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sinopseV3n3.pdf - FEEC - Unicamp

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happened and take appropriate action to prevent recurrence of<br />

such incident. The Root Cause Analysis (RCA) is a<br />

methodology commonly used to investigate critical incidents.<br />

This paper analyzes ten methodologies of RCA, five of which<br />

are specific from healthcare and five are from general<br />

applications. The methodologies were analyzed and grouped in<br />

five stages. The ten methodologies were compared for each of<br />

the five stages, aiming to identify the commonalities and<br />

differences. The findings are discussed, trying to highlight<br />

important points that can impact the effectiveness of RCA.<br />

Keywords: Análise de causa raiz, investigação de<br />

incidentes, segurança.<br />

Aplicabilidade do Geant4 para simulação de<br />

elétrons em radioterapia<br />

Ana Luiza Metidieri Cruz Malthez, Márcio Aparecido Muller e<br />

Vera Lúcia Silveira Nantes Button<br />

In: XXII Congresso Brasileiro de Engenharia Biomédica<br />

(CBEB 2010) - ISBN: 2179-3220<br />

Sociedade Brasileira de Engenharia Biomédica - SBEB<br />

Tiradentes(MG) Brasil Nov-2010<br />

Abstract: The study of interaction of radiation with matter is a<br />

field of great interest in the medical physics. The computational<br />

simulations tools as Monte Carlo have been used in this field.<br />

The Geant4 code is a toolkit that have incorporate several<br />

physical processes and particles that allow its application in<br />

medical physics, in particular, in the area of radiotherapy. In<br />

this work we performed simulations of monoenergetic electrons<br />

beam in the energy range used in radiotherapy, and compared<br />

the results of range of electrons in the water with the results<br />

published by the National Institute of Standards and<br />

Technology (NIST). The simulated results of range were very<br />

close of published results showing that Geant4 is appropriated<br />

to electrons simulations with energy in the range of<br />

radiotherapy.<br />

Keywords: Física Médica, Método de Monte Carlo,<br />

Geant4, elétrons<br />

Applying the HFMEA Technique to the General-<br />

Purpose Infusion Pump<br />

R. P. Ferreira, Gerson Florence Carvalheira de Azevedo, Saide<br />

Jorge Calil<br />

In: 11th World Congress on Medical Physics and Biomedical<br />

Engineering - ISBN: 9783642038976<br />

Munich, Germany Sep-2010 pp:638-341<br />

Abstract: Attempting to guarantee the quality of infusion<br />

pumps, a study was performed at a Brazilian public hospital<br />

applying the Healthcare Failure Mode and Effect Analysis<br />

(HFMEA). This technique can be applied for usage by the<br />

clinical engineering, to identify the failure modes of<br />

electromedical devices (EMD) and to assess the involved risks.<br />

Through this study, problems that interfere with the<br />

performance of infusion pumps were identified and<br />

subsequently some actions were proposed to help reduce the<br />

risks of these potential problems. These actions certify the safe<br />

functioning of this device within the standards of safety and<br />

quality.<br />

Keywords: infusion pump - HFMEA - risk management -<br />

clinical engineering<br />

CAPM para análise de risco financeiro setorial<br />

em estabelecimentos de saúde<br />

Maurício Gomes Duarte e Vera Lúcia da Silveira Nantes<br />

Button<br />

In: XXII Congresso Brasileiro de Engenharia Biomédica<br />

(CBEB 2010) - ISBN: 2179-3220<br />

Sociedade Brasileira de Engenharia Biomédica - SBEB<br />

Tiradentes(MG) Brasil Nov-2010<br />

Abstract: With rising costs and revenues, somehow stagnant<br />

due to heavy dependence on Health Plans, the combination of<br />

technical quality with the most rigorous financial controls<br />

became necessary standard of Health Establishments seeking to<br />

remain on the market. The lack of a scientific method to<br />

quantify the financial risk of investing in a particular health<br />

sector in Brazil, or in a aprticular region of the country, makes<br />

the discount rates (interest) askek by financing agents to be<br />

defined in terms of improperly generalized indices, which do<br />

not reflect the actual risk of investment. The purpose of this<br />

study was to use the CAPM (Capital Asset Pricing Model) to<br />

determine the financial risk of investing in a particular health<br />

sector, and this tool showed promising to set the actual viability<br />

of the investment and time to return it.<br />

Keywords: risco financeiro, CAPM, taxa de juros, setor<br />

hospitalar, hospital.<br />

Classificação de equipamentos médicohospitalares:<br />

lógica paraconsistente anotada<br />

Natália Ferreira Oshiyama, José Wilson Magalhães Bassani<br />

In: XXII Congresso Brasileiro de Engenharia Biomédica<br />

(CBEB 2010) - ISBN: 2179-3220<br />

Sociedade Brasileira de Engenharia Biomédica - SBEB<br />

Tiradentes(MG) Brasil Nov-2010<br />

Abstract: In this work a classification of medical equipment<br />

based on corrective maintenance data (number of calls, time<br />

spent and cost) was developed. Classes were established by the<br />

Always Better Control analysis. Paraconsistent annotated logic<br />

was used to identify inconsistencies and indeterminacies in the<br />

classification. As an example, only 42.5% of the syringe<br />

infusion pumps were classified as A (the best classification),<br />

but with a high number of indeterminacies, which was taken as<br />

an alert for further examination. A drill down procedure<br />

showed that only one factor (maintenance time) affected<br />

classification of the pumps. This approach may be helpful for<br />

planning equipment acquisition and replacement, as well as<br />

maintenance management.<br />

Keywords: Medical equipment classification, ABC<br />

analysis, Paraconsistent Annotated Logic, Clinical<br />

Engineering.<br />

Conector uretral para apoio ao exame<br />

urodinâmico: aplicação clínica<br />

João Carlos Martins de Almeida, Rodrigo Horikawa<br />

Watanabe, David Jacques Cohen, Carlos Arturo Levi<br />

D’Ancona, José Wilson Magalhães Bassani<br />

In: XXII Congresso Brasileiro de Engenharia Biomédica<br />

(CBEB 2010) - ISBN: 2179-3220<br />

Sociedade Brasileira de Engenharia Biomédica - SBEB<br />

Tiradentes(MG) Brasil Nov-2010<br />

Abstract: Urodynamics is the gold standard procedure for<br />

diagnosing bladder outlet obstruction although it is invasive,<br />

expensive, time consuming and is not free of complications. In<br />

a previous work, we reported an alternative method developed<br />

for minimally invasive measurement of the vesical pressure.<br />

The method consists of a device named urethral connector and<br />

a portable system for recording the pressure. In the current<br />

work we aimed at reporting some clinical tests of the method.<br />

Its results were compared with the results obtained by using<br />

conventional urodynamics<br />

Keywords: Urodinânica, instrumentação, obstrução<br />

infravesical, testes clínicos<br />

Determinação do efeito da aplicação de ondas<br />

sonoras na árvore pulmonar de roedores<br />

durante uma curva pressão volume<br />

Márcia Zotti Justo Ferreira, Andrea F. da Cruz, Henrique<br />

Takachi Moriya, Hugo E. Hernández-Figueroa, Adriano<br />

Mesquita Alencar<br />

In: XXII Congresso Brasileiro de Engenharia Biomédica<br />

Tirandentes(MG) - Brasil Nov-2010 pp:682-682<br />

Abstract: Os pulmões dos mamíferos são uma árvore binária<br />

do tipo Cayley entre 30 e 40 gerações. As trocas gasosas<br />

acontecem nos alvéolos, localizados nas terminações dessa<br />

70 Sinopse da <strong>FEEC</strong>

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