Fogliatto Flavio S, Tortorella Guilherme L, Anzanello Michel J, Tonetto Leandro M
Industrial Engineering Department, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil (Drs Fogliatto and Anzanello); Industrial Engineering Department, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil (Dr Tortorella); and Graduate Program in Design, Universidade do Vale do Rio dos Sinos, São Leopoldo, Rio Grande do Sul, Brazil (Dr Tonetto).
Qual Manag Health Care. 2019 Jan/Mar;28(1):25-32. doi: 10.1097/QMH.0000000000000193.
In this article, we propose a method that integrates systematic layout planning techniques to lean health care practices aided by multicriteria decision analysis that could be applied to reformulate the layout of health care facilities.
We analyze a high-variety sterilization unit of a large public hospital located in Brazil. The unit is currently implementing lean practices, and layout changes are required to provide more efficient materials and information flows.
Traditional design of health care facilities is not aligned with lean implementation and its underlying practices and principles. We propose the integration of such approaches to enhance their benefits. To rank and select the best layout alternative, a multicriteria decision analysis method (analytic hierarchy process) is adopted.
There are 3 contributions here: the integration of lean principles into traditional health care facility design practices, the use of multicriteria decision analysis to refine the determination of the best layout solution, and the application of our propositions in a real case study.
在本文中，我们提出了一种方法，该方法将系统布局规划技术与多准则决策分析辅助的精益医疗实践相结合，可用于重新规划医疗设施的布局。
我们分析了巴西一家大型公立医院的一个高品种消毒科室。该科室目前正在实施精益实践，需要进行布局变更以提供更高效的物料和信息流。
传统的医疗设施设计与精益实施及其基础实践和原则不一致。我们建议整合这些方法以增强其效益。为了对最佳布局方案进行排序和选择，采用了一种多准则决策分析方法（层次分析法）。
本文有三点贡献：将精益原则整合到传统医疗设施设计实践中；使用多准则决策分析来优化最佳布局方案的确定；以及将我们的提议应用于实际案例研究。
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