmet Sa\u011flay\u0131c\u0131lar\u0131 Derne\u011fi (Biyometder) b\u00fcnyesinde,\r\nbu y\u00f6nde bir \u00e7al\u0131\u015fma yap\u0131lm\u0131\u015f ve genel olarak yap\u0131lan \u00e7al\u0131\u015fmalar g\u00f6re T\u00fcrkiye\r\nhastaneleri saha \u015fartlar\u0131 ve \u00f6l\u00e7\u00fcm kalitesi d\u00fc\u015f\u00fcn\u00fclerek bir s\u00fcre analizi\r\n\u00e7al\u0131\u015fmas\u0131 yap\u0131lm\u0131\u015ft\u0131r.\r\n\r\n\r\n\r\n\r\n\r\nAncak bu \u00e7al\u0131\u015fmadan do\u011fan bilgileri payla\u015fmadan \u00f6nce hastanelerdeki \u00e7al\u0131\u015fma\r\n\u015fartlar\u0131n\u0131n da bu \u00f6l\u00e7\u00fcm ve muayene hizmetlerine haz\u0131r hale getirilmesi i\u00e7in \u00f6n\r\n\u00e7al\u0131\u015fmalar yap\u0131lmal\u0131d\u0131r.\r\n\r\n\r\n\r\n\r\n\r\nGenel olarak sa\u011fl\u0131k hizmeti veren kurumlarda, metroloji hizmetinin\r\ngereklili\u011fi sadece Bakanl\u0131k taraf\u0131ndan yap\u0131lan denetimlerde sorulan cihaz\r\nkalibrasyon etiketlerinin ve sertifikalar\u0131n\u0131n olmas\u0131 gerekti\u011fi bir s\u00fcre\u00e7 gibi\r\ng\u00f6r\u00fclmektedir. Bu s\u00fcrecin tetkik, te\u015fhis ve tedavi s\u00fcre\u00e7lerine etkisi hen\u00fcz tam\r\nolarak alg\u0131lanamam\u0131\u015ft\u0131r. Bu nedenle hizmeti alan tarafta yap\u0131lan i\u015fin tam\r\nolarak ne anlama geldi\u011finin anlat\u0131lmas\u0131 bak\u0131m\u0131ndan hizmet alan taraf i\u00e7in de\r\ne\u011fitimler verilmelidir. \u00c7\u00fcnk\u00fc hizmet al\u0131c\u0131lar taraf\u0131nda Kalite Y\u00f6netimi departmanlar\u0131nda\r\nal\u0131nan hizmetin do\u011frulu\u011funu kontrol edebilecek ve ge\u00e7erli oldu\u011funu tespit\r\nedebilecek yetkinlikte uzmanlar bulunmal\u0131d\u0131r.\r\n\r\n\r\n\r\n\r\n
III. Biyomedikal Metrolojide \u00d6l\u00e7\u00fcm S\u00fcre Analizi<\/h3>\r\n\r\n\r\n\r\n\r\nBiyomedikal metroloji hizmetinin denetlenmesinde en \u00f6nemli noktalardan\r\nbiri, \u00f6l\u00e7\u00fcme tabi cihaz\u0131n muayenesi ve testi i\u00e7in ne kadar s\u00fcre ayr\u0131ld\u0131\u011f\u0131 ve\r\ntestin tam olarak yap\u0131l\u0131p yap\u0131lmad\u0131\u011f\u0131n\u0131n tespitidir. \u00d6l\u00e7\u00fcmler s\u0131ras\u0131nda her bir\r\nkalem cihaz i\u00e7in ayr\u0131lacak s\u00fcre aral\u0131\u011f\u0131, istisnai durumlar hari\u00e7, bellidir. Belli\r\nsay\u0131da ve kalemde