<![CDATA[Preventive Maintenance (PM) is crucial for ensuring the reliability, safety and longevity of medical equipment in healthcare settings. This review evaluates key PM strategies emphasizing their applicability to resource-constrained hospitals. A systematic review was conducted, analyzing 19 articles selected from 37 screened, focusing on standardization, predictive maintenance, criticality-based prioritization, lifecycle management and data-driven approaches. Advantages, limitations and contextual relevance were concluded. Five main approaches were identified, standardization improves operational consistency and efficiency, while predictive maintenance enhances diagnostic accuracy and reduces downtime. Criticality-based prioritization optimizes resource allocation for high-risk devices and lifecycle management ensures sustainable use of high-value equipment. Data-driven strategies provide decision-making support but require significant technological investment. Combining standardization, criticality-based prioritization and basic predictive techniques is ideal for small and medium-sized hospitals. Larger hospitals can benefit from integrating lifecycle management and advanced data systems. A phased, flexible implementation ensures the reliability of medical equipment and the safety of patients.]]>
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