Banca de DEFESA: RAFHAEL BRITO DE ALMEIDA SANTOS

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : RAFHAEL BRITO DE ALMEIDA SANTOS
DATE: 24/03/2021
TIME: 09:00
LOCAL: Ambiente virtual (Google Meet)
TITLE:

Improving the Quality of Assistance to Women in a Public Maternity by the Maternal Early Warning Score (MEWS)

KEY WORDS:

KEY-WORDS: Early Warning Score, Women's health, Quality management

PAGES: 57
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Saúde Pública
SUMMARY:

INTRODUCTION: Quality of maternal health service can be measured by your technical-scientific dimension, defined by professional competence and use of good shreds of evidence to improve the health assistance. It was used the Maternal Early Warning Score (MEWS), like tool based in the vital signs changes that allow to detect, clinical worsening of the hospitalized patient, making it possible to intervene early, decreasing maternal morbidity. 

OBJECTIVE: Was to analyze the results of improvement of MEWS' implantation,  in woman health assistance service.

METHOD: It is an almost experimental study, non-controlled and before-after type, ruled in improve quality principles. Happened in Maternidade Escola Januário Cicco (MEJC), linked to Universidade Federal do Rio Grande do Norte (UFRN) and managed by statal Empresa Brasileira de Serviços Hospitalares (EBSERH). The target population composed by obstetrician medical professionals, nurses, auxiliaries and technicians, totalizing 455 professionals. Developed in five stages the approach the study presentation to managers, fluxogram creation, app development with information technology (TI), training for professionals and monitoring of vital signs. The collection of data was done monthly, retrospectively, in electronic medical records of 6969 patients, between the time of september of 2019 and august of 2020. The data analysis, descriptive initially and after inferential to verify the reliability considering the p-value <0,05.

RESULTS: The "MEWS panel" developed by TI bringed benefits to data compilation and may possible an improvement cycle for vital sign gauging, provided significant improvement with the training of 30.7% of professionals and showing a relative improvement of 35% in the measurement of respiratory rate, 45% in heart rate, 20% in temperature and 34% in the measurement of all vital signs.

CONCLUSION: The participation of TI was fundamental in the creation of the panel for the compilation of data, enabling the application of the improvement cycle throughout MEJC in the gauging of vital signs. The COVID - 19 pandemic caused many withdrawals and suspension of educational activities, jeopardizing the continuity of these effective interventions. The implementation process showed itself very challenger to need participation of many actors, of equipments for view of panel by professionals and effective implementation of MEWS to enable decreased severe morbidity in the MEJC.

BANKING MEMBERS:
Presidente - 347772 - NILMA DIAS LEAO COSTA
Interna - 2330137 - VILANI MEDEIROS DE ARAUJO NUNES
Externa à Instituição - KELIENNY DE MENESES SOUSA - SESAP