cihaz\u0131n metroloji \u00f6l\u00e7\u00fcmleri i\u00e7in harcanacak zaman tahmini\r\nbilinmekte iken, bir\u00e7ok firma taraf\u0131ndan bu s\u00fcrenin \u00e7ok daha alt\u0131nda \u00f6l\u00e7\u00fcmlerin\r\nger\u00e7ekle\u015ftiriliyor olmas\u0131, asl\u0131nda cihazlar\u0131n tam anlam\u0131yla \u00f6l\u00e7\u00fclmedi\u011fi, sadece\r\netiketlendi\u011fi anlam\u0131na gelmektedir.\r\n\r\n\r\n\r\n\r\n\r\nA\u015fa\u011f\u0131daki Tablo 1\u2019de en \u00e7ok kullan\u0131lan medikal cihazlara ait ortalama \u00f6l\u00e7\u00fcm s\u00fcreleri verilmi\u015ftir. Referans s\u00fcre olarak, Emergency Care Research Institute (ECRI) taraf\u0131ndan belirlenmi\u015f ve referans kabul edilen de\u011ferler, ortalama s\u00fcre olarak da Biyometder Derne\u011fi\u2019ne \u00fcye 10 metroloji hizmet sa\u011flay\u0131c\u0131s\u0131 firman\u0131n ortalama \u00f6l\u00e7\u00fcm s\u00fcreleri al\u0131nm\u0131\u015ft\u0131r.\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
B\u0130YOMED\u0130KAL C\u0130HAZ<\/td>\r\nREFERANS S\u00dcRE [dk]\r\n(a)<\/td>\r\nORTALAMA\r\nS\u00dcRE [dk] (b)<\/td>\r\nTipik\r\nAdet<\/td>\r\n\u00d6l\u00e7\u00fcm S\u00fcresi\r\n[dk]<\/td>\r\n<\/tr>\r\n
A\u011eIRLIK – UZUNLUK \u00d6L\u00c7\u00dcM – TARTI<\/td>\r\n30<\/td>\r\n21<\/td>\r\n10<\/td>\r\n211<\/td>\r\n<\/tr>\r\n
A\u011eRI POMPASI<\/td>\r\n42<\/td>\r\n68<\/td>\r\n10<\/td>\r\n676<\/td>\r\n<\/tr>\r\n
AMEL\u0130YAT MASASI<\/td>\r\n24<\/td>\r\n12<\/td>\r\n6<\/td>\r\n71<\/td>\r\n<\/tr>\r\n
ANESTEZ\u0130 C\u0130HAZI<\/td>\r\n144<\/td>\r\n37<\/td>\r\n6<\/td>\r\n224<\/td>\r\n<\/tr>\r\n
ASP\u0130RAT\u00d6R<\/td>\r\n36<\/td>\r\n12<\/td>\r\n10<\/td>\r\n118<\/td>\r\n<\/tr>\r\n
BENMAR\u0130 – BANYO<\/td>\r\n48<\/td>\r\n35<\/td>\r\n14<\/td>\r\n490<\/td>\r\n<\/tr>\r\n
B\u0130PAP<\/td>\r\n30<\/td>\r\n16<\/td>\r\n6<\/td>\r\n98<\/td>\r\n<\/tr>\r\n
BUZDOLABI – SO\u011eUTUCU \u00dcN\u0130TELER (TIBB\u0130 AMA\u00c7LI)<\/td>\r\n30<\/td>\r\n34<\/td>\r\n20<\/td>\r\n689<\/td>\r\n<\/tr>\r\n
DANS\u0130TOMETRE (KEM\u0130K M\u0130NERAL YO\u011eUNLU\u011eU \u00d6L\u00c7\u00dcM S\u0130STEM\u0130)<\/td>\r\n60<\/td>\r\n44<\/td>\r\n1<\/td>\r\n44<\/td>\r\n<\/tr>\r\n
DEF\u0130BR\u0130LLAT\u00d6R<\/td>\r\n36<\/td>\r\n26<\/td>\r\n6<\/td>\r\n154<\/td>\r\n<\/tr>\r\n
OTOMAT\u0130K AED DEF\u0130BR\u0130LAT\u00d6R<\/td>\r\n24<\/td>\r\n15<\/td>\r\n2<\/td>\r\n30<\/td>\r\n<\/tr>\r\n
