Management of ophthalmic surgical instruments and processes optimization: mixed method study.

Autor:	Schneider DSDS; Hospital de Clínicas de Porto Alegre (HCPA). Porto Alegre, Rio Grande do Sul, Brasil.; Universidade Federal do Rio Grande do Sul(UFRGS), Escola de Enfermagem, Programa de Pós-Graduação em Enfermagem. Porto Alegre, Rio Grande do Sul, Brasil., Magalhães AMM; Hospital de Clínicas de Porto Alegre (HCPA). Porto Alegre, Rio Grande do Sul, Brasil.; Universidade Federal do Rio Grande do Sul(UFRGS), Escola de Enfermagem, Programa de Pós-Graduação em Enfermagem. Porto Alegre, Rio Grande do Sul, Brasil., Glanzner CH; Hospital de Clínicas de Porto Alegre (HCPA). Porto Alegre, Rio Grande do Sul, Brasil.; Universidade Federal do Rio Grande do Sul(UFRGS), Escola de Enfermagem, Departamento Enfermagem Médico-Cirúrgica. Porto Alegre, Rio Grande do Sul, Brasil., Thomé EGDR; Universidade Federal do Rio Grande do Sul(UFRGS), Escola de Enfermagem, Departamento Enfermagem Médico-Cirúrgica. Porto Alegre, Rio Grande do Sul, Brasil., Oliveira JLC; Universidade Federal do Rio Grande do Sul(UFRGS), Escola de Enfermagem, Departamento de Assistência e Orientação Profissional. Porto Alegre, Rio Grande do Sul, Brasil., Anzanello MJ; Universidade Federal do Rio Grande do Sul(UFRGS), Escola de Engenharia, Departamento de Engenharia de Produção e Transportes. Porto Alegre, Rio Grande do Sul, Brasil.
Jazyk:	English; Portuguese
Zdroj:	Revista gaucha de enfermagem [Rev Gaucha Enferm] 2020 Apr 09; Vol. 41, pp. e20190111. Date of Electronic Publication: 2020 Apr 09 (Print Publication: 2020).
DOI:	10.1590/1983-1447.2020.20190111
Abstrakt:	Aim: Analysis of the use of ophthalmic instruments during surgical procedures in order to propose a material management method. Method: Mixed method study, sequential exploratory design, performed from January to June 2015, at a university hospital in southern Brazil. First, a qualitative approach was held from brainstorming and field observation. Themes were grouped into thematic categories. By connection, the quantitative stage happened through matrix arrangement and linear programming, culminating in the instrument management proposal. Results: Given categories - instruments reorganization according to the time of the surgical procedure and the need surgical instruments for in each procedure - guided the definition of existing restrictions and application of mathematical models. There was an average reduction of 13.10% in the number of surgical instruments per tray and an increase of 17.88% in surgical production. Final Considerations: This proposal allowed the rationalization and optimization of ophthalmic instruments, favoring sustainability of the organization.
Databáze:	MEDLINE
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