Strategies for the hospital bed management process: An integrative review
DOI:
https://doi.org/10.36489/saudecoletiva.2023v13i84p12362-12383Keywords:
Hospital Administration, Occupation of Beds, Access to health services, HospitalsAbstract
Objective: to identify the scientific evidence, available in the literature, about the strategies for the bed management process in hospitals. Method: this is an integrative review, based on Scopus, Latin American and Caribbean Literature in Health Sciences, Web of Science and Medline/PubMed databases, including articles published between 2016 and 2022, using specific search strategies for each base. Of the studies found, 14 were selected for analysis. Results: Strategies for the bed management process in hospitals cover the following general themes: simulation modeling techniques; implementation of internal management of hospital beds and use of information systems. Conclusion: The strategies suggested for the bed management process have the main intention of helping managers in decision-making, considering that the theme encompasses a set of highly complex processes.
References
Machado DC, Machado ACA. A otimização do processo de gerenciamento de leitos e alta hospitalar. Saúde Coletiva (Barueri). 2020;9(50):1866–72. https://doi.org/10.36489/saudecoletiva.2019v9i50p1866%20-%201872
Associação Nacional dos Hospitais Privados (ANAHP). Livro Branco Brasil Saúde 2015: a sustentabilidade do sistema de saúde brasileiro: caderno de Propostas. São Paulo: ANAHP; 2015.
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Hospitalar e de Urgência. Manual de implantação e implementação: Núcleo Interno de Regulação para Hospitais Gerais e Especializados [recurso eletrônico] Brasília: Ministério da Saúde, 2017.
Cerdeira AKLA, Hekis HR. SisperaH: Sistema Inteligente de Gestão de Lista de Espera Hospitalar: regulação de leitos, lista de espera, gestão e inovação em saúde [Internet]. [Rio Grande do Norte]: Universidade Federal do Rio Grande do Norte; 2020 [cited 2022 Out 28]. Availablefrom: https://repositorio.ufrn.br/handle/123456789/31857
Nascimento AB. Gerenciamento de leitos hospitalares: análise conjunta do tempo de internação com indicadores demográficos e epidemiológicos. Revista de Enfermagem e Atenção à Saúde. 2015;4(1):65–78. https://doi.org/10.18554/
Boaden R, Proudlove N, Wilson M. An exploratory study of bed management. J Manag Med. 1999;13(4–5):234–50. https://doi.org/10.1108/02689239910292945
Brasil. Ministério da Saúde (BR). Agência Nacional de Saúde Suplementar. Taxa de Ocupação Operacional Geral [Internet]. Brasília: Ministério da Saúde; 2012 [cited 2022 Out 28]. Available from: https://www.gov.br/ans/pt-br/arquivos/assuntos/prestadores/qualiss-programa-de-qualificacao-dos-prestadores-de-servicos-de-saude-1/versao-anterior-do-qualiss/e-efi-01.pdf
Brasil. Ministério da Saúde (BR). Secretaria Executiva. DATASUS [recurso eletrônico] [Internet]. Brasília: Ministério da Saúde. 2021 [cited 2022 Out 28]. Availablefrom: https://datasus.saude.gov.br/
AndreazziMFS, Gomes LS, Pérez MA, Azevedo NRP, D'Almeida LVS. Um olhar exploratório sobre hospitais universitários federais selecionados segundo modelos de gestão de 2012 a 2017. Rev. Gest. Sist. Saúde, 2021; 10(3), 238-252. https://doi.org/10.5585/rgss.v10i3.17204.
