IMPROVEMENT CYCLE FOR NOISE REDUCTION IN INTENSIVE CARE UNIT IN EMERGENCY SERVICE
Quality Improvement, Healthcare Personnel Alarm Fatigue, Clinical Alarms, Hospital Emergency Service, Patient Safety.
Introduction: The intensive care unit of the emergency service presents noise from numerous sources, such as conversations between professionals, students and the operation of various devices, with alarms being routinely triggered, which influences the noise pollution of the environment and the reduction of concentration, contributing to irritability and stress among professionals. Thus, alarm fatigue appears as a desensitization in the perception of sound signals, due to exposure to excessive alarms, leading to an increase in the health professional's response time. Objective: Develop an improvement cycle with the multidisciplinary team to reduce noise in the Intensive Care Unit in the Adult Emergency Service. Methodology: This is a study with a quantitative approach, quasi-experimental, before and after, without a control group, through the application of quality improvement cycles with analysis of the problem, identification of opportunities for improvement, selection of interventions , assessment of improvement and monitoring. The study will take place in an Intensive Care Unit, in the Emergency Service of a tertiary hospital in the interior of Ceará, with interventions expected to be implemented from December 2023 to May 2024, after approval of the project by the Research Ethics Committee . Preliminary results: To define the Opportunity for improvement, the Brainstorming technique was applied, in which seven thematic groups were listed. The improvement team defined the thematic Group to be prioritized, the Organization and Silence Group. Then, the prioritization matrix was used, in which the need to work on reducing noise pollution in the sector was defined. According to what was stated by the group, the causes and sub-causes were arranged in the Ishikawa Diagram format.