MAINTENANCE ENGINEERING IN THE HOSPITAL SECTOR

Objective: The objective of this study is to investigate general recommendations for service departments, aiming to improve the efficiency and quality of services provided in hospital maintenance sectors. Theoretical Framework: This section presents the main concepts and theories that underpin the research. Key theories include quality management, preventive and corrective maintenance, and safety management, providing a solid foundation for understanding the research context. Method: The methodology adopted for this research includes a descriptive and exploratory approach. Relevant documents and standards were analyzed, and interviews with area specialists were conducted. Data collection was carried out through document review and semi-structured interviews with hospital maintenance professionals. Results and Discussion: The results revealed the importance of a well-defined organizational structure, detailed maintenance planning, continuous team training, and effective communication. In the discussion section, these results are contextualized in light of the theoretical framework, highlighting identified implications and relationships. Potential discrepancies and study limitations are also considered in this section. Research Implications: The practical and theoretical implications of this research are discussed, providing insights into how the results can be applied or influence practices in the field of hospital maintenance. These implications may include improvements in service quality, operational efficiency, and patient safety. Originality/Value: This study contributes to the literature by presenting a set of practical and theoretical recommendations that can be adopted by service departments in hospitals. The relevance and value of this research are evidenced by its potential impact on improving hospital maintenance management and ensuring the safety and quality of services provided.

3 quality of health services.In an environment where the accuracy, reliability, and readiness of medical equipment are critical, efficient maintenance management is essential to ensure hospitals can safely and effectively meet patient needs.
In recent years, demand for health services has increased significantly, driven by population growth, population aging and advances in medical technology.This scenario requires hospitals to maintain a high level of operation of their equipment, from life support devices to imaging systems and information technologies.Failure of any of these systems can result in service interruptions, compromised patient safety, and increased operating costs.
In this context, hospital maintenance engineering emerges as a vital discipline, focused on ensuring the availability, reliability and efficiency of hospital equipment and systems.This includes the implementation of preventive and corrective maintenance strategies, spare parts management, equipment calibration and validation, and ongoing training of technical teams.Preventive maintenance, for example, is essential to avoid unexpected failures and to prolong the useful life of the equipment.Through regular inspections and scheduled interventions, maintenance engineers can identify and correct potential problems before they become critical.Corrective maintenance, though a reactive approach, is required to resolve failures that occur unexpectedly, ensuring rapid restoration of equipment functionality.
In addition, calibration and validation of medical equipment are key processes to ensure that devices operate within the required accuracy and safety standards.These processes are particularly important in monitoring and diagnostic equipment, where data accuracy is crucial for clinical decision making.
Spare parts management is also a critical component of hospital maintenance engineering.Maintaining an appropriate inventory of spare parts ensures that repairs can be performed quickly, minimizing equipment downtime.Efficient inventory management can contribute significantly to cost reduction and improved operational efficiency.
In addition to the technical aspects, the continuous training of maintenance teams is indispensable.With the rapid advance of medical technology, it is vital that professionals are constantly updated on new technologies and maintenance practices.Regular training programs and specific certifications can help ensure that the maintenance team is prepared to address industry challenges and innovations.This article aims to explore the fundamental principles of hospital maintenance engineering, highlighting best practices, challenges faced and emerging trends in the field.In addition, case studies and practical examples will be provided to illustrate how effective maintenance can contribute to improving the quality of healthcare and optimizing hospital resources.
Through a comprehensive analysis, we aim to provide a detailed view on the importance of maintenance engineering in the hospital environment, emphasizing how the implementation of robust maintenance strategies can positively impact the operation of hospitals and consequently the quality of patient care.

OBJECTIVE
This study aims to analyze hospital maintenance engineering practices to identify emerging best practices, challenges and trends.The research will begin with a comprehensive review of the existing literature on preventive and corrective maintenance, spare parts management and equipment calibration.Starting from this review, the most effective maintenance strategies will be identified, which help reduce costs and improve the quality of health services.
In addition, the study will seek to understand the main challenges faced by maintenance professionals and propose solutions to these problems.Emerging trends such as technological innovations and new practices in the sector will also be investigated.Based on best practices and analyzes, practical recommendations will be developed to improve maintenance processes in hospitals.Finally, the results and recommendations will be validated with experts to ensure they are applicable and relevant.

THEORETICAL FRAME
Maintenance Engineering is an essential area to ensure the functionality and efficiency of equipment and systems, especially in critical environments such as healthcare.Maintenance is defined as a set of technical and administrative actions aimed at maintaining or restoring an item to a state where it can perform a required function (ABNT 5462, 1994).This definition is corroborated by Motter (1992), which emphasizes the importance of conserving machines and facilities with maximum efficiency, minimizing waste and satisfying both users and maintenance professionals.
The specialized literature presents several maintenance classifications, including corrective, preventive and predictive maintenance, each with its specific characteristics and applications.Corrective maintenance is performed after equipment failure, while preventive maintenance is scheduled to prevent failures before they occur.Predictive, in turn, uses monitoring techniques to predict failures before they occur, allowing more efficient interventions.
A critical aspect in the maintenance of equipment, especially biomedics, is the availability of technical documentation.According to the document, many manufacturers do not provide manuals and technical schematics, which may make it difficult for third parties to maintain.The technical documentation shall be divided into operation and maintenance manuals, the former being essential for the proper use of the equipment and the latter being fundamental for the execution of repairs and maintenance .Lack of access to these documents can lead to an increase in maintenance costs and dependence on the manufacturer's services.
In addition, effective communication between maintenance staff and users is vital for maintenance management.The use of modern technologies, such as the Internet and communication systems, can improve the agility and quality of the service provided.Integration of administrative and operational teams is also required to ensure that supply and resource demands are met appropriately.
Finally, the bibliography consulted for this review includes works that address the management of maintenance in hospital environments and the importance of continuous training of professionals in the area, such as the publications of Calil (2002) and Karman (1995) .Effective maintenance management is therefore a determining factor for the safe and efficient operation of equipment, especially in sectors where reliability is critical.

