The objective of this chapter is to expand the discussions regarding the application of the Fast Track method and the standardized work in emergency services with the Lean healthcare approach. In this chapter, the authors present some fundamental concepts to broaden the understanding of the theoretical/methodological implications necessary for the application of the Fast Track method and standardized work in the healthcare area, with the Lean healthcare approach. They present the case study resulting from the execution of the Lean project in the 24-hour UPA, which was carried out in 50 selected emergency care units, as a result of the agreement with the Ministry of Health through the Department of Hospitals and Urgencies (DAHU/MS) and with the Rector of the Fluminense Federal University.
This study analyzes the contributions and applications of queuing theory (QT) in the field of health service management problems. This review presents a classification system of healthcare examined with the aid of queuing models. The purpose of this is to analyze the contributions and applications of QT in the field of problem management in health services and to give indications of when and how to use QT in order to enhance daily management decisions. A literature review was carried out to investigate the health areas supported by queuing models, searching articles that described problem models and their topics or keywords related to QT and population health or health problems. The present study analyzed 314 articles that address the applications of QT in healthcare management between 2014 and 2020. This review demonstrates that QT can contribute to the improvement of health services and provide resource managers to achieve this improvement. A discussion of why, when, and requirements to apply QT is presented.
The use of the lean philosophy in healthcare environments has been reported in different countries, both in the private and the public sectors. However, there is not much information on how to apply the Kaizen concept to healthcare services, notably in hospitals and emergency services, which are increasingly challenging environments given the aging of the world population and the degradation of human conditions in several countries. Existing publications on the topic expose different forms of Kaizen use in healthcare services, which may cause misunderstanding and confusion. This chapter describes and brings light to the Kaizen approach in lean implementations and discusses its challenges, barriers, and success factors using a case study of a non-governmental organization (NGO) that started its lean journey with Kaizen implementation in late 2019. It also describes strategies to use it according to up-to-date publications and presents the benefits, the challenges, and the framework to successfully implement Kaizen.
Introduction: Obesity is chronic and complex, emphasizing the need for knowledge of the epidemiological and clinical profile and the use of alcohol in individuals who do not adhere to treatment, which can lead to comorbidities that could be avoided. Objective: To characterize a group of individuals who did not return to outpatient consultations for at least one year after bariatric surgery. Method: Analytical cross-sectional study involving 100 individuals who underwent surgery and who did not attend scheduled appointments for at least one year. A sociodemographic questionnaire was applied, an instrument to assess adherence to the post-bariatric followup clinic and alcohol consumption through the Alcohol Use Disorder Identification Test (AUDIT) questionnaire. This series also demonstrates the biochemical changes found in the partial non-adherence group: HB, HT, TGO, TGP, albumin, ferritin, triglycerides, cholesterol and proteins. Results: Of the total of 62 patients included, 54 are women, 42 white, the confirmation of alcohol use being male, with significant importance to this abuse with non-adherence to treatment, as well as changes in creatinine. This withdrawal is directly correlated with greater initial weight and on the day of surgery. And appreciation of the total non-adherence group: individuals without partners, with increased TH, TGP, urea, ferritin, protein and weight in the last consultation. Conclusion: The individuals who did not return are mostly women, white, with partners, own residence, with an income of 1 to 3 minimum wages, with religiosity, reporting being healthy, but using alcohol, demonstrating that the benefit prevails of the surgery.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.