Revista de Administração em Saúde
Utilização do Value Stream Mapping (VSM) para mapeamento do fluxo de pacientes em unidades hospitalares e sua relevância para a gestão/administração em saúde
Resumo
Introdução: O Value Stream Mapping (VSM), originado do Lean Manufacturing, é uma técnica utilizada para visualizar e analisar o fluxo de materiais e informações em processos, sendo adaptada na saúde para otimizar o fluxo de pacientes, identificar desperdícios e melhorar a eficiência e qualidade do atendimento. Objetivo: Analisar como a implementação do VSM em unidades hospitalares pode impactar positivamente a gestão de processos, reduzir desperdícios e melhorar a experiência do paciente, com base em evidências da literatura recente. Metodologia: Tratou-se de uma pesquisa de revisão da literatura com buscas realizadas entre julho e outubro de 2024 nas bases de dados Scielo, Pub Med e Biblioteca Virtual em Saúde – BVS por meio da combinação dos descritores de assunto cadastrados no DECS: Administração hospitalar; Otimização de processos; Garantia da qualidade dos cuidados de saúde e Setor de assistência à saúde com as palavras-chave: Value Stream Mapping, Lean Manufacturing e fluxo de pacientes. Resultados: O VSM tem demonstrado reduzir o tempo de espera dos pacientes em emergências em até 40% e o tempo médio de alta hospitalar em até 20%. Conclusão: VSM é uma ferramenta eficaz para a melhoria dos processos hospitalares, com benefícios significativos na gestão de fluxos de pacientes, redução de desperdícios e melhoria da experiência do paciente. Embora existam desafios na sua implementação.
Palavras-chave: Administração hospitalar; Otimização de processos; Garantia da qualidade dos cuidados de saúde e Setor de assistência à saúde.
Use of Value Stream Mapping (VSM) for mapping the flow of patients in hospital units and its relevance for health management/administration
ABSTRACT
Introduction: Value Stream Mapping (VSM), originating from Lean Manufacturing, is a technique used to visualize and analyze the flow of materials and information in processes, being adapted in healthcare to update patient flow, identify waste and improve efficiency and quality of service. Objective: To analyze how the implementation of VSM in hospital units can effectively impact process management, reduce waste and improve the patient experience, based on evidence from recent literature. Methodology: This was literature review research with searches carried out between July and October 2024 in the Scielo, Pub Med and Virtual Health Library – VHL databases through the combination of subject descriptors registered in DECS: Hospital administration; Process optimization; Healthcare quality assurance and Healthcare Sector with keywords: Value Stream Mapping, Lean Manufacturing and patient flow. Results: VSM has been shown to reduce patient waiting times in emergencies by up to 40% and the average hospital discharge time by up to 20%. Conclusion: VSM is an effective tool for improving hospital processes, with significant benefits in managing patient flows, reducing waste and improving the patient experience. Although there are challenges in its implementation
Keywords:Hospital administration; Process optimization; Quality Assurance of Healthcare and Healthcare Sector.
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DOI: http://dx.doi.org/10.23973/ras.97.402
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Revista de Administração em Saúde
ISSN 2526-3528 (online)
Associação Brasileira de Medicina Preventiva e Administração em Saúde
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