Plan de mantenimiento preventivo para las áreas de emergencia, clínica, esterilización, colposcopía e imagenología en el Hospital General Riobamba-IESS, aplicando estándares de la Organización Mundial de la Salud.

Abstract

The development of a preventive maintenance plan for the medical machines and equipment in the areas of emergency, clinical, sterilization, colposcopy and medical imaging in the Hospital General Riobamba – IESS; utilizing standards from the World Health Organization. It is developed with a diagnosis of the current situation of the hospital through the use of AHP methodology (Analytic hierarchy process) and we obtained 77,78% which indicates a quasi-satisfactory level. We used RCM methodology for the development of the maintenance plan and we combined it with WHO standards. We started this process with the collection and checking of the existing equipment and we found out that 16 machines did not work. Later, an encoding of the machines and equipment was made and 236 machines were found in total; 23 are critical systems, 46 important systems and 167 are disposable systems. Furthermore, we designed technical index cards, we determined the tasks and frequencies based on the maintenance model and we determined the necessary sources for the execution of the maintenance tasks, too. Finally, we trained the 5 leaders of the 5 service areas, as well as the chief of the maintenance department about the use of a software to increase their understanding of the importance that a good maintenance management plan has and the contributions that we may have with an optimization of resources and deadlines to obtain better results. It is suggested to monitor regularly the compliance of maintenance activities according to SisMAC software and to train the people who is in charge of the software to consider a good maintenance management.