Banca de DEFESA: SABRINA BECKER

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : SABRINA BECKER
DATE: 08/03/2021
TIME: 14:00
LOCAL: On line (plataforma Googel Meet)
TITLE:

Improving the quality of the medication process in a Clinic Medical at a Reference Hospital

KEY WORDS:

Quality Management, Patient Safety, Medication Errors.

PAGES: 50
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Introduction: The quality of health services results from the integration and connection between different dimensions, a definition that according to Serapioni (2009) prevents restrictive interpretations. The Institute of Medicine (IOM) in 2001 and the World Health Organization (WHO) in 2006 pointed to safety as one of those dimensions of quality. Among the worldwide efforts to achieve higher levels of safety in patient care, those related to the medication process stand out. The objective of this study was to evaluate the effect of an improvement cycle on the medication process in a Internal Medicine clinic of a reference hospital. Methodology: This improvement cycle was carried out between the years 2019 to 2021, in a General Hospital in the city of Sobral, located in the State of Ceará. The improvement opportunity was identified and prioritized, through the application of the Nominal Group Technique and Prioritization Matrix. It was analyzed using a cause and effect diagram. Subsequently, there was a survey of the quality criteria, evaluation of the quality level, definition and realization of intervention proposals and reassessment of the quality level. The compliance with the quality of the randomly selected samples (n = 60) was estimated in a punctual manner and with a 95% confidence interval, as well as the statistical significance of the improvement achieved was treated with the Z test. One of the criteria used the entire universe of prescriptions existing at the time of collection, as it was related to a subgroup of drugs, antimicrobials. Results: Four of the five quality criteria included in this improvement cycle, showed an increase in the level of quality. Of these, the one related to the use of antimicrobials achieved an absolute improvement of 30%, among the other three, in two the improvement was statistically significant. It was not possible to carry out the planned intervention actions in the criterion that did not improve, due to the pandemic scenario of COVID-19. In short, the absolute improvement achieved through this improvement cycle in the medication process was 26%. Conclusion: The application of the cycle of improvement in the medication process in Medical Clinic of a reference hospital, despite the limitations related to the pandemic period, proved to be a useful and effective tool. The method can be replicated and assist in the treatment of other opportunities for improving the institution, or even other health services, whether they are similar or not.

BANKING MEMBERS:
Presidente - 911.028.804-00 - WILTON RODRIGUES MEDEIROS - UFRN
Interna - 2262871 - ANA ELZA OLIVEIRA DE MENDONCA
Externa à Instituição - BRUNA CRISTINA CARDOSO MARTINS