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Authors
Abstract(s)
Na situação socioeconómica atual torna-se difícil prever o futuro do sistema nacional de
saúde, contudo uma coisa é certa se o sistema nacional de saúde quiser sobreviver terá que
custar menos ao erário público. Uma das ferramentas que poderá permitir o aumento da
eficácia e eficiência das instituições que formam o sistema nacional da saúde é o Lean
Healthcare. Este paradigma inclui princípios e ferramentas simples que visam a eliminação de
desperdício e a criação de valor.
Seguindo a linha de raciocínio, esta dissertação surge com o intuito de analisar e divulgar a
filosofia Lean, propondo-se, dessa forma, a identificar problemas que possam afectar o
funcionamento do Serviço de Urgência Geral do Hospital Pêro da Covilhã e, secundariamente,
a propor propostas de melhoria Lean para cada problema encontrado.
O estudo baseou-se em cerca de 34 horas de observação do SUG do CHCB, assim como em
entrevistas informais a colaboradores e na consulta de literatura e documentação relativa à
gestão do serviço.
Durante este estudo foram identificados 19 problemas que foram divididos em 5 categorias:
instalações do serviço, material, Recursos humanos, utente e fluxo de informação. Qualquer
um deles foi identificado como potencial causa de desperdício. Sendo que para todos foi
proposto uma melhoria Lean que visa a eliminação total ou parcial dos desperdícios
encontrados.
Concluiu-se que a implementação Lean trará muitos benefícios ao serviço, contudo é
importante referir que para uma implementação apropriada deste método será necessário
fomentar a motivação dos colaboradores para a necessidade de mudança.
In the current economic situation it is difficult to predict the future of the national health system, but one thing is certain if the national health system wants to survive, it will have to mean less cost to the public treasury. One of the tools that may allow the increase of the effectiveness and efficiency of the institutions that form the national health system is Lean Healthcare. This paradigm includes principles and simple tools aimed at eliminating waste and creating value. Following the line of reasoning, this work arises in order to analyze and disclose the Lean philosophy, intending thereby to identify problems that may affect the functioning of the General Emergency Service of Hospital Pero da Covilhã and, secondarily, to propose suggestions for Lean improvements for each problem encountered. The study was based on about 34 hours of observation of the ER of CHCB, as well as informal interviews and consultation to employees and consultation of documentation and literature on the management of the service. During this study 19 problems were identified which were divided into five categories: service facilities, equipment, staff, users and information flow. Any one of them was identified as a potential cause of waste. As for every one was proposed a Lean improvement aimed at total or partial elimination of waste found. It was concluded that the Lean implementation will bring many benefits to the service, however it is important to note that for a proper implementation of this method will be necessary to promote the motivation of employees to the need for change.
In the current economic situation it is difficult to predict the future of the national health system, but one thing is certain if the national health system wants to survive, it will have to mean less cost to the public treasury. One of the tools that may allow the increase of the effectiveness and efficiency of the institutions that form the national health system is Lean Healthcare. This paradigm includes principles and simple tools aimed at eliminating waste and creating value. Following the line of reasoning, this work arises in order to analyze and disclose the Lean philosophy, intending thereby to identify problems that may affect the functioning of the General Emergency Service of Hospital Pero da Covilhã and, secondarily, to propose suggestions for Lean improvements for each problem encountered. The study was based on about 34 hours of observation of the ER of CHCB, as well as informal interviews and consultation to employees and consultation of documentation and literature on the management of the service. During this study 19 problems were identified which were divided into five categories: service facilities, equipment, staff, users and information flow. Any one of them was identified as a potential cause of waste. As for every one was proposed a Lean improvement aimed at total or partial elimination of waste found. It was concluded that the Lean implementation will bring many benefits to the service, however it is important to note that for a proper implementation of this method will be necessary to promote the motivation of employees to the need for change.
Description
Keywords
Lean thinking Lean healthcare - Serviços de urgência - Hospitais Serviço de urgência - Hospitais - Metodologia lean
Citation
Publisher
Universidade da Beira Interior