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"title": "KESKEYTYSILMOITUS: Lapin keskussairaalan potilasvalvontaj\u00e4rjestelm\u00e4n laajentaminen",
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"Lapin keskussairaalassa on rakenteilla sairaalalaajennus, jonka valmistuessa useat sairaalan yksik\u00f6t muuttavat uusiin tiloihin. Muuton yhteydess\u00e4 Lapin sairaanhoitopiirin kuntayhtym\u00e4ll\u00e4 on tarve hankkia potilasmonitoreja ja laajentaa muuten potilasvalvontaj\u00e4rjestelm\u00e4\u00e4 uusien tilojen tuomien toiminnallisia muutosten mukaisesti. ",
"",
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"",
""
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"justification": [
"Hankinnan kohteena oleva potilasvalvontakokonaisuus ylitt\u00e4\u00e4 arvoltaan hankintalain 26 \u00a7:n mukaisen EU-kynnysarvon. Lapin sairaanhoitopiirin kuntayhtym\u00e4 on selvitt\u00e4nyt laajassa valmistelussa hankintatarpeitaan ja hankinnan mahdollisia toteuttamistapoja. Muun muassa touko-kes\u00e4kuussa 2021 j\u00e4rjestettyjen markkinavuoropuheluiden kautta Lapin sairaanhoitopiirin kuntayhtym\u00e4 tutustui markkinoilla olevien eri toimittajien potilasvalvontaratkaisuihin ja sai tietoa laitteiden yhteensopivuudesta.",
"",
"Selvitysten perusteella on tullut selv\u00e4ksi, ett\u00e4 potilasvalvontaj\u00e4rjestelm\u00e4 on kokonaisuus, jossa potilasmonitorien t\u00e4ytyy olla k\u00e4yt\u00f6n, kunnossapidon ja keskusvalvontakokonaisuuteen liitt\u00e4misen vuoksi kesken\u00e4\u00e4n yhteensopivia. Lis\u00e4ksi potilasturvallisuuden kannalta on t\u00e4rke\u00e4\u00e4, ett\u00e4 potilasdata ja historiatiedot siirtyv\u00e4t potilaan mukana koko hoidon ajan my\u00f6s potilaan siirtyess\u00e4 sairaalan yksik\u00f6st\u00e4 toiseen. Eri toimittajien potilasmonitorit eiv\u00e4t ole kesken\u00e4\u00e4n teknisesti yhteensopivia ja yhteensopiva potilasvalvontaj\u00e4rjestelm\u00e4 voidaan toteuttaa vain saman toimittajan laitteilla. Potilasdataa ja historiatietoja ei my\u00f6sk\u00e4\u00e4n pysty siirt\u00e4m\u00e4\u00e4n eri toimittajien laitteiden v\u00e4lill\u00e4 ilman suhteettoman suuria teknisi\u00e4 vaikeuksia.",
"",
"Potilasmonitoreita k\u00e4ytet\u00e4\u00e4n potilasvalvonnan toteuttamiseen Lapin keskussairaalan p\u00e4ivystyspoliklinikalla, kardiologian poliklinikalla, lastenosastolla, teho-osastolla, syd\u00e4npajassa, AVH-yksik\u00f6ss\u00e4 sek\u00e4 leikkaus- ja anestesiayksik\u00f6ss\u00e4. Leikkaus- ja anestesiayksik\u00f6ss\u00e4 on k\u00e4yt\u00f6ss\u00e4 yhten\u00e4inen GE Healthcare Finland Oy:n toimittama potilasvalvontaj\u00e4rjestelm\u00e4. Kaikkien muiden yksik\u00f6iden olemassa olevat ja sairaalalaajennuksen uusissa tiloissa k\u00e4ytett\u00e4viksi soveltuvat potilasmonitorit ovat Philips Oy:n toimittamia. Lapin keskussairaalassa olemassa oleva Philips Oy:n toimittama laitekanta koostuu useista kymmenist\u00e4 potilasmonitoreista, siirtomonitoreista ja telemetrialaitteista.",
"",
"Hankintalain 41 \u00a7:n mukaan hankinnan voi tehd\u00e4 suorahankintana, mik\u00e4li alkuper\u00e4isen toimittajan kanssa teht\u00e4v\u00e4 tavarahankinta on lis\u00e4tilaus, jonka tarkoituksena on aikaisemman toimituksen tai laitteiston osittainen korvaaminen tai laajentaminen. Edellytyksen\u00e4 on, ett\u00e4 toimittajan vaihtaminen johtaisi teknisilt\u00e4 ominaisuuksiltaan erilaisen tavaran hankkimiseen, mik\u00e4 aiheuttaisi yhteensopimattomuutta tai suhteettoman suuria teknisi\u00e4 vaikeuksia k\u00e4yt\u00f6ss\u00e4 ja kunnossapidossa.",
"",
"Lapin keskussairaalassa olemassa olevan laitekannan edellytt\u00e4m\u00e4n teknisen yhteensopivuuden vuoksi potilasmonitorien hankkiminen ja potilasvalvontaj\u00e4rjestelm\u00e4n muu laajentaminen on mahdollista tehd\u00e4 ainoastaan suorahankintana Philips Oy:lt\u00e4."
]
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