MAINTENANCE

EFFECT OF X-RAY EQUIPMENT DOWNTIME ON PATIENTS SATISFACTION IN A TERTIARY INSTITUTION IN BENIN CITY

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Abstract
X-ray imaging is crucial in diagnosis and treatment planning but the failure of equipment to deliver services efficiently is major challenge to service delivery in most of the developing healthcare systems. This paper evaluated the causes, incidence and outcome of X-ray equipment down times on patient satisfaction at a tertiary hospital in Benin City. This was a descriptive cross-sectional study, in which 200 patients were surveyed by use of a structured questionnaire. Descriptive statistics and Chi-square tests at 0.05 level of significance were used to analyze the data. The results showed that poor maintenance was rated as the significant reason to the downtime, and 74 percent of the participants indicated that the equipment failure was common. Frequently, over half of the patients (56%) had waited because of machine failure, and downtime was found to have a significant negative impact on the flow of patients, the waiting time, and the delay of treatment. The patient effect was high as most patients highlighted discontentment, anxiety, and having to revisit another day because of cancelled appointments. The chi-square findings indicated that there was a statistically significant correlation between equipment downtime and delayed care (kh2 = 92.45, df = 16, p < 0.0001), which confirmed the fact that equipment downtime adversely impacts on service quality and patient satisfaction. The researcher makes the conclusion that the direct impact of X-ray equipments downtime on patient care and satisfaction in UBTH is negative. It suggests that preventive maintenance schedules, quick-response technical support and better communication with patients during a service interruption be implemented. Improving equipment management practices will improve continuity of service delivery, decrease patient dissatisfaction, and boost the general efficiency of diagnostic services in tertiary health institutions.
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co-supervisor

EXPLORING THE CORRELATION BETWEEN MAINTENANCE OF EQUIPMENTS AND SAFETY RISKS ON CONSTRUCTION SITES IN EDO STATE

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his study investigates the relationship between construction equipment maintenance and safety
risks on construction sites in Edo State. The purpose of the study is to determine how different
maintenance practices influence the likelihood of equipment-related accidents and identify the
key challenges affecting effective maintenance implementation. Using a quantitative research
design, data were collected from 102 construction professionals, including site engineers, equipment operators, and safety officers, through structured questionnaires. Descriptive statistics were applied to identify commonly adopted maintenance strategies, while Spearman Rank Correlation was used to assess the strength of the relationship between equipment maintenance and safety risks. The findings reveal that preventive maintenance practices such as scheduled servicing, tire pressure checks, hydraulic inspections, and safety system testing are the most widely implemented and significantly reduce the occurrence of mechanical failures, hydraulic leaks, electrical faults, and unplanned equipment breakdowns. A strong positive correlation was established between poor maintenance and increased safety risks, indicating that inadequate servicing greatly heightens the likelihood of equipment-related accidents on construction sites. The study further identifies major challenges limiting effective maintenance, including insufficient budgets, shortage of skilled technicians, poor record-keeping systems, and pressure to meet project deadlines. The practical implications suggest that improving maintenance culture, providing adequate funding, enhancing technical capacity, and enforcing safety compliance are essential for reducing accidents and improving safety performance in the construction industry. The originality and value of this research lie in its provision of empirical evidence from Edo State, where equipment-related safety challenges are prevalent, thereby contributing to the limited body of local literature on maintenance-driven safety management and offering actionable insights for construction firms, safety regulators, and policymakers committed to enhancing workplace safety standards.
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co-supervisor

MAINTENANCE MANAGEMENT PRACTICES OF INDUSTRIAL AND ASSEMBLY BUILDINGS IN EDO STATE

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This study aimed to analyze the maintenance management practices in-use in industrial and assembly buildings with a view to enhancing the life and function of the buildings. To achieve the aim, the study identified the maintenance management practices used in industrial and assembly buildings in Edo State, investigated factors influencing the choice of maintenance management practices used, evaluated the challenges faced and examined the strategies to mitigate challenges faced in implementing maintenance management practices in the study area. These objectives were analyzed using the mean item score. Data from 60 responses out of a total sample of 100 professionals were analyzed. The research identified ‘‘preventive maintenance” to be the most prevalent and commonly used maintenance management practice in Edo State, followed by “corrective maintenance” and then by “predictive maintenance”, “Condition based” and “Total- productive maintenance” were the lowest ranking 5th and 6th. The research results further showed “the type of the building”, “Criticality of equipment” and “age of the building” ranked the highest being 1st,2nd ,3rd respectively other factors like “manager preferences” sand “building location” were outlined less crucial from the research results. Regarding challenges, building complexity, high-cost maintenance and lack of skilled personnel, topped the charts as the most
prevalent challenges. Ranking 1st, 2nd, 3rd respectively other challenges “building location” were deduced less challenging and ranked lowest. Amongst the strategies that can be adopted to mitigate challenges, “Training and Development programs” was ranked 1st, followed by“implementation of cost benefit analysis” and “better incentives for maintenance personnel” ranked 2nd and 3rd
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co-supervisor