Resumen –– El mantenimiento correctivo está orientado a corregir los defectos observados en los equipamientos o instalaciones, localizando las averías y reparándolas. Los costos de reparación de un equipo suelen ser mucho mayores en la etapa correctiva que en la etapa preventiva, y la literatura existente está orientada más hacia la prevención que hacia la corrección. Sin embargo, es inevitable que en una institución hospitalaria, como en cualquier otra, se presenten frecuentemente problemas en los equipos que no pudieron ser previstos o evitados mediante el mantenimiento preventivo o correctivo. Por esta razón, se hace necesario contar con protocolos para el mantenimiento correctivo que contengan criterios y procesos claramente definidos para mejorar la eficiencia y la eficacia en la solución de los problemas y que permitan la máxima disponibilidad en la prestación de los servicios. En este trabajo se presenta, como caso de estudio, el desarrollo e implementación de un Manual para la Gestión del Mantenimiento Correctivo en una de las clínicas de más alto nivel en la ciudad de Cali: La Fundación Valle del Lili. Abstract–– The corrective maintenance is aimed at correcting the shortcomings in the equipment or facilities, locating faults and repairing them. Repair costs of equipment are usually much higher in the corrective stage than in the preventive stage, and the existing literature is oriented more towards prevention than correction. However, it is inevitable that in a hospital, as elsewhere, problems are often present on computers that could not be foreseen or avoided through preventive or corrective maintenance. For this reason corrective maintenance protocols containing clearly defined criteria and processes to improve efficiency and effectiveness in solving problems and ensuring maximum availability in the provision of services, are needed. This paper presents a case study, development and implementation of a Management Manual for corrective maintenance of the highest level clinics in the city of Cali: The Fundación Valle del Lili.Resumo–– A Manutenção corretiva visa corrigir as deficiências do equipamento ou instalações, localizando falhas e repará-las. Os Custos de reparação de equipamento são geralmente muito maior na fase corretiva que na fase preventiva, e a literatura existente é mais orientada para a prevenção que para a correção. No entanto, é inevitável que em um hospital, como em outros lugares, muitas vezes se apresentam problemas nos equipamentos que não podiam ser previstos ou evitados através da manutenção preventiva ou corretiva. Por esta razão, é necessário ter protocolos de manutenção corretiva que contenham critérios e processos claramente definidos para melhorar a eficiência e eficácia na resolução de problemas e para assegurar a máxima disponibilidade na prestação de serviços. Este trabalho se apresenta como um caso de estudo, o desenvolvimento e a implementação de um Manual de Gestão para manutenção corretiva das clínicas de maior nível na cidade de Cali: a Fundação Valle del Lili.
The Health Technology Management (HTM) staff in small or remote hospitals can have difficulty accessing good practice information, so we have created a simple, convenient, and accessible networking model for clinical engineers in Colombia, called Regionals Nodes. These Nodes break radically with tradition because they do not have a static structure that limits access to meetings or information. These Nodes are dynamic which allows them to reach more people in less time and at a lower cost. The Nodes use social media to be in contact, coordinate regular meetings with leaders and topics of interest, and disseminate large amounts of information quickly. Thus, new open spaces are created, they are adaptable to each region, and can easily evolve over time. Currently the Ministry of Health and Social Protection (MoHSP), with regional support of engineers from hospitals with national or joint commission accreditation (JCI) lead the Nodes. Today, there are 240 engineers from 140 hospitals and 13 universities and a regulatory agency that recently joined. This initiative began in 2015 with minimal coverage and we have now reached 40% of the country. The members of the Nodes meet every 2 months in order to prepare projects on Medical Equipment Management (MEM) and share information and experiences. Some of the accomplishments and outcomes of these meetings are: continuous training in Colombian regulations, positioning biomedical engineers as key stakeholders in MEM, institutional strengthening of the MoHSP in the health technology field, and HTM regional benchmarking. The interaction among the members of the participant institutions has facilitated a successful knowledge and best practices transfer in MEM from the 8 high-complexity university hospitals to almost 140 regional and local hospitals. These regional and local hospitals have limited access to resources and the operation of the Nodes has contributed in improving the efficiency in the equipment managing process and outcomes that better service the population. One of the priority projects of the Nodes is collaboration with the MoHSP in the validation of the Equipment Maintenance and Obsolescence Assessment Manual. The next steps are strengthening of the Nodes, increasing membership and motivating members and institutions, and interacting with professional engineering societies and health technology organizations worldwide. These steps will involve seeking support and improving communication with health authorities, hospital directors, and administrators looking for the expansion of the Nodes.
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