Analysis of quality indicators of central sterile supply departments at accredited public hospitals

Abstract

This study aimed to describe and analyze quality indicators of Central Sterile Supply Departments in Accredited PublicHospitals in São Paulo state and their management by those in charge of those departments. It is a multiple-case study, presenting interconnected data from three accredited hospitals in a report on cross-referenced cases. Data were collected by semi-structured interviews with the person in charge and by technical visits with documental analysis. Results showed the difficulty which those in charge have in identifying specific indicators for the department; the indicators mentioned relate to production and client satisfaction surveys, and do not describe the effective quality of the service, as they are fragmented and do not consolidate results in the search for improvement. This suggests low specificity and low sensitivity of the National Accreditation Organization criteria to this department's context. KEYWORDS:Accreditation. Indicators of health services. Sterilization. Central supply, hospital. ANÁLISE DOS INDICADORES DE QUALIDADE DE CENTROS DE MATERIAL E ESTERILIZAÇÃO DE HOSPITAIS PÚBLICOS ACREDITADOSRESUMO: O objetivo do estudo foi descrever e analisar os indicadores de qualidade de Centros de Material e Esterilização de hospitais públicos acreditados do Estado de São Paulo e sua gestão pelos responsáveis do setor. Trata-se de um estudo de casos múltiplos, onde são apresentados os dados interligados de três hospitais acreditados num relatório de casos cruzados. Os dados foram coletados por entrevista semiestruturada com o responsável e por visita técnica com análise documental. Os resultados constatam a dificuldade dos responsáveis em pontuar os indicadores específicos do setor e os referidos foram os de produção e pesquisa de satisfação do cliente que não retratam a qualidade efetiva do serviço, pois são fragmentados, sem consolidação de resultados na busca de melhorias, o que sugere baixa especificidade e baixa sensibilidade dos critérios da Organização Nacional de Acreditação à realidade deste setor.PALAVRAS CHAVE: Acreditação. Indicadores de serviços. Esterilização. Almoxarifado central hospitalar. ANÁLISIS DE LOS INDICADORES DE CALIDAD DE CENTROS DE MATERIALES Y ESTERILIZACIÓN DE HOSPITALES PÚBLICOS ACREDITADOS RESUMEN:El objetivo del estudio fue describir y analizar los indicadores de calidad de Centros de Materiales y Esterilización en los hospitales públicos acreditados en el estado de São Paulo y su gestión por los responsables del sector. Se trata de un estudio de casos múltiples, donde se presentan los datos vinculados a tres hospitales acreditados en un informe de casos cruzados. Los datos fueron recolectados a través de entrevistas semi-estructuradas con el responsable y por visitas técnicas con análisis documental. Los resultados señalan la dificultad de los responsables en la puntuación de los indicadores específicos para el sector y los indicadores mencionados estaban relacionados con la producción y la investigación de la satisfacción del cliente, que no representen...

Causas de retrabalho de produtos para Saúde no centro de materiais e esterilização

“…Dessa forma, torna-se intrínseco ao setor buscar a qualidade de cada etapa do processamento de PPS a fim de reduzir eventos indesejados. A partir dessa premissa, a incorporação de indicadores de qualidade tornou-se essencial para o monitoramento de resultados de processos de trabalho 9 .…”

Avaliação Dos Indicadores De Óbito E Incapacidade Dos Pacientes Atendidos Em Uma Unidade De Acidente Vascular Cerebral

“…To improve the quality, it is required a continuous evaluation of the service and care provided to the patient, through analysis of the organizational structure, work process and outcomes achieved. 21 The hospital accreditation is responsible for managing the quality through a systematic analysis, which benefits organizations. 22 In Europe, it was carried out a quality audit to evaluate care of acute stroke patients in the following countries: Germany; Scotland; Sweden; England; Wales; and Northern Ireland.…”

Disqualification of Certification by Hospital Accreditation: Perceptions of Professional Staff

“…[19][20][21] In addition, the objective assessment through structure, process and outcome indicators can support the making of decisions that favor the (re)planning in the continuous improvement process, 21 an activity that is the framework of the accreditation. 3,5 Concerning the use of indicators, some participants appointed that the disqualification of the certification did not lead to the loss of this practice: this spirit of the Accreditation was never lost [ The above excerpts support the logic that, when the hospital reached the level Accredited with Excellence, it adhered to the premise concerning the verification of preset indicators for this title and, what is more, maintained it after the certification had been canceled.…”

“…3 In the research context, this information is relevant because the measuring and analysis of indicators is one of the main criteria to achieve the certificate of Accreditation with Excellence, as the institution that acquires this seal should prove that its results, usually represented by indicators, are aligned with its strategic planning. 3,19 The results of this category indicate that the Accreditation, through its logic and well-defined methods, can profoundly alter the work process of a hospital organization. That was verified through the citations, in which the workers affirm that, despite the cancelation of the certification, the organization remained keen on using the tools and aspiring to quality.…”