Navegando por Palavras-chave "Quality indicators, health care"
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- ItemAcesso aberto (Open Access)Avaliação dos serviços de enfermagem: identificação dos critérios de processo dos programas de acreditação hospitalar(Associação Brasileira de Enfermagem, 2005-02-01) Cunha, Isabel Cristina Kowal Olm [UNIFESP]; Feldman, Liliane Bauer [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Saúde Brasil RC Profissional; ABEn-SPEfforts to ensure quality in healthcare, to elaborate patterns and criteria have been a challenge in Brazil. This study aimed to identify the process of evaluation criteria applied to the nursing services adopted by Accreditation programs, and classify them in administrative, assistential and teaching research attributions. The study was exploratory, descriptive and quantitative. Collected data from 7 companies accredited by the National Accrediting Organization leaded into 8 models, which were divided into A, B and C groups. Seventy-nine criteria were identified; 32 from assistential, 32 administrative and 15 teaching-research processes. The nursing service was evaluated with focus in the C group. A small amount of assistential and learning research in A and B groups, showing that an increase in criteria would be necessary in order to obtain more accurate measuring.
- ItemAcesso aberto (Open Access)Gestão de qualidade no atendimento oftalmológico cirúrgico do Setor de Catarata do Departamento de Oftalmologia e Ciências Visuais da UNIFESP(Universidade Federal de São Paulo (UNIFESP), 2017-11-30) Okazaki, Cristiane [UNIFESP]; Hirai, Flavio Eduardo [UNIFESP]; http://lattes.cnpq.br/6575096591259140; http://lattes.cnpq.br/4093676182285344; Universidade Federal de São Paulo (UNIFESP)Objetivo: Este estudo tem como objetivo mapear e diagramar processos e desenvolver e analisar indicadores de qualidade de saúde do centro cirúrgico do Setor de Catarata da Universidade Federal de São Paulo (UNIFESP) - Escola Paulista de Medicina. Métodos: Após orientação da equipe de enfermagem do centro cirúrgico, processos foram mapeados juntamente com desenvovimento de indicadores de qualidade. A seguir, dados foram coletados através de entrevistas com pacientes do centro cirúrgico para análise. Resultados: Cinquenta e sete pacientes foram entrevistados quanto a espera pela consulta de catarata e de anestesia, tempo de jejum, condições financeiras para comprar medicamentos e sobre perda de dia trabalhado pelo acompanhante. Dados como a espera na recepção do centro cirúrgico, dentro do centro cirúrgico e pela cirurgia, bem como a classificação anestésica foram documentados pela observação e coleta de dados. Dos 57 pacientes, 42 apresentavam comorbidade controlada e 4 (7%) deles tiveram suas cirurgias canceladas por falta de condições clinicas. O tempo médio desde a baixa de visão até chegar ao nosso serviço foi de 17.3 meses e o ntervalo entre a primeira consulta e a cirurgia foi de 6.6 meses. Quase metade dos pacientes relataram dificuldades na compra de colírios pós operatórios e 35,1% dos acompanhantes perderam dia de trabalho. O tempo médio dentro do centro cirúrgico foi de 4.8 horas, sendo que dentro da sala de cirurgia foi de 2,1 horas e em média os pacientes aguardavam 1,3 horas para entrar. Conclusão: Indicadores são importantes para o controle de qualidade e seu desenvovimento pode ser facilitado com mapeamento de processos. Toda a equipe de saúde deve estar consciente da importância de uma coleta adequada de dados para um gerenciamento de qualidade. Indicadores poderiam ser parte de um painel de controle que ajudaria administradores na tomada de decisões melhorando a assistência médica.
- ItemAcesso aberto (Open Access)O movimento pela qualidade nos serviços de saúde e enfermagem(Associação Brasileira de Enfermagem, 2006-02-01) D'Innocenzo, Maria [UNIFESP]; Adami, Nilce Piva [UNIFESP]; Cunha, Isabel Cristina Kowal Olm [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Literature review about quality in healthcare and nursing services. It describes the trajectory of a worldwide movement toward quality and its insertion in the health services, based on the theoretical referential of Donabedian, approaching nursing care systematization as a basis for the quality that is delivered to the users.
