Banca de QUALIFICAÇÃO: RENATA ROCHA DA COSTA

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : RENATA ROCHA DA COSTA
DATE: 20/09/2023
TIME: 17:00
LOCAL: Departamento de Saúde Coletiva
TITLE:

Quality Improvement on Patient Safety Practices in Dialysis Service

KEY WORDS:

Patient Safety; Quality Improvement; Renal Dialysis

PAGES: 40
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Saúde Pública
SUMMARY:

Introduction: Patient safety is based on reducing or eliminating adverse events, characterized as unintentional harm to patients resulting from healthcare. In this context, hemodialysis constitutes a form of renal replacement therapy indicated for patients suffering from kidney injury, a complex and risky procedure given the use of technologies, in addition to the multiple stages of the procedure and the potential for adverse events, whether related to medication use, infection, or vascular access, among other incidents. Therefore, patient safety practices must be implemented and encouraged seeking to improve the quality of health care provided during renal dialysis. Objectives: This study aimed to evaluate the effects of a quality improvement cycle on patient safety practices in a hemodialysis service. Methodology: This is a multi-method study developed in two stages, the first being a crosssectional study with a quantitative approach with the purpose of evaluating the resilience safety culture, characterized by the promotion of safe practices in order to overcome the difficulties of unpredictability and changes in complex systems, emphasizing organizational learning and continuous improvement using the Resilience Safety Culture (RSC) translated and adapted to the Brazilian cultural context. The second stage includes the application of a quality improvement cycle, this being a quasi-experimental study of before-and-after type, without a control group, with a quantitative approach. Results: The opportunity for improvement identified and prioritized was the need to increase patient safety practices in the dialysis service and, based on the analysis of the identified causes, eight quality criteria were defined, these being related to patient identification; assessment and recording of the risk of falls; hygiene of the limb with the arteriovenous fistula; presence of a dressing on the central access for dialysis; identification and notification of incidents; and discussion with the Patient Safety Center for the purposes of investigation, analysis and risk management actions and guidance to patients and caregivers on preventing adverse events in the service and at home. Final considerations: The quality criteria defined demonstrate a better understanding of patient safety needs in renal dialysis and indicate opportunities for quality improvement for the institution. 

COMMITTEE MEMBERS:
Presidente - 1222022 - CECILIA OLIVIA PARAGUAI DE OLIVEIRA SARAIVA
Interna - ***.656.010-** - SUSANA CECAGNO - UFPel
Interna - 1220598 - VIVIANE EUZEBIA PEREIRA SANTOS
Externa à Instituição - DIANA PAULA DE SOUZA REGO PINTO CARVALHO - UERN