Lean and/or Six Sigma for process optimization in the perioperative period: an integrative review

Author:

Gardim Lucas1ORCID,Santos Fernanda Rodrigues dos1ORCID,Dias Bruna Moreno1ORCID,Fuentes Lívia Barrionuevo El Hetti1ORCID,Silveira Renata Cristina de Campos Pereira1ORCID,Bernardes Andrea1ORCID

Affiliation:

1. Universidade de São Paulo, Brazil

Abstract

ABSTRACT Objective: To analyze the evidence on the influence of Lean and/or Six Sigma for process optimization in the perioperative period. Methods: Integrative review carried out in the MEDLINE (PubMed), Web of Science, EMBASE, CINAHL, Scopus and LILACS databases on the use of Lean and/or Six Sigma to optimize perioperative processes. The studies included were analyzed in three thematic categories: flow of surgical patients, work process and length of stay. Results: The final sample consisted of ten studies, which covered all operative periods. Lean and/or Six Sigma make a significant contribution to optimizing perioperative processes. Final considerations: Lean and/or Six Sigma optimize perioperative processes to maximize the achievement of system stability indicators, making it possible to identify potential problems in order to recognize them and propose solutions that can enable the institution of patient-centered care.

Publisher

FapUNIFESP (SciELO)

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