{"title":"[使用精益方法简化病人出院和院内转院流程]。","authors":"L. Manzanedo-Basilio , S. Arias-Rivera","doi":"10.1016/j.jhqr.2023.10.006","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>The application of Lean methodology in the hospital environment can help to improve interprofessional communication and reduce non-value adding activities (waste).</p></div><div><h3>Objective</h3><p>To determine the effectiveness of the implementation of a visual management tool, in the ability to reduce the number of trips, to determine the location of patients in real time in the process of intra-hospital transfers (ITH) and discharges in a hospital.</p></div><div><h3>Material and methods</h3><p>Before-after study in a hospital internal medicine unit. Several time wastes due to unnecessary transfers were detected. A multiprofessional group was formed to design a visual management tool for the resolution of these identified problems. The opinion of the professionals on the tool was evaluated and variables of staff displacement and completion of the tool were measured before and after its implementation.</p></div><div><h3>Results</h3><p>The personnel involved was trained. Completion of the tool improved over time, both in HIT and in discharges, reducing the number of trips.</p></div><div><h3>Conclusions</h3><p>The application of a visual management tool in care processes, including all the personnel involved is effective and saves waste.</p></div>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":null,"pages":null},"PeriodicalIF":1.1000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Resultados de la dinamización del proceso de alta y de traslados intrahospitalarios de los pacientes aplicando el método Lean\",\"authors\":\"L. Manzanedo-Basilio , S. Arias-Rivera\",\"doi\":\"10.1016/j.jhqr.2023.10.006\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><p>The application of Lean methodology in the hospital environment can help to improve interprofessional communication and reduce non-value adding activities (waste).</p></div><div><h3>Objective</h3><p>To determine the effectiveness of the implementation of a visual management tool, in the ability to reduce the number of trips, to determine the location of patients in real time in the process of intra-hospital transfers (ITH) and discharges in a hospital.</p></div><div><h3>Material and methods</h3><p>Before-after study in a hospital internal medicine unit. Several time wastes due to unnecessary transfers were detected. A multiprofessional group was formed to design a visual management tool for the resolution of these identified problems. The opinion of the professionals on the tool was evaluated and variables of staff displacement and completion of the tool were measured before and after its implementation.</p></div><div><h3>Results</h3><p>The personnel involved was trained. Completion of the tool improved over time, both in HIT and in discharges, reducing the number of trips.</p></div><div><h3>Conclusions</h3><p>The application of a visual management tool in care processes, including all the personnel involved is effective and saves waste.</p></div>\",\"PeriodicalId\":37347,\"journal\":{\"name\":\"Journal of Healthcare Quality Research\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Healthcare Quality Research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2603647923000635\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Healthcare Quality Research","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2603647923000635","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Resultados de la dinamización del proceso de alta y de traslados intrahospitalarios de los pacientes aplicando el método Lean
Introduction
The application of Lean methodology in the hospital environment can help to improve interprofessional communication and reduce non-value adding activities (waste).
Objective
To determine the effectiveness of the implementation of a visual management tool, in the ability to reduce the number of trips, to determine the location of patients in real time in the process of intra-hospital transfers (ITH) and discharges in a hospital.
Material and methods
Before-after study in a hospital internal medicine unit. Several time wastes due to unnecessary transfers were detected. A multiprofessional group was formed to design a visual management tool for the resolution of these identified problems. The opinion of the professionals on the tool was evaluated and variables of staff displacement and completion of the tool were measured before and after its implementation.
Results
The personnel involved was trained. Completion of the tool improved over time, both in HIT and in discharges, reducing the number of trips.
Conclusions
The application of a visual management tool in care processes, including all the personnel involved is effective and saves waste.
期刊介绍:
Revista de Calidad Asistencial (Quality Healthcare) (RCA) is the official Journal of the Spanish Society of Quality Healthcare (Sociedad Española de Calidad Asistencial) (SECA) and is a tool for the dissemination of knowledge and reflection for the quality management of health services in Primary Care, as well as in Hospitals. It publishes articles associated with any aspect of research in the field of public health and health administration, including health education, epidemiology, medical statistics, health information, health economics, quality management, and health policies. The Journal publishes 6 issues, exclusively in electronic format. The Journal publishes, in Spanish, Original works, Special and Review Articles, as well as other sections. Articles are subjected to a rigorous, double blind, review process (peer review)