[Outcomes of using Pulse Point Arrow as lean healthcare tool for managing paediatric patient safety in the surgical area].

Objective: To improve the safety's management in the urology paediatric surgical process of the Ambulatory Major Surgery Unit (AMSU) through the use of this tool.

Material and methods: Observational study lasting 9 months divided into a PRE-period for collecting information on the safety indicators defined by the team and reflected in the Pulse Point Arrow, using the "Hoja de Ruta", an intervention period and a POST collection stage of the same information.

Results: In both periods, a total of 1464 "Hojas de Ruta" were collected in the CMA unit, 55.8% of the total corresponding to the PRE-period, and the rest to the POST. The selected indicators improved significantly, highlighting the correct placement of bracelets, bed assignment, allergy registration, and administration of preoperative treatment.

Conclusions: The use of new management tools in healthcare systems is essential for improving healthcare processes and achieving better health outcomes. In our experience the introduction of Pulse Point Arrow improved results of surgical safety of the paediatric patient.