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Otimização da Taxa de Ocupação do Bloco Operatório através de Business Process Management: Caso de Estudo no Bloco Operatório
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O presente estudo incide sobre o processo cirúrgico do Hospital Lusíadas Lisboa, com particular foco no bloco operatório enquanto unidade crítica para o desempenho clínico e económico da instituição. Enquadrado nos princípios do Business Process Management (BPM), o trabalho aplica o ciclo de vida desta abordagem ao percurso cirúrgico numa perspetiva end-to-end, abrangendo as fases desde a proposta e agendamento cirúrgico até à execução e conclusão do episódio clínico, num contexto caracterizado por elevada variabilidade e interdependência entre múltiplos intervenientes. O objetivo central consiste em demonstrar de que forma o BPM, articulado com análise de dados e técnicas de simulação, pode contribuir para a otimização da taxa de ocupação do bloco operatório, o aumento da previsibilidade do planeamento e a redução de desperdícios operacionais. Para tal, a investigação estrutura-se na identificação, mapeamento e análise qualitativa do processo no estado atual, na análise quantitativa e simulação de subprocessos críticos, e no redesenho do processo futuro com base em heurísticas de melhoria incremental, complementados pelo desenvolvimento de mecanismos de suporte à monitorização e à tomada de decisão. Do ponto de vista prático, espera-se que o estudo contribua para a melhoria da eficiência operacional, promovendo um planeamento mais robusto e alinhado com a realidade, a redução da variabilidade e dos desperdícios ao longo do processo, uma utilização mais equilibrada dos recursos e um maior cumprimento dos horários programados. Em termos teóricos, o estudo reforça o papel do BPM como abordagem estruturante na gestão de processos em saúde, evidenciando que as ineficiências do bloco operatório resultam de todo o circuito pré-, intra- e pósoperatório, e não exclusivamente da fase intraoperatória, contribuindo assim para a promoção de uma cultura de melhoria contínua orientada por dados e centrada no cliente.
This study examines the surgical process at Hospital Lusíadas Lisboa, with a particular focus on the operating theatre as the critical unit for the institution’s clinical and economic performance. Based on the principles of Business Process Management (BPM), this study applies the lifecycle of this approach to the surgical pathway from an end-to-end perspective, covering the stages from the proposal and scheduling of surgery to the execution and conclusion of the clinical episode, within a context characterised by high variability and interdependence amongst multiple stakeholders. The central objective is to demonstrate how BPM, combined with data analysis and simulation techniques, can contribute to optimising operating theatre occupancy rates, increasing the predictability of planning and reducing operational waste. To this end, the research is structured around the identification, mapping and qualitative analysis of the current process, the quantitative analysis and simulation of critical subprocesses, and the redesign of the future process based on incremental improvement heuristics, complemented by the development of mechanisms to support monitoring and decision-making. From a practical perspective, the study is expected to contribute to improved operational efficiency by promoting more robust planning that is better aligned with reality, reducing waste throughout the process, ensuring a more balanced use of resources, and improving adherence to scheduled timetables. In theoretical terms, the study reinforces the role of BPM as a structuring approach in healthcare process management, highlighting that operating theatre inefficiencies result from the entire pre-, intra- and post-operative circuit, and not exclusively from the intra-operative phase, thereby contributing to the promotion of a culture of continuous improvement that is data-driven and patient-centred.
This study examines the surgical process at Hospital Lusíadas Lisboa, with a particular focus on the operating theatre as the critical unit for the institution’s clinical and economic performance. Based on the principles of Business Process Management (BPM), this study applies the lifecycle of this approach to the surgical pathway from an end-to-end perspective, covering the stages from the proposal and scheduling of surgery to the execution and conclusion of the clinical episode, within a context characterised by high variability and interdependence amongst multiple stakeholders. The central objective is to demonstrate how BPM, combined with data analysis and simulation techniques, can contribute to optimising operating theatre occupancy rates, increasing the predictability of planning and reducing operational waste. To this end, the research is structured around the identification, mapping and qualitative analysis of the current process, the quantitative analysis and simulation of critical subprocesses, and the redesign of the future process based on incremental improvement heuristics, complemented by the development of mechanisms to support monitoring and decision-making. From a practical perspective, the study is expected to contribute to improved operational efficiency by promoting more robust planning that is better aligned with reality, reducing waste throughout the process, ensuring a more balanced use of resources, and improving adherence to scheduled timetables. In theoretical terms, the study reinforces the role of BPM as a structuring approach in healthcare process management, highlighting that operating theatre inefficiencies result from the entire pre-, intra- and post-operative circuit, and not exclusively from the intra-operative phase, thereby contributing to the promotion of a culture of continuous improvement that is data-driven and patient-centred.
Descrição
Dissertation presented as the partial requirement for obtaining a Master's degree in Information Management, specialization in Business Intelligence
Palavras-chave
Bloco Operatório Business Process Management (BPM) Otimização da taxa de ocupação Simulação de processos Monitorização operacional Melhoria de processos em saúde