Clinical Engineering Handbook

Clinical Engineering Handbook

1st Edition - August 27, 2004

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  • Editor: Joseph Dyro
  • eBook ISBN: 9780080476575

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As the biomedical engineering field expands throughout the world, clinical engineers play an evermore-important role as translators between the medical, engineering, and business professions. They influence procedure and policy at research facilities, universities, as well as private and government agencies including the Food and Drug Administration and the World Health Organization. The profession of clinical engineering continues to seek its place amidst the myriad of professionals that comprise the health care field. The Clinical Engineering Handbook meets a long felt need for a comprehensive book on all aspects of clinical engineering that is a suitable reference in hospitals, classrooms, workshops, and governmental and non-governmental organization. The Handbook’s thirteen sections address the following areas: Clinical Engineering; Models of Clinical Engineering Practice; Technology Management; Safety Education and Training; Design, Manufacture, and Evaluation and Control of Medical Devices; Utilization and Service of Medical Devices; Information Technology; and Professionalism and Ethics. The Clinical Engineering Handbook provides the reader with prospects for the future of clinical engineering as well as guidelines and standards for best practice around the world. From telemedicine and IT issues, to sanitation and disaster planning, it brings together all the important aspects of clinical engineering.

Key Features

  • Clinical Engineers are the safety and quality faciltators in all medical facilities
  • The most definitive, comprehensive, and up-to-date book available on the subject of clinical engineering
  • Over 170 contributions by leaders in the field of clinical engineering


Biomedical Engineers, Clinical Engineers, Doctors, Nurses, Physicians, Clinical Technicians, Health Care Managers.

