My question is "why can we not have a universal PM based on the manufacturers recommendations after all they built the thing"?
Regulations issued in 2013 by the Centers for Medicare and Medicaid Services (CMS) have had a significant impact on maintenance practice in US hospitals. As an alternative to manufacturers’ maintenance procedures and frequencies, under certain conditions hospitals are permitted to use their own procedures and schedules, or those of a contracted service provider. For critical devices, however, there remains an expectation of 100% on-time completion for preventive maintenance activities. At the same time, a significant portion of technical professionals who do the work are reporting excessive workloads, a feeling which is supported to some extent by peer-reviewed literature.
According to past standards of practice, to maintain the current inventory of devices would require the workforce to double in size. Since that is not likely to happen in the current economic environment, ways of assisting technical staff to work more efficiently must be found.
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