5S METHODOLOGY

Course Conclusion 5S-Kaizen in Japan – (2016, July) Nurses´s Santa Cruz Hospital

Cristina Hirota Sandra Tanaka

Tigussa Yoshida Katia Yamagushi

5S COMPOSITION CONCEPT OBJECTIVE

S1 - SEIRI SENSE OF USE SEPARATE THE NECESSARY OF THE DUMP

PLAY OUT WHAT'S NOT NECESSARY - CLEAR

S2 - SEITON SENSE OF ORGANIZATION

PLACE EVERYTHING IN YOUR DUE PLACE - VISUAL CONTROL

ORGANIZE / SAVE – LOCAL RESERVED FOR EACH THING

S3 - SEISO SENSE OF CLEANER CLEAN AND CARE OF THE WORK ENVIRONMENT

BEST CLEANING LEVEL

S4 - SEIKETSU SENSE OF STANDARD

CREATE RULES AND STANDARDS KEEP S1 TO S3. MAKE A SYSTEM THAT EVERYONE UNDERSTANDS

S5 - SHITSUKE SENSE OF DISCIPLINE

GIVE CONTINUITY / KEEP S1 TO S4 DISCIPLINE THAT MUST BE FOLLOWED

5S Methodology

CASES OF JAPAN CASE OF BRAZIL

March June

Disaster in Mariana City – MG (Dam disruption )

March, 11ST March, 17th

Earthquake in Naka. After six days, the reconstruction Reconstruction Avenue in Fukuoka

48 hours

Earthquake followed by Tsunami in Fukushima (3 months - Removal of wreckage) World War 2nd

Visit to hospitals in Japan

Nerima Hospital - Tokyo

Nerima Hospital - Tokyo

Aso Iizuka Hospital - Fukuoka

Aso Iizuka Hospital - Fukuoka

Aso Iizuka Hospital - Fukuoka

University of Kyushu Hospital - Fukuoka

Difference between hospitals in Brazil and Japan

JAPAN

• Advanced technology present in all hospitals

• Japanese government investment in population

health care - disease prevention

• There aren´t health care providers

• Simplicity in solving problems, but effectively

BRAZIL

• Advanced technology restricted to only some

hospitals

• There is little investment by the Brazilian government

in the health area - focus on curative rather than

preventive area

• Spend a lot to solve a problem and sometimes

inefficiently and access to few

5s deployment

WIT (Work Improvement Team)

• Coordinator: Nursing manager Sandra Regina Tanaka Fukace

• Tigussa Yoshida – Supervisor of the surgical scheduling center

• Cristina Hirota – Nurse 3rd floor

• Katia Yamagushi – Endoscopy nurse

• Juliani de Souza Lopes – Supervisor of the nursing of the Emergency room

• Silvana Aparecida Andrade da Cunha – Nursing techinique

• Luciana Ardis – Quality Supervisor

Weekly meetings with WIT

Preparation of manual, and

mural

Document elaboration and monthly audit

2017, february

5S-KAIZEN Santa Cruz Hospital– Planning for institutional deployment

Institutional training

2017, january 2016, november 2016, september 2016,august

Pilot deployment 3rd Floor

2016, october

Implantation: CC; UTI; 2ND ;

4TH ; PA

Pilot deployment 3rd Floor

(2016, September)

Medical records

Before After

Pastes

Before After

Hall

Before After

Material drawer

Before After

Psychotropic drawer

Before After

Medicine drawer

Before After

Nursing Station

ANTES DEPOIS

Linen room

Before After

Identificação das prateleiras

Purge

Before After

UTI CC

UI 2º

UI 4º

UI 3º

PA

SANTA CRUZ HOSPITAL: 5s Deployment

Modelo TOYOTA

5S-KAIZEN : 1st Seminar at Santa Cruz Hospital (2016, august)

Presença do Presidente do HSC Dr. Renato Ishikawa e do representante chefe do escritório JICA no Brasil, Sr. Ryuichi Nasu, que revelou ser emocionante ver o aprendizado ser empregado no HSC em tão pouco tempo e apresentado de forma tão estimulante.

Feature Nikkey Shimbum

5S - KAIZEN

Sandra Tanaka – Nursing manager´s Santa Cruz Hospital stanaka@hospitalsantacruz.com.br – phone: 55 11 5080- 2027