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Implementation of a lean emergency room process

Author: 
Leonardo Baumworcel, Pedro Guilherme Manes Rothman, Patricia Garcia Romualdo, Ludmilla da Rocha Freitas Vieitas, Bernardo Pereira Lima de Figueiredo, Leonardo Branco Sartore and Annibal Scavarda
Subject Area: 
Health Sciences
Abstract: 

Some emergency service works with a triage care system to differentiate the urgency level of each patient. The objective is to deploy Smart Track system in a general emergency. This new care system intends to screen and begins initial therapeutics in less than twenty minutes of patient arrival in the hospital. This is an analysis from February to December 2014. In the first quarter of this project, the emergence performed around 3400 calls per month and in the last quarter was carried out making more than 5000 calls/month. Protocols for a preferred route were open 90 cases per month, on average. A third of these patients were admitted to hospital treatment. Throughout this period, the hospital spent on human resources less than a half of the spent in the others regular triage emergency services. Changing the emergency room processes to Lean based model is possible.

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