IDENTIFYING OPPORTUNITIES FOR IMPROVEMENT IN HOSPITAL DISCHARGE PROCESS OF MATERNITY PATIENT THROUGH LEAN HEALTHCARE

Autores/as

Palabras clave:

Lean Thinking, Lean Healthcare, Maternidade, Processo de Alta

Resumen

O Lean Healthcare é uma metodologia de gestão focada no paciente e na cooperação entre os seus participantes que busca a melhoria contínua ao eliminar desperdícios agregando assim, mais valor aos processos hospitalares. Considerando as variadas oportunidades de aplicação dessa filosofia, levando em conta que o Lean Healthcare começou a ser aplicado recente, essa pesquisa buscou analisar o processo de alta hospitalar em uma maternidade de um hospital de grande porte com o objetivo de aumentar o disponibilidade do leito de internação, visto que esse setor repetidas vezes apresenta um quadro de superlotação.

Por meio de observações não participantes campo e diagnóstico da situação atual, foram analisados os principais desperdícios encontrados no processo de alta. Os desperdícios encontrados foram classificados de acordo com as sete perdas da produção enxuta e com o impacto que causam no valor do paciente. Em seguida, ações de contramedidas foram propostas pelos autores. Essas ações focam no nivelamento do fluxo de pacientes, visto que atualmente as altas médicas ocorrem em lotes e com isso ocorre um acúmulo de tarefas nas atividades seguintes o que aumenta o tempo de reocupação dos leitos liberados.

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Publicado

2017-04-30

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