Estudo da efetividade do lean six sigma healthcare para a redução de desperdícios durante a pandemia da covid-19
Data
2021-02-04
Autores
Silva, Laís Costa 
Orientadores
Sato, Renato Cesar
Tipo
Trabalho de conclusão de curso
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ISSN da Revista
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Resumo
No panorama mundial, a pandemia da covid-19 representa uma problemática de saúde pública de alta magnitude afetando o funcionamento habitual desde atividades básicas do cotidiano a atividades industriais e comerciais. O crescimento exponencial da pandemia e o despreparo dos sistemas de saúde para o atendimento massivo de pacientes resultou em uma sobrecarga nos serviços hospitalares potencializando desperdícios resultantes de processos não otimizados. A escassez de recursos básicos na pandemia colocou em pauta a discussão sobre melhorias na gestão hospitalar. Neste cenário, o lean six sigma healthcare surge como uma alternativa promissora, tendo em seus pilares a redução de desperdícios por meio da aplicação de ferramentas de baixo custo e rápida implementação. Este estudo trata-se de uma revisão sistemática da literatura estruturada em 3 etapas – planejamento, condução e relatório - e se propõe a analisar os aspectos do lean six sigma healthcare enquanto agente de otimização de processos em âmbito hospitalar com foco em reduzir os desperdícios durante a pandemia da covid-19, resultando em 10 publicações de alta qualidade metodológica e relevância no contexto como objeto de estudo. Os KPIs referentes a quantidade de atendimentos, gastos monetários, tempo de processos e tempo de espera dos pacientes se mostraram parâmetros críticos nos tempos de pandemia fundamentando intervenções para mitigação de desperdícios de espera – detectado e reduzido em 90% dos estudos - e evidenciando a correlação entre indicadores, desperdícios, intervenção e desfecho sob ação da metodologia DMAIC orientando o uso de ferramentas do lean six sigma associadas, com o uso médio superior a 4 ferramentas para a condução de intervenções produzindo melhorias. O uso do lean six sigma healthcare se mostrou efetivo na aplicação ao contexto de crise de covid-19 mostrando potencial para atuar em cenários críticos em áreas diversas além de sua aplicação tradicional na indústria.
In the global panorama, the covid-19 pandemic represents a public health problem of high magnitude, affecting the normal functioning from basic daily activities to industrial and commercial activities. The exponential pandemic growth and the health systems unpreparedness for massive patient care resulted in an overload of hospital services, increasing waste resulting from non-optimized processes. The basic resources scarcity in the pandemic brought the discussion on improvements in hospital management to the fore. In this scenario, lean six sigma healthcare emerges as a promising alternative, having in its pillars the waste reduction through the application of low cost tools and quick implementation. This study is a systematic literature review structured in 3 stages - planning, conducting and reporting - and aims to analyze the aspects of lean six sigma healthcare as an agent of process optimization in the hospital environment with a focus on reducing waste during the covid-19 pandemic, resulting in 10 publications of high methodological quality and relevance in the context as an study object. The KPIs referring to the amount of care, monetary expenses, process time and patient waiting time proved to be critical parameters in pandemic times, supporting interventions to mitigate waiting waste - detected and reduced in 90% of the studies - and showing the correlation between indicators, waste, intervention and outcome under the action of the DMAIC methodology guiding the use of associated lean six sigma tools, with an average use higher than 4 tools for conducting interventions producing improvements. The use of lean six sigma healthcare proved to be effective in applying covid-19 to the crisis context, showing potential to act in critical scenarios in different areas beyond its traditional application in industry.
In the global panorama, the covid-19 pandemic represents a public health problem of high magnitude, affecting the normal functioning from basic daily activities to industrial and commercial activities. The exponential pandemic growth and the health systems unpreparedness for massive patient care resulted in an overload of hospital services, increasing waste resulting from non-optimized processes. The basic resources scarcity in the pandemic brought the discussion on improvements in hospital management to the fore. In this scenario, lean six sigma healthcare emerges as a promising alternative, having in its pillars the waste reduction through the application of low cost tools and quick implementation. This study is a systematic literature review structured in 3 stages - planning, conducting and reporting - and aims to analyze the aspects of lean six sigma healthcare as an agent of process optimization in the hospital environment with a focus on reducing waste during the covid-19 pandemic, resulting in 10 publications of high methodological quality and relevance in the context as an study object. The KPIs referring to the amount of care, monetary expenses, process time and patient waiting time proved to be critical parameters in pandemic times, supporting interventions to mitigate waiting waste - detected and reduced in 90% of the studies - and showing the correlation between indicators, waste, intervention and outcome under the action of the DMAIC methodology guiding the use of associated lean six sigma tools, with an average use higher than 4 tools for conducting interventions producing improvements. The use of lean six sigma healthcare proved to be effective in applying covid-19 to the crisis context, showing potential to act in critical scenarios in different areas beyond its traditional application in industry.