B\u00dcT\u00dcNLE\u015e\u0130K\/KOMB\u0130NE ELEKTRO TERAP\u0130 C\u0130HAZI<\/td>\r\n30<\/td>\r\n20<\/td>\r\n4<\/td>\r\n81<\/td>\r\n<\/tr>\r\n
D\u0130AD\u0130NAM\u0130K AKIM C\u0130HAZI<\/td>\r\n20<\/td>\r\n15<\/td>\r\n5<\/td>\r\n73<\/td>\r\n<\/tr>\r\n
D\u0130ATERM\u0130 C\u0130HAZI KISA DALGA – (KDD)<\/td>\r\n20<\/td>\r\n16<\/td>\r\n5<\/td>\r\n79<\/td>\r\n<\/tr>\r\n
ULTRASON\u0130K ELEKTRO TERAP\u0130 C\u0130HAZI<\/td>\r\n20<\/td>\r\n14<\/td>\r\n5<\/td>\r\n70<\/td>\r\n<\/tr>\r\n
D\u0130YAL\u0130Z \/ RENAL REPLASMAN<\/td>\r\n240<\/td>\r\n38<\/td>\r\n12<\/td>\r\n450<\/td>\r\n<\/tr>\r\n
EFOR TEST S\u0130STEM\u0130<\/td>\r\n30<\/td>\r\n23<\/td>\r\n1<\/td>\r\n23<\/td>\r\n<\/tr>\r\n
EKG (ELEKTRO KARD\u0130YO GRAF\u0130)<\/td>\r\n30<\/td>\r\n27<\/td>\r\n20<\/td>\r\n542<\/td>\r\n<\/tr>\r\n
ET\u00dcV – \u0130NK\u00dcBAT\u00d6R – FIRIN<\/td>\r\n60<\/td>\r\n35<\/td>\r\n6<\/td>\r\n211<\/td>\r\n<\/tr>\r\n
FOTOTERAP\u0130<\/td>\r\n36<\/td>\r\n16<\/td>\r\n8<\/td>\r\n125<\/td>\r\n<\/tr>\r\n
HOT-COLD PACK KAZANI<\/td>\r\n48<\/td>\r\n60<\/td>\r\n10<\/td>\r\n600<\/td>\r\n<\/tr>\r\n
\u0130NF\u00dcZYON POMPASI<\/td>\r\n42<\/td>\r\n49<\/td>\r\n30<\/td>\r\n1.477<\/td>\r\n<\/tr>\r\n
KALP P\u0130L\u0130<\/td>\r\n12<\/td>\r\n33<\/td>\r\n4<\/td>\r\n130<\/td>\r\n<\/tr>\r\n
K\u00dcV\u00d6Z<\/td>\r\n48<\/td>\r\n75<\/td>\r\n10<\/td>\r\n750<\/td>\r\n<\/tr>\r\n
MAMOGRAF\u0130<\/td>\r\n96<\/td>\r\n77<\/td>\r\n1<\/td>\r\n77<\/td>\r\n<\/tr>\r\n
SESS\u0130Z KAB\u0130N<\/td>\r\n20<\/td>\r\n33<\/td>\r\n1<\/td>\r\n33<\/td>\r\n<\/tr>\r\n
NST \/ KARDIOTOKOGRAF<\/td>\r\n48<\/td>\r\n22<\/td>\r\n6<\/td>\r\n131<\/td>\r\n<\/tr>\r\n
OTOKLAV<\/td>\r\n60<\/td>\r\n78<\/td>\r\n4<\/td>\r\n311<\/td>\r\n<\/tr>\r\n
OTOMAT\u0130K ENJEKT\u00d6R<\/td>\r\n48<\/td>\r\n70<\/td>\r\n20<\/td>\r\n1.395<\/td>\r\n<\/tr>\r\n
PULSE METRE \/ SPO2<\/td>\r\n36<\/td>\r\n21<\/td>\r\n40<\/td>\r\n836<\/td>\r\n<\/tr>\r\n
RADYAN ISITICI<\/td>\r\n30<\/td>\r\n59<\/td>\r\n6<\/td>\r\n356<\/td>\r\n<\/tr>\r\n
C KOLLU RADYOGRAF\u0130 S\u0130STEM\u0130 D\u0130J\u0130TAL<\/td>\r\n72<\/td>\r\n74<\/td>\r\n1<\/td>\r\n74<\/td>\r\n<\/tr>\r\n
D\u0130REKT RADYOGRAF\u0130 S\u0130STEM\u0130 D\u0130J\u0130TAL (DR)<\/td>\r\n60<\/td>\r\n93<\/td>\r\n1<\/td>\r\n93<\/td>\r\n<\/tr>\r\n
