Banca de QUALIFICAÇÃO: MARIA FERNANDA APARECIDA MOURA DE SOUZA

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : MARIA FERNANDA APARECIDA MOURA DE SOUZA
DATE: 19/10/2022
TIME: 15:30
LOCAL: Departamento de Saúde Coletiva
TITLE:

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KEY WORDS:

Quality Improvement, Stroke, Neurological Syndrome, Continuous Quality Improvement.

PAGES: 44
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Introduction: Cerebrovascular Accident (CVA) is a highly prevalent disease, considered the second most frequent etiology of mortality. The ischemic subtype is the most common and is not treated quickly and effectively to produce permanent sequelae and disabilities. One of the most effective treatment modalities is intravenous thrombolysis. Intervening in terms of improving the quality and safety of services implies a reduction in time and cost, with consequent repercussions in terms of efficiency and performance of services. Objective: To evaluate the impacts on the door-to-needle time of patients with ischemic stroke (CVA) undergoing thrombolytic treatment after intervention of an audible warning at the entrance of the patient to the hospital and changes in the flow of care. Methodology: Descriptive observational quantitative study in which it will be evaluated whether there was a decrease in the needle door time after application of cycles of improvements in the flow of initial care for patients with ischemic stroke. The study population consisted of all patients undergoing thrombolytic therapy within a 6-month period before and after implantation of the improvement cycle. From the application of the Quality tool (Ishikawa Diagram), opportunities for improvement in the flow of care for patients with stroke undergoing thrombolytic therapy were detected. After strategic meetings with multidisciplinary teams, improvement cycles were defined to be implemented by the care teams. The cycles of improvements implemented were: creation of sound activation of a stroke code at the hospital entrance of patients in neurological window, availability of three exclusive beds for performing thrombolysis and changing the place where thrombolytic therapy is performed to the red emergency room. After the improvement interventions, monthly monitoring of the door-to-needle time was inserted into the institution's routine, based on the creation of indicators and trend/control graphs. The historical series for the construction of the indicator was at least 6 months of evaluation before and after the improvement cycles. Data were obtained secondarily through audits of records in electronic medical records of patients undergoing thrombolytic therapy. Preliminary results: After analyzing the graphs, it was observed that there was a reduction in the average of the individual values of the needle port time and tomography port time after implementation of the improvement cycle in May/2022 evidenced by four consecutive months (May - August 2022) with average values below of the midline.

COMMITTEE MEMBERS:
Interna - 1195933 - ANA CAROLINA PATRICIO DE ALBUQUERQUE SOUSA
Externa à Instituição - SUSANA CECAGNO - UFPel
Interna - 2330137 - VILANI MEDEIROS DE ARAUJO NUNES