Estrategias basadas en la metodología de mantenimiento productivo total para optimizar el área de mantenimiento en el Hospital Provincial General Docente Riobamba

Abstract

This research work had as purpose the proposal of strategies based on total productive maintenance methodology to optimize the maintenance area at Hospital Provincial General Docente Riobamba. For its development, it began with the previous analysis of the current context of the maintenance department, specifically in the section where the engine department is located. Thus, determining the issue of the causes in its operations and the maintenance type. Based on this information, it was proposed to apply the four phases for the development of the TPM (preparation, introduction, implementation and consolidation). These phases establish ten steps to carry out a good maintenance management. So, it involves the technical staff and allows obtaining results through the global efficiency of the equipment. The improvement of these equipment makes operations work properly and can be used to provide health services to the population. For the analysis, the state of the most important equipment of each system in the area was taken into account and possible failures that contributed to the loss of resources generating extra expenses were sought, because they were not planned within the budget available to the hospital. Information was collected on unscheduled maintenance expenses and visits to maintenance area staff, resulting in nine TPM pillars being able to be adapted within this health home. A system of indicators for each pillar also will be present in the maintenance department. It is concluded that the TPM methodology can be adapted to service companies. It is recommended to establish more TPM pillars and it allows to have ideas to different health units in order to apply in their maintenance areas.