Aplicação do kanban na unitarização de medicamentos da central de abastecimento farmacêutico de um hospital de grande porte

Abstract

In the health sector, the internal supply of medicines and materials represents a primordial process for a good execution of the care of the patients who pass through the hospitals and clinics. In addition, it ranks second among the largest sources of expenditure in these institutions. A dedicated management of the inventory of these items by the pharmaceutical supply center is necessary in order to guarantee availability for the patient without maintaining high levels of inventory which generate a range of costs for the organization. Among the processes inherent to the supply, there is the unitarization of medicines, a productive process that ensures the separation of these items in unit doses, duly identified, to arrive safely at the patient. In face of this scenario, the question is: how to improve the service of unitarization and internal supply of medicines in hospital environment? This work used the kanban tool as a way to transform the process of drug unitarization. Kanban is a lean production tool, aligned to lean philosophy, in this case more specifically from its health-related field, lean healthcare. This means that it is a waste elimination tool, with a focus on customer satisfaction. These were the guidelines for the execution of this work, which aimed at generating a method to approach the transformation of the unitarization process and the application of this in the hospital of the medical cooperative Unimed Fortaleza. At the end of the work, it was verified the achievement of the established objectives and the significant gains for the organization, such as the increase in the stock turnover of unitarized drugs, mitigation of the risk of wages and damages, gain of physical space and guarantee of the availability of unitarized medicines for distribution.