Desenvolvimento de um manual de modelos de gestão de manutenção hospitalar - baseado nas técnicas do Lean Healthcare

Abstract

This research addresses the challenges of hospital maintenance management in the Brazilian healthcare system, characterized by increasing care complexity, high investments in medical equipment, and the need for operational efficiency. The core issue lies in low service quality, inefficient resource management, and waste, which impact equipment availability and patient safety. To address this, the study proposes integrating Lean Healthcare and Total Productive Maintenance (TPM) as a strategy to optimize processes, reduce costs, and improve service quality. The methodology combined a systematic literature review, analysis of international success cases, and expert validation. The review followed the PRISMA protocol, with searches in databases such as Scopus and Web of Science, while the case analysis covered 14 hospitals from different regions. The validation process involved a panel of seven experts who evaluated the developed manual in three iterative cycles, ensuring its applicability and robustness. The main outcome was the manual "Transforming Hospitals with TPM: A Manual for Proactive Managers," which integrates Lean Healthcare and TPM principles, adapted to the Brazilian hospital context. The manual provides practical implementation guidelines, emphasizing predictive maintenance of critical equipment, cost reduction (up to 40%), and increased technological availability (up to 30%). The findings demonstrate that applying these methodologies enhances operational efficiency, patient safety, and financial sustainability, provided there is organizational commitment and cultural adaptation. Academically, the research contributes with an adapted theoretical framework, while practically, it offers a validated tool for managers. Future studies are recommended on impacts on clinical indicators and maturity models for implementation. The manual’s publication by CRV Publishing expands its reach, fostering transformations in Brazilian hospital management.