IMPROVING THE QUALITY OF HEALTH RISK REGULATION IN OBSTETRIC AND NEONATAL CARE SERVICES
Quality Management, Quality Improvement, Obstetric and Newborn Care Services, Regulation, Health Surveillance, Risk Control, Evaluation, Quality of Health Care.
Rationale: Maternal and neonatal mortality is a serious public health problem that must be tackled by a combination of internal (from the health services involved) and external (from health system regulators) actions. However, there are weaknesses in the regulation of health risks in Obstetric and Neonatal Care Services (SAON) and uncertainties about how to improve this process.
Objective: To evaluate and improve the quality of regulation carried out by health surveillance in SAON.
Method: This involves the implementation of a project or cycle to improve the quality of the SAON regulation process, in the context of the Sanitary Surveillance of the state of Santa Catarina, to be carried out in the 2019-2020 biennium. After a qualitative analysis with a cause-effect diagram on the current regulation process, six quality criteria that represented good regulation of these services were constructed and evaluated. Based on the assessment of the regulation of the 43 SAONs with ICU beds in the state, a participatory and multifaceted intervention was designed to improve quality aimed at the most problematic criteria. The effect of the intervention will be analyzed with a quasi-experimental design, before and after, without a control group. Descriptive statistical analysis of the absolute and relative improvement of the criteria and analysis of the statistical significance of the changes will be performed (p <0.05).
Expected results: This project is relevant, as it will bring better knowledge about the SAON regulation process. It can also have an impact on improving the quality of health regulation, as well as monitoring, planning and managing health risk in SAONs. The implemented interventions can serve to make the decision of the technical team of the local health surveillance, but also inspire its replication within the scope of the SNVS (National Health Surveillance System). Consequently, it is hoped that it can favor the reduction of the occurrence of safety incidents, in particular maternal and neonatal morbidity and mortality.