A logística hospitalar apresenta-se como um conjunto de operações complexas e relevantes para as organizações hospitalares, visto que uma falha na distribuição dos materiais e medicamentos, uma das funções da logística, pode acarretar um desastre irreparável tanto para os pacientes quanto para o hospital. Apesar disso, as organizações de saúde geralmente subestimam a participação e a contribuição prática da logística no ambiente hospitalar. Ao levar a discussão para o campo da literatura, notou-se que não há um consenso conceitual e de quais são as atividades pertencentes ao escopo da logística hospitalar. Nesse sentido, os objetivos gerais deste trabalho são apresentar as distintas abordagens conceituais da logística hospitalar presentes na literatura e descrever suas atividades, mediante uma revisão sistemática da bibliografia. Seguindo um protocolo de Revisão Bibliográfica Sistemática (RBS), foram levantados preliminarmente 1891 artigos em seis bases de periódicos Pubmed, Embase, Lilacs, Cinahl, Web of Science e Scopus publicados entre 1992 e 2013. Ao final os 25 artigos filtrados dentro dos critérios dessa revisão comprovaram a divergência conceitual da logística hospitalar, pois alguns autores a definem como gestora do fluxo de pacientes, enquanto outros a conceituam como gestora do fluxo de materiais. Já em relação às atividades que compõem o escopo da logística hospitalar, também foi constatada uma incongruência, visto que há uma variedade de atividades descritas como logística, desde as tradicionais, presentes na literatura de logística industrial, até outras atividades, que envolvem áreas específicas do hospital.Palavras-chave: Logística Hospitalar; Revisão Bibliográfica Sistemática. COMPREHENSIVE REVIEW OF HOSPITAL LOGISTICS: CONCEPTS AND ACTIVITIES ABSTRACTThe hospital logistics is a set of complex and important operations for the hospital organizations. Since this, a small fail in a logistic activity, like material and medicines distribution, could generate irreversible mistakes to patients and even to the hospital. Despite of this, health organizations generally don`t look at logistics` practical contributions with the required importance. When the discussion goes to literature field, it could be perceived that there is not a conceptual consensus and also what activities are parts of hospital logistics scope. In this context, the main goals of this manuscript are show the different conceptual approaches of hospital logistics in the literature and describe its activities, by a systematic literature review. Following a Systematic Bibliographical Review (SBR) protocol, 1891 articles were found into six databases Pubmed, Embase, Lilacs, Cinahl, Web of Science e Scopus published between 1992 and 2013. In the end, the 25 articles filtered demonstrated the conceptual divergence of hospital logistics, because some authors define it like patient flow management and others, like material management. The same disagreement was noted about the activities that are part of hospital logistics, for the reason that l...
Logistics is an important and complex hospital support area that allows the correct and optimal flow of material, information and people. Its activities are part of hospital strategy, because of cost that they represent and the impact on the quality of the service perceived by the patient. Despite of these relevant characteristics, some hospitals do not have a developed and well-structured logistics area, mainly on public sector. Therefore, considering the importance of hospital logistics, looking forward improvements on its activities would benefit internal customers (workers) and external (patients and parents). In this context, lean healthcare, approach emerged from Toyota, could be presented. Based on principles and tools that eliminate waste, create value to customer and continues improvement, lean production has been successfully applied to optimize hospital activities. Thus, the goal of this research is develop an application proposal of lean healthcare tools in hospital logistics, into a laboratory of a public teaching hospital. Classified like an exploratory and qualitative research, the single case method was adopted and executed into a public teaching hospital, located in São Paulo state. Five steps were defined like a sequence of execution: current state mapping, approval seminars, prediction of a future state, analysis of expected results and study of viability to do the application. In the end, the comparison between the reviewed literature and the case informations allowed the construction of an application proposal of lean healthcare tools in hospital logistics. Therefore, the main contribution of this research is practical, described like a sequence of prescribed actions to be adopted during the process of implantation. It is expected that this proposal could be a reference for hospital managers who want to apply lean healthcare tools on logistics` management of material, patient and information flow.
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