Banca de DEFESA: NÁRYA MARIA GONÇALVES DE BRITO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : NÁRYA MARIA GONÇALVES DE BRITO
DATE: 07/06/2022
TIME: 14:00
LOCAL: REMOTO VIA GOOGLE MEET
TITLE:

IMPROVEMENT CYCLE TO INCREASE ADHERENCE TO THE INITIAL CARE PROTOCOL FOR PATIENTS WITH TRAUMA

KEY WORDS:

Quality management; clinical guidelines; advanced trauma life support; patient safety.

PAGES: 78
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUBÁREA: Enfermagem Médico-Cirúrgica
SUMMARY:

Introduction: Trauma is the leading cause of death among people aged 15 to 29 years. Due to the complexity of the problem, it is necessary that the service be carried out through protocols that favor the timely, safe and effective reception, providing identification and prompt action to life-threatening situations. Objective: To carry out a cycle of improvement, to increase the adherence of professionals to the Protocol of Initial Assistance to the Patient Victim of Trauma in a reference hospital in the region of Cariri in the Brazilian Northeast. Methodology: This is a quantitative, quasi-experimental, before and after study, carried out from September 2020 to February 2022, based on a quality improvement cycle, following the SQUIRE guidelines, divided into nine steps: identification and prioritization of improvement; analysis of the causes of the problem; development of quality criteria; quality assessment; analysis and presentation of evaluation data; designing interventions to improve; implementation of the intervention; reassessment and registration; and monitoring. It has an approval opinion in the CEP under n.4,963,590. For the evaluation, seven quality criteria were defined related to the causes of non-adherence to the trauma care protocol. The interventions were planned and implemented in a participatory and multifaceted way, with the aim of increasing adherence to the record of actions in the trauma care protocol, and took place from September 2021 to February 2022. After the interventions, the criteria were reassessed and the analysis was performed from the calculation of point estimates of criteria compliance and absolute and relative improvement. Statistical significance was tested using the one-sided z-value test and presented in a Pareto chart. Results: In the first evaluation, non-conformities were found in 74% of the criteria and in the re-evaluation, a reduction of 60% of this rate was observed, resulting in 71% of conformity. The greatest gains after interventions were related to the registration of Revised Trauma Score data, with a relative improvement of 96%; patient and trauma identification data filled in, achieving an absolute improvement of 41% and a relative improvement of 91%; and initial care based on the ATLS described in the Trauma Protocol form, with an absolute improvement of 62% and a relative improvement of 86%. As additional gains, there was a 59% increase in the number of protocol activations, and a 29% reduction in associated mortality. Conclusions: It is believed that the interventions planned with the help of quality tools provided a more accurate identification of the causes of the problems found, favoring the improvement of the quality of patient care.

BANKING MEMBERS:
Presidente - 9350807 - ELIANE SANTOS CAVALCANTE
Interno - 3578073 - RODRIGO ASSIS NEVES DANTAS
Interno - 1868020 - ZENEWTON ANDRÉ DA SILVA GAMA
Externo à Instituição - Victoriano Soria Aledo - UMU