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

Autor: Diovane Ghignatti da Costa, Simone Silveira Pasin, Ana Maria Müller de Magalhães, Gisela Maria Schebella Souto de Moura, Caroline Brum Rosso, Tarcisio Abreu Saurin
Jazyk: English<br />Spanish; Castilian<br />Portuguese
Rok vydání: 2018
Předmět:
Zdroj: Escola Anna Nery, Vol 22, Iss 4 (2018)
Druh dokumentu: article
ISSN: 2177-9465
DOI: 10.1590/2177-9465-ean-2017-0402
Popis: 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.
Databáze: Directory of Open Access Journals