Analysis of the preparation and administration of medications in the hospital context based on Lean thinking
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.
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Universidade Federal do Rio de Janeiro
2018
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oai:scielo:S1414-814520180004002042018-07-24Analysis of the preparation and administration of medications in the hospital context based on Lean thinkingCosta,Diovane Ghignatti daPasin,Simone SilveiraMagalhães,Ana Maria Müller deMoura,Gisela Maria Schebella Souto deRosso,Caroline BrumSaurin,Tarcisio Abreu Patient Safety Medication Errors Quality of Health Care Organization and Administration Process Assessment 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.info:eu-repo/semantics/openAccessUniversidade Federal do Rio de JaneiroEscola Anna Nery v.22 n.4 20182018-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1414-81452018000400204en10.1590/2177-9465-ean-2017-0402 |
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Costa,Diovane Ghignatti da Pasin,Simone Silveira Magalhães,Ana Maria Müller de Moura,Gisela Maria Schebella Souto de Rosso,Caroline Brum Saurin,Tarcisio Abreu |
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Costa,Diovane Ghignatti da Pasin,Simone Silveira Magalhães,Ana Maria Müller de Moura,Gisela Maria Schebella Souto de Rosso,Caroline Brum Saurin,Tarcisio Abreu Analysis of the preparation and administration of medications in the hospital context based on Lean thinking |
author_facet |
Costa,Diovane Ghignatti da Pasin,Simone Silveira Magalhães,Ana Maria Müller de Moura,Gisela Maria Schebella Souto de Rosso,Caroline Brum Saurin,Tarcisio Abreu |
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Costa,Diovane Ghignatti da |
title |
Analysis of the preparation and administration of medications in the hospital context based on Lean thinking |
title_short |
Analysis of the preparation and administration of medications in the hospital context based on Lean thinking |
title_full |
Analysis of the preparation and administration of medications in the hospital context based on Lean thinking |
title_fullStr |
Analysis of the preparation and administration of medications in the hospital context based on Lean thinking |
title_full_unstemmed |
Analysis of the preparation and administration of medications in the hospital context based on Lean thinking |
title_sort |
analysis of the preparation and administration of medications in the hospital context based on lean thinking |
description |
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. |
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Universidade Federal do Rio de Janeiro |
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2018 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1414-81452018000400204 |
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