Banca de DEFESA: DANILO CARNEIRO FERREIRA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : DANILO CARNEIRO FERREIRA
DATA : 30/10/2018
HORA: 08:00
LOCAL: HUOL - Auditório Mariano Coelho
TÍTULO:

LEAN SIX SIGMA: application of the methodology in the rearrangement of hospital processes

PALAVRAS-CHAVES:

Lean healthcare, lean hospital, lean six sigma

PÁGINAS: 79
GRANDE ÁREA: Ciências da Saúde
ÁREA: Medicina
RESUMO:

The increase in costs of hospital services coupled with the limitations of public financing and increased demand in the health sector required new management models focused on process rearrangements with the goal of eliminating waste, reducing costs, optimizing time and improving the patient's experience. The lean six sigma methodology (LSS), originally introduced in manufacturing, was introduced in many areas, including health, based on three pillars: patient focus, time and value. As a goal, a lean six sigma guide was developed for application in the different areas of the Ebserh Network hospital environment, based on the implementation of these concepts in the chemotherapy clinic of the Hospital das Clínicas of the Federal University of Goiás / Ebserh between the period from January 2018 to April 2018. A qualitative, quantitative, applied and exploratory approach was used. As a technical procedure, bibliographic research and action research were used. The work was conducted using the lean six sigma DMAIC methodology in its 5 steps: define, measure, analyze, implement and control. The current and future value stream map (VSM) was elaborated and the waste was analyzed in the process. Patient scheduling for chemotherapy was changed from manual to electronic, via network communication, based on the available chairs in the sector and infusion time of the chemotherapy protocol. The average occupancy rate of the sector was 48.75%, with an increase of 9.32% among the analyzed periods. The total lead time was decreased from 15 days 1 hour and 24 minutes to 9 days and 24 minutes (reduction of 42.8%). A takt (labor rate to meet the daily demand of the sector) was obtained with an average value of 17.8 minutes. A major advantage of lean methodology as an instrument for health management and innovation lies in the ability to make major changes, optimize processes and eliminate waste without the need for hard technology or high financial investments. Changes can be provided using simple materials, or even without the need for any material, once the redesign of the process, reallocating human resources and activities, can be the solution to the problems under analysis.

MEMBROS DA BANCA:
Externo à Instituição - ALDAIR DE SOUSA PAIVA
Externo ao Programa - 1790060 - ALINE DE PINHO DIAS
Interno - 1229030 - HELIO ROBERTO HEKIS
Presidente - 2562782 - KARILANY DANTAS COUTINHO
Interno - 2488270 - RICARDO ALEXSANDRO DE MEDEIROS VALENTIM