Grübler MDS, Costa CA, Righi RDR, Rigo SJ, Chiwiacowsky LD. A Hospital Bed Allocation Hybrid Model Based on Situation Awareness. CIN - ComputersInformaticsNursing. 2018;36(5):249–55. https://doi.org/10.1097/CIN.00000000000000000421
Machado RM, Lima SBS de, Costa VZ da, Venturini L, Streck MTH. Implementation and operationalization of the internal center for hospital regulation: Integrative review. Research, Society and Development. 2021;10(6):e30210615836. https://doi.org/10.33448/rsd-v10i6.15836
Souza MT, Silva MD, Carvalho R. Revisão integrativa: o que é e como fazer. einstein (São Paulo). 2010;8(1):102–6. https://doi.org/10.1590/S1679-45082010RW1134
Sousa LMMS, Marques-Vieira CMA, Severino SS, Antunes AV. Metodologia de Revisão Integrativa da Literatura em Enfermagem. Revista Investigação Enfermagem [Internet]. 2017 [cited 2022 Out 12];21: 17–26. Availablefrom: https://repositorio-cientifico.essatla.pt/handle/20.500.12253/1311?mode=full
Fuchs S, Soldateli B. Revisão Sistemática de Estudos Observacionais com Metanálise. Clinical and Biomedical Research [Internet]. 2010 [cited 2022 Out 8];30(3):294-301. Available from: https://seer.ufrgs.br/hcpa/article/view/16551
Oliveira IS, Lima EFA, Silva RIC, Figueiredo KC, Dias ICB, Primo CC. Desenvolvimento de software para gerenciamento de leitos na urgência e emergência. Revista Brasileira de Enfermagem. 2021 Mar 15;74(74Suppl 5):e20200055. https://doi.org/10.1590/0034-7167-2020-0055
Oakley D, Onggo BS, Worthington D. Symbiotic simulation for the operational management of inpatient beds: model development and validation using Δ-method.Health Care Management Science [Internet]. 2020 [cited 2022 dez 12];23(1):153–69. Available from: https://link.springer.com/article/10.1007/s10729-019-09485-1
Schäfer F, Walther M, Hübner A, Kuhn H. Operational patient-bed assignment problem in large hospital settings including overflow and uncertainty management. Flexible Services and Manufacturing Journal [Internet]. 2019 [cited 2022 Nov 8];31(4):1012–41. Available from: https://link.springer.com/article/10.1007/s10696-018-9331-0
Cudney EA, Baru RA, Guardiola I, Materla T, Cahill W, Phillips R, et al. A decision support simulation model for bed management in healthcare. International Journal of Health Care Quality Assurance [Internet]. 2019;32(2):499–515. https://doi.org/10.1108/IJHCQA-10-2017-0186
Landa P, Sonnessa M, Tànfani E, Testi A. Multiobjective bed management considering emergency and elective patient flows. International Transactions in Operational Research [Internet]. 2018[cited 2022 Nov 8];25(1):91–110. Available from: https://onlinelibrary-wiley.ez18.periodicos.capes.gov.br/doi/full/10.1111/itor.12360
England T, Gartner D, Ostler E, Harper P, Behrens D, Boulton J et al. Near real-time bed modelling feasibility study. Journal of Simulation. 2021; 15(4): 261-272. https://doi.org/10.1080/17477778.2019.1706434
Lima Rocha HA, da Cruz Santos AKL, de Castro Alcântara AC, da Costa Lima CSS, Maia Oliveira Rocha SG, Cardoso RM, et al. Bed management team with Kanban web-based application. International Journal for Quality in Health Care. 2018;30(9):708–14. https://doi.org/10.1093/intqhc/mzy108
Souza D, Souza DM, Vasconcelos BF, Viana DMS, Ribeiro LCC, Lima AMJ. Gestão de leitos em um hospital polo da região ampliada de saúde Jequitinhonha: aspectos organizacionais e operacionais do processo de trabalho. Journal of Health & Biological Sciences. 2020;8(1):1–5. http://dx.doi.org/10.12662/2317-3076jhbs.v8i1.2819.p1-5.2020
Ferreira AJ, Laurindo MC, Morais AAL, Cerantola R, Barbosa LB, Cruz JHGP, et al. A implantação do Núcleo Interno de Regulação em Hospital Público Terciário. Medicina (Ribeirão Preto). 2019;52(1):16–23. https://doi.org/10.11606/issn.2176-7262.v52i1p16-23
