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Single-Minute Exchange of Die (SMED) and Lean Healthcare: Reducing Patient Journey in Emergency Care Units

Single-Minute Exchange of Die (SMED) and Lean Healthcare: Reducing Patient Journey in Emergency Care Units
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Author(s): Andrei Bonamigo (Fluminense Federal University, Brazil), Patricia Mendonça Maia Bernardes (Fluminense Federal University, Brazil), Luiz Felipe Conrado (Fluminense Federal University, Brazil) and Newton Narciso Pereira (Fluminense Federal University, Brazil)
Copyright: 2023
Pages: 15
Source title: Cases on Lean Thinking Applications in Unconventional Systems
Source Author(s)/Editor(s): Eduardo Guilherme Satolo (São Paulo State University, Brazil) and Robisom Damasceno Calado (Fluminense Federal University, Brazil)
DOI: 10.4018/978-1-6684-5185-4.ch006


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Lean healthcare presents as a potential means to overcome barriers in the health sector by eliminating unnecessary movements, waiting, transport, and stockpiles. However, time spent in set-up activities does not add value to the process because the patient is not receiving service. One of the Lean tools that can help mitigate waste in those activities is the single-minute exchange of die (SMED); therefore, this study aims to evaluate the implications of using SMED in the health context. The authors conducted an exploratory search in scientific documents to achieve this goal. The content analysis was based on Bardin. From the findings, it is possible to identify the implications of the use of SMED in the health context, sort activities between internal and external setup, and reduce time spent on wasteful tasks, while increasing time available for value-adding activities.

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