Análise das atividades relacionadas à troca da cobertura do cateter venoso central por meio do mapeamento de processos segundo a metodologia Lean Healthcare

Abstract

The Lean Healthcare methodology, with its principles and tools, aims to lead to safe, quality healthcare through continuous improvement. Bloodstream infection is the healthcare-associated infection (HAI) with the greatest preventive potential and, therefore, the implementation of good practices in the management and maintenance of central venous catheters is essential to avoid this adverse event. Given that the Intensive Care Unit is a hospital sector in which central venous accesses are strategic for health care practice, this study sought to analyze the process of changing the central venous catheter cover using process mapping, the P chart and the cause-and-effect diagram as tools. This is a case study in which data was collected through non-participant observation at a public teaching hospital in the interior of Minas Gerais. Non-conformities were identified which, if eliminated through process standardization and continuous improvement practices, can mitigate the development of bloodstream infections, as well as providing a more favorable environment for safe, quality healthcare for the clients and professionals involved.