Banca de DEFESA: ANA EGLINY SABINO CAVALCANTE

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : ANA EGLINY SABINO CAVALCANTE
DATA : 18/07/2018
HORA: 10:00
LOCAL: Sala de Reuniões do DSC
TÍTULO:

PROTOCOL IN A TERTIARY HOSPITAL OF CEARÁ

PALAVRAS-CHAVES:

Sepsis; Pediatrics; Health care; Quality of health care.

PÁGINAS: 60
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
SUBÁREA: Saúde Pública
RESUMO:

Introduccion: Sepsis is a set of severe manifestations on the whole organism produced by an infection. It is currently, in Brazil, the leading cause of death in Intensive Care Units (ICUs) and one of the leading causes of late hospital mortality, surpassing myocardium infarction and cancer. This health problem also reflects the reality of the hospital in study, corresponding to the primary cause of mortality of admitted patients, especially in the pediatric services. Objective: Improving the quality of sepsis protocol care in the pediatric axis in a tertiary hospital in Ceará. Methodology: Based on a quality improvement cycle, a study quasi-experimental design developed, before and after, without a control group, following the SQUIRE guidelines. The research was carried out in the pediatric axis of a tertiary hospital in the interior of the state of Ceará between 2017 and 2018. Quality criteria was defined according to evidence for the adequate management of sepsis. The interventions were planned and implemented in a participatory manner with the objective of improving adherence to the quality criteria evaluated. After the interventions, the criteria were reassessed in order to measure their effects and identify the remaining improvement opportunities that could guide the continuity of local actions. We calculated the point estimate of the criteria in each evaluation, the absolute and relative improvement after the intervention and the statistical significance of the improvement with unilateral Z hypothesis test. The ethical precepts of resolution 466/12. Results: Eight quality criteria related to the pediatric sepsis protocol were evaluated and compliance levels in the first evaluation ranged from 56.9% to 97.1%. After the interventions, the criteria ranged from 62.8% to 93.8%. There was improvement in 6 evaluated criteria and a reduction in compliance of 2 criteria that were more than 90% compliant in the initial evaluation. Conclusions: The quality criteria based on scientific evidence and the results obtained by assessing their level of compliance before and after the intervention demonstrated that the internal quality improvement cycle was useful to ensure a better quality of the pediatric sepsis protocol through systematic procedures, uniform procedures and safe care.

MEMBROS DA BANCA:
Presidente - 2149485 - ANTONIO MEDEIROS JUNIOR
Externo à Instituição - JOÃO BOSCO FILHO - UERN
Interno - 1645299 - MARISE REIS DE FREITAS