APLICAÇÃO DA SIMULAÇÃO COMPUTACIONAL E TEORIA DAS RESTRIÇÕES (TOC) PARA A REDUÇÃO DO TEMPO DE ESPERA POR ATENDIMENTO DE URGÊNCIA E EMERGÊNCIA EM UM HOSPITAL DA REGIÃO SUL DO ESTADO DO TOCANTINS.

Abstract

This paper presents the results obtained with the application of computer simulation and theory of constraints to reduce the waiting time for urgent care at the Hospital Regional Gurupi (HRG). The simulation model focuses on the patients in a state of emergency and urgency. Patient in a state of emergency can not remain in the queue and should be treated immediately, as the patient in a state of emergency can stay up to 30 minutes in a queue. The methodology used is exploratory case study techniques supported by semi-structured interviews and questionnaires administered to managers and hospital doctors. The actual model (scenario 1) the hospital is simulated using PROMODEL® software. Two more scenarios are created following the process of continuous improvement of the theory of constraints and simulated using PROMODEL®. It is observed that through the application of computer simulation combined with the theory of constraints, the managers of the Emergency Room (ER) of HRG have adequate information to manage it in order to reduce the waiting time for urgent and emergency care.