IMPROVEMENT CYCLE FOR FALL PREVENTION IN HOSPITALIZED ELDERLY PEOPLE
Accidents due to Quedas; Idoso; Hospitalization; Health Care Quality Guarantee.
Introduction: The growth of the population has seen repercussions on the increase in healthcare demand for health conditions, especially due to the increase in comorbidities and vulnerability to the event that remains. Objective: Develop a quality cycle of health care to prevent illnesses in hospitalized people. Method: Experimental study, both before and after, without a control group, composed of 60 patients hospitalized in the Orthopedic Clinic of a university hospital, carried out for half a cycle of quality improvement, which considers the guidelines of the Standards for Quality Improvement Reporting Excellence 2.0 (SQUIRE). In the evaluation phase of the study, a questionnaire with sociodemographic variables was applied and observation in situ of the preventive measures implemented by the healthcare team, as well as consultation of two records in medical records, such as the illness prescription and the Morse Curriculum Scale. Foram preserved the ethical preceitos of Resolutions Nº466/12 and 510/16. Preliminary Results: From Brainstorming, quality problems were inserted into the Prioritization Matrix, defining an opportunity for improvement considering the increase in hospitalized patients. Hair Ishikawa Diagram, categorized as causes: absence of risk assessment and failure to prescribe illness. Next, 05 criteria were defined for quality assurance in preventing stays in hospitalized people. By means of the Pareto Diagram, the criteria related to the daily assessment of the risk of curfews in the elderly (C1), the prescription of illnesses are checked as to the care orientation of the patient and family regarding the two risks and prevention of curfews (C5) and the prescribing of sickness sickness checked how much care guidance the companion has to give to the sick person when he or she is absent (C4) represents 72.2% of the total non-conformities. Conclusion: The applicability of the tools to the quality dimension of the problem, strengthening the prioritization of two criteria in the prevention of stays in hospitalized people. From the presentation of two criteria in the Pareto Chart, it was possible to illustrate the main causes of non-conformities, directing the best interventions.