Estratégias para uso seguro de Equipamentos Médico-Assistenciais (EMAs) em uma unidade hospitalar estadual de médio porte.

Abstract

Healthcare spending, especially regarding Medical-Assistance Equipment (MAEs), has increased significantly in response to the constant evolution of emerging technologies. This increase in spending, in turn, contrasts with the limited financial resources of the Brazilian Unified Health System (SUS), generating pressure on public managers, healthcare professionals, and civil society to ensure the efficient and safe use of these resources. The COVID-19 pandemic dramatically highlighted the importance of managing and optimizing MAEs, emphasizing the need to improve processes related to their use, both in terms of safety and operational efficiency. The objective of this work is to identify strategies for the safe and efficient use of medical-assistance equipment (MAEs) in a medium-sized hospital unit, focusing on optimizing the lifespan of these devices, promoting cost-effectiveness, system sustainability, and operator and patient safety. The research seeks to answer the following question: Is it possible to guarantee the safe and efficient use of medical-assistance equipment (MAEs), in order to increase their lifespan, improve the service offered, and prioritize cost-effectiveness, system sustainability, and operator and patient safety? The methodology adopted for this investigation is document analysis, based on the following theoretical framework: Ministry of Health Ordinance No. 2,690 (2009) - National Policy for Health Technology Management; Collegiate Board Resolution - RDC ANVISA No. 67 (2009); ABNT NBR No. 15943 (2011); ANVISA RDC No. 509/2021 Ministry of Health Manual: Management of Medical-Hospital Equipment and Maintenance - REFORSUS Project (2002); Ministry of Health Ordinance No. 529/2013 (National Patient Safety Program); ANVISA Manual: Safety in Hospital Services (2020) and the World Patient Safety Action Plan 2021-2030 (WHO, 2021). The research involves identifying gaps in safety and training protocols, as well as evaluating EMA management strategies. The work also proposes a Recommendations Manual that suggests institutional strategies to improve EMA management, with an emphasis on occupational safety, the assertive use of equipment, and the prevention of adverse events and iatrogenic injuries. The data analysis allows us to conclude that it is possible to improve EMA management through the implementation of effective management strategies, ensuring better use of technological resources and contributing to the financial and operational sustainability of hospital units, while promoting the safety of patients and healthcare professionals.