The healthcare environment aims at improving and quality in health management, with trends and practices in hospitals, institutions, clinics, laboratories and companies in this segment, with the purpose of bringing more comfort and better conditions in the care of patients. Faced with the difficulties of this area, it becomes increasingly important to reduce waste and improve processes. The goal of this paper is to carry out a systematic review of literature on the topic lean manufacturing in healthcare. The data were obtained from four online databases Web of Science, Science Direct, Emerald Insight and Scopus. Articles indexed in the last 10 years were selected (2006-2016). To select articles, an advanced search was performed using the Boolean expression "E" that combined keywords for better specific results. Professionals working in the health segment will have the concepts and applied techniques, in addition to the work indexed in recent years, which will facilitate the research and development of the work, translating into increased efficiency and ultimately, improvement for the population. Despite the importance of the theme, there are few lean manufacturing jobs applied in the healthcare environment. This research  can  stimulate future studies due to its applicability for the improvement of health services.

RESUMONo Brasil todos os cidadãos têm livre acesso à saúde pública. Atualmente, o número de pessoas que utilizam este serviço apresentou um crescimento extraordinário devido à crise econômica ocorrida no país, que culminou na incapacidade dos mesmos em manter o seguro saúde. No Rio de Janeiro existe uma preocupação constante com a qualidade dos serviços oferecidos à população. Desta forma, foi elaborado um estudo de caso em um hospital federal, localizado no Rio de Janeiro, com o objetivo de apresentar os problemas enfrentados pelo hospital relacionados à rastreabilidade e gestão de materiais em depósito. Acredita-se que qualquer economia resultante das melhorias na gestão de armazéns deve proporcionar um ganho aos serviços oferecidos à população. Dessa maneira, o objetivo desse estudo é propor melhorias ao processo de rastreabilidade dos materiais dentro do almoxarifado de um hospital público através do estudo dos processos de compra e armazenagem. Como resultado, foi elaborado uma proposta a ser implementada pelo hospital, contendo ajustes em suas rotinas, a 1 Recepção: 23/06/2018 Aprovação: 10/09/2018. Publicação: 20/12/2018. fim de mitigar os problemas enfrentados por eles que impactam na redução de custos e na melhoria dos serviços. ABSTRACTIn Brazil all citizens have free access to public health. Currently the number of people using public health services presented an extraordinary growth due to Brazilian economic crisis, which resulted from the incapacity to maintain private health insurance. Considering Rio de Janeiro, there is a constant concern regarding the quality of the services offered to the population. In this way, a case study was elaborated in a federal hospital, located at Rio de Janeiro, with the purpose to present the problems faced by the hospital concerning the traceability and management of warehouse materials. Any economy resulting from the improvements of warehouse management should provide a gain to the services offered to the population. In this sense, the objective of this study is to propose improvements to the process of material traceability inside the public hospital warehouse through the study of the purchase and storage processes. As a result, a proposal has been drawn up to be implemented by the hospital, containing adjustments in their routines, to mitigate problems faced by them that impacts the reduction of costs and improvement of the services.

O presente estudo objetiva analisar as contribuições e deficiências do programa de estágio supervisionado para a formação do profissional arquivista. Aborda por meio de um questionário os alunos matriculados no Curso de Bacharelado em Arquivologia de uma instituição federal de ensino superior no Estado do Rio de Janeiro que integralizaram 80% ou mais da carga horária mínima prevista para conclusão do curso no segundo semestre de 2017. Utiliza como metodologia o estudo de caso pela necessidade de coletar informações atualizadas sobre o fenômeno, podendo envolver o uso de documentação contemporânea, observação direta e entrevistas sistemáticas. O estudo conclui que o programa de estágio supervisionado é a porta de entrada do graduando para o mercado de trabalho e não pode ser visto como uma atividade realizada apenas para cumprir uma exigência curricular. O artigo sugere melhorias para o programa de estágio supervisionado, tais como a realização de visitas a instituições que executem ou tenham executado projetos arquivísticos relevantes e a realização de seminários que tragam os profissionais arquivistas atuantes no mercado de trabalho para conversar com os alunos na universidade.Palavras-chave: Arquivologia. Estágio supervisionado. Formação arquivística.Link: http://revista.ibict.br/ciinf/article/view/4145/3702

This paper aims to demonstrate how simple initiatives on public health sector are able to improve quality on service level. One of the most important aspects considered on this case study was the potential and motivation within University Hospital IT team to achieve excellence. Thus, management improvement started from quality management techniques applied by IT members to enhance results. This qualitative study case based on quality program deployed comparative analysis from literature to hospital IT management real initiatives. Results contribution demonstrate that inclusion and the development of collaborative workgroups can make difference to work environment and quality of service.

