-
ORIGINAL ARTICLE
Enteral diet therapy: use of the Lean Healthcare philosophy in process improvement
- Cibele Leite Siqueira
, - Fernanda Ferreira Siqueira ,
- Guilherme Calixtro Lopes ,
- Matuzalem de Carvalho Gonçalves ,
- Alice Sarantopoulos
02-01-2019
Resumo
ORIGINAL ARTICLEEnteral diet therapy: use of the Lean Healthcare philosophy in process improvement
Revista Brasileira de Enfermagem. 2019;72(suppl 1):235-242
02-01-2019DOI 10.1590/0034-7167-2017-0746
- Cibele Leite Siqueira ,
- Fernanda Ferreira Siqueira ,
- Guilherme Calixtro Lopes ,
- Matuzalem de Carvalho Gonçalves ,
- Alice Sarantopoulos
Visualizações0ABSTRACT
Objective:
To identify the nonconformities of the enteral diet therapy process.
Method:
Exploratory case study, using as a theoretical framework the philosophy of Lean Healthcare in an inpatient unit of a large hospital in Minas Gerais State. The sample consisted of 19 professionals from the multidisciplinary team involved in the enteral nutritional therapy process and the unit's documentary sample. For the data collection, we used a semi-structured script, participant observation and documentary analysis.
Results:
There were eight nonconformities related to enteral diet therapy. During the participant observation, there was a lack of a management model that seeks the continuous improvement of the process, as well as resistance to change.
Conclusion:
Although enteral diet therapy is important in the patient's evolution, there are adverse events that could be prevented and the Lean philosophy assists in the identification of process nonconformities.
Palavras-chave: Cost ReductionEnteral NutritionHealth ManagementQuality ManagementQuality of Health CareVer maisVisualizações0
Resumo
ORIGINAL ARTICLEEnteral diet therapy: use of the Lean Healthcare philosophy in process improvement
Revista Brasileira de Enfermagem. 2019;72(suppl 1):235-242
02-01-2019DOI 10.1590/0034-7167-2017-0746
- Cibele Leite Siqueira ,
- Fernanda Ferreira Siqueira ,
- Guilherme Calixtro Lopes ,
- Matuzalem de Carvalho Gonçalves ,
- Alice Sarantopoulos
Visualizações0ABSTRACT
Objective:
To identify the nonconformities of the enteral diet therapy process.
Method:
Exploratory case study, using as a theoretical framework the philosophy of Lean Healthcare in an inpatient unit of a large hospital in Minas Gerais State. The sample consisted of 19 professionals from the multidisciplinary team involved in the enteral nutritional therapy process and the unit's documentary sample. For the data collection, we used a semi-structured script, participant observation and documentary analysis.
Results:
There were eight nonconformities related to enteral diet therapy. During the participant observation, there was a lack of a management model that seeks the continuous improvement of the process, as well as resistance to change.
Conclusion:
Although enteral diet therapy is important in the patient's evolution, there are adverse events that could be prevented and the Lean philosophy assists in the identification of process nonconformities.
Palavras-chave: Cost ReductionEnteral NutritionHealth ManagementQuality ManagementQuality of Health CareVer mais - Cibele Leite Siqueira
-
ORIGINAL ARTICLE
Value Flow Map: application and results in the disinfection center
- Eliete Boaventura Bargas Zeferino ,
- Alice Sarantopoulos ,
- Gabriela Salim Spagnol ,
- Li Li Min ,
- Maria Isabel Pedreira de Freitas
01-01-2019
Resumo
ORIGINAL ARTICLEValue Flow Map: application and results in the disinfection center
Revista Brasileira de Enfermagem. 2019;72(1):140-146
01-01-2019DOI 10.1590/0034-7167-2018-0517
- Eliete Boaventura Bargas Zeferino ,
- Alice Sarantopoulos ,
- Gabriela Salim Spagnol ,
- Li Li Min ,
- Maria Isabel Pedreira de Freitas
Visualizações0ABSTRACT
Objective:
To identify and eliminate steps that do not add value for customers in the disinfection center.
Method:
We applied the Lean tool: Value Flow Map, using the concepts of gemba and kaizen in the work process of the disinfection unit for ventilatory care materials, aiming at improving such process. After performing a training with the team on the Lean concepts described above, applying the Value Flow Map in the gemba, analyzing the opportunities for improvement, and approving the changes, the Value Flow Map of the future state was devised and changes were implemented.
Result:
The time of the disinfection process was reduced in 2h37 and the financial resources required also decreased, in R$ 809.08/month.
Conclusion:
The application of Lean concepts presented positive results for the elimination of wastages in the disinfection center.
Palavras-chave: Cost ReductionDisinfectionHealth Care QualityHospital AdministrationQuality ManagementVer maisVisualizações0Resumo
ORIGINAL ARTICLEValue Flow Map: application and results in the disinfection center
Revista Brasileira de Enfermagem. 2019;72(1):140-146
01-01-2019DOI 10.1590/0034-7167-2018-0517
- Eliete Boaventura Bargas Zeferino ,
- Alice Sarantopoulos ,
- Gabriela Salim Spagnol ,
- Li Li Min ,
- Maria Isabel Pedreira de Freitas
Visualizações0ABSTRACT
Objective:
To identify and eliminate steps that do not add value for customers in the disinfection center.
Method:
We applied the Lean tool: Value Flow Map, using the concepts of gemba and kaizen in the work process of the disinfection unit for ventilatory care materials, aiming at improving such process. After performing a training with the team on the Lean concepts described above, applying the Value Flow Map in the gemba, analyzing the opportunities for improvement, and approving the changes, the Value Flow Map of the future state was devised and changes were implemented.
Result:
The time of the disinfection process was reduced in 2h37 and the financial resources required also decreased, in R$ 809.08/month.
Conclusion:
The application of Lean concepts presented positive results for the elimination of wastages in the disinfection center.
Palavras-chave: Cost ReductionDisinfectionHealth Care QualityHospital AdministrationQuality ManagementVer mais
- Eliete Boaventura Bargas Zeferino
Cost Reduction Archives - Revista Brasileira de Enfermagem
