Banca de DEFESA: ALESSANDRO DA SILVA DANTAS

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : ALESSANDRO DA SILVA DANTAS
DATA : 23/10/2018
HORA: 08:00
LOCAL: Departamento de Saúde Coletiva
TÍTULO:

Protocol of analgesia, sedation and delirium in intensive care unit as an instrument of quality improvement

PALAVRAS-CHAVES:

Analgesia;sedation;delirium;intensive care; patient safety.

PÁGINAS: 78
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
SUBÁREA: Saúde Pública
RESUMO:

Introduction: The analgesia, sedation and delirium protocols in the Intensive Care Units (ICUs) promote comfort, reduce stress and accelerate patient recovery, reduce errors of clinical evaluation and quality of treatment, adjusting the use of drugs, favoring patient safety.

Objective: to implant protocol of analgesia, sedation and delirium in an ICU of a regional hospital of the Brazilian northeast using a cycle of quality improvement. Methodology: quantitative study of the quasi - experimental type, before and after, without control group, and intervention, for quality improvement, developed with the multidisciplinary team of the adult ICU of the Deoclécio Marques de Lucena Regional Hospital, Parnamirim - RN, in the period from March to August of 2018. Fifteen criteria and six indicators were added to measure the quality and daily measurements of these were made in the pre- and post-intervention period. The intervention included the implementation of the assistance protocol in a participatory manner, with permanent education and changes in work processes. The data for non-compliance with the criteria were analyzed in the Pareto before-and-after graph, the values of absolute and relative improvement were estimated and the statistical significance was assessed using the unilateral Z-value test for p <0.05.

Results: The medical records of 40 patients in each phase of the study were analyzed. There were no statistically significant differences in demographic data and severity criteria (apache II) in the two groups, and 43 professionals in the care team who were trained in the intervention phase, 74% stated that they did not have previous knowledge of the scales used, but all reported safety in their use after the intervention. There was a significant improvement (p <0.001) in 12 of the 15 criteria, but no difference in quality indicators.

Conclusions: The protocol of analgesia, sedation and delirium in an intensive care unit implanted with the use of quality improvement tools (improvement cycles) are easy to handle, low cost and effective in patient safety.

MEMBROS DA BANCA:
Presidente - 2171948 - PAULO JOSE DE MEDEIROS
Interno - 4665456 - DANIELE VIEIRA DANTAS
Externo ao Programa - 3149599 - ANA CRISTINA ARAUJO DE ANDRADE GALVAO
Externo à Instituição - PAULA ADRIANA BORBA - UnP