Modeling a digital repository for managing care protocols in the Ebserh network
Quality Management in Health. Information Management. Biomedical Technology. Digital Repository
Introduction: In the face of globalization and scientific and technological advances, improving the quality of care is a growing challenge for the management of health institutions. Currently, the scale of insecurity related to avoidable events in health services is considerable, in addition to the direct cost of treatment there are additional costs that result in loss of productivity and decrease of patient confidence in the health system. Thus, care protocols appear as an instrument to qualify hospital care and to reduce the occurrence of adverse events related to clinical management. Objective: To construct the modeling of a technological tool - a digital repository that can store, manage and standardize health care protocols in the Ebserh network. Methods: The methodological path covered several phases: observation and analysis of the professional experience in a federal university hospital branch of the Ebserh network in the South of the Country; integrative literature review; description of the specificities of the digital repository and the development of a prototype for validation of the modeling. Results: In the repository were identified 3 actors of use: users of the systems: servers / residents; local manager (subsidiary); central manager (headquarters). The revision of the protocols will take place every 2 years. After accessing the protocols, the user can comment and evaluate its structure and content. Each protocol is inserted into the repository through a standard structured form. The repository will produce statistical reports. Conclusion: The protocol provides quality improvement based on evidence and adequate to the institutional environment, reduction of adverse events and waste of time and financial resources of the hospital institution. The digital repository will allow not only the storage and management of the institutional protocols of only one hospital unit, but of 40 HUs, generating an impact in the management towards the health of excellence.