O impacto da gestão da manutenção nos equipamentos de hemodiálise na segurança e qualidade do atendimento do paciente

Abstract

According to Xenos (2014) maintenance of equipment and facilities industry addresses both technical and managerial aspects of maintenance, some expectations regarding maintenance exist in the third generation continue to exist in the fourth generation. Availability is one of the measures and the most important maintenance performance. Availability and the equipment reliability is a factor of constant search for maintenance. The consolidation of Maintenance Engineering activities, within the organizational structure of maintenance, has the guarantee of Availability, Reliability and Maintainability the three biggest justifications for their existence. According to Moubray (1997) maintenance has as a challenge the minimization of premature failures or infant mortality failures that occur in at least two failure patterns. The practice of failure analysis is a methodology consecrated as a practice capable of improving the performance of the equipment and the company, as a result. With the objective of intervening less and less in productivity, practices preventive condition maintenance, or predictive, which monitors the condition equipment are increasingly used. As a result, there is a trend in the reduction in the application of preventive or scheduled maintenance, since it promotes the stoppage of equipment and systems, negatively impacting production. The same is true in relation to unplanned corrective maintenance, which becomes an indicator of ineffectiveness of maintenance. New equipment and systems projects should privilege the aspects of availability, reliability and life cycle costs of the installation. The system adopted by world-class companies privileges the interaction between the areas of engineering, maintenance and operation as a factor of guarantee of these goals. The result of good maintenance management is associated with products and services with the desired quality and safety in the operation (Xenos, 2014). For Pinto and Xavier (2013) organizations have been seeking incessantly new management tools, which direct them to greater competitiveness through the quality and productivity of its products, processes and services and highlight that maintenance management is responsible for coordinating the various subsystems: suppliers, engineering, the supply of materials, among others, according to the organization's needs in order to achieve its business goals, including the quality of products and services. Thus, the great challenge for maintenance managers is to implement best management practices at maintenance activities to ensure improved availability and quality of services.