Implantação e análise de desempenho de um sistema de gerenciamento de engenharia clínica na Secretaria de Estado da Saúde de Goiás

Abstract

With the increasing advancements in technologies for use in clinical engineering, it is now hard to envision a Clinical Engineering System (EAS) that does not incorporate information technology solutions. The utilization of computerization systems in the management and maintenance of medical-assistive equipment can reduce the time and cost allocated to maintaining this extensive array of devices. Accordingly, the present study revolves around the implementation of a clinical engineering management system and the evaluation of its performance across 30 Health Care Facilities managed by the State Department of Health (SES-GO). To achieve this, a methodology was devised encompassing the following activities: conducting an inventory and registering the technological assets of the 30 units managed by SES-GO, defining key system parameters, and analyzing indicators related to corrective maintenance, scheduled maintenance, availability, mean time between failures, and mean time to repairs. Furthermore, the study scrutinized the primary incidents and their root causes that affected the medical-assistive equipment within SES-GO's technological ecosystem. As a result, a total of 22,933 devices were inventoried and registered within the system's database. Twelve maintenance types, nine incidents, eight causes, and twelve services were delineated to standardize the rendered services. Furthermore, the study period exhibited an overall equipment availability average of 98.20%, along with an average completion percentage of 87.01% for corrective maintenance and 81.38% for scheduled maintenance. The study also demonstrated a high average time between failures for ten evaluated devices, signifying minimal failures during the observation period. The analysis also extended to the distinct average time required for repairs for these ten devices. Among the scrutinized devices, six exhibited acceptable repair times, while the remaining four showed inadequate durations. These findings underscore the necessity for a maintenance plan review for these devices, aiming to enhance efficiency and reduce repair times. The study concluded that the system's implementation, aligned with the defined parameters, signifies an enhancement in the management services for all elements involved in hospital maintenance. Additionally, it provides accurate data to decision-makers, facilitating informed choices and ensuring patient safety in accordance with prevailing regulations.