Banca de QUALIFICAÇÃO: PLINIO BRAGA LINHARES GARCIA

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : PLINIO BRAGA LINHARES GARCIA
DATE: 21/09/2023
TIME: 10:00
LOCAL: Sala de Reunião do Departamento de Saúde Coletiva
TITLE:

EVALUATION THE LEVEL OF ADHERENCE AND COMPLIANCE WITH THE THERAPEUTIC PLAN IN THE CARE LINE OF PATIENTS WITH FEMUR FRACTURE

KEY WORDS:

Keywords: Line of Care; Femur fracture; Safe Surgery; Quality Improvement; Therapeutic Plan.

PAGES: 25
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Saúde Pública
SUMMARY:

Introduction/Justification: In recent years, quality management has assumed increasing importance in the hospital process, particularly in the surgical area. In 2007-2008, WHO member countries launched the second global challenge, entitled “Safe Surgery Saves Lives”, which aimed to reduce the number of deaths and complications associated with surgical procedures. In this context, implementing a therapeutic plan for patients with femoral fractures can play a crucial role in improving the quality of care and outcomes for these patients. A therapeutic plan can be defined as a structured approach to managing a patient's medical condition, outlining specific interventions and goals for treatment. Evidence suggests that a comprehensive therapeutic plan, with involvement of a multidisciplinary team, can improve outcomes for patients hospitalized with femur fractures. Objectives: to evaluate the level of adherence and compliance with the Therapeutic Plan (PT) in the line of care for patients with femoral fractures in a reference hospital, before and after an improvement cycle. Materials and Methods: This is a retrospective, quasi-experimental study to evaluate the level of adherence and compliance with the Therapeutic Plan in the line of care for patients with femoral fractures, before and after an improvement cycle. The study was carried out at the Hospital Regional do Sertão Central - HRSC, located in Quixeramobim-CE. The medical records of patients admitted and operated on at HRSC, in the line of care for patients with femoral fractures, from January to December 2023 were included. Reoperations, procedures without a surgical incision and patients who required the use of arthroplasty were excluded. Data were collected through consultation of safety management spreadsheets, the care line spreadsheet for patients with femoral fractures and medical records. The patients' sociodemographic information was collected through the medical records, in addition to the following parameters: length of hospital stay and compliance with the Therapeutic Plan. Results: It was observed that the majority of patients were female (67.88%), with a mean age of 72±15.61 years, with no statistical difference between the groups before and after the improvement cycle. It was observed that, after the improvement cycle, there were significant improvements in the level of adherence to the Therapeutic Plan, with improvements in the rate of timely opening of the plan and improvement in its compliance rate. There was no statistical difference between the groups before and after the improvement cycle in relation to the length of hospital stay. The main procedural flaws identified were related to the failure to reevaluate medical goals and the failure to reevaluate nursing goals, with a representation of around 61% (32% and 29%, respectively), in the Pareto analysis. The implemented improvement cycle was responsible for process adjustments, generating growth in compliance with the therapeutic plan from 11% to 82.35% of samples after the improvement cycle, this difference being statistically significant.

COMMITTEE MEMBERS:
Interna - 2262871 - ANA ELZA OLIVEIRA DE MENDONCA
Externa ao Programa - 2553720 - KATIA REGINA BARROS RIBEIRO - UFRN