Plan de mantenimiento preventivo para las áreas de neonatología, laboratorio clínico y cirugía en el Hospital General Riobamba-IESS, aplicando estándares de la organización mundial de la salud.

Abstract

The present work seeks to improve the current maintenance management of the Riobamba General Hospital, throught the development of a preventive maintenance plan for the areas of Neonatology, Clinical Laboratory and Surgery, applying standars of the World Health Organization. The initial step was the evaluation of maintenance management, to support this point, the AHP methodology was developed which was used to compare the organizational practicess between two hospitals, this helped to identify the scoring standars.in the evaluation carried out several criteria were reviewed, obtaining results variables that go from unsatisfactory in some aspects and in other criteria the qualification was satisfactory. To help to organize the management of maintenance, an inventory survey of assets was carried out, obtaining a hierarchical and standardized coding structure, later a data collection and its organization in technical data sheets. In the next stage, an analysis of the criticality of the assets was developed base on the methods suggested by the OMS, this was used to determine the strategies and appropiate maintenance models. To stablish the maintenance tasks, the methodology of abbreviated RCM was used, which uses the analysis of faults and faiulure modes to determine the appropiate of equipment and its frequency. For each task, the necessary resources for maintenance logistics were identified. Finally, the tasks were grouped into routines to facilitate management. The data obtained throught the present titling work were uploaded to SisMAC maintenance software and then with training the medical and technical personnel were instructed on the use of the computer tool. In the future, it is recommended to carry out external audits to the maintenance management of the hospital to show results and point of improvement.