This paper aims to present the problems faced by companies in relation to Product Variety Management (PVM), make the management of the company's product variety studied less complex and more dynamic, balancing the marketing team's objectives with the constraints of the industry, proposing suggestions to assist in decision making and presenting metrics for PVM evaluation. The variety of products is a current theme and present in the day to day business. With the proliferation of diversified and customized products to meet the demands of different market segments, companies face difficulties to manage the increasing in their portfolio, where excessive quantity of products can cause confusion in customers and difficulties in the operation. On the other hand, the scarcity of diversified products can mean loss of market share and competitiveness. The study is developed from the observation of the production of a cosmetics company located at Pavuna, state of Rio de Janeiro. Based on the knowledge of each department dynamics and variables involved with the offered product mix, this study indicates ways to minimize the difficulties arising from PVM, presenting management tools to streamline and improve product-related decision making. To better understand the impacts and consequences of the PVM in the cosmetics industry three strands were considered: management of incoming items, management of cruise items and management of items to be discontinued. The study supports the creation and analysis of key indicators, capable of assisting decision making and reducing the risks of an inadequate portfolio.

Objective: Investigate the most important sexual health complaints of women after gynecological cancer treatment associated with the healthcare provided.Methodology: This is qualitative descriptive research, using semi-structured interviews with a group of 25 Brazilian women recruited by an ambulatory gynecology department in a public oncology hospital located in Rio de Janeiro, Brazil. Interviews were conducted on the major sexual complaints post-treatment and the challenges they face in meeting their needstheir needs associated with the disease. The data were analyzed using the content analytical method. To get the real experiences of the study, the researchers followed the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines and organized the treatment method into categories and subcategories of themes. Results: Women survivors after gynecological cancer treatment experienced the most common complaints: the pain and changes in the body that prevented them from performing simple tasks, the undesirable effects of sexual dysfunction, psychological and emotional changes, and difficulties in their relationship with their partner. In addition, there was the sharing of relationships that were common among women and the specific specificities of the experience in the treatment performed. Conclusion: Many cancer survivors have sexual health problems and post-treatment concerns, thus, thus, access to effective interventions and the provision of survivorship care may improve your their health.

Background: Several studies have been carried out with the objective of identifying health costs and developing methods to improve this research, thus contributing to better decision making based on more reliable evidence. However, there are some gaps to be filled to provide such information. This research aims to fill one of these gaps, proposing a cost calculation model for surgical hospitalizations based on real patient flow to determine hospital institutions' costs.Methods: An empirical-theoretical study was developed. The empirical approach adopted the three-step modeling process to propose a cost model based on patient flow, considering CHEERS guidelines. For the theoretical approach, a systematic literature review using PRISMA recommendation was applied.Results: The modeling process made it possible to identify the real flow of the surgical patient. This step made it possible to identify cost sources and comprehend that costs incurred by patient occur from admission (preoperative stage) to discharge (postoperative stage). The literature review showed that most studies only address the surgical stage, neglecting the costs of the two stages mentioned. The cost model was developed with a top-down approach allowing a balance between the accuracy of the information and the feasibility of the cost estimate. The proposed model fills two gaps in the literature, the standardization of a cost model and the ability to assess a vast number of different surgery costs in the same hospital.Conclusions: Flexibility stands out as an important advantage of the proposed model, as its application is possible to encompass elective and urgent surgeries of medium and high complexity performed in public and private hospitals. As a limitation, the hospital should have a HIS and cost system implemented. The proposed cost model can provide important information that can induce better decision making. This becomes more relevant in the health sector, especially public health, which faces the lack of resources and whose positive effects can improve health care.

This paper aims to present the problems faced by companies in relation to Product Variety Management (PVM), make the management of the company's product variety studied less complex and more dynamic, balancing the marketing team's objectives with the constraints of the industry, proposing suggestions to assist in decision making and presenting metrics for PVM evaluation. The variety of products is a current theme and present in the day to day business. With the proliferation of diversified and customized products to meet the demands of different market segments, companies face difficulties to manage the increasing in their portfolio, where excessive quantity of products can cause confusion in customers and difficulties in the operation. On the other hand, the scarcity of diversified products can mean loss of market share and competitiveness. The study is developed from the observation of the production of a cosmetics company located at Pavuna, state of Rio de Janeiro. Based on the knowledge of each department dynamics and variables involved with the offered product mix, this study indicates ways to minimize the difficulties arising from PVM, presenting management tools to streamline and improve product-related decision making. To better understand the impacts and consequences of the PVM in the cosmetics industry three strands were considered: management of incoming items, management of cruise items and management of items to be discontinued. The study supports the creation and analysis of key indicators, capable of assisting decision making and reducing the risks of an inadequate portfolio.