Processo de acreditação hospitalar e lean healthcare: um estudo sobre os métodos

Abstract

Problems related to quality in the Brazilian health sector, such as rework, high waiting times in hospitals, errors in diagnosis and medication, that is, low confidence and safety of clients in procedures and processes in general, arouse interest in matters related to quality improving hospital quality. This paper addressed two important themes for the standardization and excellence of hospital quality, the accreditation process developed by the National Accreditation Organization (ONA) and the Lean Healthcare methodology. First, a literature review was carried out on the two methods, and on quality in health services. After analyzing the concepts, questionnaires were applied in hospitals already accredited by the ONA in the city of Curitiba, PR as a case study, through the bibliographic review and the case study. This study analyzed how the Lean Healthcare methodology and the accreditation process relate Institutions and how this relationship can contribute to other institutions. From the six hospitals consulted, three answered to the survey. One of them is currently at level 1 and the two others at level 3 by accreditation of ONA. Twelve Lean tools were mentioned in the questionnaire, three stood out with 100% use among the institutions, they are: PDCA cycle, 5 whys and 5W2H. It was found that hospitals do not know or do not use many of the Lean tools cited in the survey, opening up great opportunities for future studies and improvements.