Lean healthcare : aplicação do diagrama de espaguete em uma unidade de emergência

Detalhes bibliográficos
Autor(a) principal: Deguirmendjian, Samira Candalaft
Data de Publicação: 2016
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Repositório Institucional da UFSCAR
Texto Completo: https://repositorio.ufscar.br/handle/ufscar/7405
Resumo: Every day we are faced with constant waste and activities that do not add any value in hospitals. Aspects related to communication, unnecessary movement of professionals, patients, materials and information, useless protocols although well written are increasingly observed in health services. For improvements related to handling flow and continuous elimination of waste and activities that do not add value in the hospital, this study aimed to assess the implementation of spaghetti diagram tool in an emergency room of a small hospital in the state of São Paulo. The healthcare lean methodology and spaghetti diagram tool was used. It was identified the current situation and opportunities for improvement, relating to proposition good spaghetti diagram practices in hospitals. The main movement of wastes were mentioned and it was noted that the application of the tool was successful. The importance of the method for reducing the waste stream related to movement flow in a hospital environment has been proved. It is expected that the flow of tasks become efficient, always seeking less time to perform activities using less effort, less cost and reducing the waiting time of the patients in the unit by reorganizing the movement flow in the workplace.
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spelling Deguirmendjian, Samira CandalaftZem-Mascarenhas, Silvia Helenahttp://lattes.cnpq.br/0185144417072417http://lattes.cnpq.br/1856446205822371806058ce-51b0-46e8-bada-f5f8f85e85a42016-09-23T18:32:01Z2016-09-23T18:32:01Z2016-02-23DEGUIRMENDJIAN, Samira Candalaft. Lean healthcare : aplicação do diagrama de espaguete em uma unidade de emergência. 2016. Dissertação (Mestrado em Enfermagem) – Universidade Federal de São Carlos, São Carlos, 2016. Disponível em: https://repositorio.ufscar.br/handle/ufscar/7405.https://repositorio.ufscar.br/handle/ufscar/7405Every day we are faced with constant waste and activities that do not add any value in hospitals. Aspects related to communication, unnecessary movement of professionals, patients, materials and information, useless protocols although well written are increasingly observed in health services. For improvements related to handling flow and continuous elimination of waste and activities that do not add value in the hospital, this study aimed to assess the implementation of spaghetti diagram tool in an emergency room of a small hospital in the state of São Paulo. The healthcare lean methodology and spaghetti diagram tool was used. It was identified the current situation and opportunities for improvement, relating to proposition good spaghetti diagram practices in hospitals. The main movement of wastes were mentioned and it was noted that the application of the tool was successful. The importance of the method for reducing the waste stream related to movement flow in a hospital environment has been proved. It is expected that the flow of tasks become efficient, always seeking less time to perform activities using less effort, less cost and reducing the waiting time of the patients in the unit by reorganizing the movement flow in the workplace.A cada dia percebem-se constantes desperdícios e atividades que não agregam valor algum nos hospitais. Aspectos relacionados à comunicação, movimentação desnecessária de profissionais, pacientes, materiais e informações, protocolos inúteis, apesar de bem escritos, são cada vez mais observados nos serviços de saúde. Visando melhorias relacionadas ao fluxo de movimentação e a eliminação contínua de desperdícios e atividades que não acrescentam valor no ambiente hospitalar, esta pesquisa teve como objetivo a avaliação da aplicação da ferramenta diagrama de espaguete em uma unidade de emergência de um hospital de pequeno porte do interior do estado de São Paulo. Foi utilizada a metodologia lean healthcare e a ferramenta diagrama de espaguete. Identificou-se a situação atual e as oportunidades de melhorias, relacionando-se a proposição de boas práticas de diagrama de espaguete em ambiente hospitalar. Foram apontados os principais desperdícios de movimentação encontrados e percebeu-se que a aplicação da ferramenta pôde ser realizada com êxito. Comprovou-se a importância do método para a redução dos desperdícios relacionados ao fluxo de movimentação em ambiente hospitalar. Espera-se que o fluxo de tarefas torne-se eficiente, buscando sempre menor tempo para realização das atividades, utilizando menos esforços, com menor custo e diminuindo o tempo de espera do paciente na unidade por meio da reorganização dos fluxos de movimentação do ambiente de trabalho.