METHODOLOGY
The methodology of this study consists of conducting a comprehensive bibliographic review to analyze hospital maintenance engineering practices, identify best practices, challenges faced and emerging trends in the area.The literature review follows specific steps, ensuring a systematic and in-depth approach.
Initially, the scope of the review is defined, focusing on preventive and corrective maintenance practices, spare parts management, equipment calibration and validation, as well 6 maintenance engineering are identified.The analysis of the collected data is qualitative, using content analysis techniques to categorize and interpret the information obtained.This analysis aims to identify common standards, best practices, and challenges, generating insights into best practices in hospital maintenance.
The results of the bibliographic review are organized systematically, allowing a clear and structured understanding of the topics covered.This organization includes a summary of best practices, a discussion of the challenges faced, and identification of emerging trends.The results are then compiled into a detailed report, which presents a comprehensive overview of hospital maintenance engineering.The report includes an introduction setting out the study and the objectives of the review, a detailed description of the methodology used, the results of the analysis and a section of conclusions and recommendations summarizing best practices and suggesting effective maintenance strategies in hospitals.
To validate the results obtained, consultations are carried out with specialists in hospital maintenance engineering and hospital managers.These consultations aim at verifying the applicability of the identified practices and obtaining feedback on the findings of the study.This methodological approach, based on bibliographic review, allows a detailed and reasoned analysis of hospital maintenance engineering practices.The methodology adopted provides a solid basis for the development of practical recommendations, aiming at the continuous improvement of maintenance processes in hospitals and, consequently, the quality of the health services provided.

RESULTS AND DISCUSSIONS
The management of production is a crucial area within any organization, as it involves the efficient management of resources destined to production and the provision of goods and services.According to Gerónimo, Leite e Oliveira (2017), the production function is responsible for meeting customer requests, performing production and distribution of products and services.For this to happen effectively, a well-structured production process system is needed, which allows the transformation of inputs into finished products through coordinated activities between people and machinery.
One of the methods used to improve production management is the 5W1H matrix, which helps identify and plan the actions needed to solve problems and optimize processes.As highlighted by César (2011), the application of the 5W1H matrix requires the formation of a group of people and a leader capable of guiding the various activities.This method is particularly useful in the administration of hospital equipment maintenance, where precise identification of the causes of problems and implementation of corrective actions are essential to ensure the efficiency and safety of the services provided.
The use of tools such as the Ishikawa diagram, in conjunction with the 5W1H matrix, allows a detailed analysis of the causes of the problems and the elaboration of specific action plans.In the case study presented by Gerónimo, Leite e Oliveira (2017), it was possible to identify the roots of the most frequent problems in the maintenance of hospital equipment and develop actions for each of the six months (labor, method, materials, raw material, environment and measurement).These actions were detailed in the 5W1H matrix table, indicating what will be done, objectives, responsible parties, location of implementation, how to execute, and status of the actions.Therefore, managing production, when well managed, can lead to significant

CONCLUSION
The implementation of the 5W1H matrix in hospital equipment maintenance management has proven to be an effective tool for the organization and execution of critical tasks.By clearly defining responsibilities and deadlines, maintenance processes could be optimized, resulting in a significant reduction of failures and breaks.The analysis of the results, using tools such as the Pareto diagram and the Ishikawa diagram, confirmed the effectiveness of the actions implemented, showing an improvement in the availability and efficiency of the equipment.This case study reinforces the importance of structured and well-planned management, highlighting the 5W1H matrix as a valuable resource for the management of ___________________________________________________________________________ Rev. Gest.Soc.Ambient.| Miami | v.18.n.8 | p.1-8 | e08523 | 2024. 1 INTRODUCTION Hospital maintenance engineering plays a crucial role in ensuring the continuity and ___________________________________________________________________________ Rev. Gest.Soc.Ambient.| Miami | v.18.n.8 | p.1-8 | e08523 | 2024.
as the ongoing training of technical teams.This scope guides the selection of sources of information, which include scientific articles, books, technical manuals, technical standards and regulatory publications.Data collection involves detailed review of selected documents.During this stage, key concepts and definitions, best practices, common challenges, and emerging trends in hospital ___________________________________________________________________________ Rev. Gest.Soc.Ambient.| Miami | v.18.n.8 | p.1-8 | e08523 | 2024.
methods such as the 5W1H matrix and the Ishikawa diagram are examples of how detailed analysis and planning can contribute to problem solving and optimization of production processes.After the implementation of the action plan based on the 5W1H matrix, it was possible to observe significant improvements in the management of the maintenance of hospital equipment.The analysis of the data collected after the implementation of the proposed actions revealed a reduction in the frequency of equipment failures and breakages, as indicated by the updated Pareto diagram.In addition, the use of the Ishikawa diagram allowed identifying and mitigating the root causes of the most recurrent problems, resulting in increased availability and efficiency of hospital equipment.