Proposta e avaliação de indicadores de desempenho para gestão estratégica de unidades laboratoriais de instituição superior de ensino e pesquisa que impactam sobre a saúde humana

Abstract

Laboratory management has become essential due to health and enviroment concerns. Knowing all the processes and activities developed at the units and adopting good indicators to evaluate the performance, facilitates the internal control of the laboratories. The use of the indicators combined with management tools such as Total Quality Management, Process Redesign, ISO Standards, Lean Thinking and Error Management may provide a significant improvement at the efficiency. This Biomedical Engineering work, with Clinical Engineering and Management lines of research, aims at selecting and evaluating indicators that facilitate the internal control of the laboratories and induces its use by the decision makers and everyone in the Clinical Engineering. The internal control allows the detection of misapplications and corrections in the routine performance, thus providing a reliable work in the research results, tests and exams reports. The methodology consisted in selecting a set of indicators from the routines used in clinical laboratories because there is greater experience and publications at the management area. This set of indicators was applied to two laboratory profiles: laboratories that influence health directly and laboratories whose results of researches could affect the enviroment and, this way, impact indirectly on human heatlh. Sustained by works of the specialized literature by credible authors, 30 indicators were selected contemplating a Previous Evaluation and the categories of Leading Indicators, Public Responsability, Strategic Planning, Strategic Operationalization and User Group. The indicators tried to explore the activities routine and the involvement of the participants and users in the management of the Odontology, Nutrition and Pharmacology university laboratories (with a direct influence over health) and Veterinary, Agronomy and Zootechny university laboratories (with an indirect influence over health). To each indicator it was outlined three options of answers that allowed the analyses of the existence of the routine practice, its intensity and the participants’ vision concerning the management of the laboratory unit. The results were analyzed comparatively and proportionally into three approaches. In the first analysis, each answer option of each indicator was compared among all laboratories. In the second analysis, each answer option of each indicator was compared between the two strata. In the third analysis it was compared the percentage of each strata between all the answers. Being established the tolerance limit, it can be identified: the indicators that meet the expectations, to which strata it belongs and in what proportion. The indicator with major commitment in management and from how many participants no care of the indicator is expected can also be identified. With the proposed methodology it was possible to visualize the reality of the laboratory unit, verify the flexibility of establishing the limit of priorities acceptance and realize that with the use of the management tools it is possible to expect great results with small interventions.