ABSTRACT
O objetivo do trabalho foi avaliar (através de estudo descritivo, quantitativo e transversal) a prestação de serviços de manutenção predial em Unidades de Saúde, considerando os cinco tipos de Estabelecimentos (Unidade Básica de Saúde, Unidade de Pronto Atendimento, Especialidade, Hospitalar e Saúde Mental). A pesquisa foi aprovada no CEP da FHEMIG com o Termo de Concordância junto ao SUS Betim. Foi realizada a análise comparativa através da verificação de requisitos da "Gestão da Estrutura Físico-Funcional", do "Manual Brasileiro de Acreditação Hospitalar" da ONA. Foram constatadas inconformidades na gestão físico-funcional dos EAS, especialmente das UBS. Importante essa avaliação, considerando que o cumprimento dos requisitos formais, técnicos e de estrutura, as atividades assistenciais, de acordo com a organização do serviço e adequadas ao perfil e à complexidade, podem colaborar para minimizar os riscos dos usuários. Para a melhoria da qualidade assistencial dos estabelecimentos, é imprescindível que os gestores, com o respaldo da "alta direção", priorizem, nos planejamentos, os recursos financeiros, humanos e materiais a fim de garantir o cumprimento das exigências da segurança dos usuários nos edifícios.
The scope of this paper was to evaluate the provision of building maintenance services in health units, by means of a descriptive, quantitative and cross-sectional study, considering the five types of facilities (Primary Health, Emergency, Specialty, Hospital and Mental Health Units). The research was approved by the Research Ethics Comittee of FHEMIG with the Terms of Agreement signed with the Unified Health System of Betim. Comparative analysis was conducted by checking the requirements of "Physical-Functional Structure Management" of the "Brazilian Hospital Accreditation Manual" of the National Accreditation Organization. Nonconformities were noted in the physical-functional management of the health centers, especially the primary health units. The assessment was important, considering that compliance with formal, technical and structural requirements, welfare activities, according to the service organization and appropriate to the profile and complexity, can collaborate to minimize the risks of users. To improve the quality of health care establishments, it is essential that managers, backed by "top management," prioritize financial, human and material resources in planning to ensure compliance with security requirements of users in buildings.
Subject(s)
Hospital Administration , Safety/standards , Maintenance and Engineering, Hospital/organization & administration , Corrective Maintenance , Preventive MaintenanceABSTRACT
Medical equipment improvement and tremendous expenditure is allocated costs annually, so that optimum and proper maintenance management of equipment would have outstanding effects on health and treatment of medical training and research economies of the country. Present research was implemented aiming to examine effect of the medical equipment maintenance management systems on the hospital setting expenditures. In an interventional research, the model of medical equipment maintenance management system implemented in Imam Khomeini Hospital was examined precisely and based on appropriate software for Vali-e-Asr Hospital was designed. According to the model for all available medical instruments in Vali-e-Asr Hospital with usage of more than 5 years [240 medical equipment]; all costs were recorded in 2006 and compared with previous year [2005]. There wasn't any training for medical equipment operators and for its implementation necessity on 21.7% of equipment in the installation and start up phase with for 83.7% of equipments the operator was not fixed using of medical equipment maintenance management system, the repair events decreased from 78 events in 2005 to 58 events in 2006. Vali-e-Asr hospital recorded costs for maintenance and repair of medical equipment in 2006 was 801765375 Rials [Iran] which decreased to 513212912 Rials [Iran] according to accurate calculation of costs and auditing by medical equipment engineer and shows 36% saving in expenditures by medical equipment maintenance management system. Medical equipment computer-based maintenance, management system implementation and also using of medical engineers potentialities in hospital are necessary
Subject(s)
Humans , Maintenance and Engineering, Hospital/economics , Materials Management, Hospital , Quality of Health Care/economics , Health Expenditures , Economics, Medical , Maintenance and Engineering, Hospital/organization & administration , /instrumentationSubject(s)
Equipment and Supplies , Health Infrastructure , Local Health Systems , Equipment Maintenance/standards , Facility Regulation and Control/organization & administration , Maintenance and Engineering, Hospital/organization & administration , Costs and Cost Analysis/economics , Equipment and Supplies, Hospital , Handbook , Utilization Review/organization & administrationABSTRACT
Hace casi cinco años, mediante un convenio entre la Universidad Autónoma Metropolitana y el Patronato del Hospital General de México, A. C., fue llevado a la práctica el proyecto de un servicio de ingeniería clínica en el Hospital General de México de la Secretaría de Salud. Se presenta el resultado de más de dos años del servicio, cuyos objetivos son: mejorar la implementación de los equipos médicos en el hospital, tanto la selección, la adquisición, la instalación, el control de calidad, el uso y la conservación, así como la educación, la investigación y el desarrollo en materia de recursos tecnológicos para la atención de la salud y servicios auxiliares. En este periodo de arranque se han obtenido resultados interesantes en cada una de las áreas de la ingeniería clínica, mismo que deseamos compartir con la comunidad médica
Subject(s)
Hospital Administration , Equipment and Supplies, Hospital/supply & distribution , Biomedical Engineering/methods , Medical Laboratory Science/instrumentation , Sanitary Installations , Maintenance and Engineering, Hospital/organization & administrationABSTRACT
Visa fornecer subsídios aos responsáveis pelo Serviço de Manutençäo e outros integrantes de hospitais no que diz respeito a manutençäo geral, predial, de instalaçöes e equipamentos elétricos, hidráulicos e mecânicos, além de normas técnicas e portarias (MC)
Subject(s)
Hospital Administration , Hospitals , Operation and Maintenance , Corrective Maintenance , Maintenance/standards , Preventive Maintenance , Maintenance and Engineering, Hospital/organization & administrationSubject(s)
Equipment Maintenance , Staff Development , Maintenance and Engineering, Hospital/organization & administration , Safety Management/organization & administration , Colombia , Structure of Services/organization & administration , Organizational Policy , Local Health Systems/organization & administrationABSTRACT
El documento trata de la organización, capacitación, operación y mantenimiento de la infraestructura, investigación e información como componentes de la política nacional de ingeniería y mantenimiento