KONVANS\u0130YONEL RADYOGRAF\u0130 S\u0130STEM\u0130<\/td>\r\n60<\/td>\r\n81<\/td>\r\n1<\/td>\r\n81<\/td>\r\n<\/tr>\r\n
SANTR\u0130F\u00dcJ<\/td>\r\n30<\/td>\r\n30<\/td>\r\n8<\/td>\r\n240<\/td>\r\n<\/tr>\r\n
ATE\u015e \u00d6L\u00c7ER, ORTAM SICAKLIK \u00d6L\u00c7\u00dcM<\/td>\r\n30<\/td>\r\n23<\/td>\r\n30<\/td>\r\n701<\/td>\r\n<\/tr>\r\n
TIBB\u0130 MON\u0130T\u00d6R<\/td>\r\n60<\/td>\r\n72<\/td>\r\n25<\/td>\r\n1.804<\/td>\r\n<\/tr>\r\n
EKOKARD\u0130YOGRAF\u0130 C\u0130HAZI<\/td>\r\n78<\/td>\r\n43<\/td>\r\n20<\/td>\r\n851<\/td>\r\n<\/tr>\r\n
ULTRASONOGRAF\u0130 S\u0130STEM\u0130<\/td>\r\n48<\/td>\r\n48<\/td>\r\n4<\/td>\r\n192<\/td>\r\n<\/tr>\r\n
FETAL DOPPLER<\/td>\r\n30<\/td>\r\n32<\/td>\r\n6<\/td>\r\n194<\/td>\r\n<\/tr>\r\n
VAKUM POMPASI (MANOMETRE)<\/td>\r\n10<\/td>\r\n13<\/td>\r\n80<\/td>\r\n1.013<\/td>\r\n<\/tr>\r\n
TANS\u0130YON ALET\u0130<\/td>\r\n10<\/td>\r\n10<\/td>\r\n60<\/td>\r\n608<\/td>\r\n<\/tr>\r\n
VAPOR\u0130ZAT\u00d6R<\/td>\r\n42<\/td>\r\n21<\/td>\r\n6<\/td>\r\n128<\/td>\r\n<\/tr>\r\n
VENT\u0130LAT\u00d6R \/ RESP\u0130RAT\u00d6R<\/td>\r\n144<\/td>\r\n52<\/td>\r\n6<\/td>\r\n314<\/td>\r\n<\/tr>\r\n
ELEKTR\u0130KSEL G\u00dcVENL\u0130K TEST\u0130 \u00d6L\u00c7\u00dcMLER\u0130<\/td>\r\n30<\/td>\r\n20<\/td>\r\n537<\/td>\r\nEki.40<\/td>\r\n<\/tr>\r\n
<\/td>\r\nToplam S\u00fcre [dk]<\/td>\r\n27.602<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n
a <\/sup>ECRI Biomedical Benchmark S\u00fcreleri\r\n\r\nb <\/sup>Biyometder \u00dcyesi 10 farkl\u0131 biyomedikal metroloji hizmet sa\u011flay\u0131c\u0131 firman\u0131n verdi\u011fi de\u011ferlerin ortalamas\u0131<\/pre>\r\nToplam s\u00fcre olan 27.602 dk, haftada 5 g\u00fcn ve g\u00fcnde 8 saat mesai hesab\u0131na g\u00f6re yakla\u015f\u0131k 537 envanterli bir hastanenin biyomedikal metroloji ve t\u0131bbi cihazlar\u0131n\u0131n kalibrasyonu-testine ait \u00f6l\u00e7\u00fcm s\u00fcresidir. Bu s\u00fcre yakla\u015f\u0131k olarak 58 g\u00fcne kar\u015f\u0131l\u0131k gelmektedir. Bu s\u00fcre 2 refakat\u00e7i ve 2 ekip ile 29 g\u00fcn, 3 refekat\u00e7i ve 3 ekip ile 19 g\u00fcne tekab\u00fcl eder. Haftada 5 g\u00fcn \u00e7al\u0131\u015f\u0131ld\u0131\u011f\u0131nda br\u00fct s\u00fcre 4 haftad\u0131r. Bu s\u00fcre, cihazlara ula\u015fmakta zorluk \u00e7ekildi\u011finde ve g\u00fcnl\u00fck mesai saatlerinin 8 saatten daha az olmas\u0131 durumunda uzayabilmektedir.\r\n\r\nBu referans s\u00fcreler ile yap\u0131lan zaman maliyetine g\u00f6re, tabloda yakla\u015f\u0131k olarak verilen envanterdeki hastanenin biyomedikal metroloji \u00f6l\u00e7\u00fcmleri, hesaplanan s\u00fcre civarlar\u0131nda tamamlan\u0131yor olmal\u0131d\u0131r.\r\n
