Submitted by JOSIANE SANTOS DE OLIVEIRA (josianeso) on 2018-12-21T15:26:11Z No. of bitstreams: 1 Roberta Manfro Lopes_.pdf: 3937497 bytes, checksum: 76e9833b394ba845b91fa8ff19a74ce4 (MD5) / Made available in DSpace on 2018-12-21T15:26:11Z (GMT). No. of bitstreams: 1 Roberta Manfro Lopes_.pdf: 3937497 bytes, checksum: 76e9833b394ba845b91fa8ff19a74ce4 (MD5) Previous issue date: 2018-10-16 / Nenhuma / A comunicação multiprofissional constante e o acesso aos registros das informações diárias sobre cada paciente são significativas para a continuidade do processo de trabalho. Assim, evoluções e prescrições em prontuário eletrônico são tão importantes quanto o uso de ferramentas impressas para a passagem de plantão, que facilitem a transferência de informações durante as trocas de turno. O setor de Emergência do hospital de desenvolvimento do estudo utiliza uma ferramenta tecnológica para a passagem de plantão, disponível no software MV2000®, o qual apenas enfermeiros e médicos têm a possibilidade de uso. Dessa forma, surgiu a ideia de também disponibilizar essa ferramenta digital para uso no setor de Terapia Intensiva, agregando a equipe multidisciplinar no uso do mesmo instrumento para auxiliar a passagem de plantão, conforme adequações solicitadas por cada área de conhecimento. Assim, o objetivo do estudo foi adequar um software para o acompanhamento assistencial da equipe multiprofissional em um Centro de Terapia Intensiva Adulto de um hospital do município de Porto Alegre /RS. Trata-se de um estudo qualitativo descritivo, exploratório; com coleta de dados por meio de grupo focal com abordagem JAD (Joint Application Design). Participaram 14 profissionais das seguintes áreas: enfermagem, medicina, nutrição, fisioterapia, psicologia, fonoaudiologia e farmácia, que atuam no CTI. O estudo foi desenvolvido em cinco etapas: apresentação do estudo aos coordenadores médico e de enfermagem do CTI; convite aos participantes; revisão da ferramenta digital passagem de plantão via software MV2000®; construção do impresso para guiar a adequação da ferramenta digital para o CTI. Pretendeu-se como produto de Mestrado Profissional de enfermagem adequar o modelo de passagem de plantão para o uso multiprofissional no CTI, via sistema MV2000®. Realizaram-se 5 reuniões no decorrer do período de 1 (um) mês conforme proposta do estudo e cronograma de atividades. O trabalho permitiu, de forma conjunta entre futuros usuários e construtores do instrumento, a elaboração de um impresso que guiará as alterações de uma passagem de plantão digital, de uso multiprofissional na terapia intensiva, no software MV2000®. / Constant multidisciplinary communication and access to records of daily information on each patient are significant for the continuity of the work process. Thus, evolutions and prescriptions in electronic medical records are as important as the use of printed tools for the shift change, which facilitate the transfer of information during shift exchanges. The Emergency department of the study's development hospital uses a technological tool for the shift change, available in software MV2000®, which only nurses and doctors have the possibility to use. In this way, it came up with the idea of also providing this digital tool for use in the Intensive Care sector, adding the multidisciplinary team in the use of the same instrument to assist the shift change, according to the requirements requested by each area of knowledge. Thus, the objective of the study was to adapt any software for the care assistance of the multidisciplinary team in an Intensive Care Unit of a hospital in the city of Porto Alegre/RS. This is a descriptive, exploratory qualitative; data collect by means of focal group and study with JAD (Joint Application Design) approach. Participated 14 professionals from the areas of: nursing, medicine, nutrition, physiotherapy, psychology, speech therapy and pharmacy that work in the ICU. The study was developed in five stages: presentation of the study to the medical and nursing coordinators of the ICU; invitation to participants; review of the digital shift tool via software MV2000®; construction of the form to guide the suitability of the digital tool for the ICU. It was intended as a Professional Master's degree nursing product, the suitability of the shift change model for multi-professional use to be used in the ICU via MV2000® system. Five meetings were held during the period of 1 (one) month according to the study proposal and schedule of activities. The work allowed, jointly between future users and instrument builders, the elaboration of a form that will guide the changes of a digital shift change, for multi-professional use in intensive care, in the software MV2000®.

