Banca de DEFESA: EDUARDO QUEIROZ DA CUNHA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : EDUARDO QUEIROZ DA CUNHA
DATA : 26/09/2018
HORA: 09:00
LOCAL: DSC
TÍTULO:

IMPROVEMENT CYCLES FOR IMPLEMENTATION OF AN EARLY WARNING SYSTEM IN AN UNIVERSITY HOSPITAL

PALAVRAS-CHAVES:

Critical care; Patient safety; Quality management; Quality improvement

PÁGINAS: 49
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
RESUMO:

In the hospital environment, the complexity of care and the heterogeneity of care make it difficult to properly identify a potentially ill patient. The institution of the early warning scores allows the redirection of the deteriorating patient to an appropriate care and monitoring environment. Objectives: To implement the National Early Warning Score (NEWS) in a university hospital setting through the use of improvement cycles. Methodology: A quasi-experimental study, in which NEWS was implemented in the cardiovascular disease ward of a university hospital, from December 2017 to June 2018. Three improvement cycles were performed, based on the qualification of the medical staff and nursing. Eight indicators were used to evaluate the adequacy of the process. Unilateral Z-test was used to analyze the effect of the interventions and absolute and relative improvement values were calculated. Non-compliance data from subsequent evaluations were analyzed using a Pareto before-and-after graph. Results: A total of 86 professionals were trained. Four of the eight criteria achieved adherence above 95% and two criteria with significant improvement before and after the intervention (P <0.05). There was a 42.2% reduction in the number of nonconformities in the third and last evaluation after the intervention (P = 0.017). The total number of compliments of the indicators at the end was 75.2%. Conclusions: Quality improvement tools, particularly improvement cycles, can be used to implement an early warning system, thus ensuring greater safety in the inpatient care and with the possibility of clinical deterioration.

MEMBROS DA BANCA:
Presidente - 1645299 - MARISE REIS DE FREITAS
Interno - 2495705 - GRASIELA PIUVEZAM
Externo à Instituição - ALDAIR DE SOUSA PAIVA
Externo à Instituição - HELAINE CARNEIRO CAPUCHO - EBSERH