Critical Review of the Importance of Maintenance Management in Hospital Buildings:

A Case Study on Walsgrave Hospital

Acknowledgement

I would take this opportunity to thank my research supervisor, family and friends for their support and guidance without which this research would not have been possible.

Declaration

I [type your full first names and surname here], declare that the contents of this thesis represent my own unaided work, and that the thesis has not previously been submitted for academic examination towards any qualification. Furthermore, it represents my own opinions and not necessarily those of the University.

Abstract

Maintenance in health organizations is turning out into a cluster of activities that should be managed efficiently to reduce additional cost incurrence to the organization. So this portrays regular maintenance model to be revolutionized into an integral system that embeds into the working mode of hospital-strategies. This research paper carries out an evaluation on the significance of Maintenance Management in hospital buildings. It clearly defines the defects, refurbishment plan, planned maintenance program and new proposals that would benefit Walsgrave Hospital in the long term as well as short term.

Table of Contents

ACKNOWLEDGEMENT2

DECLARATION3

ABSTRACT4

Introduction8

Background and Present Scenario of building maintenance9

Research Strategy15

Research Approach15

Research Instrument17

Data Collection Method17

Research Methodology17

Techniques for Finding Data18

Research techniques18

Research question19

Quantitative Research20

Informed Consent22

Confidentiality22

Validity23

Sampling24

Sample in Current Research Study25

Ethical Considerations26

CHAPTER 2: LITERATURE REVIEW27

Construction Business27

An over view of the construction industry in UK28

Maintenance Management31

Assessment of Maintenance Management Principles33

Productivity33

Performance34

Work Quality34

Priority35

CHAPTER 3: MANAGEMENT OF HOSPITAL BUILDINGS36

Importance of maintenance management in hospital36

Maintenance methods39

?Preventive maintenance41

?Predictive maintenance43

CHAPTER 3: CASE ANALYSIS45

Walsgrave Hospital building45

Present condition review45

Identification of defects47

Overall Planned maintenance program49

CHAPTER 5: ANALYSIS AND DISCUSSION52

Questionnaire Survey52

Part B52

Part A54

Data Analysis and outcome interpretation61

CHAPTER 6: CONCLUSION63

Conclusion63

Recommendations64

REFERENCES68

APPENDIX75

Questionnaire75

CHAPTER 1: INTRODUCTION

Introduction

Today's world emphasizes delivering health facilities that are considered state of the art. Advanced technology, manufacturing processes, equipment and machinery have greatly improved the features, efficiencies, effectiveness and capability of machinery in hospitals albeit the fundamentals remaining principally the same. Upon delivery of state of the art hospitals, management and maintenance remain vital to the sustainability of providing the necessary health services. Medical personnel are the key role players in ensuring that the proper health services are provided to the population that requires it. However, often, the construction of the hospital facility and design that forms the backbone of the health services is mostly overlooked. This machinery is tucked away and rarely seen by anyone though it forms a core part of hospital services.

The maintenance management of the hospital building in this research includes, but is not limited to;

HVAC: Heating, ventilation and air-conditioning plant.

Kitchen equipment: Burners, boiling kettles, dish washers

Laundry equipment: Washing machines tumble dryers, pressing machines

Hot water systems: Geysers, hot water cylinders, boilers and clarifiers

Gas systems: Oxygen, NO2, CO2 and Vacuums

Stand-by equipment: Generator sets.

It only takes one of this equipment to be non-functional for the hospital staff to 'feel' the effect of missing one of the services it provides and realizing its importance. It should thus be expected that the operation and maintenance thereof is properly structured and monitored.

Background and Present Scenario of building maintenance

Building maintenance is a technology practice that is deeply imbedded ...