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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Main Authors: Costa,Diovane Ghignatti da, Pasin,Simone Silveira, Magalhães,Ana Maria Müller de, Moura,Gisela Maria Schebella Souto de, Rosso,Caroline Brum, Saurin,Tarcisio Abreu
Format: Digital revista
Language:English
Published: Universidade Federal do Rio de Janeiro 2018
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1414-81452018000400204
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spelling 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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libraryname SciELO
language English
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author Costa,Diovane Ghignatti da
Pasin,Simone Silveira
Magalhães,Ana Maria Müller de
Moura,Gisela Maria Schebella Souto de
Rosso,Caroline Brum
Saurin,Tarcisio Abreu
spellingShingle 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
author_sort 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.
publisher Universidade Federal do Rio de Janeiro
publishDate 2018
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1414-81452018000400204
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