IDEAS home Printed from https://ideas.repec.org/a/fan/mesame/vhtml10.3280-mesa2016-098005.html
   My bibliography  Save this article

Applicazione della metodologia SMED per il miglioramento delle operations nelle sale operatorie. Il caso Azienda Ospedaliera Universitaria Senese

Author

Listed:
  • Jacopo Guercini
  • Vincenzo Mezzatesta
  • Andrea Chiarini
  • Caterina Bianciardi
  • Lucia Bellandi
  • Sara Moi
  • Pasquale Biandolino

Abstract

In molte strutture sanitarie, la riduzione dei tempi di cambio paziente in sala operatoria ? un tema molto importante. Questa innovativa ricerca, fra le prime nel sue genere, condotta tramite la metodologia dell?action research, vuole analizzare come i tempi di changeover possano essere migliorati tramite l?utilizzo dello SMED (Single Minute Exchange of Die), un metodo per ridurre gli sprechi nei processi di set-up. La ricerca ? stata sviluppata nell?ambito di una sala operatoria della Azienda Ospedaliera Universitaria Senese. La metodologia deriva dal lean thinking giapponese ed ? particolarmente utilizzata nel mondo manifatturiero; l?obiettivo ? quello di ridurre il pi? possibile i tempi per passare da un intervento chirurgico al successivo (tempo di set-up). I risultati dimostrano che il tempo di cambio ? stato ridotto significativamente, cos? come la variabilit? tra un paziente e il successivo, seguendo alcuni principi base: l?identificazione delle attivit? esterne e di quelle interne, l?analisi di ciascuna attivit?, ricerca di soluzioni a basso costo di realizzo e riduzione del tempo di cambio. Il progetto, dal punto di vista delle performance, ha portato a un abbattimento dei tempi di cambio paziente nonch? a una riduzione degli interventi rinviati e di quelli conclusi oltre l?orario di chiusura previsto. Ma l?aspetto pi? importante ? forse quello del miglioramento organizzativo apportato.

Suggested Citation

  • Jacopo Guercini & Vincenzo Mezzatesta & Andrea Chiarini & Caterina Bianciardi & Lucia Bellandi & Sara Moi & Pasquale Biandolino, 2016. "Applicazione della metodologia SMED per il miglioramento delle operations nelle sale operatorie. Il caso Azienda Ospedaliera Universitaria Senese," MECOSAN, FrancoAngeli Editore, vol. 2016(98), pages 83-103.
    • Handle: RePEc:fan:mesame:v:html10.3280/mesa2016-098005
    as

