An analysis of training activities in the use of critical care equipment within hospitals in the United Kingdom.

We investigated how training in the use of electromedical devices in adult and neonatal intensive care departments is organised, designed and delivered. Forty-one departments within two Regional Health Authorities in the United Kingdom returned a detailed questionnaire, from which several nonlinear models were developed using fuzzy logic analysis. The results clearly indicate that training in the use of equipment is a very minor activity, with less than 1% of departmental time spent on providing or receiving such training. Departments that had a higher level of expertise required less assistance from technical personnel. Critical care equipment can be utilised more fully, cost effectively and safely if a formal and regular training programme is implemented.

Computer-aided learning--a solution for the training needs of users & maintainers of medical equipment.

It can be argued that the strategic role of training and assessment in the use and maintenance of medical equipment for the delivery of safe and efficient healthcare is underestimated. While there has been frequent comment on this issue, the resources provided for this activity are most often insufficient. New methods are required to deliver regular, cost-effective training within the working environment, at the time and place of need. Similarly, the administrative workload has to be automated--and thus reduced--if training is to improve in both frequency and content. Computer-aided learning has had increasing and diverse application in education and training over the past few decades. The sophistication of software tools and the reduced cost of the necessary hardware makes this a viable and appropriate method for application in the field of Clinical Engineering. However, this technology has not yet been fully exploited to provide instruction in the use and maintenance of equipment. In this paper, it is proposed that computer-based training packages should not only be a source of interactive instruction and assessment, but also act as rapidly accessible reference materials or simulators of the actual device for the purpose of fault finding or troubleshooting. Brief details of a sample package are given for training in the use and maintenance of the Siemens Elema Servo Ventilator 900C.