{
  "abstract": "Objective\n\nto analyze, using Lean Healthcare tools, the terminal hygiene process in Intensive Care Unit beds and to propose improvements for its standardization.Method\n\na 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.Results\n\nfailure 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.Conclusion\n\ndespite 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.",
  "abstract_shown": true,
  "affiliations": [
    "Universidade Federal do Rio de Janeiro. Rio de Janeiro, RJ, Brazil.",
    "Instituto Federal de Educação Tecnológica Celso Suckow da Fonseca. Rio de Janeiro, RJ, Brazil.",
    "Universidade Federal Fluminense. Rio das Ostras, RJ, Brazil."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Joana de Oliveira Pantoja Freire",
      "orcid": "0000-0003-1943-2367"
    },
    {
      "affs": [
        0
      ],
      "name": "Christiany Moçali Gonzalez",
      "orcid": "0000-0002-1701-923X"
    },
    {
      "affs": [
        1
      ],
      "name": "Augusto da Cunha Reis",
      "orcid": "0000-0002-3200-8096"
    },
    {
      "affs": [
        2
      ],
      "name": "Robisom Damasceno Calado",
      "orcid": "0000-0003-3349-0344"
    },
    {
      "affs": [
        0
      ],
      "name": "Marluci Andrade Conceição Stipp",
      "orcid": "0000-0002-9534-6324"
    },
    {
      "affs": [
        0
      ],
      "name": "Graciele Oroski Paes",
      "orcid": "0000-0001-8814-5770"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/0mrjw09tezcp0.bib",
  "cited_by": 0,
  "doi": "10.1590/0034-7167-2025-0316",
  "fulltext_url": "https://europepmc.org/articles/PMC13679589",
  "id": "0mrjw09tezcp0",
  "issns": [
    "0034-7167",
    "1984-0446"
  ],
  "landing_url": "https://europepmc.org/article/MED/42912112",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2725|Infection Control in Healthcare"
    ]
  ],
  "openalex": "W7222513262",
  "pdf_url": "https://europepmc.org/articles/PMC13679589?pdf=render",
  "pmcid": "PMC13679589",
  "pmid": "42912112",
  "published": "2026-10-19",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/0mrjw09tezcp0.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:10Z",
      "native_id": "MED:42912112",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42912112"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2725|Infection Control in Healthcare",
      "subfield": "infectious-disease"
    }
  ],
  "title": "Assessment of cleaning and disinfection of Intensive Care Unit beds: quality management with Lean.",
  "title_text": "Assessment of cleaning and disinfection of Intensive Care Unit beds: quality management with Lean.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:20:10Z",
  "url": "https://research.draconitic.com/paper/0mrjw09tezcp0",
  "venue": "Revista brasileira de enfermagem",
  "versions": []
}