期刊
PRODUCTION PLANNING & CONTROL
卷 31, 期 6, 页码 483-495出版社
TAYLOR & FRANCIS LTD
DOI: 10.1080/09537287.2019.1647366
关键词
Lean healthcare; kaizen groups; sterilization plant; rationalization; operating room logistics; surgical trays
资金
- Coordenacao de Aperfeioamento de Pessoal de Nivel Superior [42001013059P3]
Sterilization plants process all reusable materials used in hospitals during different stages of healthcare provision. Most items sterilized come from the surgical theater in the form of individual instruments, linen and surgical trays. Reducing the number of instruments in trays impacts on the performance of the sterilization process. Here, we propose a three-phase method, based on lean healthcare principles, cluster analysis and kaizen groups of experts to rationalize surgical trays, reducing sterilization processing costs. We innovate by proposing a strategy to approach tray rationalization prioritizing surgical specialties that are both complex and frequent, and by using group technology to cluster surgical trays expediting expert analyses carried out by kaizen groups. Our propositions were tested in a high complexity, tertiary care hospital, covering 12 surgical specialties, reducing the number of instruments by average 9.75%, and the time-to-assemble trays by average 9.68%, obtaining annual savings of US$285.756,00 in sterilization processing costs.
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