ArticleRevista brasileira de enfermagem2026
Assessment of cleaning and disinfection of Intensive Care Unit beds: quality management with Lean.
Article in Revista brasileira de enfermagem, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
objectiveto analyze, using Lean Healthcare tools, the terminal hygiene process in Intensive Care Unit beds and to propose improvements for its standardization.
methoda cross-sectional study was conducted at a university hospital in Rio de Janeiro between September 2023 and February 2024, observing ten terminal hygiene processes performed by five professionals. VSM, CRT Diagram, GUT Matrix, Prioritization Matrix, and 5W2H tools were used. Analysis considered scope, technical adherence, execution time, surface completeness, and the presence of fluorescent residues.
resultsfailure to use protective equipment and disinfectant was identified in 100% of procedures, along with a lack of technical standards and movement patterns. Only 70% of processes were completed, and 33% of surfaces were free of residue.
conclusiondespite institutional guidelines, hygiene was not standardized. Lean tools allowed for the identification of root causes and the development of improvement strategies focused on the real existing problems.
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