Objective: To verify the predictors associated with sick leave from 15 days onwards among Nursing professionals of an emergency hospital service. Method: A cross-sectional, retrospective, and descriptive-analytical study. The sample consists of the records of sick leave (n=2,403) due to diseases of the Nursing professionals (n=197) working in an emergency hospital service in southern Brazil, from 2013 to 2018. Descriptive and statistical analysis was used, as well as the multivariate regression model. Results: There was predominance of females (72.6%), white-skinned (86.3%), with a mean age of 45.05 (SD=9.77) years old, and nursing technicians (74.6%). The prevalent cause of sick leave was related to clinical diseases (62.5%). The predictors associated with sick leave from 15 days onwards were the following: Age (OR: 0.97; 95% CI=0.95-0.99) and Musculoskeletal Diseases (OR: 8.95; 95% CI=5.30-15.11). Conclusion: Age and musculoskeletal diseases were predictors of sick leave from 15 days onwards of the Nursing team.

Objective To characterize the sociodemographic profile of women victims of sexual violence treated at a university hospital in southern Brazil. Method The present cross-sectional study included all female victims of sexual violence who attended the sexual violence unit at the Hospital de Clínicas de Porto Alegre (HCPA, in the Portuguese acronym) from April 18, 2000 to December 31, 2017. Data were extracted from the electronic record of the patients and stored in a standardized questionnaire database with epidemiological aspects of the victim, the perpetrators and the type of aggression. Statistical analysis was performed using the chi-squared test for trend and descriptive statistics with 95% confidence interval (CI). Results During the length of the study, 711 women victims of sexual violence were treated. The mean age of the patients was 24.4 (±10) years old (range from 11 to 69 years old) and most of the victims were white (77.4%), single (75.9%) and sought care at the unit within 72 hours after the occurrence (80.7%). In most cases, violence was exerted by a single perpetrator (87.1%), who was unknown in 67.2% of cases. Victims < 19 years old showed a higher risk of not using contraception (relative risk [RR] = 2.7; 95% CI = 1.9–3.6). Conclusion Most victims of sexual violence were treated within 72 hours of the occurrence. The majority of these victims were white and young, and those < 19 years old had a higher risk of not using contraception and to know the sexual perpetrator.

Objetivo: analisar publicações científicas sobre a utilização de escores de alerta precoce, nos serviços terciários, como ferramentas de detecção da deterioração clínica em paciente com suspeita ou diagnóstico de sepse. Método: revisão integrativa realizada na PubMed, Scopus, Web of Science e Biblioteca Virtual em Saúde entre fevereiro e março de 2021. Incluídos artigos em inglês, espanhol e português, sem delimitação de tempo na busca. Resultados: identificou-se diferentes escores para detecção precoce da deterioração clínica em pacientes com suspeita ou diagnóstico de sepse. As ferramentas mais frequentes nos serviços terciários foram: National Early Warning Score, Sequential Organ Failure Assessment Score e Systemic Inflammatory Response Syndrome (n=6) (50%), sendo a maioria nos Departamentos de Emergências (n=5) (41,6%). Considerações finais: National Early Warning Score foi o escore mais utilizado para pacientes com suspeita ou diagnóstico de sepse com maior acurácia para a predição de mortalidade hospitalar e admissão em Unidade de Terapia Intensiva.ABSTRACTObjective: to examine scientific publications on the use of early warning scores in tertiary services as tools for detecting clinical deterioration in patients with suspected or diagnosed sepsis. Method: this integrative review was conducted in PubMed, Scopus, Web of Science and the Virtual Health Library between February and March 2021. Articles in English, Spanish, and Portuguese were included with no time limits on the search. Results: different scores were found for early detection of clinical deterioration in patients with suspected or diagnosed sepsis. The most frequent tools in tertiary services were the National Early Warning Score, Sequential Organ Failure Assessment Score and Systemic Inflammatory Response Syndrome (n = 6) (50%), most of them in Emergency Departments (n = 5) (41.6 %). Final remarks: the National Early Warning Score was the most used for patients with suspected or diagnosed sepsis and was the most accurate in predicting hospital mortality and admission to the Intensive Care Unit.RESUMENObjetivo: analizar publicaciones científicas sobre la utilización de puntuaciones de alerta temprana, en servicios terciarios, como herramientas para detección de deterioro clínico en pacientes con sospecha o diagnóstico de sepsis. Método: revisión integradora en PubMed, Scopus, Web of Science y Biblioteca Virtual en Salud entre febrero y marzo de 2021. Fueron incluidos artículos en inglés, español y portugués, sin límite de tiempo en la búsqueda. Resultados: se identificaron diferentes puntuaciones para detección temprana de deterioro clínico en pacientes con sospecha o diagnóstico de sepsis. Las herramientas frecuentes en los servicios terciarios fueron: National Early Warning Score, Sequential Organ Failure Assessment Score y Systemic Inflammatory Response Syndrome (n=6) (50%), la mayoría en Servicios de Emergencia (n=5) (41,6 %). Consideraciones finales: National Early Warning Score fue la puntuación más utilizada para pacientes con sospecha o diagnóstico de sepsis con mejor precisión para predecir la mortalidad hospitalaria e ingreso a la Unidad de Cuidados Intensivos.

