METAPub Date : 2023-11-01DOI: 10.22347/2175-2753v0i0.4052
Andrei Bonamigo, Patricia Mendonça Maia Bernardes, Luiz Felipe Conrado, Danielly Borges Da Silva
{"title":"Lean Healthcare: evaluation of Single-Minute Exchange of Die and Toyota Kata applied in Brazilian Emergency Care Units","authors":"Andrei Bonamigo, Patricia Mendonça Maia Bernardes, Luiz Felipe Conrado, Danielly Borges Da Silva","doi":"10.22347/2175-2753v0i0.4052","DOIUrl":"https://doi.org/10.22347/2175-2753v0i0.4052","url":null,"abstract":"This study aimed to evaluate the implementation of the Single-Minute Exchange of Die (SMED) methodology based on the Toyota Kata concept in the context of emergency care units. The research methodology involved a literature review, data collection, and analysis of critical tasks in the processes of arranging hospital beds for occupancy and vacating beds. The study identified time-consuming activities and proposed interventions based on SMED principles to reduce waste and improve efficiency. The results highlighted the importance of efficient communication between nurses and the cleaning team, the parallel execution of tasks by multiple individuals, and the installation of auxiliary structures to facilitate movement and reduce travel time. The research framework provided a roadmap for implementing SMED and demonstrated its potential for optimizing health processes in emergency care units. Further research is suggested to evaluate other internal processes and analyze the overall scenario to achieve comprehensive improvements in Brazilian emergency care units. The integration of SMED and lean healthcare tools proves to be a necessary advancement in the health sector, aligning customer expectations with technological innovations and addressing new demands in the field of healthcare","PeriodicalId":46977,"journal":{"name":"META","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135221494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
METAPub Date : 2023-11-01DOI: 10.22347/2175-2753v0i0.4064
Harvey José Santos Ribeiro Cosenza, Nilra Do Amaral Mendes Silva, Maria do Carmo De Figueiredo Cisne, Ana Carolina Sanches Zeferino
{"title":"HFMEA-Fuzzy: evaluation of the main lean wastes in an Emergency Care Unit (ECU) in Rio de Janeiro","authors":"Harvey José Santos Ribeiro Cosenza, Nilra Do Amaral Mendes Silva, Maria do Carmo De Figueiredo Cisne, Ana Carolina Sanches Zeferino","doi":"10.22347/2175-2753v0i0.4064","DOIUrl":"https://doi.org/10.22347/2175-2753v0i0.4064","url":null,"abstract":"The aim of the article was to use HFMEA-Fuzzy modeling to evaluate the eight lean wastes and identify critical processes related to them. To achieve this, data was collected from an Emergency Care Unit (ECU) in Rio de Janeiro. The results showed that the Processing/Creativity waste was the most frequent, followed by Defects, Waiting/Inventory","PeriodicalId":46977,"journal":{"name":"META","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135221482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
METAPub Date : 2023-11-01DOI: 10.22347/2175-2753v0i0.3806
Ana Carolina Zeferino, Gabriel Nascimento Santos, Thais Lessa Queiroz, José Ricardo Souza Ramos
{"title":"Evaluation of the application of continuous improvement based on the Kaizen concept in Emergency Healthcare Units","authors":"Ana Carolina Zeferino, Gabriel Nascimento Santos, Thais Lessa Queiroz, José Ricardo Souza Ramos","doi":"10.22347/2175-2753v0i0.3806","DOIUrl":"https://doi.org/10.22347/2175-2753v0i0.3806","url":null,"abstract":"","PeriodicalId":46977,"journal":{"name":"META","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135221858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
METAPub Date : 2023-11-01DOI: 10.22347/2175-2753v0i0.4054
Milena Estanislau Diniz Mansur dos Reis, Melissa Felix De Abreu, Cauê Ramos Campos, Flavia Silva De Souza