Soares VS. Analysis of the Internal Bed Regulation Committees from hospitals of a Southern Brazilian city. einstein (São Paulo). 2017;15(3):339–43. https://doi.org/10.1590/S1679-45082017GS3878
Hajłasz M, Mielczarek B. Simulation modelling for predicting hospital admissions and bed utilisation. Operations Research and Decisions. 2021;30(3):5–19. https://doi.org/10.37190/ord200301
Feijó VBER, Barreto MFC, Tanita M, Balsanelli AP, Cunha ICKO, Haddad MCFL. Internal Regulation Center in hospitals: Repercussions of its implementation on the health services’ indicators. Rev. Latino-Am. Enfermagem. 2022;30:e3517.http://dx.doi.org/10.1590/1518-8345.5700.3517
Raffa C, Malik AM, Pinochet LHC. A Tecnologia da Informação no Apoio à Gestão de Leitos: Um Estudo Multicaso em Hospitais Privados. RevistaAdministraçãoemDiálogo - RAD. 2017;19(3):1–23. https://doi.org/10.23925/2178-0080.2017v19i3.31356
Williams, E., Szakmany, T., Spernaes, I., Muthuswamy, B., & Holborn, P. Discrete-Event Simulation Modeling of Critical Care Flow: New Hospital, Old Challenges. Critical care explorations. 2020; 2(9), e0174. https://doi.org/10.1097/CCE.0000000000000174
Landa P, Sonnessa M, Tànfani E, Testi A. A discrete event simulation model to support bed management. Simultech2014 - Proceedings of the 4th International Conference on Simulation and Modeling Methodologies, Technologies and Applications [Internet]. 2014 [cited 2022 Nov 8]; Available from: https://doi.org/10.5220/0005161809010912
Holm LB, Lurås H, Dahl FA. Improving hospital bed utilisation through simulation and optimisation: With application to a 40% increase in patient volume in a Norwegian general hospital. International Journal of Medical Informatics. 2013;82(2):80–9. https://doi.org/10.1016/j.ijmedinf.2012.05.006
Rodrigues LCR, Juliani CMCM. Impact of implementing an Internal Bed Regulation Committee on administrative and care indicators at a teaching hospital. einstein (São Paulo). 2015;13(1):96–102.https://doi.org/10.1590/S1679-45082015GS3235
Brasil. Ministério da Saúde (BR). Consolidação das normas sobre as políticas nacionais de saúde do Sistema Único de Saúde – Portaria de consolidação no 2 de 28 de setembro de 2017. [Internet]. Diário Oficial da União (DOU) 2017 [cited 2022 Nov 8]. Availablefrom: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2013/prt3390_30_12_2013.html
Bagnasco A, Tubino B, Piccotti E, Rosa F, Aleo G, di Pietro P, et al. Identifying and correcting communication failures among health professionals working in the Emergency Department. InternationalEmergencyNursing. 2013;21(3):168–72. https://doi.org/10.1016/j.ienj.2012.07.005
Brasil. Ministério da Educação (BR). Empresa Brasileira de Serviços Hospitalares. Diretoria de Ensino, Pesquisa e Atenção à Saúde. Programa de Avaliação de Maturidade em Regulação em Saúde:PRO-REG [recurso eletrônico] [Internet]. Brasília: Ministério da Educação 2019 [cited 2022 Nov 8]. Availablefrom: https://www.gov.br/ebserh/pt-br/acesso-a-informacao/boletim-de-servico/sede/2020/anexos/programa-de-avaliacao-de-maturidade-em-regulacao-pro-reg.pdf/view
Beaulieu M, Landry S. Achieving lean healthcare by combining the two-bin kanban replenishment system with RFID technology. International Journal of Health Management and Information (IJHMI) [Internet]. 2010 [cited 2022 Nov 9];1(1):85–98. Availablefrom: https://www.researchgate.net/publication/284670162
Aparecida I, Massaro C, Massaro A. O uso do KAN BAN na gestão do cuidado: superando limites. Revista de Administração em Saúde [Internet]. 2017 Jan 17 [cited 2022 Nov 9];17(66). Availablefrom: https://cqh.org.br/ojs-2.4.8/index.php/ras/article/view/14/27
