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Applicazione della metodologia SMED per il miglioramento delle operations nelle sale operatorie. Il caso Azienda Ospedaliera Universitaria Senese

Author

Listed:
  • Jacopo Guercini
  • Vincenzo Mezzatesta
  • Andrea Chiarini
  • Caterina Bianciardi
  • Lucia Bellandi
  • Sara Moi
  • Pasquale Biandolino

Abstract

In molte strutture sanitarie, la riduzione dei tempi di cambio paziente in sala operatoria ? un tema molto importante. Questa innovativa ricerca, fra le prime nel sue genere, condotta tramite la metodologia dell?action research, vuole analizzare come i tempi di changeover possano essere migliorati tramite l?utilizzo dello SMED (Single Minute Exchange of Die), un metodo per ridurre gli sprechi nei processi di set-up. La ricerca ? stata sviluppata nell?ambito di una sala operatoria della Azienda Ospedaliera Universitaria Senese. La metodologia deriva dal lean thinking giapponese ed ? particolarmente utilizzata nel mondo manifatturiero; l?obiettivo ? quello di ridurre il pi? possibile i tempi per passare da un intervento chirurgico al successivo (tempo di set-up). I risultati dimostrano che il tempo di cambio ? stato ridotto significativamente, cos? come la variabilit? tra un paziente e il successivo, seguendo alcuni principi base: l?identificazione delle attivit? esterne e di quelle interne, l?analisi di ciascuna attivit?, ricerca di soluzioni a basso costo di realizzo e riduzione del tempo di cambio. Il progetto, dal punto di vista delle performance, ha portato a un abbattimento dei tempi di cambio paziente nonch? a una riduzione degli interventi rinviati e di quelli conclusi oltre l?orario di chiusura previsto. Ma l?aspetto pi? importante ? forse quello del miglioramento organizzativo apportato.

Suggested Citation

  • Jacopo Guercini & Vincenzo Mezzatesta & Andrea Chiarini & Caterina Bianciardi & Lucia Bellandi & Sara Moi & Pasquale Biandolino, 2016. "Applicazione della metodologia SMED per il miglioramento delle operations nelle sale operatorie. Il caso Azienda Ospedaliera Universitaria Senese," MECOSAN, FrancoAngeli Editore, vol. 2016(98), pages 83-103.
    • Handle: RePEc:fan:mesame:v:html10.3280/mesa2016-098005
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    References listed on IDEAS

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