I. Sonu\u00e7<\/h3>\r\nBu bildiride, biyomedikal metroloji hizmetlerinin denetlenmesi mercek alt\u0131na al\u0131nm\u0131\u015f, denetlemelerde en \u00e7ok dikkat edilmesi gereken noktalardan biri olan \u00f6l\u00e7\u00fcm s\u00fcreleri analiz edilerek, denetleme mekanizmas\u0131na destek vermek \u00fczere niceliksel bir parametre geli\u015ftirilmi\u015ftir. Her bir kalem t\u0131bbi cihaz i\u00e7in ayr\u0131lacak \u00f6l\u00e7\u00fcm s\u00fcresi bilindi\u011fi takdirde, toplu metroloji hizmet al\u0131mlar\u0131n\u0131n olas\u0131 ne kadarl\u0131k bir s\u00fcreci kapsad\u0131\u011f\u0131 hesaplanabilecek, b\u00f6ylelikle de s\u00f6zkonusu hizmetin maliyeti daha kabul edilebilir boyutlarda hesaplanabilecektir. Bu nedenle\u00a0sa\u011fl\u0131k hizmeti sa\u011flay\u0131c\u0131 kurumlar\u0131n \u00f6l\u00e7\u00fcm s\u00fcresi fakt\u00f6r\u00fcn\u00fc hesaba katarak \u00f6l\u00e7\u00fcm takvimlerini ve maliyetlerini planlamalar\u0131 \u00f6nemlidir.\r\n\r\nBiyomedikal metroloji i\u015flemleri; tetkik, te\u015fhis ve tedavinin ayr\u0131lmaz par\u00e7alar\u0131 olan medikal cihazlar\u0131n g\u00f6revlerini tam olarak yerine getirebilmeleri i\u00e7in yap\u0131lmaktad\u0131r. Di\u011fer durumda do\u011fru bilgi vermeyen bu cihazlar yanl\u0131\u015f bilgi sa\u011flamas\u0131 sebebiyle hekimin yanl\u0131\u015f ya da hatal\u0131 tetkik, te\u015fhis ve tedaviye sebep olacak kararlara sebep olabilmektedir. Hizmet al\u0131m\u0131 yapacak idarelerin, al\u0131nacak hizmetin teknik olarak tam denetimi ve standartlara uymayan usuls\u00fcz \u00f6l\u00e7\u00fcmlerin \u00f6n\u00fcne ge\u00e7ecek tedbirler almas\u0131, sa\u011fl\u0131k hizmetlerinde tetkik, te\u015fhis ve tedavi s\u00fcre\u00e7lerinin g\u00fcvenilir sonu\u00e7larla yap\u0131lmas\u0131na katk\u0131 sa\u011flayacakt\u0131r.\u00a0 Bu da ancak biyomedikal metroloji hizmetinin yetkin ve uzman ki\u015filerce denetlenmesi ve g\u00f6r\u00fcld\u00fc\u011f\u00fc durumlarda hatalar\u0131n tespit edilmesi ve ceza s\u00fcre\u00e7lerinin i\u015fletilmesi ile m\u00fcmk\u00fcn olacakt\u0131r.\r\n
