Banca de QUALIFICAÇÃO: SÂMIA JAMYLLE SANTOS DE AZEVEDO

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : SÂMIA JAMYLLE SANTOS DE AZEVEDO
DATE: 27/11/2024
TIME: 09:00
LOCAL: Via Google Meet
TITLE:

IMPROVEMENT CYCLE IN PRESSURE INJURY PREVENTION IN THE INTENSIVE CARE UNIT

KEY WORDS:

Pressure Injury; Critical Care; Patient Safety; Quality Improvement.

PAGES: 26
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Saúde Pública
SUMMARY:

Introduction: In Brazil, the occurrence of adverse events (AEs) is high, and one of the most prevalent in healthcare establishments is pressure injuries. When comparing patients in the Intensive Care Unit (ICU) with those hospitalized in other hospital units, it appears that users in intensive care have a high risk of developing pressure injury. Therefore, a cycle of improvement in the pressure injury prevention process is of great relevance for the institution, promoting quality care for patients. Objective: To carry out a quality improvement cycle to prevent pressure injuries in the Adult ICU of a university hospital. Methodology: This is a study with a quantitative, quasi-experimental, before-and-after approach, without a control group, through the application of a quality improvement cycle in the Adult ICU of a university hospital, guided by the SQUIRE guidelines. The improvement cycle began in February 2024, consisting of six stages, namely: Identification and prioritization of improvement opportunities; Analysis of the causes of problems; Preparation of quality criteria; Quality assessment; Planning and implementing interventions to improve quality; and Reassessment of quality. The study is being carried out in accordance with the principles governing National Health Council Resolution No. 466/12. Results: The opportunity for improvement identified was the high pressure injury incidence in the Adult ICU. From this, the causes of the problem listed were: lack of visual elements that assist in changing position, inadequate mattresses, lack of positioning devices and the difficulty of multidisciplinary interdisciplinary action. Then, the quality criteria were developed: application of the Braden scale upon patient admission; application of the Braden scale daily; daily skin assessment; carrying out measures to redistribute pressure and reduce friction and shear; patients with a score below 15 on the Braden scale must be repositioned in bed within a maximum of 2 hours; carrying out nursing prescriptions and checking prescribed care according to the risk of pressure injury. In the initial data collection, 40 cases were analyzed. From the graphical analysis of the data, using the Pareto Diagram, it was found that 62% of non-conformities are related to repositioning in bed every 2 hours, checking nursing prescriptions and daily skin assessment, showing that interventions should be directed towards this purpose. Subsequently, the action plan was developed using the 5W2H tool, along four strategic lines: training, reorganization of the decubitus change process, structure and multidisciplinary team. Conclusions: The steps of the improvement cycle carried out so far have demonstrated that there are non-conformities related to repositioning in bed, prescription according to the risk of pressure injury and daily skin assessment. Therefore, interventions must be carried out to improve prevention actions. It is expected that the results of this study will contribute to promoting pressure injury prevention actions, thus reflecting on improving the quality of care for critically ill patients.

COMMITTEE MEMBERS:
Presidente - ***.321.701-** - VIVIANE PEIXOTO DOS SANTOS PENNAFORT - UECE
Interna - 2330137 - VILANI MEDEIROS DE ARAUJO NUNES
Externa à Instituição - SUSANA CECAGNO - UFPel