{"title":"DMAIC in improving patient care processes: evaluation based on a systematic review from the perspective of Lean Six Sigma in healthcare","authors":"Milena Estanislau Diniz Mansur dos Reis, Melissa Felix De Abreu, Cauê Ramos Campos, Flavia Silva De Souza","doi":"10.22347/2175-2753v0i0.4054","DOIUrl":"https://doi.org/10.22347/2175-2753v0i0.4054","url":null,"abstract":"DMAIC is a Six Sigma methodological framework that has attracted the attention of researchers in the field of health (REIS et al., 2021). It is noticed that DMAIC has been used in several processes in health services, such as dispensing medication, hospital discharge and patient admission. Lean Six Sigma, based on the association of DMAIC with lean, brought important and valuable results in the context of health care, such as reducing the length of stay (LOS) in services, increasing patient satisfaction and reducing employee satisfaction. This study aims to evaluate how Lean Six Sigma/DMAIC has been implemented in the health area and its impacts on patient health care processes.","PeriodicalId":46977,"journal":{"name":"META","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135221331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
METAPub Date : 2023-11-01DOI: 10.22347/2175-2753v0i0.4061
Sandra Maria do Amaral Chaves, Luiz Eduardo de Morais Rodrigues, Alexandre Beraldi Santos, Saulo Cabral Bouguignon
{"title":"Evaluating Lean Healthcare implementation with data mining: opportunities and improvements in emergency services","authors":"Sandra Maria do Amaral Chaves, Luiz Eduardo de Morais Rodrigues, Alexandre Beraldi Santos, Saulo Cabral Bouguignon","doi":"10.22347/2175-2753v0i0.4061","DOIUrl":"https://doi.org/10.22347/2175-2753v0i0.4061","url":null,"abstract":"","PeriodicalId":46977,"journal":{"name":"META","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135221313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The usage of lean tools in healthcare environment","authors":"Laryssa Carvalho De Amaral, Helder Gomes Costa, Ovidio Orlando Filho, Robisom Damasceno Calado","doi":"10.22347/2175-2753v0i0.4067","DOIUrl":"https://doi.org/10.22347/2175-2753v0i0.4067","url":null,"abstract":"This study aims to cover aspects that were not addressed in previous reviews and update them. A review was conducted on 48 articles published in journals indexed by Web of Science and/or Scopus. The results were compared with those presented in previous reviews on the same subject: lean healthcare. This study identified the state of the art of lean healthcare, considering aspects such as lean tools, healthcare areas, and other factors. Understanding the current knowledge about barriers and tools for implementing lean healthcare should be valuable for healthcare managers. Furthermore, we emphasize that previous studies did not address the mapping of barriers to lean healthcare adoption.","PeriodicalId":46977,"journal":{"name":"META","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135221319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
METAPub Date : 2023-11-01DOI: 10.22347/2175-2753v15i47.4328
Alexandre Beraldi Santos, Ovidio Orlando Filho, Juliane Copiano Calado, Janaisa Gomes Dias De Oliveira
{"title":"Teoria das Filas: avanços, aplicações e reavaliações dos processos de gestão de serviços de saúde - uma análise bibliométrica","authors":"Alexandre Beraldi Santos, Ovidio Orlando Filho, Juliane Copiano Calado, Janaisa Gomes Dias De Oliveira","doi":"10.22347/2175-2753v15i47.4328","DOIUrl":"https://doi.org/10.22347/2175-2753v15i47.4328","url":null,"abstract":"Este artigo analisa as contribuições e aplicações da Teoria das Filas (TF) no campo dos problemas de gerenciamento de serviços de saúde, apresentando um sistema de classificação cronológica dos cuidados de saúde examinados com o auxílio de modelos de filas. O objetivo é descrever as principais tendências na aplicação da TF para os tomadores de decisão em serviços de saúde e fornecer informações para melhorar este processo. Foi realizada revisão bibliográfica a fim de investigar as áreas de saúde suportadas por modelos de filas, além de buscas por artigos que descrevessem modelos de problemas e seus tópicos. O presente trabalho analisou 314 artigos que abordam as aplicações da TF em Gerenciamento de Cuidados em Saúde (GCS), no período de 2014 e 2020, e concluiu-se que esta revisão demonstra que TF pode contribuir para a melhoria dos serviços de saúde e proporciona aos gestores recursos para as alcançarem.","PeriodicalId":46977,"journal":{"name":"META","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135221483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
