Metodología gerencial para el mantenimiento preventivo de equipos médicos mínimos usados en habilitación de cirugías ambulatorias

Abstract

In the maintenance of biomedical technology of the minimum medical equipment for the qualification of ambulatory surgery, a deficient organization and execution of the preventive maintenance is evidenced, which diminishes equipment availability and increases stops and costs in the health provider organization. This methodology seeks guiding the management of preventive maintenance of ambulatory surgery equipment focused on the equipment availability. The proposed methodology takes into account the operational and global impact, the damage probability, and the level of risk of the medical equipment, thus generating priority levels in the preventive maintenance execution. Based on the results obtained, it is identified that, for ambulatory surgeries, the three equipment with a high level of risk associated to their availability are the anesthesia machine, the electro-scalpel, and the surgery lamp. This equipment maintenance must be a priority since the impact of their unavailability will be high. It is concluded that it is necessary to have backup equipment-especially for those with a higher level of risk-to have accurate information about the equipment existence, to standardize processes, to create procedures and to train the personnel in charge of technology.