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LEAN HEALTHCARE APPLICATION IN A SURGICAL PROCEDURES APPOINTMENT SCHEDULING CENTER IN A MATERNITY

机译:精益医疗保健在外科手术程序中的申请预约调度中心

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摘要

The study aimed to apply Lean Healthcare concepts and tools in surgical scheduling process. The intention was to structure and implement an appointment-scheduling central that was able to manage more effectively the demand for elective obstetrical surgeries in a neonatal maternity. The study used action research as a scientific method in order to solve a problem encountered in scheduling procedures involving employees in a cooperative and participatory improvement initiative. The method used was based on literature review, benchmarking visits and studies to identify good practices, and on current working condition analysis and comparison of indicators before and after the intervention.  The Lean and TOC theoretical frameworks was used to improve the process, creating value for the patients and professionals, conducting root-cause analysis, identifying wastes and constrains, and proposing and implementing solutions. Using action research in the study and applying the concepts and tools was possible to reach different results as the 70% reduction in cancellations, the increase in the number of procedures scheduled in the units, and increased 97% level of appointment scheduling service among other results.
机译:该研究旨在在外科调度过程中应用精益医疗保健概念和工具。意图是制定并实施预约调度中央,能够更有效地管理新生儿产妇的选择性产科手术。该研究使用了行动研究作为一种科学方法,以解决涉及合作和参与式改进倡议的员工的调度程序遇到的问题。使用的方法是基于文献综述,基准访问和研究,以确定良好的做法,以及在干预前后的当前工作条件分​​析和指标的比较。精益和TOC理论框架用于改善过程,为患者和专业人员创造价值,进行根本原因分析,识别废物和约束,提出和实施解决方案。在研究中使用动作研究和应用概念和工具可以达到不同的结果,因为减少的70%,单位安排的程序数量增加,并增加了97%的预约调度服务等结果。

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