Lean Healthcare : avaliação da aplicação do diagrama de espaguete em uma unidade pediátrica

Abstract

Hospitals are confronted with constant waste and activities that do not add value to their daily activities, related to aspects like communication, unnecessary movement of professionals, patients, material, information, besides well-written but useless protocols. To eliminate this waste and seek activities that truly add value in the hospital environment, the objective in this research was to assess the application of the Lean tool called the spaghetti diagram at a pediatric unit of a hospital in the interior of the State of São Paulo, Brazil. The flows were executed to analyze the applicability of the spaghetti diagram related to the best practices in a hospital environment, specifically the pediatric unit. During the research, it was perceived that the Lean spaghetti diagram can be applied in the hospital context, as the tool helps the managers visually to identify the main process improvements through the reorganization of the movements at the work unit, eliminating the waste in this process. It showed to be an effective and low-cost tool for the managers to use, which directly affects the quality of the medical-hospital service.