Lean production associated with computer simulation: a systematic review in the healthcare

Authors

Keywords:

Produção Enxuta, Saúde, Simulação, Serviços, Revisão Sistemática.

Abstract

Lean manufacturing is currently one of the most widely used philosophies in the world. Prior to Lean, simulation emerged as an extremely powerful tool for analysis, comparison and learning. Despite the common objective, there are few records of joint studies. The objective of the present study is to perform a literature review and identify, which are the principles and tools of lean production used in the area of health care and the contributions of computer simulation, in the process of implementation and maintenance. The methodology used was the literature review and bibliometric analysis. The data were collected between the months of December 2020 and February 2021. At the end of the survey, 34 studies were classified for analysis. A relevant aspect is the identification of the role of simulation in the process of implementing and maintaining Lean. It is noticed that the joint contribution is greater than the isolated application, however, studies show that the application is restricted to one sector, in a greater proportion, emergency sectors. Among the most used tools is the flow mapping and the identification of value activities in the customer's view. Among the barriers identified, the lack of data or the need to collect information, in a preliminary way, related to the times, flow of care for patients or professionals, stands out. It is noted, a significant potential of this duet, however, the measurement of the results obtained after the application of the tools, seems to be a gap to be explored in the future.

Author Biographies

Edson Carvalho Ramos, Universidade Tecnológica Federal do Paraná

Engenharia de produção e sistemas produtivos.

Fernando José Avancini Schenatto, Universidade Tecnológica Federal do Paraná

Possui graduação em Engenharia Elétrica - Hab. Eletrônica pela Universidade Católica de Pelotas (1995), mestrado (2003) e doutorado (2012) em Engenharia de Produção pela Universidade Federal de Santa Catarina. Atualmente é professor titular da Universidade Tecnológica Federal do Paraná. Tem experiência na área de Engenharia de Produção, com ênfase em Gestão da Inovação Tecnológica, atuando principalmente nos seguintes temas: gestão de tecnologia; estratégia tecnológica; prospectiva estratégica; arranjos produtivos locais; incubadoras de empresas, parques tecnológicos e desenvolvimento regional sustentado.

Marcelo Gonçalves Trentin, Universidade Tecnológica Federal do Paraná.

Graduado em Engenharia Elétrica (1995), mestrado em Métodos Numéricos em Engenharia pela Universidade Federal do Paraná - UFPR (2002) e Doutorado em Engenharia de Produção pela Universidade Federal do Rio Grande do Sul - UFRGS (2010). Professor Titular da UTFPR, campus Pato Branco. Professor permanente do Programa de Pós-Graduação em Engenharia de Produção e Sistemas (PPGEPS). Atua nos cursos de Graduação de Engenharia Mecânica, Engenharia Elétrica e Tecnologia em Manutenção Industrial. Desenvolve trabalhos de pesquisa na área da Eng. de Produção com ênfase em Simulação de Processos, Programação da Produção, Sistemas Lean e Indústria 4.0. Utiliza em suas pesquisa métodos quantitativos para a solução de problemas, previsão de demanda e estatística aplicada. Professor e Coordenador dos Cursos de Especialização em Engenharia de Produção (lato sensu) e MBA em Gestão de Sistemas Lean 4.0 . Membro do Conselho da Editora da UTFPR (2019-2021).

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Published

2021-09-29

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