Otimização do fluxo de atendimento de pacientes de um serviço de radioterapia utilizando o ciclo PDCA

Abstract

This study explored the application of the PDCA Cycle (Plan, Do, Check, Act) to optimize the patient care workflow in a radiotherapy service, focusing on efficient scheduling and execution of sessions on linear accelerators. Prior to the study, the servicefaced workload overload issues with significant delays, especially in the afternoon and evening periods. The methodology included the standardization of routines, definition of performance indicators, and restructuring of the schedulebased on the actual capacity of the equipment, adjusting the average times by type of treatment. In the implementation of the PDCA Cycle, quality management tools were used, i.e., brainstorming, 5 Whys, Ishikawa diagram, and control charts. The results showed a significant reduction (p<0.05) in delays without compromising service capacity. The reorganization of slot time enabled an optimal distribution of workload with more efficient use of resources, resulting in punctual sessions and shorter waiting times. Patient satisfaction analysis after the intervention revealed a reduction in complaints related to delays and an improved perception of efficiency in care. The application of the PDCA Cycle proved effective in optimizing the care workflow through schedule and slot timeadjustments. The continuous adoption of the PDCA Cycle has shown to be a resilient and adaptable strategy, promoting quality, efficiency, and safety in radiotherapy care.