Escola Anna Nery (Jul 2018)

Analysis of the preparation and administration of medications in the hospital context based on Lean thinking

  • Diovane Ghignatti da Costa,
  • Simone Silveira Pasin,
  • Ana Maria Müller de Magalhães,
  • Gisela Maria Schebella Souto de Moura,
  • Caroline Brum Rosso,
  • Tarcisio Abreu Saurin

DOI
https://doi.org/10.1590/2177-9465-ean-2017-0402
Journal volume & issue
Vol. 22, no. 4

Abstract

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Abstract Objectives: To analyze the current way medications are prepared and administered in the hospital setting and to apply a method to establish priorities for problems detected. Method: This is an exploratory-descriptive case study. The data were collected through observation and focus groups with 13 participants who were part of a health team in a surgical inpatient unit of a public university hospital. The analysis was based on a lean production framework. Results: A value stream map was constructed of the current way drugs are prepared and administered, identifying the clients in the process and their requirements. Forty-five current problems were identified, based on requirements that were not met with eight being prioritized to improve planning. Conclusion: Having prioritized the problems, the planning and implementation of continuous improvements in the medication process were started in order to reduce errors and improve the quality of services.

Keywords