Banca de DEFESA: JANETE FERREIRA PINHEIRO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : JANETE FERREIRA PINHEIRO
DATE: 19/03/2021
TIME: 09:00
LOCAL: Web-conferência via Zoom
TITLE:

IMPROVING THE QUALITY OF HEALTH RISK REGULATION IN OBSTETRIC AND NEONATAL CARE SERVICES

KEY WORDS:

Quality Improvement; Obstetric and Newborn Care Services; Regulation; Health Surveillance; Evaluation; Quality Improvement Cycle

PAGES: 78
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Introduction: Maternal and neonatal mortality is a serious public health problem that must be tackled by a combination of internal (from the health services involved) and external (from health system regulators) actions. However, there are weaknesses in the regulation of health risks in Obstetric and Neonatal Care Services (SAON) and uncertainties about how to improve this process. Objective: To evaluate the quality of the regulation carried out by the Health Surveillance in the SAON and test the effect of an improvement strategy. Method: This involves implementing a cycle to improve the quality of the SAON regulation process, in the context of the Sanitary Surveillance of the State of Santa Catarina, carried out in the 2019-2020 biennium. After qualitative analysis with a cause-effect diagram on the current regulation process, six quality criteria that represent good regulation of these services were built and evaluated. Based on the evaluation of the regulation of the 43 SAONs with ICU beds in the state, a participatory and multifaceted intervention was designed to improve quality aimed at the most problematic criteria. The effect of the intervention was analyzed with a quasi-experimental design, before and after, without a control group (n = 43). Descriptive statistical analysis of the absolute and relative improvement of the criteria and analysis of the statistical significance of the changes was performed (p <0.05). Results: In the initial assessment of the 43 SAON, all quality criteria were flawed. After the intervention, the minimum relative improvement was 81% in one of the six evaluated criteria. An overall relative improvement of 93% was achieved in the 06 criteria with significant improvement (p <0.05). Conclusion: The implementation of an improvement cycle prioritized the weaknesses in the management of health risk in the SAON and enabled the implementation of an intervention project based on an evaluation process. As well as demonstrated that it is possible to externally induce improvement actions in health services through multifaceted actions involving responsive regulation, monitoring, inspection, and training. Consequently, it is hoped that it may favor the reduction of the occurrence of incidents and adverse care events, in particular maternal mortality and care infections. Its publication may inspire its replication within the scope of the National Health Surveillance System.

BANKING MEMBERS:
Presidente - 1868020 - ZENEWTON ANDRÉ DA SILVA GAMA
Interna - 2330137 - VILANI MEDEIROS DE ARAUJO NUNES
Externo à Instituição - AUREO DOS SANTOS - UNISUL/SC