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Abstract
The objective was to evaluate the application and implementation of clinical management by kanban in the emergency hospital ser-vices (EHS). Method: Qualitative systematic review with metassyn-thesis. Data collection was carried out in the following information sources: Web of Science, Scopus, CINAHL, PsycoInfo, Embase, Eric, Pubmed (included Medline), Lilacs, ScienceDirect, Google Scholar. Following descriptors were used: health personnel; com-prehensive health care; patient care team; continuity of patient care; quality improvement; patient centered care; healthcare; gui-de to clinical practice; lean thinking; quality of health care; lean management; hospital emergency service; hospital/hospital logis-tics; emergency medical services. Articles in English, Portuguese and Spanish published between 2008 and 2016 were selected. It was used methodological quality analysis tools of qualitative re-search and data extraction from JBI-SUMARI. The categorization of the findings was performed on the basis of meaning similarity and the categories were aggregated into synthesis. Results: The-re were included 22 articles, aggregated in eight categories and three synthesis. Kanban appears as a lean-related tool in EHS. The implementation of the lean should be further explored in the emergency services, focusing on sustainability, time of care and user satisfaction.
References
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Copyright (c) 2019 Mariana Cabral Schveitzer, Allan Gomes de Lorena, Beatriz de Almeida Simmerman de Almeida Simmerman, Ademar Arthur Chioro dos Reis, Luiz Carlos de Oliveira Cecilio, Rosemarie Andreazza