SCORES AS A TOOL FOR EVALUATING THE EFFECTIVENESS OF A QUALITY MANAGEMENT SYSTEM FOR A HEMOTHERAPY SERVICE
Health Care Quality Scores; Quality of Health Care; Health Evaluation; Hemotherapy Service.
Introduction: The National Policy on Blood, Components and Blood Products has once been created to ensure that Brazil is self-sufficient in the sector of hemotherapy, being executed and implemented by the National System of Blood, Components and Derivatives. An hemorrede was designed in Ceará to assist population in all regions, making blood and blood components available within the technical specifications of ANVISA, in accordance with the National Blood Policy recommended by the Ministry of Health. Continuous improvement of processes is a fundamental objective in any quality system. For the evaluation of the Quality Management System, the analysis of scores is part of the processes in a safe use of blood. This study is justified given the importance of using scores as tools for evaluating a Quality Management System (QMS). This research becomes relevant due to the fact that its resulting products will culminate in quality improvement, impacting on the monitoring, planning and continuous management of processes, contributing to decision making and professional improvement. Objectives: To analyze the perception of employees in a hematology and hemotherapy center in a municipality in northeastern Brazil about the applicability of a scores system (INDICAH) as a tool for the management of Quality Management System. Methodology: Exploratory-descriptive study with qualitative approach. 23 workers assigned to the study institution from February to April 2020. For data collection, focus group technique was used. Four categories were extracted from the narratives: Professional understanding of quality scores; Difficulties related to scores; Strategies for improving the system of quality scores and Usefulness of scores in practice. Interpretation of the categories occurred through thematic analysis of Bardin. Speeches recorded in the focus groups were transcribed into a Word document, then they were inserted in the Atlas-ti software, version 8.4.24.0, which favored coding of data and its organization into categories and subcategories. Results: This study made it possible to understand the perception of the team of workers in relation to the applicability of INDICAH System as a quality management tool at HEMOCE. Conclusion: These findings contribute to the planning of strategies for improving quality management through the use of scores, such as better communication, sectorial relations, greater dissemination of scores and ways to acquire blood donors according to local needs.