In a hospital environment, even the slightest malfunction of any equipment can mean injury or death of the patients so all hands must always be on deck to ensure full compliance to the preventive and predictive maintenance of all hospital equipment.

Preventive Maintenance: This type of maintenance occurs at specific intervals based on time (e.g., semi-annually) or usage (e.g., number of hours operated). It is generally based on original equipment manufacturer (OEM) recommendations.


1. Inventory all equipment with flags for critical/high-risk and life-support equipment
2. Obtain OEM recommendations for all equipment and document request
3. Ensure corrective maintenance records categorize equipment failure types (e.g., wear and tear, non-preventable, user-related) and degrees (major vs. minor)
4. Inspect and test all equipment before initial use and after major repairs/upgrades
5. Maintain records of all personnel responsible for equipment oversight
6. Maintain record of warranty.

Please remember that equipment repair can represent a huge cost for hospital facility management so it is important that you keep track of what is currently under warranty. Before any repair or maintenance is ordered, always check the warranty database and verify whether or not that equipment is covered. This will save you a ton of cash.

Predictive Maintenance: This type of maintenance occurs as needed so it requires periodic and continuous monitoring to generate data for decision-making.

An example of preventive maintenance is when you replace equipment batteries every six months based on historical monitoring of continued battery effectiveness and capacity.

It is based on Alternative Equipment Maintenance (AEM) program which was created for hospitals that intend to deviate from the equipment manufacturer’s recommendations.


1. Flag AEM equipment in inventories
2. Create policies and procedures that justify AEM program choices
3. Maintain source material used to establish AEM standards
4. Identify personnel who conduct AEM risk assessment, including their experience and credentials
5. Create service contracts that hold vendors accountable
6. Designate staff to ensure compliance with CMS and TJC standards

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