Development of a method for evaluation of internal processes in Brazilian Emergency Care Units (ECUs) through Toyota Kata and Single Minute Exchange of Die (SMED)

Abstract

One of the main challenges of the health sector is to reconcile the increase in demand with the installed capacity while maintaining the quality of service. Many of the reasons that prevent a quality treatment have their origin in problems related to the flow, management, and misuse of resources. Based on the above, this article aims to present a guide to evaluating the stages to implement and manage the SMED in the health context based on the Toyota Kata. To achieve this objective, a base method was developed for the implementation of the aforementioned tools, through a literature review and content analysis. It is expected that this study will be able to assist in the evaluation of the waste found in the UPAs and, consequently, in its mitigation.