A lean approach on hospital flow management


  • Bruna Dones Gayer Universidade Federal do Rio Grande do Sul
  • Érico Marcon Érico Marcon Aluno de Mestrado Acadêmico do Programa de Pós-Graduação em Engenharia de Produção - PPGEP Pesquisador do Núcleo de Engenharia Organizacional (NEO)
  • Wagner Pietrobelli Bueno Universidade Federal do Rio Grande do Sul
  • Priscila Wachs Universidade Federal do Rio Grande do Sul
  • Tarcisio Abreu Saurin Universidade Federal do Rio Grande do Sul


Lean logistics, Logistic flow, Lean healthcare, Hospital setting, Value stream


The rising hospitals costs and their impact on management are a problem faced by several health institutions and part of this cost corresponds to hospital logistics that is caused by aspects such as unstandardized processes and inadequate layout and equipment. Seeking to propose improvements for such problems we identified the critical phases of the logistics operation in hospital’s complex environments, since literature does not properly approach such theme. The final analysis is based on the identification and analysis of value streams, through value stream mapping, interviews, observations and document analysis. Therefore, despite hospital’s complex logistics operations, its study and analysis provide a better identification of costs, layout problems, standardization, as well as non-value adding activities and bottlenecks, thus improving operations and therefore allowing cost reduction. This study’ practical implications are the identification of improvement opportunities in the management of hospitals as a way to provide practitioners with means to improve health-relates logistics processes.

Author Biographies

Bruna Dones Gayer, Universidade Federal do Rio Grande do Sul

Mestranda em Engenharia de Produção   

Wagner Pietrobelli Bueno, Universidade Federal do Rio Grande do Sul

Doutorando em Engenharia de Produção do grupo CEGOSC

Priscila Wachs, Universidade Federal do Rio Grande do Sul

Pós-doutoranda em Engenharia de Produção


Tarcisio Abreu Saurin, Universidade Federal do Rio Grande do Sul

Professor do Programa de Pós-Graduação em Engenharia de Produção


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