Abstract
In the current days the health services area presents difficulties in managing processes and staff. High costs, long queues, few qualified professionals, poor services quality and other growing problems in the population’s access to health services. Great part of these difficulties comes from waste in services management and these represent a problem to be solved. Mapping the management processes is a priority involving the services provided by the sector. This paper aims to conduct a study on Lean Healthcare in a clinical laboratory in order to improve its processes management. As a result, it develops a discussion guided by practical results and difficulties from the point of view of concepts of human, quality and process optimization factors, emphasizing also the variable social system under study. Application steps are presented, such as value stream process mapping and improvement opportunities.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Silberstein, A.C.L.: Um estudo de casos sobre a aplicação de princípios enxutos em serviços de saúde no Brasil. Dissertação (mestrado) em Administração, Rio de Janeiro, UFRJ (2006)
Santos, E.F., Lima, C.A.C.: DMAICR in an ergonomic risks analysis. Work (Reading, MA), vol. 41, pp. 1632–1638 (2012)
Graban, M.: Lean Hospitals—Improving Quality, Patient Safety, and Employee Satisfaction. Taylor & Francis Group, Nova Iorque (2009)
Womack, J.P., Jones, D.T., Roos, D.: A máquina que mudou o mundo, 14th ed. Campus, Rio de Janeiro (1992)
Holweg, M.: The genealogy of lean production. J. Oper. Manage. V 25, 420–437 (2007)
Amirahmadi, F., Dalbello, A., Gronseth, D., Mccarthy, J.: Innovations in the Clinical Laboratory: An Overview of Lean Principles in the Laboratory. Mayo Clinic, EUA (2007)
Rickard, T.: Lean Principles in Laboratory: Inpatient Phlebotomy. Mayo Clinic, EUA (2007)
Womack, J.P., Jones, D.T.: A mentalidade enxuta nas empresas, 5th edn. Campus, Rio de Janeiro (1998)
Hines, P., Taylor, D.: Going Lean: A Guide to Implementation. Lean Enterprise Research Center, Cardiff (2000)
Ohno, T.: Toyota Production System: Beyond Large-scale Production. Productivity Press, Cambridge, MA (1988)
Shingo, S.A.: Study of the Toyota Production System from an Industrial Engineering Viewpoint. Productivity Press, S.l. (1981)
Oliveira, K.B., Santos, E.F., Veraldo Jr, L.G.: Utilização do Lean Thinking como ferramenta para o diagnóstico de perdas na indústria hoteleira: um estudo de caso. Revista Jornada Científica, vol. 1, pp. 19–29 (2015)
Toussaint, J., Gerard, R.A.: Uma Transformação na Saúde: Como Reduzir Custos e Oferecer um Atendimento Inovador. Bookman, Porto Alegre (2012)
Guo, L., Hariharan, S.: Patients are not cars and staff are not robots: impact of differences between manufacturing and clinical operations on process improvement. Know. Process Manage. 19(2), 53–68 (2012)
Arnheiter, E., Maleyeff, J.: The integration of lean management and six sigma. Total Qual. Manag. 17(1), 5–18 (2005)
Mendes, M.E. et al.: Gestão por processos no laboratório clínico: uma abordagem prática. Editora EPR (2007)
Ismail, A.A.A., et al.: Wrong biochemistry results: two cases reports and observational study in 5310 patients on potentially misleading thyroid-stimulating hormone and gonadotropin immunoassay results. Clin. Chem. 48(11), 2023–2029 (2002)
Kanashiro-Cussiol, A., et al.: Changes in costs over time at a medium-sized clinical laboratory. Lab. Med. 41(3), 145–146 (2010)
Plebani, M.: Exploring the iceberg of errors in laboratory medicine. Clin. Chim. Acta 404, 16–23 (2009)
Plebani, M.: Errors in laboratory medicine and patient safety: the road ahead. Clin. Chem. Lab. Med. 45(6), 700–707 (2007)
Hilt, L., et al.: Project control for laboratory automation outsourced to consultants: a 10-step process to optimize the effectiveness of custom information technology development. J Assoc. Lab Autom. 8(1), 31–37 (2003)
Vieira, L.M.F.: SBPC/ML: 60 anos. J. Bras. Patol. Med. Lab. 40(3), Editorial (2004)
Plebani, M., et al.: Laboratory network of excellence: enhancing patient safety and service effectiveness. Clin. Chem. Lab. Med. 44(2), 150–160 (2006)
Buesa, R.J.: Adapting lean to histology laboratories. Ann Diagn. Pathol. 13(5), 322–333 (2009)
Miguel, P.: Metodologia de Pesquisa em Engenharia de Produção e Gestão e Operações. 1ed. Campus (2010)
Author information
Authors and Affiliations
Corresponding authors
Editor information
Editors and Affiliations
Appendix: Value Stream Mapping Current Scenario
Appendix: Value Stream Mapping Current Scenario
Rights and permissions
Copyright information
© 2017 Springer International Publishing Switzerland
About this paper
Cite this paper
de Oliveira, K.B., dos Santos, E.F., Junior, L.V.G. (2017). Lean Healthcare as a Tool for Improvement: A Case Study in a Clinical Laboratory. In: Duffy, V., Lightner, N. (eds) Advances in Human Factors and Ergonomics in Healthcare. Advances in Intelligent Systems and Computing, vol 482. Springer, Cham. https://doi.org/10.1007/978-3-319-41652-6_13
Download citation
DOI: https://doi.org/10.1007/978-3-319-41652-6_13
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-41651-9
Online ISBN: 978-3-319-41652-6
eBook Packages: EngineeringEngineering (R0)