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Peer-reviewedCC BYRevista brasileira de enfermagem

Assessment of cleaning and disinfection of Intensive Care Unit beds: quality management with Lean.

  • Joana de Oliveira Pantoja Freire1
  • Christiany Moçali Gonzalez1
  • Augusto da Cunha Reis2
  • Robisom Damasceno Calado3
  • Marluci Andrade Conceição Stipp1
  • Graciele Oroski Paes1
  1. 1Universidade Federal do Rio de Janeiro. Rio de Janeiro, RJ, Brazil.
  2. 2Instituto Federal de Educação Tecnológica Celso Suckow da Fonseca. Rio de Janeiro, RJ, Brazil.
  3. 3Universidade Federal Fluminense. Rio das Ostras, RJ, Brazil.
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Abstract

Objective

to analyze, using Lean Healthcare tools, the terminal hygiene process in Intensive Care Unit beds and to propose improvements for its standardization.Method

a 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

failure 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

despite 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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Cite

BibTeXRIS
BibTeX
@article{freire2026assessment,
  title = {{Assessment of cleaning and disinfection of Intensive Care Unit beds: quality management with Lean.}},
  author = {Joana de Oliveira Pantoja Freire and Christiany Moçali Gonzalez and Augusto da Cunha Reis and Robisom Damasceno Calado and Marluci Andrade Conceição Stipp and Graciele Oroski Paes},
  journal = {Revista brasileira de enfermagem},
  year = {2026},
  month = oct,
  doi = {10.1590/0034-7167-2025-0316},
  url = {https://europepmc.org/article/MED/42912112},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Assessment of cleaning and disinfection of Intensive Care Unit beds: quality management with Lean.
AU  - Joana de Oliveira Pantoja Freire
AU  - Christiany Moçali Gonzalez
AU  - Augusto da Cunha Reis
AU  - Robisom Damasceno Calado
AU  - Marluci Andrade Conceição Stipp
AU  - Graciele Oroski Paes
PY  - 2026
DA  - 2026/10/19
JO  - Revista brasileira de enfermagem
DO  - 10.1590/0034-7167-2025-0316
UR  - https://europepmc.org/article/MED/42912112
AB  - Objective  to analyze, using Lean Healthcare tools, the terminal hygiene process in Intensive Care Unit beds and to propose improvements for its standardization.Method  a 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  failure 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  despite 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.
SN  - 0034-7167
SN  - 1984-0446
ER  -