Propuesta para la gestión de tiempos de espera en el sistema de urgencias del hospital Santa Matilde en Madrid Cundinamarca

Abstract

The present research project whose objective is to generate a proposal for improvement that allows to adequately manage waiting times in the emergency system of the Santa Matilde Hospital in Madrid Cundinamarca, is presented as a viable project that establishes a proposal based on the use of total quality tools such as the Lean Service, the Just in Time, the 5's, the Kaizen System and the KPI's, to control an opportunity for improvement detected in the emergency area related to long waiting times, this was determined by a data collection and analysis of service times and times between patient arrivals. A simulation of care was generated using the FlexSim software to determine the behavior of the system and to establish which spaces to analyze for the definition of improvement proposals. The proposal was made seeking to reduce costs with reference of having to hire another doctor, therefore, the available resource was used and the way for the implementation of the proposal was defined. A simulation was carried out again, which showed a positive change in waiting times compared to the normal system. Finally, the project was evaluated technically, economically, and financially, and it was obtained through the TIR(IRR) that the project is viable for its implementation.