QUALITY IMPROVEMENT CYCLE IN THE PREVENTION OF PRESSURE INJURY IN HOSPITALIZED OLDER ADULTS
Quality Improvement; Adverse Event; Patient Safety; Pressure Injury; Older Adult.
Introduction: Population aging has contributed to increased demand for healthcare services and a higher occurrence of adverse events, especially among hospitalized older adults. In this context, pressure injury stands out as an important indicator of care quality, being considered preventable through the adoption of appropriate preventive practices. However, adherence to these measures still shows weaknesses in clinical practice, highlighting the need for systematized strategies to improve care. Objective: To evaluate the effect of implementing a quality improvement cycle on the prevention of pressure injuries in hospitalized older adults. Methodology: This is a quantitative, quasi-experimental, before-and-after study without a control group, conducted in a philanthropic general hospital. The sample will consist of 60 medical records of older patients who underwent coronary artery bypass graft surgery, with 30 records from the pre-intervention period and 30 from the post-intervention period. The study will follow the SQUIRE 2.0 guidelines through the implementation of a quality improvement cycle, including the stages of problem identification, cause analysis, criteria definition, evaluation, intervention, and re-evaluation. Data collection will be carried out through retrospective medical record analysis, and the data will be analyzed using proportions of compliance, comparing the periods using the Z test, adopting a significance level of 5%. Expected results: An increase in compliance with care practices related to pressure injury prevention is expected, along with a reduction in non-compliance in care processes and strengthening of the patient safety culture, contributing to the qualification of care and continuous improvement of health services.