    Download full text from publisher

    File URL: http://www.francoangeli.it/riviste/Scheda_Rivista.aspx?IDArticolo=57668&Tipo=ArticoloPDF
    Download Restriction: Single articles can be downloaded buying download credits, for info: https://www.francoangeli.it/DownloadCredit
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Radnor, Zoe J. & Holweg, Matthias & Waring, Justin, 2012. "Lean in healthcare: The unfilled promise?," Social Science & Medicine, Elsevier, vol. 74(3), pages 364-371.
    2. Andrea Chiarini & Enrico Bracci, 2013. "Implementing Lean Six Sigma in healthcare: issues from Italy," Public Money & Management, Taylor & Francis Journals, vol. 33(5), pages 361-368, September.
    3. Waring, Justin J. & Bishop, Simon, 2010. "Lean healthcare: Rhetoric, ritual and resistance," Social Science & Medicine, Elsevier, vol. 71(7), pages 1332-1340, October.
    4. Roberto Vona & Nadia Di Paola, 2014. "Lean thinking in sanit?: il caso della logistica degli approvvigionamenti e della distribuzione ospedaliera dei farmaci," MECOSAN, FrancoAngeli Editore, vol. 2014(91), pages 105-122.
    5. Zoe Radnor & Stephen P. Osborne, 2013. "Lean: A failed theory for public services?," Public Management Review, Taylor & Francis Journals, vol. 15(2), pages 265-287, February.
    6. Luciano Brandão de Souza & Michael Pidd, 2011. "Exploring the barriers to lean health care implementation," Public Money & Management, Taylor & Francis Journals, vol. 31(1), pages 59-66, January.
    7. Giuditta Callea & Aleksandra Torbica & Rosanna Tarricone, 2014. "Impatto del sistema di finanziamento a DRG sull?innovazione tecnologica in sanit?. Il caso italiano," MECOSAN, FrancoAngeli Editore, vol. 2014(89), pages 31-48.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. D’Andreamatteo, Antonio & Ianni, Luca & Lega, Federico & Sargiacomo, Massimo, 2015. "Lean in healthcare: A comprehensive review," Health Policy, Elsevier, vol. 119(9), pages 1197-1209.
    2. Federica Centauri & Marta Marsilio & Stefano Villa & Francesco Nicosia, 2016. "Implementare il modello Lean nelle organizzazioni sanitarie: il caso dell?Ospedale Galliera," MECOSAN, FrancoAngeli Editore, vol. 2016(100), pages 27-55.
    3. Sharon J. Williams & Zoe Radnor, 2018. "Using bandwidths to visualize and improve patient pathways," Public Money & Management, Taylor & Francis Journals, vol. 38(1), pages 21-28, January.
    4. Elizabeth Quinlan & Susan Robertson & Ann-Marie Urban & Isobel M Findlay & Beth Bilson, 2020. "Ameliorating Workplace Harassment among Direct Caregivers in Canada’s Healthcare System: A Theatre-Based Intervention," Work, Employment & Society, British Sociological Association, vol. 34(4), pages 626-643, August.
    5. Lukas D. Filser & Fábio Francisco Silva & Otávio José Oliveira, 2017. "State of research and future research tendencies in lean healthcare: a bibliometric analysis," Scientometrics, Springer;Akadémiai Kiadó, vol. 112(2), pages 799-816, August.
    6. Yash Daultani & Atanu Chaudhuri & Sushil Kumar, 2015. "A Decade of Lean in Healthcare: Current State and Future Directions," Global Business Review, International Management Institute, vol. 16(6), pages 1082-1099, December.
    7. Luana Bonome Message Costa & Moacir Godinho Filho & Antonio Freitas Rentes & Thiago Moreno Bertani & Ronaldo Mardegan, 2017. "Lean healthcare in developing countries: evidence from Brazilian hospitals," International Journal of Health Planning and Management, Wiley Blackwell, vol. 32(1), pages 99-120, January.
    8. Federica Centauri & Jacopo Guercini & Caterina Bianciardi & Vincenzo Mezzatesta, 2017. "Strutturare il cambiamento organizzativo negli ospedali: l?esperienza dell?Ufficio Lean dell?AOU Senese," MECOSAN, FrancoAngeli Editore, vol. 2017(104), pages 51-67.
    9. Akmal, Adeel & Podgorodnichenko, Nataliya & Foote, Jeff & Greatbanks, Richard & Stokes, Tim & Gauld, Robin, 2021. "Why is Quality Improvement so Challenging? A Viable Systems Model Perspective to Understand the Frustrations of Healthcare Quality Improvement Managers," Health Policy, Elsevier, vol. 125(5), pages 658-664.
    10. Sara A. Kreindler, 2016. "What if implementation is not the problem? Exploring the missing links between knowledge and action," International Journal of Health Planning and Management, Wiley Blackwell, vol. 31(2), pages 208-226, April.
    11. Vineet Jain & Puneeta Ajmera, 2019. "Modelling of the factors affecting lean implementation in healthcare using structural equation modelling," International Journal of System Assurance Engineering and Management, Springer;The Society for Reliability, Engineering Quality and Operations Management (SREQOM),India, and Division of Operation and Maintenance, Lulea University of Technology, Sweden, vol. 10(4), pages 563-575, August.
    12. Cynthia Hardy & Vikram Bhakoo & Steve Maguire, 2020. "A New Methodology for Supply Chain Management: Discourse Analysis and its Potential for Theoretical Advancement," Journal of Supply Chain Management, Institute for Supply Management, vol. 56(2), pages 19-35, April.
    13. Hauge, Amalie Martinus, 2018. "Situated valuations: Affordances of management technologies in organizations," Scandinavian Journal of Management, Elsevier, vol. 34(3), pages 245-255.
    14. Huay Ling Tay & Prakash J. Singh & Vikram Bhakoo & Shahid Al-Balushi, 2017. "Contextual factors: assessing their influence on flow or resource efficiency orientations in healthcare lean projects," Operations Management Research, Springer, vol. 10(3), pages 118-136, December.
    15. Carlotta Patrone & Lucia Cassettari & Francesca Giovannini & Isabella Cevasco, 2018. "La realizzazione di una metodologia per la misurazione delle performance dei coordinatori infermieristici in un ospedale per intensit? di cura di alta specializzazione attraverso l?approccio del PDCA," MECOSAN, FrancoAngeli Editore, vol. 2018(106), pages 111-127.
    16. Nicola Bateman & Zoe Radnor & Russ Glennon, 2018. "Editorial: The landscape of Lean across public services," Public Money & Management, Taylor & Francis Journals, vol. 38(1), pages 1-4, January.
    17. Douglas Martin, 2018. "Lean in a cold fiscal climate: the public sector in an age of reduced resources," Public Money & Management, Taylor & Francis Journals, vol. 38(1), pages 29-36, January.
    18. Assadej Vanichchinchai, 2021. "Assessing lean satisfaction and its enablers: a care provider perspective," Operations Management Research, Springer, vol. 14(1), pages 95-106, June.
    19. Jacob Torfing & Eva Sørensen, 2019. "Interactive Political Leadership in Theory and Practice: How Elected Politicians May Benefit from Co-Creating Public Value Outcomes," Administrative Sciences, MDPI, vol. 9(3), pages 1-18, July.
    20. Cristiana Cattaneo & Gaia Bassani, 2017. "Rilevazione del gap tra DRG price e internal cost: implicazioni di case-mix accounting," MANAGEMENT CONTROL, FrancoAngeli Editore, vol. 2017(2), pages 13-31.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:fan:mesame:v:html10.3280/mesa2016-098005. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Stefania Rosato (email available below). General contact details of provider: http://www.francoangeli.it/riviste/sommario.aspx?IDRivista=180 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.