Framework Model for Sustainability Reliability Assessment of Clinical Laboratory Equipment in Indonesian Vertical Hospitals: Contributing to SDG 3
DOI:
https://doi.org/10.63230/jocsis.2.1.155Keywords:
Clinical Laboratory Equipment, Reliability Assessment, Sustainability, Vertical Hospitals, VUCA FrameworkAbstract
Objective: This study aims to develop a holistic framework for assessing the reliability of clinical laboratory equipment in vertical hospitals in Indonesia. Clinical laboratories play a strategic role in supporting National Health Insurance and in achieving the Sustainable Development Goals (SDGs) across economic, social, and environmental dimensions. Reliable maintenance systems are crucial for ensuring equipment reliability, maintainability, availability, and safety. Method: A comprehensive literature review of international journals was conducted to identify existing models and methodologies for reliability assessment. The proposed framework integrates reliability engineering, sustainability principles, and VUCA (volatility, uncertainty, complexity, ambiguity) concepts. The model consists of sub-assessment sections covering pre-analytical, analytical, and post-analytical stages, as well as equipment reliability, logistics and warehousing, and continuous equipment monitoring. Results: The framework provides a structured approach for identifying factors that influence the reliability of laboratory equipment, enabling effective assessment and problem-solving in clinical laboratories. It facilitates continuous evaluation, supports maintenance planning, and aligns with safety and quality standards. Novelty: Integrating reliability, sustainability, and VUCA concepts into a single, holistic framework for clinical laboratory equipment in Indonesian vertical hospitals. The proposed framework provides practical guidance for hospital policymakers and managers to ensure accurate testing results, optimize equipment performance, enhance patient safety, and support sustainable healthcare operations. By strengthening the reliability of diagnostic services and improving the quality and accessibility of healthcare delivery, this framework contributes to achieving SDG 3 (Good Health and Well-Being).
References
Abd Rahman, N. H., Ibrahim, A. K., Hasikin, K., & Abd Razak, N. A. (2023). Reliability assessment framework for clinical laboratory equipment in hospitals. Journal of Healthcare Engineering, 2023(1), 1–19. https://doi.org/10.1155/2023/3136511
Afifi, Z., Elsayed, M. M., Zekri, A. M., Khalaf, H. H., & Hossam, M. M. (2019). Reliability metrics for clinical laboratory devices. IJPBS, 9(1), 1–8. https://doi.org/10.4103/2277-4672.246008
Alshahrani, T. T., Alqahtani, M. A., & Alturki, F. M. (2020). Safety and reliability of clinical laboratory devices. Safety Science, 129, 104803. https://doi.org/10.1016/j.ssci.2020.104803
Barker, T., Parnell, G. S., Pohl, E., Specking, E., Goerger, S. R., & Buchanan, R. K. (2022). Systems engineering approach to hospital reliability assessment. Systems, 10(6), 227. https://doi.org/10.3390/systems10060227
Brown, M. J. (2020). Clinical engineering and equipment reliability in hospitals. Journal of Clinical Engineering, 45(2), 45–50. https://doi.org/10.1097/JCE.0000000000000394
Cesarotti, V., & Di Silvio, B. (2006). Quality management standards for facility services in Italian healthcare. International Journal of Health Care Quality Assurance, 19(6), 451–462. https://doi.org/10.1108/09526860610687600
Chan, Y. S., & Wang, C. T. (2022). Hospital equipment reliability and healthcare service quality. Healthcare, 10(2), 443. https://doi.org/10.3390/healthcare10020443
Che, H., Zeng, S., & Guo, J. (2019). Reliability assessment of hospital clinical systems. Reliability Engineering & System Safety, 190, 106504. https://doi.org/10.1016/j.ress.2019.106504
Crespo-Gonzalez, C., Benrimoj, S. I., Scerri, M., & Garcia-Cardenas, V. (2020). Reliability and sustainability of pharmacy services in hospitals. Research in Social and Administrative Pharmacy, 16(10), 1331–1343. https://doi.org/10.1016/j.sapharm.2020.01.015
Erasmus, R., & Ondoa, P. (2023). Advances in laboratory medicine reliability and quality in Africa. African Journal of Laboratory Medicine, 12(1). https://doi.org/10.4102/ajlm.v12i1.2329
Gong, S., Eryilmaz, S., & Xie, M. (2020). Risk-informed reliability modeling for hospital operations. Journal of Risk and Reliability, 234(1), 129–137. https://doi.org/10.1177/1748006X19864831
Harris, C., Ko, H., Waller, C., Sloss, P., & Williams, P. (2017). Impact of clinical equipment reliability on health service delivery. BMC Health Services Research, 17(1), 329. https://doi.org/10.1186/s12913-017-2212-5
Hernández, A., Ruiz, J. E., Fernandez-Luque, S., & Moreno, M. I. (2020). Medical device reliability in hospital pharmacy operations. BMC Health Services Research, 20(1), 235. https://doi.org/10.1186/s12913-020-05132-0
Hu, M. L. X., & Huang, A. C. E. (2014). Quality assessment in healthcare facilities. International Journal of Quality in Health Care, 26(4), 340–347. https://doi.org/10.1093/intqhc/mzu036