METAPub Date : 2023-11-01DOI: 10.22347/2175-2753v0i0.4051
Andrei Bonamigo, Patricia Mendonça Maia Bernardes, Luiz Felipe Conrado, Newton Narciso Pereira
{"title":"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)","authors":"Andrei Bonamigo, Patricia Mendonça Maia Bernardes, Luiz Felipe Conrado, Newton Narciso Pereira","doi":"10.22347/2175-2753v0i0.4051","DOIUrl":"https://doi.org/10.22347/2175-2753v0i0.4051","url":null,"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.","PeriodicalId":46977,"journal":{"name":"META","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135222103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
METAPub Date : 2023-09-29DOI: 10.22347/2175-2753v15i48.3918
Patricia Medina-Zuta, Edith Soria-Valencia, Oscar Ulloa-Guerra, Angel Deroncele-Acosta
{"title":"Evaluación formativa mediada por analíticas de aprendizaje en la educación STEAM: una revisión sistemática de la literatura","authors":"Patricia Medina-Zuta, Edith Soria-Valencia, Oscar Ulloa-Guerra, Angel Deroncele-Acosta","doi":"10.22347/2175-2753v15i48.3918","DOIUrl":"https://doi.org/10.22347/2175-2753v15i48.3918","url":null,"abstract":"La evaluación es un proceso transversal determinante en la educación STEAM y las analíticas de aprendizaje puede aportar recursos clave a esta relación, especialmente tras la pandemia de la COVID-19. Por tal razón, el objetivo del estudio es analizar la orientación de la evaluación formativa mediada por analíticas de aprendizaje en la educación STEAM. Con este fin se realizó una revisión sistemática de literatura basada en el método PRISMA en dos bases de datos científicas de alto impacto: Scopus y Web of Science . Los resultados evidencian el carácter mediador de las analíticas de aprendizaje en la evaluación formativa en el contexto educacional STEAM, destacándose la retroalimentación adaptativa, unido a las potencialidades de la inteligencia artificial para una gestión holística del aprendizaje. Finalmente, la integración de la síntesis cualitativa y el análisis de co-concurrencia permitió proyectar la intencionalidad de la evaluación formativa en y desde un entorno de aprendizaje de colaboración, motivación y reflexión; connotándose tres núcleos dinamizadores de la evaluación formativa mediada por AA en un contexto educativo STEAM: la mediación pedagógica interactiva, la gestión creativa de aprendizajes y la comprensión del contexto formativo TIC.","PeriodicalId":46977,"journal":{"name":"META","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135247261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
METAPub Date : 2023-09-29DOI: 10.22347/2175-2753v15i48.3960
Carolina Ferreira Guerreiro, Alberto Filgueiras
{"title":"Tradução, adaptação semântica e validação de conteúdo do New Ecological Paradigm Scale for Children para o português brasileiro","authors":"Carolina Ferreira Guerreiro, Alberto Filgueiras","doi":"10.22347/2175-2753v15i48.3960","DOIUrl":"https://doi.org/10.22347/2175-2753v15i48.3960","url":null,"abstract":"O presente trabalho teve por objetivo traduzir, adaptar semanticamente e investigar evidências de validade de conteúdo do New Ecological Paradigm Scale for Children (NEP C), instrumento de medida de atitudes ambientais em crianças, para o contexto brasileiro. Neste sentido, foram conduzidos dois estudos. O primeiro contou com um comitê multidisciplinar que avaliou os itens do novo instrumento considerando três critérios: clareza de linguagem, pertinência do constructo e correspondência semântica. Posteriormente, o Coeficiente de Validade de Conteúdo foi empregado. Após tais procedimentos, realizou-se um estudo piloto com 5 crianças pertencentes à população-alvo para se verificar a compreensão da escala pelas mesmas. Enquanto resultados, observou-se que a versão brasileira do NEP C possui equivalência semântica com a escala original e apresenta evidências de validade de conteúdo.","PeriodicalId":46977,"journal":{"name":"META","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135293284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}