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Optimisation de la gestion du service de maintenance biomédicale

Abstract : The hospital is a world that is both sensitive and complex, sensitive because the human life is involved and complex because medical facilities are growing in number and in technical complexity. Then, the problem of the medical equipment maintenance in order to keep them in safe, reliable and with high level of availability has become a major preoccupation of the hospital. The objective of this thesis is to provide tools to help the biomedical maintenance service of the hospital to make decisions that allow a better control of costs, while ensuring patient and user safety and maintaining optimal performance of medical equipment. First, a heuristic has been proposed for the choice of internalization or outsourcing maintenance and for the selection of the appropriate contract. The selection of the contract is based on a set of criteria while considering the available budget constraint. Then, to improve the proposed procedure, we proposed multi-criteria decision-making tools to select the appropriate maintenance strategies. Seven criteria have been designed to study the criticality of medical equipment and the choice of maintenance by providing a coupling of the AHP approach "Analytical Hierarchy Process" with TOPSIS technique "Technique for Order Performance by Similarity to Ideal Solution." As the expert judgments of the maintenance department presented some uncertainty, we integrated the fuzzy language assessment of the criticality of the equipment and the selection of the maintenance strategy (Fuzzy AHP coupled with Fuzzy TOPSIS). A mixed integer linear programming model (MILP) was developed to define thresholds of criticality to characterize the three maintenance strategies. According to these thresholds, maintenance cost can be optimized within the available budget. Finally, a second mixed integer linear programming model (MILP) was developed based on the proposed heuristic. This model allows selecting for each equipment, the maintenance strategy, the internalization or the outsourcing of the maintenance and the type of contract while considering the available budget and the workload / capacity of the maintenance department
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Submitted on : Monday, January 7, 2019 - 11:25:06 AM
Last modification on : Wednesday, November 20, 2019 - 3:10:24 AM
Long-term archiving on: : Monday, April 8, 2019 - 2:10:40 PM


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  • HAL Id : tel-01971622, version 1



Zeineb Ben Houria. Optimisation de la gestion du service de maintenance biomédicale. Ingénierie biomédicale. Université de Lyon, 2016. Français. ⟨NNT : 2016LYSES057⟩. ⟨tel-01971622⟩



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