IMPROVEMENT CYCLE AS A QUALITY MANAGEMENT TOOL FOR REDUCTION IN SURGERY CANCELATION
Quality management; Surgicenters; Quality Improvement; Health Information Systems; Operating Rooms
Surgery is considered a medical specialty that uses manual and instrumental techniques to perform interventions in the treatment of illness, disability and trauma. About $ 1.3 billion is spent annually on surgical procedures, representing 17% of the hospital budget. The scheduling of surgery brings many changes in the patient's routine, putting him face to face with different feelings, such as the hope of healing, the fear and anxiety of what is to come. When surgery is canceled, the patient and family members are exposed to an unexpected situation that often causes disorders. Studies show that elective surgery cancellation rates vary between institutions, ranging from 17.6 to 33%. At the study site, it is about 13% per month. This project is justified by the adoption of quality management processes in scheduling and optimization of the operating room in order to reduce these rates. The objective is to evaluate the improvement of quality management in reducing cancellation of elective surgeries, contributing to the optimization of surgical supply. This is a research with quasi-experimental quantitative approach, before and after, without control group, to be conducted in 2019-2020, in the operating room of Dr. Waldemar Alcântara General Hospital, Fortaleza, Ceará. The required documentation was sent to the institution for research approval and, after the contract was signed, the project was submitted to Plataforma Brasil and approved. The ethical aspects are in accordance with Resolution 510, of April 7, 2016, as it is a research project for the completion of the professional master's degree. Its resulting products are expected to culminate in improving the quality of surgical processes.