ICSIP: METHODOLOGY FOR INTRAOPERATIVE CLINICAL SUPPORT AND INTEGRATED PREVENTION IN SURGICAL CENTERS

• DOI: https://doi.org/10.22533/at.ed.0159682617063

• Palavras-chave: Clinical engineering; Intraoperative support; Patient safety; Videosurgery; Minimally invasive surgery; Preventive maintenance; Hospital management.

• Keywords: Clinical engineering; Intraoperative support; Patient safety; Videosurgery; Minimally invasive surgery; Preventive maintenance; Hospital management.

• Abstract:

  The rapid adoption of videosurgery systems in Brazilian and international operating rooms has increased the reliance on reliable technological infrastructure during minimally invasive procedures. Intraoperative technical support routines, however, have remained largely reactive and poorly formalized. This article describes ICSIP (Intraoperative Clinical Support and Integrated Prevention Methodology), a technical-operational methodology structured around three pillars: preventive diagnosis, immediate intervention, and multisystem adaptability. Developed from the operational experience systematized in the SCIDP Protocol (Soares, 2026) and applied directly in multiple Brazilian hospitals, ICSIP proposes intraoperative technical support as a structured, documentable, and auditable function of surgical clinical governance. The author’s operational records are presented as exploratory evidence, indicating an estimated 30–45% reduction in intraoperative technical failures and operational system availability exceeding 95% in the institutions where the methodology was applied. The article discusses the regulatory and scientific framework underpinning the proposal, its checklist and traceability tools, its relationship with international surgical safety standards, and proposes a multicenter validation agenda.