Analysis of the preparation and administration of medications in the hospital context based on Lean thinking

• Autor(a) principal: Costa,Diovane Ghignatti da
• Data de Publicação: 2018
• Outros Autores: Pasin,Simone Silveira, Magalhães,Ana Maria Müller de, Moura,Gisela Maria Schebella Souto de, Rosso,Caroline Brum, Saurin,Tarcisio Abreu
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Escola Anna Nery
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1414-81452018000400204
• topic: Patient Safety; Medication Errors; Quality of Health Care; Organization and Administration; Process Assessment

Abstract Objectives: To analyze the current way medications are prepared and administered in the hospital setting and to apply a method to establish priorities for problems detected. Method: This is an exploratory-descriptive case study. The data were collected through observation and focus groups with 13 participants who were part of a health team in a surgical inpatient unit of a public university hospital. The analysis was based on a lean production framework. Results: A value stream map was constructed of the current way drugs are prepared and administered, identifying the clients in the process and their requirements. Forty-five current problems were identified, based on requirements that were not met with eight being prioritized to improve planning. Conclusion: Having prioritized the problems, the planning and implementation of continuous improvements in the medication process were started in order to reduce errors and improve the quality of services.