Value Stream Mapping applied to information management in infection control
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/39491 |
Resumo: | Infection control teams collect and produce information on epidemiologic surveillance for prevention of Healthcare Associated Infections (HAIs). Value Stream Mapping (VSM) is a Lean method for developing process through flow efficiency. The aim of the study was to use VSM to identify opportunities for improvement in the infection control department. Flow of information and infection control activities were reviewed using VSM and a questionnaire, where time required for each task was measured. The actual VSM went through multidisciplinary analysis and an ideal VSM was created without considering resource limits. The ideal VSM was reviewed to identify the improvements easily implemented and the ones that would require more time or resources. The actual VSM analysis addressed work overload for Key Performance Indicators (KPI) production, data management (fragmentation, access and redundant work, storage, time between tasks, time typing) and tasks performed retrospectively, when less information is available and with no opportunity to correct protocol deviation. The implementation of the ideal VSM provided a faster and more efficient HAIs analysis, London protocol for HAI cases and surgical prophylaxis evaluation became real time tasks, and all surgical surveillance was improved. A mobile app was proposed as an intervention and became a long-term project. If completely implemented, the ideal VSM would result in 15.7 less work hours/month, having the working time optimized for patient care. VSM is an important tool for epidemiologic surveillance in infection control allowing better data management, continuous workflow, and new information production with potentially fewer work hours. |
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Value Stream Mapping applied to information management in infection controlMapa de la Cadena de Valor aplicado a la gestión de la información en el control de infeccionesMapeamento de Fluxo de Valor aplicado ao gerenciamento de informações no controle de infecçõesValue stream mappingInfection controlProcess mappingLean healthcare.Mapa de la cadena de valorControl de infeccionesMapeo de procesosLean en la salud.Mapeamento do fluxo de valorControle de infecçãoMapeamento de processosLean para saúde.Infection control teams collect and produce information on epidemiologic surveillance for prevention of Healthcare Associated Infections (HAIs). Value Stream Mapping (VSM) is a Lean method for developing process through flow efficiency. The aim of the study was to use VSM to identify opportunities for improvement in the infection control department. Flow of information and infection control activities were reviewed using VSM and a questionnaire, where time required for each task was measured. The actual VSM went through multidisciplinary analysis and an ideal VSM was created without considering resource limits. The ideal VSM was reviewed to identify the improvements easily implemented and the ones that would require more time or resources. The actual VSM analysis addressed work overload for Key Performance Indicators (KPI) production, data management (fragmentation, access and redundant work, storage, time between tasks, time typing) and tasks performed retrospectively, when less information is available and with no opportunity to correct protocol deviation. The implementation of the ideal VSM provided a faster and more efficient HAIs analysis, London protocol for HAI cases and surgical prophylaxis evaluation became real time tasks, and all surgical surveillance was improved. A mobile app was proposed as an intervention and became a long-term project. If completely implemented, the ideal VSM would result in 15.7 less work hours/month, having the working time optimized for patient care. VSM is an important tool for epidemiologic surveillance in infection control allowing better data management, continuous workflow, and new information production with potentially fewer work hours.Los equipos de control de infecciones recopilan y producen información sobre vigilancia epidemiológica para la prevención de las Infecciones Asociadas a la Atención de la Salud (IRAS). Mapa de la Cadena de Valor (MCV) es un método Lean para desarrollar procesos a través de la eficiencia del flujo. El objetivo del estudio fue utilizar MCV para identificar oportunidades de mejora en el departamento de control de infecciones. El flujo de información y las