The operations management is a multidisciplinary field that investigates, for instance, the design, management and processes improvement focused on the development, production, distribution and delivery of products and services, encompassing activities such as the implementation of policies, making quota decisions, identification and problem solving, response to uncertainty, among others. Regarding the resources dimensioning in hospitals, the Brazilian scenario is limited to legislative instruments that assume a prior and added sizing. This chapter uses a discrete event simulation tool to set the amount of operation rooms needed for patient care in an emergency department, so that emergency patients have guaranteed compliance, minimizing the cancellation of elective surgeries because of this type of demand. As a result, it was found that the minimum amount established by normative instruments was not appropriate to the specific requirements of the organization.
The health sector in Brazil faces difficulties related mainly to financial, administrative, and organizational structure. Center of Sterilized Material (CSM) provide material for the other components of the hospital, and is essential for the proper working of medical care. This work investigates CSM strategy operation in a public hospital. There is an expectation that it needs additional human resources to meet the current demand. During the research, we evaluated this increment and showed that the critical resource is not the human one. We went forward and presented an alternative that does not prescind of investment and increase the installed capacity. The contributions of this research, brings, in the midst of the financial crisis experienced, the possibility of meeting more and better the internal demand, without any financial contribution. It's about showing the potentiality of bringing together professionals and academics, applying methods and management tools in the health sector.
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