Banca de DEFESA: DIJAYNA DE CÁSSIA VERÇOSA DE LIMA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : DIJAYNA DE CÁSSIA VERÇOSA DE LIMA
DATE: 12/12/2024
TIME: 14:00
LOCAL: On-line
TITLE:

QUALITY IMPROVEMENT IN THE PROCESS OF MULTIDISCIPLINARY CARE FOR PEOPLE WITH SICKLE CELL ANEMIA

KEY WORDS:

Sickle Cell Anemia; Multiprofessional Team; Quality Improvement; Quality management.

PAGES: 77
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Saúde Pública
SUMMARY:

Introduction: Sickle cell anemia is the most prevalent genetic disease in Brazil and worldwide, with relevance in public health due to its chronic condition. This disease causes clinical manifestations throughout the body, requiring multidisciplinary health care throughout the individual's life. Multidisciplinary care and access to quality health care are essential and can ensure a satisfactory quality of life for these people. Thus, carrying out quality management activities in multidisciplinary care, such as improvement cycles, is relevant to improve the health levels of this population. Objective: To develop a quality improvement cycle in multidisciplinary care for people with sickle cell anemia in a hematology outpatient clinic. Method: This is an intervention study, with a quasi-experimental design, of the before-after type, without a control group, with a quantitative approach, carried out through a quality improvement cycle in a hematology outpatient clinic at the Blood Center of Alagoas. The improvement cycle consists of six stages: identification and prioritization of improvement; analysis of the causes of the problem; development of quality criteria; initial assessment of the quality level; planning and implementation of multifaceted interventions and reassessment of the quality level. The opportunity for quality improvement identified was irregular multidisciplinary monitoring of people with sickle cell anemia and from the analysis of the causes of the quality problem, seventeen criteria were defined to assess the quality level regarding the records of consultations by the multidisciplinary team and the records of the results of laboratory and imaging tests. These criteria were developed in accordance with the recommendations of the Ministry of Health, observing the precepts of face, content and criterion validity. The study was carried out from January 2023 to May 2024. Data analysis was performed by point estimates of criterion compliance. And to analyze the effect of the intervention, absolute and relative improvement values were estimated. Statistical significance was tested using the Z-value test and presented in a Pareto diagram. The study followed the ethical procedures required by Resolutions No. 510/2016 and No. 466/2012 and was approved by the Research Ethics Committee of the Onofre Lopes University Hospital/UFRN under opinion No. 6,416,792. Results: The first evaluation revealed decreased levels of compliance in most of the criteria evaluated, especially regarding the records of laboratory and imaging exam results. The reevaluation, after the implementation of multifaceted interventions, showed significant levels of improvement in the criteria related to the records of nursing consultations (74%), social work (69%), physiotherapy (47%), and hematology (35%). The reevaluation of exam records showed a slight increase in compliance levels. Conclusion: With the implementation of the quality improvement cycle, an improvement was observed in the records of all components of the multidisciplinary team evaluated, with the exception of dentistry due to a deficit in the physical structure of the office. An overall absolute improvement of 38% was observed in these criteria. This study made it possible to insert the discussion on improvement projects and their tools for improving work processes into the context of the hematology outpatient clinic at HEMOAL and created the opportunity to improve interaction between team professionals, in addition to opening a space for dialogue and construction of knowledge.

COMMITTEE MEMBERS:
Presidente - 1222022 - CECILIA OLIVIA PARAGUAI DE OLIVEIRA SARAIVA
Interna - 1220598 - VIVIANE EUZEBIA PEREIRA SANTOS
Externa ao Programa - 1999246 - ISABELLE CAMPOS DE AZEVEDO - UFRNExterna à Instituição - MAYARA LIMA BARBOSA - UNIFACISA