El presente trabajo de investigación se realizó en la empresa Southern Perú Unidad Minera Cuajone y tuvo como finalidad minimizar los tiempos improductivos en el proceso de relevo del personal que opera equipos de carguío y acarreo en interior mina aplicando la metodología Six Sigma. El procedimiento metodológico aplicado en la mejora de la gestión de la productividad de la flota de carguío y transporte se basó en la aplicación de la metodología Six Sigma desde la recopilación y análisis de datos en gabinete y campo. En la etapa inicial de gabinete se recolectó los datos del sistema de gestión de flota JMineOps y se procedió a revalidar la información en campo y registrar los tiempos improductivos más significantes del cambio de turno, en la fase final de gabinete se analizó la información extraída del anterior y nuevo proceso del relevo de personal , y se realizó una evaluación de los tiempos entre actividades, del tonelaje de arranque en las distintas guardias ,ya que es un parámetro fundamental a incluir para poder evaluar cómo se ve afectada la productividad en la primera hora del turno ,ya que al inicio de guardia se pierde tonelaje a causa de las demoras operativas en el relevo del personal, además, se comparará la disponibilidad física y utilización de la flota de equipos de carguío y transporte. Según el análisis se obtuvo que las demoras más significativas de la operación fueron Espera en Bahía de transporte, Personal Rezagado, Charla de Seguridad y Revisión de Pantallas para asignación de equipos que significaron el 37% ,59%, 77% y 84% respectivamente de las demoras totales. Los resultados fueron favorables, se redujeron las demoras operativas presentes en la primera hora de cada turno. Lo que permitió cuantificar las toneladas que se dejó de mover por la duración de los retrasos sobre la primera hora de turno siendo 1062 toneladas de mineral y 3938 toneladas de desmonte aproximadamente por guardia. Se incrementó la producción de arranque en 2000 toneladas de mineral al día, lo cual equivale a ganancias diarias de 14,348 $ y 5,236,985$ al año. Adicionalmente, se optimizó y automatizó el inicio de las operaciones, por ende, se redujeron las demoras operativas en el relevo del personal y con ello se aumentó la disponibilidad física de la flota de Palas y volquetes en 2.5%, en 1.6% la utilización de las palas y en 1.4% la utilización de los volquetes. / The present research work was carried out at the Southern Peru Mining Unit Cuajone Company and its purpose was to minimize unproductive times in the process of the Shift Change that operates loading and hauling fleet inside the mine applying the Six Sigma methodology. The methodological procedure applied in the improvement of the productivity management of the loading and hauling fleet was based on the application of the Six Sigma methodology from the collection and analysis of data in the office and in the field. In the initial stage of the office the data from the JMineOps fleet management system was collected and the information was revalidated in the field with the most significant unproductive times of the shift change. In the final phase of the cabinet the information extracted from the previous and new process of the shift change was analyzed. The evaluation of the times between activities and starting tonnage in the different shifts was carried out since it is a fundamental parameter to include to be able to evaluate how productivity is affected in the first hour of the shift. According to the analysis, the most significant delays of the operation were Waiting in the transport bay, Iddle Personnel, Safety Talk and Screen Review for the assignment of equipment that meant 37%, 59%, 77% and 84% respectively of total delays. The results were favorable, the operational delays present in the first hour of each shift were reduced. This allowed to quantify the tons that were not moved due to the duration of the delays in the first hour of the shift, being 1062 tons of ore and 3938 tons of waste approximately per shift. The start-up production was increased by 2000 tons of ore per day, which is equivalent to daily earnings of $14,348 and $5,236,985 per year. In addition, the start-up of operations was optimized and automated, thereby reducing operational delays in personnel replacement and increasing the physical availability of the fleet of shovels and dump trucks by 2.5%, shovel utilization by 1.6% and dump truck utilization by 1.4%. / Tesis