Proposta de aprimoramento do processo de gestão de altas hospitalares em um hospital de médio porte no interior de Minas Gerais: impactos na eficiência da gestão de leitos

Abstract

This study proposes the improvement of the Hospital Discharge Management process in a medium-sized hospital located in the countryside of Minas Gerais, Brazil. The main objective is to enhance bed management, optimize discharge workflows, and improve the quality of care through the proposal of an organizational structure. This research adopts a qualitative approach, grounded in action research and developed through a case study, aiming to understand and intervene in hospital discharge processes. Data collection involved document analysis, direct observation of care workflows, and semi structured interviews with professionals involved in the discharge process. Qualitative data were analyzed using Thematic Analysis, according to Braun and Clarke (2006). The expected results of implementing the proposal include greater organization of discharge processes, reduction in average length of stay, increased bed turnover, and strengthened communication among departments. The project specifically includes mapping and improving current workflows, clearly defining responsibilities, and continuously monitoring performance indicators. It is concluded that improving discharge management has strong potential to promote operational efficiency, enhance continuity of care, and support a management culture guided by processes and data, significantly contributing to the quality of care and the rational use of hospital resources.