Abstract
The objective of this study was to investigate the methodological theoretical framework of the Lean approach in overcrowded emergency services with the implementation of Fast Track. With the integrative review method, it was defined the guiding question: Which Lean principle is related to the application of Fast Track in overcrowded emergency services? The following database were used: Web of Science, PubMed, and Scopus in which 268 records were collected and 14 articles were selected. It was verified that Fast Track is a fast flow that favors the application of the principle of Continuous Flow, essential in emergency services with overcrowding, as it aims to reduce the average length of stay of patients with lower acuity. It was identified in the methodological theoretical framework the demand for more in-depth studies; and that Fast Track is an approach to reducing overcrowding in emergency services associated with the Continuous Flow principle. It was concluded that Fast Track proved to be an effective management strategy in reducing the average length of stay and waiting time of patients, which resulted in improvements in the flow of care and increased patient satisfaction, consequently providing improved performance in the emergency services.
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Acknowledgements
The authors would like to thank the Brazilian Ministry of Health, Universidade Federal Fluminense and Euclides da Cunha Foundation. This Research is part of a “Lean Project in UPAs 24 h” that has been funded by the Brazilian Ministry of Health (TED 125/2019, number: 25000191682201908).
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do Amaral Chaves, S.M., Calado, R.D., Coelho, S.A., Neto, O.B., Santos, A.B., Bourguignon, S.C. (2021). Fast Track in Emergency Services an Integrative Review. In: Dolgui, A., Bernard, A., Lemoine, D., von Cieminski, G., Romero, D. (eds) Advances in Production Management Systems. Artificial Intelligence for Sustainable and Resilient Production Systems. APMS 2021. IFIP Advances in Information and Communication Technology, vol 631. Springer, Cham. https://doi.org/10.1007/978-3-030-85902-2_26
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DOI: https://doi.org/10.1007/978-3-030-85902-2_26
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