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Advisor(s)
Abstract(s)
As organizações de saúde vêm enfrentando desafios diante dos altos custos e baixa
eficiência dos serviços de saúde, causados pelo crescimento e valorização dos serviços.
O crescimento dos custos, maior do que as receitas e os prejuízos causados por erros
evitáveis levam a procura por soluções.
O Lean healthcare é um sistema de gestão que tem como foco a eliminação de
desperdícios e a criação de valor, gerando melhorias dos processos, podendo ser uma
solução para as dificuldades e problemas gerados na diminuição da qualidade do
serviço prestado, tal como o aumento do risco para o paciente.
Este estudo tem por objetivo analisar o estado da arte da literatura centrada na
abordagem Lean no contexto da gestão do risco, nas organizações de saúde, e
identificar novas oportunidades de investigação, evidenciando possíveis linhas de
investigações futuras. Foi realizada uma revisão sistemática de literatura (systematic
literature reviews (SLR)), a fim de coordenar a diversidade de conhecimento numa
investigação acadêmica específica, o que permitiu mapear e avaliar publicações
existentes e identificar questões de pesquisa a desenvolver.
Baseado nos resultados, foram identificadas cinco principais áreas de investigação: 1)
gestão do risco orientada para a segurança dos pacientes; 2) gestão do risco orientada
para a segurança dos colaboradores; 3) importância das atitudes e comportamentos nos
projetos de redução do risco; 4) ferramentas Lean usadas na gestão do risco em saúde e
5) Integração de abordagens.
Esta SLR sugere que no contexto da gestão dos riscos nas organizações de saúde, a
abordagem Lean apresenta benefícios quanto à segurança e permite ainda melhorias
nos processos, na eficiência da utilização de recursos, nos indicadores de qualidade e na
satisfação profissional. Desta forma, a abordagem Lean é um modelo de gestão
inovadora e de sucesso, contribuindo para melhorias na qualidade e eficiência, no
controlo de custos, na redução de desperdícios, na gestão do risco e na prestação de
cuidados ideais, agregando valor para o paciente.
Healthcare organizations have been facing challenges due to the high costs and low efficiency of health services, caused by the growth and valuation of services. The growth of costs, greater than the revenues and the losses caused by avoidable mistakes, lead to the search for solutions. Lean healthcare is a management system that focuses on eliminating waste and creating value, generating process improvements, which can be a solution to the difficulties and problems generated in the reduction of quality in the service provided, as well as the increase in risk to the patient. This study aims to analyse the state of the art in the literature centred on the Lean approach in the context of risk management in healthcare organizations and to identify new research opportunities, highlighting possible lines of future investigation. A systematic literature review (SLR) was carried out in order to coordinate the diversity of knowledge in a specific academic investigation, which allowed the mapping and evaluation of existing publications and identifying research issues to be developed. Based on the results, five main research streams were identified: 1) risk management oriented towards patient safety; 2) risk management oriented towards employee safety; 3) importance of attitudes and behaviours in risk reduction projects; 4) Lean tools used in healthcare risk management and 5) Integration of approaches. This SLR suggests that, in the context of risk management in healthcare organizations, the Lean approach has benefits in terms of safety and also allows for improvements in processes, in the efficiency of the use of resources, in quality indicators and in professional satisfaction. In this way, the Lean approach is an innovative and successful management model, contributing to improvements in quality and efficiency, cost control, waste reduction, risk management and optimal care delivery, adding value to the patient.
Healthcare organizations have been facing challenges due to the high costs and low efficiency of health services, caused by the growth and valuation of services. The growth of costs, greater than the revenues and the losses caused by avoidable mistakes, lead to the search for solutions. Lean healthcare is a management system that focuses on eliminating waste and creating value, generating process improvements, which can be a solution to the difficulties and problems generated in the reduction of quality in the service provided, as well as the increase in risk to the patient. This study aims to analyse the state of the art in the literature centred on the Lean approach in the context of risk management in healthcare organizations and to identify new research opportunities, highlighting possible lines of future investigation. A systematic literature review (SLR) was carried out in order to coordinate the diversity of knowledge in a specific academic investigation, which allowed the mapping and evaluation of existing publications and identifying research issues to be developed. Based on the results, five main research streams were identified: 1) risk management oriented towards patient safety; 2) risk management oriented towards employee safety; 3) importance of attitudes and behaviours in risk reduction projects; 4) Lean tools used in healthcare risk management and 5) Integration of approaches. This SLR suggests that, in the context of risk management in healthcare organizations, the Lean approach has benefits in terms of safety and also allows for improvements in processes, in the efficiency of the use of resources, in quality indicators and in professional satisfaction. In this way, the Lean approach is an innovative and successful management model, contributing to improvements in quality and efficiency, cost control, waste reduction, risk management and optimal care delivery, adding value to the patient.
Description
Keywords
Gestão do Risco Pensamento Lean Revisão Sistemática de Literatura Segurança do Colaborador Segurança do Paciente Setor da Saúde