OBJECTIVES: To create and implement a computerized clinical registry to verify in the short-, medium-and long-term the mortality and the incidence of significant surgical outcomes in adult patients submitted to cardiovascular surgeries.METHODS: This is a prospective, observational registry-based study aimed at documenting the characteristics of patients undergoing cardiovascular surgery. RESULTS: Variables were standardized according to international was performed in English with an interface in Portuguese to make the data collection easier in the institution. Quality of care indicators, surgical procedure characteristics, in addition to significant cardiovascular outcomes will be measured. Data were collected during the hospitalization until hospital discharge or at the seventh day, in thirty days, six months, twelve months and annually until completing five years. CONCLUSION: The importance of a database maintenance with international standards that can be reproducible was evidenced, allowing the evaluation of techniques and assistance and the integration of data among health institutions.

Objetivo : analisar uma literatura científica que versa sobre qualidade e segurança na assistência obstétrica. Método : revisão integrativa que respeitou como seis etapas metodológicas do referencial utilizado. Por meio das bases de dados Sistema de Análise e Recuperação de Literatura Médica Online  e Literatura Latino-Americana e Caribe em Ciências da Saúde, recrutados 606 publicações, das quais nove foram publicadas com conhecimento do conhecimento. Resultados : eram estudos transversais / quantitativos (55,5%) e com nível de evidência VII (55,5%). Como foram sintetizados em três eixos condutores: Comunicação interprofissional e trabalho em equipe na assistência obstétrica;Práticas intervenientes na assistência obstétrica; e, Ações para melhoria da qualidade e segurança na assistência obstétrica. Conclusões : apesar das falhas na comunicação e no trabalho em equipe, além de diversos riscos na segurança assistencial evidenciados pelo modelo intervencionista no cuidado obstétrico, existem ações de políticas, técnicas e aplicações que alavancam a qualidade e a segurança na atenção materno-infantil.Descritores : Obstetrícia; Segurança do paciente; Qualidade da assistência à saúde; Centros de assistência à gravidez e ao parto; Enfermagem obstétrica; Qualidade, Acesso e Avaliação da Assistência à Saúde.

Conflictos de intereses: los autores informan de la ausencia de cualquier tipo de conflicto de intereses.Financiación: el estudio contó con el apoyo del Fondo de Incentivos a

<p>Objetivo: realizar benchmarking interno de indicadores de qualidade e do dimensionamento de pessoal de enfermagem entre unidades de internação hospitalar. Método: estudo transversal. Foram levantados/avaliados nove indicadores de qualidade por sítios de observação nas unidades de internação em clínica médica (n=450) e cirúrgica (n=274) de hospital público do Centro-Oeste, Brasil, além da aplicação de Sistema de Classificação de Pacientes, para o dimensionamento de pessoal. Empregou-se análise estatística descritiva (no dimensionamento) e inferencial (para os indicadores). Resultados: houve diferença significativa (p-valor&lt;0,0001) na conformidade da identificação do leito (melhor na unidade cirúrgica) e de acessos venosos (melhor na internação clínica). A classificação da qualidade foi equânime. A clínica médica apresentou déficit de enfermeiros (-11). Conclusão: a qualidade assistencial – mediada à métrica dos indicadores – foi equânime entre os setores de internação e o dimensionamento de pessoal foi discrepante, em virtude do evidente déficit de enfermeiros, dada à maior complexidade assistencial na clínica médica.</p><p><br />Descritores: Benchmarking. Indicadores de Qualidade em Assistência à Saúde. Dimensionamento. Gestão da Qualidade. Recursos Humanos de Enfermagem no Hospital. Pesquisa em Administração de Enfermagem.<br /><br /></p>

Objective: to evaluate the performance of the quickSOFA scores and Systemic Inflammatory Response Syndrome as predictors of clinical outcomes in patients admitted to an emergency service. Method: a retrospective cohort study, involving adult clinical patients admitted to the emergency service. Analysis of the ROC curve was performed to assess the prognostic indexes between scores and outcomes of interest. Multivariate analysis used Poisson regression with robust variance, evaluating the relationship between variables with biological plausibility and outcomes. Results: 122 patients were selected, 58.2% developed sepsis. Of these, 44.3% had quickSOFA ≥2 points, 87% developed sepsis, 55.6% septic shock and 38.9% died. In the evaluation of Systemic Inflammatory Response Syndrome, 78.5% obtained results >2 points; of these, 66.3% developed sepsis, 40% septic shock and 29.5% died. quickSOFA ≥2 showed greater specificity for diagnosis of sepsis in 86% of the cases, for septic shock 70% and for mortality 64%, whereas the second score showed better results for sensitivity with diagnosis of sepsis in 87.5%, septic shock in 92.7% and death in 90.3%. Conclusion: quickSOFA showed by its practicality that it can be used clinically within the emergency services, bringing clinical applicability from the risk classification of patients for the early recognition of unfavorable outcomes.