Banca de QUALIFICAÇÃO: DAMITO ROBSON XAVIER DE SOUZA

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
DISCENTE : DAMITO ROBSON XAVIER DE SOUZA
DATA : 10/11/2017
HORA: 10:00
LOCAL: Sala de Reuniões do DSC
TÍTULO:

EVALUATION AND IMPROVEMENT OF THE CARE PROCESS FOR THE PATIENT WITH SEPSE IN AN EMERGENCY HOSPITAL

PALAVRAS-CHAVES:

Keywords: Quality Improvement; Sepsis; Sepsis Surviving Campaign; Patient safety.

PÁGINAS: 30
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
RESUMO:

Abstract: This is an intervention research that aims to identify and describe the situation, the context and, at the same time, propose actions to qualify the existing activities in the emergency sector of a hospital unit. The present study integrates the implementation of an improvement cycle within the context of a serious public health problem called sepsis. Sepsis has been affecting millions of people around the world, tied to a high mortality rate. The increase in the life expectancy of the population and consequently, the increase in the number of immunosuppressed patients, the improvement in the emergency care, the accomplishment of more invasive procedures, the accomplishment of more complex surgeries, the increasing use of immunosuppressants and steroids and the growth of bacterial resistance has contributed to the high incidence of sepsis, despite the great advance of medicine in the last decades. It is believed that around 17 million cases are diagnosed worldwide each year. In Brazil, there are few studies on sepsis lethality and with very varied results, where it indicates that the lethality is around 67,4%, among the largest in the world. Recognizing this situation, since 2004, some world societies have launched the Sepsis Surviving Campaign (SSC), an initiative where guidelines have been developed and published for their treatment with a view to the early detection of these patients and the establishment of programs to improve the quality of care based in well-defined indicators, leading to a reduction in sepsis mortality. In this context, the active and continuous search to detect and treat patients early becomes a target of any hospital institution, with a search to improve the quality of care and patient safety. Rationale: The high mortality due to sepsis in Brazil, especially in the public network, may be attributed in part to the lack of awareness among health professionals about the signs of seriousness associated with infectious conditions, leading to late recognition of these patients, of clear treatment guidelines for this pathology by many organizations. In the Hospital Regional do Cariri, as well as in other brazilian institutions, despite adherence to SSC measures, mortality rates remain high and, according to internal statistics, sepsis is the main cause of death for this institution. In this sense, it is necessary to propagate policies and programs related to sepsis, in order to make this disease better known and diagnosed early, so that interventions with a high impact on the morbidity and mortality of sepsis can be instituted at the appropriate time. Objectives: To evaluate the effect of an improvement cycle for the process of care of patients with sepsis in an emergency hospital. Characterize the profile of the patients involved in the study; Implement measures for early diagnosis, monitoring and reevaluation of patients with sepsis.Design: The study will be of the type before-after (phase I / phase II), in the period between January 2017 (with the participation of patients with sepsis) and the identification of the opportunity for improvement) to July 2018 (including the intervention stage) in the Emergency Department of Hospital Regional do Cariri, a state tertiary public institution located in the interior of the state of Ceará, with 70 Emergency beds. The study will be reviewed by the local ethics committee, where we affirm that we are aware of following all ethical precepts in accordance with Resolution 466 / CONEP. All patients diagnosed with sepsis / septic shock in the emergency during the period considered will be included in this study, and serious patients, considered in medical records, will be excluded as terminals. Phase I will differentiate itself from phase II by the improvement cycle to be implemented. Expected Results: It is expected that from the intervention to be implemented in the sector, that health professionals, with knowledge on the subject, become more sensitive to early diagnosis of patients with risk of sepsis, preventing this disease from evolving for more severe stages and after death.

MEMBROS DA BANCA:
Externo à Instituição - VICTOR GRABOIS - ENSP
Presidente - 2330137 - VILANI MEDEIROS DE ARAUJO NUNES
Interno - 1868020 - ZENEWTON ANDRÉ DA SILVA GAMA