QUALITY IMPROVEMENT CYCLE FOR PHLBITE PREVENTION IN A SCHOOL MATERNITY
Quality improvement; Improvement cycle; prevention of phlebitis.
Introduction: Intravenous Therapy (IVT) is a routine procedure performed by nursing professionals. It is a set of interventions performed with patients for the treatment of illnesses and performed through central or peripheral access through the practice of venipuncture. TIV can lead to complications such as phlebitis, an inflammation that occurs within a vein when the endothelial cells in the wall of the vessel that the catheter is inserted into become inflamed and irregular. To minimize the risks to the health of the patient on TIV, infection prevention measures related to health care recommended by ANVISA are important. Objective: To develop a care protocol (Bundle) to guide the safe practice of intravenous therapy at the MEJC Gynecology Unit. Methodology: This is a quasi-experimental, before-and-after, time series study, with a quantitative-qualitative approach, carried out at the Gynecology Unit of a Maternity School. In which strategic tools will be used to effectively implement the proposed intervention, such as stimulating the reflective participation of the nursing staff involved in the activity with the use of brainstorming and the problem prioritization matrix and quality criteria to be established. Data collection will be through non-participant observation and analysis of secondary medical record documents related to the patient. For data analysis, the Pareto Diagram instrument will be used, which will assist in assessing the quality level of the criteria analyzed, its non-compliance and compliance and the causes and effects of quality. The process will go through four stages that contributed to the implementation of the improvement cycle. Preliminary results: The preliminary results of this study so far allowed us to understand that the quality criteria established herein will be able, through the assessment of quality improvement in the process, to analyze the procedure of puncture and maintenance of peripheral intravenous catheters before and after interventions , as well as verifying the level of fulfillment of the evaluated criteria. Conclusions: Measures such as the implementation of bundles in health care help prevent complications, as well as contribute to the reduction of other problems, such as financial hospital costs, length of stay, among others.