IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2023i24p7184-d1300795.html
   My bibliography  Save this article

Implementation of the Lean Healthcare System in the Emergency Room of the Clinical Hospital of the Federal University of Uberlândia: A Case Study

Author

Listed:
  • Paulo Sergio de Freitas

    (Faculty of Medicine, Federal University of Uberlândia, Patos de Minas 38700-002, Brazil)

  • Guilherme Silva de Mendonça

    (Faculty of Medicine, Federal University of Uberlândia, Patos de Minas 38700-002, Brazil)

  • Elmiro Santos Resende

    (Faculty of Medicine, Federal University of Uberlândia, Patos de Minas 38700-002, Brazil)

Abstract

The objective of this study was to analyze the effectiveness of the implementation of the lean healthcare system at the emergency room of the Clinical Hospital of the Federal University of Uberlândia, based on a comparison of hospital indicators obtained over the three phases corresponding to the period of one year before the implementation (T1), the year during the implementation (T2) and one year after implementation (T3). The methodology applied through this study can be classified as a case study that is exploratory and descriptive and developed in stages. Based herein on the search for hospital indicators, as occurred in the implementation of a lean process at the Clinical Hospital Emergency Department, along with a description of the implemented lean system. During the collection period of data relevant to the National Emergency Department Overcrowding Score and Length of Stay Indicator, the motivation of the teams grew, but with a notable tension between municipal management and hospital management. It was found that, despite the fluctuations, the patient length of stay in the Emergency Room remained high. With the exception of the variable of female deaths before 24 h of hospitalization, all other variables showed percentage increases before and after the intervention. This study reported the difficulties encountered by HC-UFU in implementing the lean project in an emergency room, thus ensuring that other institutions that intend to implement this project do not make the same types of mistakes.

Suggested Citation

  • Paulo Sergio de Freitas & Guilherme Silva de Mendonça & Elmiro Santos Resende, 2023. "Implementation of the Lean Healthcare System in the Emergency Room of the Clinical Hospital of the Federal University of Uberlândia: A Case Study," IJERPH, MDPI, vol. 20(24), pages 1-16, December.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:24:p:7184-:d:1300795
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/24/7184/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/20/24/7184/
    Download Restriction: no
    ---><---

    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:gam:jijerp:v:20:y:2023:i:24:p:7184-:d:1300795. 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.

    We have no bibliographic references for this item. You can help adding them by using 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: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    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.