Método para avaliação do grau de criticidade de produtos para a saúde em uso em hospital público

Abstract

The implementation of the criticality system in healthcare facilities allows actions, such as maintenance, be planned and carried out in such a way as to optimize the hospital organization. The maintenance in a hospital environment is necessary for the correct operation of the service, and it is divided into two major aspects, scheduled and unscheduled, which have undergone several changes over the years due to new needs and demands of the healthcare service. This study aimed to elaborate a method to evaluate the criticality of the medical devices to allow the planning and prioritization of the maintenance in the Clinical Hospital of the Federal University of Uberlândia. The methodology consisted of exporting, sorting and analyzing the inventory of medical equipment registered in GETS, linked to the HC-UFU Health Unit in June 2022, made available by the Clinical Engineering team, which totaled 3.534 equipments. After that, in agreement with the managers, studies were conducted to establish the criticality index, which adopted four variables: risk class, function, physical risk, and strategic importance. These variables, added together, culminated in the classification of low, medium and high criticality for each registered kind of equipment. With this, it was possible to conclude that the HC-UFU technological park is composed mostly of equipment that comprise functions of low and medium complexity, homogeneous in relation to the risk class, in which the quantity of types of equipment are inversely related to the complexity of the function performed. And that half of the groups were classified as of low strategic importance and the rest divided between medium and high. When analyzing the physical risk of the equipment, it was seen that the largest portion of the types of equipment was represented in failed therapy/diagnosis, followed by no risk, injury and death. Therefore, a homogeneous distribution was seen with a decreasing trend, from low to high criticality, in the amount of equipments by criticality indices. This individual discrimination and in the form of a general overview, allows establishing a routine of maintenance and actions based on the degree of criticality, as well as optimizing the service time, resource utilization, flow of attendance and the hospital organization.