DEVELOPMENT OF SAFETY INDICATORS FOR MONITORING SURGICAL CARE IN THE UNIQUE HEALTH SYSTEM
Quality of health care; Quality Indicators, Health Care; Patient Safety; Surgical Procedures, Operative.
Monitoring is an essential activity for any continuous quality improvement activity, but the Unified Health System (SUS) does not have a set of indicators to monitor the quality of surgical care. This weakness makes health care management difficult, as there is no information to carry out cycles of quality improvement. This research aims to develop a set of minimum indicators to monitor the quality of surgical procedures within the SUS. This is a methodological validation study of quality indicators developed in 6 steps: 1) Literature review; 2) Selection of indicators for consensus; 3) Content validation of indicators by the RAND/UCLA consensus method; 4) Analysis of Reliability and Usefulness of Indicators 5) Development of a tool for monitoring validated indicators. 6) Identification of quality indicators that can be monitored via official information systems. 185 process indicators and 41 result indicators were identified from the literature review. Twenty-six indicators with a high level of scientific evidence were taken to the expert consensus, with 14 process indicators and 8 result indicators being approved. From the perspective of continuing the research, an analysis of reliability and utility will be carried out based on a pilot study and evaluation of the possibility of monitoring the approved indicators through official information systems.