Resultados de la dinamización del proceso de alta y de traslados intrahospitalarios de los pacientes aplicando el método Lean

Abstract

Introduction

The application of Lean methodology in the hospital environment can help to improve interprofessional communication and reduce non-value adding activities (waste).

Objective

To determine the effectiveness of the implementation of a visual management tool, in the ability to reduce the number of trips, to determine the location of patients in real time in the process of intra-hospital transfers (ITH) and discharges in a hospital.

Material and methods

Before-after study in a hospital internal medicine unit. Several time wastes due to unnecessary transfers were detected. A multiprofessional group was formed to design a visual management tool for the resolution of these identified problems. The opinion of the professionals on the tool was evaluated and variables of staff displacement and completion of the tool were measured before and after its implementation.

Results

The personnel involved was trained. Completion of the tool improved over time, both in HIT and in discharges, reducing the number of trips.

Conclusions

The application of a visual management tool in care processes, including all the personnel involved is effective and saves waste.