actividades de control de infecciones se revisaron mediante MCV y un cuestionario, donde se midió el tiempo requerido para cada tarea. MCV real pasó por un análisis multidisciplinario y se creó un MCV ideal sin considerar los límites de recursos. Se revisó el MCV ideal para identificar las mejoras fáciles de implementar y las que requerirían más tiempo o recursos. El análisis MCV actual abordó la sobrecarga de trabajo para la producción de indicadores de desempeño (ID), la gestión de datos (fragmentación, acceso y trabajo redundante, almacenamiento, tiempo entre tareas, tipeo de tiempo) y tareas realizadas retrospectivamente, cuando hay menos información disponible y sin oportunidad de desviación del protocolo. La implementación del MCV ideal proporcionó un análisis de IRAS más rápido y eficiente, el protocolo de Londres para los casos de IRAS y la evaluación de la profilaxis quirúrgica se convirtieron en tareas en tiempo real, y se mejoró toda la vigilancia quirúrgica. Se planteó una aplicación móvil como intervención y se convirtió en un proyecto a largo plazo. Si se implementara completamente, el MCV ideal resultaría en 15,7 horas menos de trabajo/mes, teniendo el tiempo de trabajo optimizado para la atención del paciente. MCV es una herramienta importante para la vigilancia epidemiológica en el control de infecciones que permite una mejor gestión de datos, flujo de trabajo continuo y nueva producción de información con potencialmente menos horas de trabajo.Equipes de controle de infecção coletam e produzem informações sobre vigilância epidemiológica para a prevenção de Infecções Relacionadas à Assistência em Saúde (IRAS). Mapeamento de Fluxo de Valor (MFV) é um método Lean para desenvolver processos através da eficiência do fluxo. O objetivo do estudo foi utilizar MFV para identificar oportunidades de melhoria em um departamento de controle de infecção. O fluxo de informações e as atividades de controle de infecção foram revisadas utilizando MFV e um questionário, onde o tempo necessário para cada tarefa foi medido. O MFV real passou por análise multidisciplinar e um MFV ideal foi criado sem considerar os limites de recursos. O MFV ideal foi revisado para identificar as melhorias facilmente implementáveis e as que exigiriam mais tempo ou recursos. A análise do MFV real abordou a sobrecarga de trabalho para a produção de indicadores de desempenho (ID), gerenciamento de dados (fragmentação, acesso e trabalho redundante, armazenamento, tempo entre tarefas, tempo de digitação) e tarefas executadas retrospectivamente, quando menos informação está disponível e não há oportunidade de corrigir desvios de protocolo. A implementação do MFV ideal proporcionou uma análise mais rápida e eficiente das IRAS, o protocolo de Londres para casos de IRAS e a avaliação da profilaxia cirúrgica tornaram-se tarefas de tempo real, e toda a vigilância cirúrgica foi melhorada. Um aplicativo móvel foi proposto como intervenção e se tornou um projeto de longo prazo. Se completamente implementado, o MFV ideal resultaria em menos 15,7 horas de trabalho/mês, tendo o tempo de trabalho otimizado para o atendimento ao paciente. MFV é uma importante ferramenta para vigilância epidemiológica no controle de infecção, permitindo um melhor gerenciamento de dados, fluxo de trabalho contínuo e produção de novas informações com potencialmente menos horas de trabalho.Research, Society and Development2023-01-02info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/3949110.33448/rsd-v12i1.39491Research, Society and Development; Vol. 12 No. 1; e8712139491Research, Society and Development; Vol. 12 Núm. 1; e8712139491Research, Society and Development; v. 12 n. 1; e87121394912525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/39491/32402Copyright (c) 2023 Rodrigo Schrage Lins; Asdrubal Falavigna ; Marcelo Carneiro ; Viviane Maria de Carvalho Hessel Dias; Leandro Luis Corso; Fernanda Marçolla Weber ; Vinícius Victorazzi Lain; Lessandra Michelin https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessLins, Rodrigo Schrage Falavigna , Asdrubal Carneiro , MarceloDias, Viviane Maria de Carvalho Hessel Corso, Leandro Luis Weber , Fernanda Marçolla Lain, Vinícius Victorazzi Michelin , Lessandra 2023-01-13T10:30:42Zoai:ojs.pkp.sfu.ca:article/39491Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2023-01-13T10:30:42Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Value Stream Mapping applied to information management in infection control Mapa de la Cadena de Valor aplicado a la gestión de la información en el control de infecciones Mapeamento de Fluxo de Valor aplicado ao gerenciamento de informações no controle de infecções |
