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EnglishLean Healthcare is a focused management methodology on patient and cooperation among its participants that seeks continuous improvement to eliminate waste thus adding more value to hospital processes. Considering the variety of this philosophy application opportunities, taking into account that the Lean Healthcare has been implemented recently, this research seeks to analyze the discharge process in a maternity ward of a large hospital in order to increase the availability of bed admission, as this sector frequently presents a crowded table. Through field observations and diagnosis of the current situation, the main losses encountered in the discharge process were analyzed. Wastes found were classified according to the seven losses of Lean production and the impact they have on the value of the patient. Then, countermeasure actions were proposed. These actions focus on the fact that medical discharges occur in batches, and so an accumulation of tasks in the following activities take place, which increases the reoccupation time of the released beds portuguesO Lean Healthcare e uma metodologia de gestao focada no paciente e na cooperacao entre os seus participantes que busca a melhoria continua ao eliminar desperdicios agregando assim, mais valor aos processos hospitalares. Considerando as variadas oportunidades de aplicacao dessa filosofia, levando em conta que o Lean Healthcare comecou a ser aplicado recente, essa pesquisa buscou analisar o processo de alta hospitalar em uma maternidade de um hospital de grande porte com o objetivo de aumentar o disponibilidade do leito de internacao, visto que esse setor repetidas vezes apresenta um quadro de superlotacao. Por meio de observacoes nao participantes campo e diagnostico da situacao atual, foram analisados os principais desperdicios encontrados no processo de alta. Os desperdicios encontrados foram classificados de acordo com as sete perdas da producao enxuta e com o impacto que causam no valor do paciente. Em seguida, acoes de contramedidas foram propostas pelos autores. Essas acoes focam no nivelamento do fluxo de pacientes, visto que atualmente as altas medicas ocorrem em lotes e com isso ocorre um acumulo de

IDENTIFICANDO OPORTUNIDADES DE MELHORIA NO PROCESSO DE ALTA DO PACIENTE DE MATERNIDADE POR MEIO DO LEAN HEALTHCARE