Applicability of Lean Healthcare in the emergency medical service
DOI:
https://doi.org/10.33448/rsd-v12i2.40191Keywords:
Total quality management; Emergency medicine; Health care sector.Abstract
Introduction: The constant changes in the market and in organizations demanded that companies adapt to meet the needs of consumers. Within this process, lean emerges as an alternative management tool, bringing in its principles the reduction of waste, costs and risks, in addition to providing an improvement in the quality of service delivery. Objective: To synthesize the evidence of the applicability of the Lean Healthcare method in the medical emergency sector. Methods: This is an integrative review of literature of an applied nature on the Lean Healthcare method in the health sector. Data collection was performed in the databases from January 2021 to April 2022 using a structured form with specifications according to its title, authors and year, methodological approach and contribution of the study. Results: it was found through the research that the successful application of the Lean Healthcare method in the emergency department is a major contributing factor in management, solving deficiencies faced in this scenario and providing strategies to improve the efficiency of service delivery to patients. The surveyed authors are unanimous when reporting that the method allows care to flow satisfactorily, but there is a need for all sectors of the hospital to adopt it. Conclusion: The studies showed that, although the applicability of Lean Healthcare is unquestionable, there is a need for further research focused on the real analysis of its effectiveness in emergency medical departments so that its effects can be thoroughly drawn in the literature.
References
Aij, K. H. (2015). Lean Leadership Health Care: enhancing peri-operative processes in a hospital. Academisch Proefschrift, Amsterdã, Holanda.
Alexander, L., Moore, S., Salter, N. & Douglas, L. (2020). Lean management in a liaison psychiatry department: implementation, benefits and pitfalls. BJPsych Bulletin, 44 (1), 18-25.
Bertani, T. (2012). Lean Healthcare: recomendações para implantações dos conceitos de produção enxuta em ambientes hospitalares. Dissertação de Mestrado, Universidade de São Paulo, São Carlos, SP, Brasil.
Brancalion, F. N. M., Lima, A. F. C. (2022). Gestão baseada em processos visando à melhoria dos resultados assistenciais e financeiros em saúde. Revista da escola de Enfermagem da USP, 56, e20210333.
Brito, M. P. (2018). Aplicação de técnicas de gestão Lean Helthcare para otimizar o fluxo de pacientes do pronto-socorro de um hospital universitário público de Belo Horizonte. Dissertação de Mestrado, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil.
Bucci, S, Belvis, A. G., Marventano, S., Leva A. C., Tanzariello, M., Specchia, M. L., Ricciardi, W. & Franceschi, F. (2016). Emergency Department crowding and hospital bed shortage: is lean a smart answer? A systematic review. European Review for Medical and Pharmacological Sciences, 20, 4209-42-19.
Buzzi, D. & Plytiuk, C. F. (2011). Pensamento enxuto e sistemas de saúde: um estudo da aplicabilidade de conceitos e ferramentas lean em contexto hospitalar. Revista Qualidade Emergente, 2(2), 18-38.
Campos, J. O. Jr. (2019). Metodologia Lean Healthcare vivências de gestores no contexto hospitalar. Dissertação de Mestrado. Escola de Enfermagem da Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil.
Dickson, E. W., Singh, S., Cheung, D. S., Wyatt, C. C. & Nugent, A. S. (2009) Application of lean manufacturing techniques in the emegency department. The Jounal of Emergency Medicine, 37(2), 177-182.
Efe, B. & Efe, O. F. (2016). An Application of Value Analysis for Lean Healthcare Management in an Emergency Department. International Journal of Computational Intelligence Systems, 9(4).
Eiro, N. Y. & Torres A. S. Jr. (2015). Estudo comparativo das formas de apropriação dos modelos da Qualidade Total e Lean Production nos serviços de saúde. Rev. Latino-Am. Enfermagem, 23(5), 46-54.
Improta, G., Romano, M., Di Cicco, M. V., Ferraro, A., Borrelli, A., Verdoliva, C., Triassi, M. & Cesarelli, M. (2018). Lean thinking to improve emergency department throughput at AORN Cardarelli hospital. BMC Health Services Research, 18(1), 914.