Kaynaklar<\/h5>\r\n
    \r\n \t
  • T\u00fcrkiye \u0130la\u00e7 ve T\u0131bbi Cihaz Kurumu, \u201cT\u0131bbi Cihazlar\u0131n Test, Kontrol ve Kalibrasyonu Hakk\u0131nda Y\u00f6netmelik\u201d, Resmi Gazete<\/em>, Say\u0131 No: 29397, 25 Haziran 2015.<\/li>\r\n \t
  • T\u00fcrkiye \u0130la\u00e7 ve T\u0131bbi Cihaz Kurumu, \u201cT\u0131bbi Cihazlar\u0131n Test, Kontrol ve Kalibrasyonu Hakk\u0131nda Y\u00f6netmelik H\u00fck\u00fcmlerinin Uygulanmas\u0131na \u0130li\u015fkin K\u0131lavuz\u201d, 25 Temmuz 2015.<\/li>\r\n \t
  • C. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131, Klinik M\u00fchendisli\u011fi Y\u00f6netim Departman\u0131, Biyomedikal Metroloji Faaliyetleri K\u0131lavuzu<\/em>, Ankara, 2016.<\/li>\r\n \t
  • C. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131, \u201cSertifikal\u0131 E\u011fitim Y\u00f6netmeli\u011fi\u201d, Resmi Gazete<\/em>, 04 \u015eubat 2014.<\/li>\r\n \t
  • C. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131, Sa\u011fl\u0131k Hizmetleri Genel M\u00fcd\u00fcrl\u00fc\u011f\u00fc, Sa\u011fl\u0131kta Kalite ve Akreditasyon Daire Ba\u015fkanl\u0131\u011f\u0131, Sa\u011fl\u0131kta Kalite Standartlar\u0131-Hastane<\/em>, Ankara, 2015.<\/li>\r\n<\/ul>","protected":false},"excerpt":{"rendered":"
    Biyomedikal Metroloji S\u00fcre Analizi Time Analysis of Biomedical Metrology and Test \u00dclkemizde verilen t\u0131bbi cihazlar\u0131n biyomedikal metroloji \u00f6l\u00e7\u00fcmleri,\u00a0 test, deney<\/p>\n","protected":false},"author":18,"featured_media":1405,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"colormag_page_container_layout":"default_layout","colormag_page_sidebar_layout":"default_layout","footnotes":""},"categories":[29,881],"tags":[91,134,964,965,962,92,963,1033],"class_list":["post-1236","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-biyomedikal-metroloji","category-literatur","tag-biyomedikal-kalibrasyon","tag-biyomedikal-metroloji","tag-kalibrasyon-kac-gun","tag-kalibrasyon-kac-saat","tag-kalibrasyon-suresi","tag-medikal-kalibrasyon","tag-test-suresi","tag-tibbi-cihaz-kalibrasyon"],"yoast_head":"\nBiyomedikal Metroloji S\u00fcre Analizi - Medibim Biyomedikal 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