Kelsey, C. A., Nicchitta, L. S., Palepu, S. C., & Patel, N. S. (2021). Hospital management and equipment reliability. Healthcare Management Forum, 34(4), 184–191. https://doi.org/10.1177/08404704211017287
Khayal. (2019). Systems reliability and healthcare operations. Systems, 7(1), 18. https://doi.org/10.3390/systems7010018
Khera, R. S., Mohiuddin, N., Aggarwal, V., & Tarsia, J. M. (2022). Healthcare device reliability and patient safety. BMC Health Services Research, 22(1), 339. https://doi.org/10.1186/s12913-022-07719-5
Kowitt, C. A., Rubin, K. A., Falcon, S. R., & May-McCarthy, A. (2020). Evaluating healthcare service reliability in US hospitals. Health Services Research, 55(S3), 1023–1035. https://doi.org/10.1111/1475-6773.13266
Lin, Y., Chen, Y., & Xu, D. (2017). Reliability-based design of clinical equipment in hospitals. Reliability Engineering & System Safety, 165, 134–143. https://doi.org/10.1016/j.ress.2017.03.013
Loebl, E., & Knowles, J. H. (2021). Reliability modeling for hospital operations. Journal of Risk and Reliability, 235(5), 1117–1134. https://doi.org/10.1177/1748006X21997081
Mannocci, A., Backhaus, I., D’Egidio, V., Federici, A., Villari, P., & La Torre, G. (2019). What public health strategies work to reduce the tobacco demand among young people? An umbrella review of systematic reviews and meta-analyses. Health Policy, 123(4), 480–491. https://doi.org/10.1016/j.healthpol.2019.02.009
Nayupe, S. F., Mbulaje, P., Munharo, S., Patel, P., & Lucero Prisno, D. E. (2023). Medical laboratory practice in Malawi – Current status. African Journal of Laboratory Medicine, 12(1), a1921. https://doi.org/10.4102/ajlm.v12i1.1921
Ondoa, P., et al. (2020). Laboratory equipment management and reliability assessment in low-resource settings. African Journal of Laboratory Medicine, 9(2), a1103. https://doi.org/10.4102/ajlm.v9i2.1103
Piadeh, F., Ahmadi, M., & Asadi, M. J. (2018). Optimizing industrial engineering methods for hospital equipment reliability. Journal of Industrial Engineering International, 14(2), 209–221. https://doi.org/10.1007/s40092-017-0212-9
Piadeh, F., Ahmadi, M., & Behzadian, K. (2018). Sustainability and risk assessment of healthcare equipment. Journal of Cleaner Production, 201, 958–973. https://doi.org/10.1016/j.jclepro.2018.08.052
Pietrantuono, R., Popov, P., & Russo, S. (2020). Reliability engineering strategies for healthcare devices. Reliability Engineering & System Safety, 204, 107193. https://doi.org/10.1016/j.ress.2020.107193
Santoso, R., & Nurfitriana, A. (2022). Hospital laboratory equipment reliability in Indonesia. The Indonesian Biomedical Journal, 14(2), 143–151. https://doi.org/10.18585/inabj.v14i2.1902
Sari, E., Shaharoun, A. M., Ma’aram, A., & Yazid, A. M. (2015). Maintenance planning for hospital equipment: A case study. Procedia CIRP, 26, 443–448. https://doi.org/10.1016/j.procir.2014.07.163
Shohet, M., & Lavy, S. (2004). Facility design and management in hospitals: Impact on service quality. Facilities, 22(7/8), 210–220. https://doi.org/10.1108/02632770410547570
Smit, C. J. H. (2021). Laboratory equipment reliability and hospital service delivery. BMC Health Services Research, 21(1), 319. https://doi.org/10.1186/s12913-021-06358-3
Subekti, A. N. P., Kamil, H. A. M., & Utami, S. W. (2021). Reliability and maintenance planning of hospital laboratory equipment. BMC Public Health, 21(1), 589. https://doi.org/10.1186/s12889-021-10594-y
Taskan, B., Junça-Silva, A., & Caetano, A. (2022). Optimizing reliability in hospital operations management. IJOA, 30(7), 196–217. https://doi.org/10.1108/IJOA-02-2022-3136
Terra Dos Santos, C., Frimaio, A., Giannetti, B. F., Agostinho, F., Liu, G., & Almeida, C. M. V. B. (2023). Sustainability assessment of hospital clinical equipment. Sustainability, 15(8), 6502. https://doi.org/10.3390/su15086502
Wang, B. (2012). Synthesis lectures on biomedical engineering. Springer International Publishing.
Wang, Z., Zeng, S., Guo, J., & Che, H. (2021). Reliability evaluation of healthcare systems using deep learning approaches. Reliability Engineering & System Safety, 207, 107385. https://doi.org/10.1016/j.ress.2020.107385
Wekesa, D. M., Nasrullah, N. Z., & Razak, A. S. (2021). Reliability and sustainability of hospital laboratory devices. International Journal of Environmental Research and Public Health, 18(3), 1058. https://doi.org/10.3390/ijerph18031058
Zamzam, H., Abdul Wahab, A. K., Azizan, M. M., Satapathy, S. C., Lai, K. W., & Hasikin, K. (2021). A systematic review of medical equipment reliability assessment in improving the quality of healthcare services. Frontiers in Public Health, 9, 753951. https://doi.org/10.3389/fpubh.2021.753951
Zio, E. (2018). Reliability modeling and risk assessment of critical systems. Reliability Engineering & System Safety, 177, 176–190. https://doi.org/10.1016/j.ress.2018.04.020
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Journal of Current Studies in SDGs

This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License.