- ItemAcesso aberto (Open Access)Percepção dos enfermeiros sobre os resultados dos indicadores de qualidade na melhoria da prática assistencial(Associação Brasileira de Enfermagem, 2010-10-01) Franco, Juliana Nogueira; Barros, Brícia Pompeo Amaral; Vaidotas, Marina; D'Innocenzo, Maria [UNIFESP]; Hospital Santos Dumont; Hospital Israelita Albert Einstein; Universidade Federal de São Paulo (UNIFESP)The quality control strategies plays an important role to nurses as they become more involved and qualified to improve the care provided. The purpose of this study was to diagnose the perception of nurses at a private hospital on the nursing quality processes applied to care improvement. This is a descriptive-exploratory study whose sample was composed by 19 nurses from care units. Results demonstrated that nurses considered the use of results from indicators to be a strategic tool for the institution, and their perceptions have confirmed the validity of care improvement practices using quality tools and indicators, emphasizing that follow up of process flaws can be a possible suggestion towards quality improvement.
- ItemAcesso aberto (Open Access)Qualidade do serviço oftalmológico prestado aos pacientes ambulatoriais do Sistema Único de Saúde - SUS(Conselho Brasileiro de Oftalmologia, 2006-04-01) Hercos, Benigno Vicente Santos [UNIFESP]; Berezovsky, Adriana [UNIFESP]; Universidade Autônoma de Barcelona; Universidade Federal de São Paulo (UNIFESP)PURPOSE: To identify the perception of the ophthalmic service quality provided for outpatients of the public healthcare system as well as to detect which actions should be considered necessary and priority in order to improve its quality. METHODS: A quantitative descriptive study was carried out on 100 outpatients of the public healthcare system which were submitted to ophthalmic tests at Fundação Hilton Rocha - Belo Horizonte - MG, from July 1st - July 30th 2004. Individual interviews were carried out by giving the interviewees two structured questionnaires adapted from the modified SERVQUAL. This scale is in agreement with the reality of the studied institute. RESULTS: The adapted SERVQUAL scale was submitted to statistical validation and it showed a suitable internal consistency index. In general terms, a slight general dissatisfaction was detected regarding ophthalmological service quality. The interviewees cared more about safety and reliability. A higher degree of dissatisfaction was detected mainly concerning fulfillment of procedures at scheduled appointments related to the execution of services within due timelimits. CONCLUSIONS: The institute is supposed to plan as well as carry out actions which lead to a general improvement in the patient's satisfaction regarding service quality and mainly reliability. Service quality monitoring through periodic use of the SERVQUAL scale will not only make it possible to plan highly precise and effective intervention strategies in these and in other healthcare services but it will also allow monitoring the responses to these actions. All these actions will contribute to the improvement of the service in the system as a whole.
- ItemAcesso aberto (Open Access)Tempo de Exercicio como Indicador de Controle de Qualidade em Servicos de Ergometria(Sociedade Brasileira de Cardiologia - SBC, 2014-03-25) Meneghelo, Romeu Sergio; Morhy, Samira Saady [UNIFESP]; Zucchi, Paola; Universidade Federal de São Paulo (UNIFESP); Hospital Israelita Albert Einstein São PauloBackground:The search for quality requires assessment tools in the various subdivisions of a health complex. In diagnostic medicine, they are scarce and in ergometry suggestions of indicators were not found.Objective:To establish indicator for quality control on ergometry based on III Guidelines of the Brazilian Cardiology Society About Ergometric Test; to verify the percentage of tests that have presented the indicator within the compliance in two services of the same institution before and after the publication of the document.Methods:A critical analysis of the guidelines in the search for indicator that would present: accuracy, reliability, simplicity, validity, sensitivity and ability to quantitatively measure the variations in the behavior of quality criteria and that would be applicable to all tests. The indicator was applied in tests of 2010 and 2011 prior to the publication, and after it was adopted by two services of the same institution.Results:The indicator that has met the criteria was the percentage of ergometric tests with exercise duration between 8 and 12 minutes. In the years 2010 and 2011, respectively, the percentage of ergometric tests within compliance were 85.5% and 86.1% (p = 0.068) at the General Hospital, and 81.5% and 85.7% (p <0.001) the Service of Periodic Health Assessment.Conclusion:The exercise time between 8 and 12 minutes can be used as a quality criterion in ergometric and services where it was applied, at least 80% of the ergometric tests were compliant.