Objective: compare the application of Total Quality (TQ) models used in processes of a
health service, cases of lean healthcare and literature from another institution
that has also applied this model. Method: this is a qualitative research that was conducted through a descriptive case
study. Results: through critical analysis of the institutions studied it was possible to make a
comparison between the traditional quality approach checked in one case and the
theoretical and practice lean production approach used in another case and the
specifications are described below. Conclusion: the research identified that the lean model was better suited for people that
work systemically and generate the flow. It also pointed towards some potential
challenges in the introduction and implementation of lean methods in health.