Banca de DEFESA: ISAC DAVIDSON SANTIAGO FERNANDES PIMENTA

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : ISAC DAVIDSON SANTIAGO FERNANDES PIMENTA
DATE: 26/05/2026
TIME: 09:00
LOCAL: Departamento de Saúde Coletiva e Google meet
TITLE:

Evaluation of the quality and effectiveness of patient safety management technologies in intensive care units

KEY WORDS:

Patient Safety. Quality Indicators, Health Care. Healthcare Failure Mode and Effect Analysis. Systematic Reviews

PAGES: 123
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Epidemiologia
SUMMARY:

Intensive care units (ICUs) present a complex socio-technical care context, with procedures and technologies that pose a high risk of harm to patients. Patient safety is a particularly important dimension of quality of care in ICUs, considering the high prevalence of preventable adverse events in the care setting. Interventions for monitoring and improving patient safety in ICUs are recommended and implemented by healthcare services without necessarily undergoing an in-depth evaluation of their quality and effectiveness. Therefore, this thesis aims to evaluate the effectiveness and quality of patient safety management technologies in intensive care units. The work is structured in two systematic literature review studies with three articles. The first study presents an article that aims to describe a systematic review protocol to identify and evaluate the validity of patient safety indicators used in the context of intensive care units, and is registered on the PROSPERO platform under code CRD42024617125. The second study presents two articles, the first being a systematic review protocol, registered in PROSPERO under code CRD42020156530, and the second being the corresponding systematic review article, with the objective of evaluating the effectiveness of the implementation of Failure Mode and Effects Analysis (FMEA) and Failure Mode and Effects in Healthcare (FMEA) on the incidence of major adverse events in the context of intensive care units. Original scientific articles published in the PubMed (Medline), Scopus, EMBASE (Elsevier), CINAHL (EBSCO), Web of Science, and Cochrane Database databases were used. The articles were selected and their data extracted by two reviewers in a paired and independent manner, with disagreements resolved by a third reviewer. Methodological quality was assessed using the National Heart, Lung, and Blood Institute quality assessment tool for before-and-after studies. The certainty of evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE). Ten studies were included in the review, all with before-and-after methodologies. The results indicate that the use of AMFE and AMFEAS is associated with a reduction in infections associated with the use of central venous catheters (428 participants), incidence of infections by multidrug-resistant microorganisms (3911 participants), incidence of unplanned extubation (303 participants), and length of hospital stay (3502 participants), in addition to other adverse events such as delirium, patient skin damage, and events related to the use of renal replacement therapy in the ICU. The results should be used with caution, as the certainty of evidence was categorized as low or very low. It is expected that these studies will contribute to the decision-making process of healthcare organizations in implementing strategic activities for patient safety management in intensive care units.

COMMITTEE MEMBERS:
Interna - 2262871 - ANA ELZA OLIVEIRA DE MENDONCA
Interna - 2495705 - GRASIELA PIUVEZAM
Externa ao Programa - 1222022 - CECILIA OLIVIA PARAGUAI DE OLIVEIRA SARAIVA - UFRNExterna à Instituição - ADRIANA CATARINA DE SOUZA OLIVEIRA - UCAM
Externa à Instituição - DIANA PAULA DE SOUZA REGO PINTO CARVALHO - UERN