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)porUniversidade Federal de São CarlosCâmpus São CarlosPrograma de Pós-Graduação em Enfermagem - PPGEnfUFSCarGerenciamento em enfermagemDiagrama de espagueteLean healthcareManagement in nursingLean healthcareSpaghetti diagramCIENCIAS BIOLOGICASCIENCIAS DA SAUDE::ENFERMAGEMLean healthcare : aplicação do diagrama de espaguete em uma unidade de emergênciaLean healthcare: implementation of spaghetti diagram in a sector of emergency (Master’s in Nursing)info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisOnline600600c4ff86eb-83e6-436a-98cd-317c4bfa2c1binfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFSCARinstname:Universidade Federal de São Carlos (UFSCAR)instacron:UFSCARORIGINALDissSCD.pdfDissSCD.pdfapplication/pdf13379841https://repositorio.ufscar.br/bitstream/ufscar/7405/1/DissSCD.pdf23a8da869239ebb577af2585763a307dMD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81957https://repositorio.ufscar.br/bitstream/ufscar/7405/2/license.txtae0398b6f8b235e40ad82cba6c50031dMD52TEXTDissSCD.pdf.txtDissSCD.pdf.txtExtracted texttext/plain200083https://repositorio.ufscar.br/bitstream/ufscar/7405/3/DissSCD.pdf.txt9163c5567114ad7ff3bdbdf24090c411MD53THUMBNAILDissSCD.pdf.jpgDissSCD.pdf.jpgIM Thumbnailimage/jpeg7650https://repositorio.ufscar.br/bitstream/ufscar/7405/4/DissSCD.pdf.jpg9095d3c1288f948476915429030e464bMD54ufscar/74052023-09-18 18:31:12.446oai:repositorio.ufscar.br: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Repositório InstitucionalPUBhttps://repositorio.ufscar.br/oai/requestopendoar:43222023-09-18T18:31:12Repositório Institucional da UFSCAR - Universidade Federal de São Carlos (UFSCAR)false
dc.title.por.fl_str_mv Lean healthcare : aplicação do diagrama de espaguete em uma unidade de emergência
dc.title.alternative.eng.fl_str_mv Lean healthcare: implementation of spaghetti diagram in a sector of emergency (Master’s in Nursing)
title Lean healthcare : aplicação do diagrama de espaguete em uma unidade de emergência
spellingShingle Lean healthcare : aplicação do diagrama de espaguete em uma unidade de emergência
Deguirmendjian, Samira Candalaft
Gerenciamento em enfermagem
Diagrama de espaguete
Lean healthcare
Management in nursing
Lean healthcare
Spaghetti diagram
CIENCIAS BIOLOGICAS
CIENCIAS DA SAUDE::ENFERMAGEM
title_short Lean healthcare : aplicação do diagrama de espaguete em uma unidade de emergência
title_full Lean healthcare : aplicação do diagrama de espaguete em uma unidade de emergência
title_fullStr Lean healthcare : aplicação do diagrama de espaguete em uma unidade de emergência
title_full_unstemmed Lean healthcare : aplicação do diagrama de espaguete em uma unidade de emergência
title_sort Lean healthcare : aplicação do diagrama de espaguete em uma unidade de emergência
author Deguirmendjian, Samira Candalaft
author_facet Deguirmendjian, Samira Candalaft
author_role author
dc.contributor.authorlattes.por.fl_str_mv http://lattes.cnpq.br/1856446205822371
dc.contributor.author.fl_str_mv Deguirmendjian, Samira Candalaft
dc.contributor.advisor1.fl_str_mv Zem-Mascarenhas, Silvia Helena
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/0185144417072417
dc.contributor.authorID.fl_str_mv 806058ce-51b0-46e8-bada-f5f8f85e85a4
contributor_str_mv Zem-Mascarenhas, Silvia Helena
dc.subject.por.fl_str_mv Gerenciamento em enfermagem
Diagrama de espaguete
Lean healthcare
topic Gerenciamento em enfermagem
Diagrama de espaguete
Lean healthcare
Management in nursing
Lean healthcare
Spaghetti diagram
CIENCIAS BIOLOGICAS
CIENCIAS DA SAUDE::ENFERMAGEM
dc.subject.eng.fl_str_mv Management in nursing
Lean healthcare
Spaghetti diagram
dc.subject.cnpq.fl_str_mv CIENCIAS BIOLOGICAS
CIENCIAS DA SAUDE::ENFERMAGEM
description Every day we are faced with constant waste and activities that do not add any value in hospitals. Aspects related to communication, unnecessary movement of professionals, patients, materials and information, useless protocols although well written are increasingly observed in health services. For improvements related to handling flow and continuous elimination of waste and activities that do not add value in the hospital, this study aimed to assess the implementation of spaghetti diagram tool in an emergency room of a small hospital in the state of São Paulo. The healthcare lean methodology and spaghetti diagram tool was used. It was identified the current situation and opportunities for improvement, relating to proposition good spaghetti diagram practices in hospitals. The main movement of wastes were mentioned and it was noted that the application of the tool was successful. The importance of the method for reducing the waste stream related to movement flow in a hospital environment has been proved. It is expected that the flow of tasks become efficient, always seeking less time to perform activities using less effort, less cost and reducing the waiting time of the patients in the unit by reorganizing the movement flow in the workplace.
publishDate 2016
dc.date.accessioned.fl_str_mv 2016-09-23T18:32:01Z
dc.date.available.fl_str_mv 2016-09-23T18:32:01Z
dc.date.issued.fl_str_mv 2016-02-23
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.citation.fl_str_mv DEGUIRMENDJIAN, Samira Candalaft. Lean healthcare : aplicação do diagrama de espaguete em uma unidade de emergência. 2016. Dissertação (Mestrado em Enfermagem) – Universidade Federal de São Carlos, São Carlos, 2016. Disponível em: https://repositorio.ufscar.br/handle/ufscar/7405.
dc.identifier.uri.fl_str_mv https://repositorio.ufscar.br/handle/ufscar/7405
identifier_str_mv DEGUIRMENDJIAN, Samira Candalaft. Lean healthcare : aplicação do diagrama de espaguete em uma unidade de emergência. 2016. Dissertação (Mestrado em Enfermagem) – Universidade Federal de São Carlos, São Carlos, 2016. Disponível em: https://repositorio.ufscar.br/handle/ufscar/7405.
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dc.publisher.none.fl_str_mv Universidade Federal de São Carlos
Câmpus São Carlos
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publisher.none.fl_str_mv Universidade Federal de São Carlos
Câmpus São Carlos
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