Table of Contents

  • Contributors

    Section I Clinical Engineering I
    1. Clinical Engineering: Evolution of a Discipline
    2. History of Engineering and Technology in Health Care
    3. The Health Care Environment
    4. Enhancing Patient Safety: The Role of Clinical Engineering
    5. A Model Clinical Engineering Department
    6. Clinical Engineering in an Academic Medical Center
    7. Regional Clinical Engineering Shared Services and Cooperatives
    8. Nationwide Clinical Engineering System
    9. Clinical Engineering and Biomedical Maintenance in the United States Military
    10. Careers, Roles and Responsibilities
    11. Clinical Engineering at the Bedside
    12. The Clinical Engineer as Consultant
    13. The Clinical Engineer as Investigator and Expert
    14. Careers in Facilities
    Section II Worldwide Clinical Engineering Practice
    15. World Clinical Engineering Survey
    16. Clinical Engineering in the United Kingdom
    17. Clinical Engineering in Canada
    18. Clinical Engineering in Estonia
    19. Clinical Engineering in Germany
    20. Clinical Engineering in Brazil
    21. Clinical Engineering in Columbia
    22. Clinical Engineering in Ecuador
    23. Clinical Engineering in Mexico
    24. Clinical Engineering in Paraguay
    25. Clinical Engineering in Peru
    26. Clinical Engineering in Venezuela
    27. Clinical Engineering in Japan
    28. Clinical Engineering in Mozambique
    29. Clinical Engineering in the Middle East
    Section III Health Technology Management
    30. Introduction to Medical Technology Management
    31. Good Management Practice for Medical Equipment
    32. Health Care Strategic Planning Utilizing Technology Assessment
    33. Technology Evaluation
    34. Technology Procurement
    35. Equipment Control and Asset Management
    36. Computerized Maintenance Management Systems
    37. Maintenance and Repair of Medical Devices
    38. A Strategy to Maintain Essential Medical Equipment in Developing Countries
    39. Outsourcing Clinical Engineering Service
    40. New Strategic Directions in Acquiring and Outsourcing High-Tech Services by Hospitals and Implications for Clinical Engineering Organizations and ISOs.
    41. Vendor and Service Management
    42. Health Care Technology Replacement Planning
    43. Donation of Medical Device Technologies
    44. National Health Technology Policy
    45. The Essential Health Care Technology Package
    46. Impact Analysis
    Section IV Management
    47. Industrial/Management Engineering in Healthcare
    48. Financial Management of Clinical Engineering Services
    49. Cost-Effectiveness and Productivity
    50. Clinical Engineering Program Indicators
    51. Personnel Management
    52. Skills Identification
    53. Management Styles and Human Resource Development
    54. Quality
    Section V Safety
    55. Patient Safety and the Clinical Engineer
    56. Risk Management
    57. Patient Safety Best Practices Model
    58. Hospital Safety Programs
    59. Systems Approach to Medical Device Safety
    60. Interactions Between Medical Devices
    61. Single Use Injection Devices
    62. Electromagnetic Interference with Medical Devices: In Vitro Laboratory Studies and Electromagnetic Compatibility Standards
    63. Electromagnetic Interference in the Hospital
    64. Accident Investigation
    65. The Great Debate on Electrical Safety – in Retrospect
    Section VI Education and Training
    66. Academic Programs in North America
    67. Clinical Engineering Education in Germany
    68. Clinical Engineering Internship
    69. Biomedical Engineering Technology Program
    70. Advanced Clinical Engineering Workshops
    71. Advanced Health Technology Management Workshop
    72. Distance Education
    73. Emerging Technologies: Internet and Interactive Video Conferencing
    74. In-Service Education
    75. Technical Service Schools
    76. Clinical Engineering and Nursing
    77. Retraining Programs
    78. Techno-Bio-Psycho-Socio-Medical Approach to Health Care
    Section VII Medical Devices: Design, Manufacturing, Evaluation, and Control
    79. Evolution of Medical Device Technology
    80. Technology in Health Care
    81. Medical Device Design and Control in the Hospital
    82. Medical Device Research and Design
    83. Human Factors: Environment
    84. Medical Devices: Failure Modes, Accidents, and Liability
    85. Medical Device Software Development
    86. Comparative Evaluations of Medical Devices
    87. Evaluating Investigational Devices for Institutional Review Boards
    Section VIII Medical Devices: Utilization and Service
    88. Intensive Care
    89. Operating Room
    90. Anaesthesiology
    91. Imaging Devices
    92. Machine Vision
    93. Perinatology
    94. Cardiovascular Techniques and Technology
    95. General Hospital Devices: Beds, Stretchers, and Wheelchairs
    96. Medical Device Troubleshooting
    Section IX Information
    97. Information Systems Management
    98. Physiologic Monitoring and Clinical Information Systems
    99. Advanced Diagnostics and Artificial Intelligence
    100. Real-Time Executive Dashboards and Virtual Instrumentation: Solutions for Health Care Systems
    101. Telemedicine: Clinical and Operational Issues
    102. Picture Archiving and Communication Systems (PACS)
    103. Wireless Medical Telemetry: Addressing the Interference Issue and the New Wireless Medical Telemetry Service
    104. Health Insurance Portability and Accountability Act and its Implications for Clinical Engineering
    105. YSK and Clinical Engineering
    106. The Integration and Convergence of Medical and Information Technologies
    Section X Engineering the Clinical Environment
    107. Physical Plant
    108. Heating, Ventilation, and Air Conditioning
    109. Electrical Power
    110. Medical Gas Systems
    111. Support Services
    112. Construction and Renovation
    113. Radiation Safety
    114. Sanitation
    115. Water Systems in Health Care Facilities
    116. Disaster Planning
    Section XI Medical Device Standards, Regulations, and the Law
    117. Primer on Standards and Regulations
    118. Medical Device Regulatory and Technology Assessment Agencies
    119. Health Care Quality and IS 9001:2000
    120. Hospital Facilities Safety Standards
    121. JCAHO Accreditation
    122. Medical Equipment Management Program and ANSI/AAMI EQ56
    123. Clinical Engineering Standards of Practice for Canada
    124. Regulations and the Law
    125. European Union Medical Device Directives and Vigilance System
    126. United States Food & Drug Administration
    127. Tort Liability for Clinical Engineers and Device Manufacturers
    Section XII Professionalism and Ethics
    128. Professionalism
    129. Clinical Engineering Advocacy
    130. American College of Clinical Engineering
    131. The New England Society of Clinical Engineering
    132. New York City Metropolitan Area Clinical Engineering Directors Group
    133. Clinical Engineering Certification in the United States
    134. Clinical Engineering Certification in Germany
    Section XIII The Future
    135. The Future of Clinical Engineering: The Challenge of Change
    136. Virtual Instrumentation – Applications to Health Care
    137. Clinical Engineers in Non-Traditional Roles
    138. Clinical Support: The Forgotten Function
    139. Postmarket Surveillance and Vigilance on Medical Devices
    140. Small Business Development: Busieness Plan Development Fundamentals for the Entrepreneur
    141. Engineering Primary Health Care: The Sickle Cell Business Case
    142. Global Hospital in 2050 – A Vision


Product details

  • No. of pages: 696
  • Language: English
  • Copyright: © Academic Press 2004
  • Published: August 27, 2004
  • Imprint: Academic Press
  • eBook ISBN: 9780080476575

About the Editor

Joseph Dyro

Affiliations and Expertise

President, Biomedical Resource Group, Setauket, NY, Editor of the Journal of Clinical Engineering

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