Klein, D. & Khan, V. (2017). Utilizing six sigma lean strategies to expedite emergency department CT scan throughput in a tertiary care facility. Journal of the American College of Radiology, 14(1), 78-81.
León-Ramentol, C. C., Menéndez-Cabezas A, Rodríguez-Socarrás, I. P., González, M. C. G., Leyva, L. Q. & Verdecia, E. Q. (2021). La capacitación como premissa para implementar un sistema de Gestión de la calidad. Edumecentro, 13(2), 19-32.
Linden, M. C. C., Ufford, H M. E. J.& Linden N. N. (2019). The impact of a multimodal intervention on emergency department crowding and patient flow. International Journal of Emergency Medicine, 12(21).
Magalhães, A. L. P., Erdmann A. L., Silva, E. L. & Santos, J. L. G. (2016). Pensamento Lean na saúde e enfermagem: revisão integrativa da literatura. Rev. Latino-Am. Enfermagem, 24, 27-34.
Martínez, P., Martínez, J. L., Cavazos, J., Nuño, J. P. (2016). Mejora en el tiempo de atención al paciente em una Unidad de urgencias por medio de Lean Manufacturing Improved patient care time in an Emergency unit through Lean Manufacturing. Revista Electrónica Nova Scientia, 8(16), 17-40.
Martínez, P., Martínez, J. L., Cavazos, J., Nuño, J. P. (2015). Mejora en el tiempo de atención al paciente en una unidad de urgencias mediante la aplicación de manufactura esbelta. Información Tecnológica, 26(6).
Mendes, K. D. S., Silveira, R. C. C. P. & Galvão, C. M. (2008). Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & Contexto Enferm, 17(4):758-764.
Menezes, M. O., Vieira, L. C. N., Pimentel, C. A., Juventino, G. K. S., Silva, M. F. S. B. & Rocha, E. S. M. (2020). Contribuições do Lean Healthcare para o Combate à Covid-19. Cadernos de Prospecção, 13(2), 313-330.
Monteiro, Jr., Biasotto, A. S., Silva, B. B. & Loyola, D. (2019, novembro). Redução do tempo de atendimento na emergência de uma clínica maternidade utilizando Lean Healthcare. Anais do Simpósio de Engenharia de Produção de Sergipe, Aracaju, SE, Brasil, 11.
Pestana, A. L., Santos, J. L. G., Erdmann, R. H., Silva, E. L. & Erdmann, A. L. (2013). Pensamento Lean e cuidado do paciente em morte encefálica no processo de doação de órgãos. Revista da Escola de Enfermagem da USP, 47(1) 258-264.
Romeu-Silva, S. N., Spagnol, G. S. & Li, L. M (2016). Lean healthcare modelo de gestão para projeto piloto no ambulatório de neurologia/AVC. Revista Saberes Universitários, 1(2), 3-13.
Sánchez, P. M., Flores, J. M., La Parra, P. N. & Arroyo, J. C. (2016). Mejora en el tiempo de atención al paciente en uma unidad de urgencias gineco-obstétricas mediante la aplicación de Lean Manufacturing. Rev. Lasallista de Investigación, 13(2), 48-56.
Silberstein, A. C. L. (2006). Um estudo de caso sobre a aplicação de princípio enxutos em serviço de saúde no Brasil. Dissertação de Mestrado, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil.
Soliman, M., Saurin, T. A. & Werle, N. B. (2017). Identificando oportunidades de melhoria no processo de alta do paciente de maternidade por meio do lean healthcare. Revista Ingeniería Industrial, 16(1), 89-102.
Vizioli, L. P. (2019). Análise do setor de pronto atendimento médico de um hospital: um estudo via princípios de Lean Healthcare. Monografia, Faculdade de Tecnologia Universidade de Brasília, Brasília, DF, Brasil.
Zattar, I. C., Silva, R. R. L. & Boschetto, J. W. (2017). Aplicações das ferramentas Lean na área da saúde: revisão bibliográfica. Journal of Lean Systems, 2(2), 68-86.
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