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Implementação de Armazém Avançado na Unidade de Cirurgia de Ambulatório do Hospital Sousa Martins da Unidade Local de Saúde da Guarda
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| Documento em Acesso Embargado até dia 22-09-2026. Tente solicitar cópia ao autor carregando no ficheiro | 2.5 MB | Adobe PDF |
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A sustentabilidade dos sistemas de saúde exige a implementação de soluções logísticas inovadoras que permitam otimizar recursos, reduzir desperdícios e garantir a segurança do utente. Neste contexto, o presente estudo teve como objetivo planear e implementar um Armazém Avançado (AA) na Unidade de Cirurgia de Ambulatório (UCA), do Hospital Sousa Martins (HSM), da Unidade Local de Saúde da Guarda (ULSG), com vista a melhorar os processos de reposição, distribuição e armazenamento de material de consumo clínico. Metodologicamente, o estudo seguiu a abordagem de Investigação-Ação (IA), que permitiu uma interação colaborativa entre o investigador e os profissionais da UCA em todas as fases do projeto, desde o diagnóstico inicial até à implementação das medidas propostas. A análise da situação prévia revelou fragilidades estruturais: inexistência de stocks mínimos e máximos definidos, pedidos baseados em perceções subjetivas, excesso de material acumulado, inadequada padronização do layout de armazenamento e tempo excessivo gasto pelos profissionais em tarefas logísticas e baixa fiabilidade dos registos. em detrimento do tempo disponível para a prestação de cuidados ao utente. A solução desenvolvida assentou na implementação de um AA baseado em conceitos como a Gestão da Cadeia de Abastecimento (GCA), Gestão Logística e de Stocks, apoiada em sistemas e ferramentas de gestão como o Kanban e análise ABC. Os resultados alcançados demonstraram melhorias significativas como a maior fiabilidade e rastreabilidade dos stocks; a diminuição do tempo despendido pelos profissionais de saúde em tarefas logísticas, a definição dos níveis de Stock, com uma diminuição do valor e do número de artigos existentes no AA, uma melhor organização do espaço físico com adequada disposição e identificação dos artigos com as etiquetas com código de barras, facilitando a localização dos artigos, contribuindo assim para a otimização do controlo de stocks. A implementação do AA enquanto modelo replicável para outras unidades funcionais hospitalares, é pertinente e evidencia contributos para a eficiência operacional, sustentabilidade económica e qualidade dos cuidados prestados.
The sustainability of healthcare systems requires the implementation of innovative logistics solutions that optimize resources, reduce waste, and ensure patient safety. In this context, this study aimed to plan and implement an Advanced Warehouse (AA) in the Ambulatory Surgery Unit (ASU) of the Sousa Martins Hospital (HSM), part of the Guarda Local Health Unit (ULSG), with a view to improving the replenishment, distribution, and storage processes of clinical consumables. Methodologically, the study followed an Action Research (ARI) approach, which enabled collaborative interaction between the researcher and ASU professionals throughout all phases of the project, from initial diagnosis to implementation of the proposed measures. Analysis of the pre-existing situation revealed structural weaknesses: lack of defined minimum and maximum stock levels, orders based on subjective perceptions, excess accumulated material, inadequate standardization of the storage layout, excessive time spent by professionals on logistical tasks, and low record-keeping reliability, to the detriment of the time available for patient care. The solution developed was based on the implementation of a Supply Chain Management (SCM) system based on concepts such as Supply Chain Management (SCM), Logistics Management, and Stock Management, supported by management systems and tools such as Kanban and ABC analysis. The results achieved demonstrated significant improvements, such as greater reliability and traceability of stocks; a reduction in the time spent by healthcare professionals on logistical tasks; the definition of stock levels, with a reduction in the value and number of items in the SCM; and better organization of the physical space with appropriate layout and identification of items with barcode labels, facilitating their location, thus contributing to optimized stock control. The implementation of SCM as a replicable model for other hospital functional units is relevant and demonstrates contributions to operational efficiency, economic sustainability, and the quality of care provided.
The sustainability of healthcare systems requires the implementation of innovative logistics solutions that optimize resources, reduce waste, and ensure patient safety. In this context, this study aimed to plan and implement an Advanced Warehouse (AA) in the Ambulatory Surgery Unit (ASU) of the Sousa Martins Hospital (HSM), part of the Guarda Local Health Unit (ULSG), with a view to improving the replenishment, distribution, and storage processes of clinical consumables. Methodologically, the study followed an Action Research (ARI) approach, which enabled collaborative interaction between the researcher and ASU professionals throughout all phases of the project, from initial diagnosis to implementation of the proposed measures. Analysis of the pre-existing situation revealed structural weaknesses: lack of defined minimum and maximum stock levels, orders based on subjective perceptions, excess accumulated material, inadequate standardization of the storage layout, excessive time spent by professionals on logistical tasks, and low record-keeping reliability, to the detriment of the time available for patient care. The solution developed was based on the implementation of a Supply Chain Management (SCM) system based on concepts such as Supply Chain Management (SCM), Logistics Management, and Stock Management, supported by management systems and tools such as Kanban and ABC analysis. The results achieved demonstrated significant improvements, such as greater reliability and traceability of stocks; a reduction in the time spent by healthcare professionals on logistical tasks; the definition of stock levels, with a reduction in the value and number of items in the SCM; and better organization of the physical space with appropriate layout and identification of items with barcode labels, facilitating their location, thus contributing to optimized stock control. The implementation of SCM as a replicable model for other hospital functional units is relevant and demonstrates contributions to operational efficiency, economic sustainability, and the quality of care provided.
Descrição
Palavras-chave
Gestão da Cadeia de Abastecimento em Saúde Logística Hospitalar Gestão de Stocks Armazém Avançado Kanban Análise ABC Investigação-Ação Healthcare Supply Chain Management Hospital Logistics Stock Management Advanced Warehouse ABC Analysis Action Research