Improvements in the obstetric center of a public hospital: a case study of the use of Lean Healthcare tools

Authors

DOI:

https://doi.org/10.47456/bjpe.v10i2.44242

Keywords:

Lean Healthcare, Waste, Tools

Abstract

The Brazilian health system faces challenges in providing services. Focusing on Lean Healthcare, hospital management seeks improvements in relation to process efficiency and the quality of services provided, reducing waste. The research focuses on analyzing and improving the processes of the Obstetric Center (OC) of a hospital in Feira de Santana, using Lean Healthcare. The study aims to identify waste that affects the length of stay of patients in the OC and propose improvements. The research, classified as descriptive and exploratory, was conducted in a case study format and applied Value Stream Mapping (MFV), to identify waste, classify it and suggest improvements. Waste in patient flow, such as unnecessary waiting and movement, was identified, resulting in proposals for changes in processes and organizational culture. Performance indicators, such as length of stay, were defined to monitor results. It is expected that the proposed improvements, combined with the training of professionals on Lean, will reduce the length of stay in the OC by 37%, improving the efficiency and quality of care. The study highlights the importance of continuous improvement of healthcare processes to ensure a more effective and safe service.

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Author Biographies

Willma Bastos Ribeiro Oliveira, Universidade Federal do Recôncavo da Bahia

I am currently studying Production Engineering at the Federal University of Recôncavo da Bahia (UFRB), in Feira de Santana. I have a Bachelor's degree in Energy and Sustainability, from the same educational institution, and I have a Logistics Technician diploma from the National Industrial Learning Service (SENAI). I was the Financial Coordinator of the Bahian Nucleus of Production Engineering Students (NUBEEP) and Administrative/Financial Director of EngTemp JR. Currently, I am part of the Lean Healthcare project, working in the Applied Research part at a hospital in the city where I live.

Camille Pereira Guimarães , Universidade Federal do Recôncavo da Bahia

He has experience in the area of ​​Production Engineering, with an emphasis on Production Engineering. Fellow researcher for the Lean Healthcare scientific initiation project. Acts as CEO of Engtemp Jr, a junior consulting and engineering company

Maria Clara Sampaio Gonçalves, Universidade Federal do Recôncavo da Bahia

Student of the Interdisciplinary Bachelor's Degree in Energy and Sustainability (BES), with an emphasis on Production Engineering, at the Federal University of Recôncavo da Bahia (UFRB). Currently a scholarship holder for Initiation in Technological Development and Innovation (PIBITI) in the Lean Healthcare research project applied to the healthcare area of ​​Feira de Santana and a volunteer in the WIE IEEE affinity group at UFRB.

Andressa Clara Barbosa de Araujo, Universidade Federal da Bahia

Master's student in the Industrial Engineering Program (PEI) at the Federal University of Bahia (UFBA). He has a Bachelor's degree in Production Engineering from the Federal University of Recôncavo da Bahia (2023) and a Bachelor's degree in Interdisciplinary in Energy and Sustainability from the Federal University of Recôncavo da Bahia (2022). During his graduation, he was a Fellow in Initiation in Technological Development and Innovation of the Lean Healthcare project applied to the healthcare area of ​​Feira de Santana (2022-2023), a Fellow in Scientific Initiation of the Lean Healthcare project applied to the healthcare area of ​​Feira de Santana (2021 - 2022) and Scholarship in scientific initiation of the research project Study of the preparation of biodegradable polymers using agricultural waste (2017 - 2018).

Cristiane Agra Pimentel, Universidade Federal do Recôncavo da Bahia

Currently a professor at the Federal University of Recôncavo da Bahia (UFRB) in Feira de Santana on the Production Engineering course, senior member of the IEEE. He has 12 years of experience in the metallurgical industrial area. Expertise developed in the areas of quality, production system (lean), audits and certifications. Internal and external auditor of the Integrated Management System (ISO 9001, ISO 14001 and ISO IEC 17025) and Green Belt. During her master's degree she worked with the implementation of ISO standards in the public service, highlighting the accreditation of the Biomaterials laboratory of the Northeast CERTBIO in the ISO/IEC 17025 standard, and during her doctorate she worked with the development of materials for application as biomaterials. Currently leading the Lean Healthcare research project focusing on the healthcare area at BA and the Impacts of AI on education, in addition to working on issues related to female performance in exact sciences. Recipient of the 2021 IEEE Undergraduate Teaching Award, IEEE WIE 2021 and 2022 Honorable Mention- Inspiring Member of the Year Award and 2021 Outstanding Branch Counselor Branch Chapter Advisor Award. As of 2024, he is a member of the IEEE R9 Industry Engagement Committee and is Vice Chair of the WIE northeast section.

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Published

2024-05-07

How to Cite

Oliveira, W. B. R., Guimarães , C. P., Gonçalves, M. C. S., Araujo, A. C. B. de, & Pimentel, C. A. (2024). Improvements in the obstetric center of a public hospital: a case study of the use of Lean Healthcare tools. Brazilian Journal of Production Engineering, 10(2), 182–195. https://doi.org/10.47456/bjpe.v10i2.44242

Issue

Vol. 10 No. 2 (2024): Regular Issue (April - June) *Publication Articles Continuous Flow*

Section

QUALITY ENGINEERING

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