title |
Value Stream Mapping applied to information management in infection control |
spellingShingle |
Value Stream Mapping applied to information management in infection control Lins, Rodrigo Schrage Value stream mapping Infection control Process mapping Lean healthcare. Mapa de la cadena de valor Control de infecciones Mapeo de procesos Lean en la salud. Mapeamento do fluxo de valor Controle de infecção Mapeamento de processos Lean para saúde. |
title_short |
Value Stream Mapping applied to information management in infection control |
title_full |
Value Stream Mapping applied to information management in infection control |
title_fullStr |
Value Stream Mapping applied to information management in infection control |
title_full_unstemmed |
Value Stream Mapping applied to information management in infection control |
title_sort |
Value Stream Mapping applied to information management in infection control |
author |
Lins, Rodrigo Schrage |
author_facet |
Lins, Rodrigo Schrage Falavigna , Asdrubal Carneiro , Marcelo Dias, Viviane Maria de Carvalho Hessel Corso, Leandro Luis Weber , Fernanda Marçolla Lain, Vinícius Victorazzi Michelin , Lessandra |
author_role |
author |
author2 |
Falavigna , Asdrubal Carneiro , Marcelo Dias, Viviane Maria de Carvalho Hessel Corso, Leandro Luis Weber , Fernanda Marçolla Lain, Vinícius Victorazzi Michelin , Lessandra |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Lins, Rodrigo Schrage Falavigna , Asdrubal Carneiro , Marcelo Dias, Viviane Maria de Carvalho Hessel Corso, Leandro Luis Weber , Fernanda Marçolla Lain, Vinícius Victorazzi Michelin , Lessandra |
dc.subject.por.fl_str_mv |
Value stream mapping Infection control Process mapping Lean healthcare. Mapa de la cadena de valor Control de infecciones Mapeo de procesos Lean en la salud. Mapeamento do fluxo de valor Controle de infecção Mapeamento de processos Lean para saúde. |
topic |
Value stream mapping Infection control Process mapping Lean healthcare. Mapa de la cadena de valor Control de infecciones Mapeo de procesos Lean en la salud. Mapeamento do fluxo de valor Controle de infecção Mapeamento de processos Lean para saúde. |
description |
Infection control teams collect and produce information on epidemiologic surveillance for prevention of Healthcare Associated Infections (HAIs). Value Stream Mapping (VSM) is a Lean method for developing process through flow efficiency. The aim of the study was to use VSM to identify opportunities for improvement in the infection control department. Flow of information and infection control activities were reviewed using VSM and a questionnaire, where time required for each task was measured. The actual VSM went through multidisciplinary analysis and an ideal VSM was created without considering resource limits. The ideal VSM was reviewed to identify the improvements easily implemented and the ones that would require more time or resources. The actual VSM analysis addressed work overload for Key Performance Indicators (KPI) production, data management (fragmentation, access and redundant work, storage, time between tasks, time typing) and tasks performed retrospectively, when less information is available and with no opportunity to correct protocol deviation. The implementation of the ideal VSM provided a faster and more efficient HAIs analysis, London protocol for HAI cases and surgical prophylaxis evaluation became real time tasks, and all surgical surveillance was improved. A mobile app was proposed as an intervention and became a long-term project. If completely implemented, the ideal VSM would result in 15.7 less work hours/month, having the working time optimized for patient care. VSM is an important tool for epidemiologic surveillance in infection control allowing better data management, continuous workflow, and new information production with potentially fewer work hours. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-01-02 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/39491 10.33448/rsd-v12i1.39491 |
url |
https://rsdjournal.org/index.php/rsd/article/view/39491 |
identifier_str_mv |
10.33448/rsd-v12i1.39491 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/39491/32402 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 12 No. 1; e8712139491 Research, Society and Development; Vol. 12 Núm. 1; e8712139491 Research, Society and Development; v. 12 n. 1; e8712139491 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
_version_ |
1797052615393017856 |