Avaliação da implantação do Sistema de Controle, Acompanhamento e Avaliação de Resultados (Sistema e-Car) na Secretaria de Vigilância em Saúde do Ministério da Saúde do Brasil, no período de 2012 - 2015*

Ubarana, Juliana Amorim; Cruz, Marly Marques da; Vitorino, Santuzza Arreguy Silva

doi:10.5123/s1679-49742019000200006

Cited by 24 publications

(3 citation statements)

References 11 publications

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“…A estatura foi aferida com estadiômetro de parede e o perímetro do braço foi medido com fita métrica inelástica e inextensível. Todas as medidas foram realizadas conforme manual de orientações para a coleta e análise de dados antropométricos do Sistema de Vigilância Alimentar e Nutricional e executadas por nutricionista treinada [14].…”

Section: Risco Elevado Risco Moderadounclassified

Concordância entre ferramentas de triagem nutricional pediátrica em indivíduos com síndrome nefrótica

Bellot

Paiva

Vale

et al. 2019

Sci Med

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AIMS: To evaluate the concordance between three validated nutritional screening tools for pediatrics among themselves and the correlation with the anthropometric parameters of patients hospitalized with nephrotic syndrome.METHOD: Cross-sectional study with children and adolescents of both sexes hospitalized in the pediatric ward of a university hospital and diagnosed with nephrotic syndrome. Three nutritional screening instruments were applied: Screening of Risk for Nutritional Status and Growth (STRONGkids), Paediatric Yorkhill Malnutrition Score (PYMS) and Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP). Data on weight, height and upper arm perimeter was collected, and three nutritional screening tools were applied: The estimate of relative agreement between the instruments was evaluated with the weighted Kappa test and the correlations with anthropometric parameters were assessed with the Spearman’s Correlation Test.RESULTS: We evaluated 11 patients, with a minimum age of 2 years and a maximum of 10 years. Screening tools detected prevalence of medium and high nutritional risk. Moderate agreement (k=0.47) was observed between PYMS and STAMP and there was no correlation between the screening tools’ result and the anthropometric data. Regarding the anthropometric parameters, 100% of the participants had adequate weight for age, 63.6% of the participants were diagnosed with normal weight by the BMI/Age index and 81.8% had adequate height for age according to the index Height/Age. After analysis of the upper arm perimeter, 27.3% were at risk of malnutrition.CONCLUSIONS: Despite the fact that are no recommendations for use of pediatric nutritional screening tools specific to each clinical situation, two of the three screening tools analyzed in this study demonstrated moderate agreement between them. However, the tested tools did not reflect the anthropometric nutritional status of the evaluated population.

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Section: Risco Elevado Risco Moderadounclassified

Concordância entre ferramentas de triagem nutricional pediátrica em indivíduos com síndrome nefrótica

Bellot

Paiva

Vale

et al. 2019

Sci Med

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“…Offering basic care in the areas of pediatrics, gynecology, general medical clinic, nursing and dentistry, the Basic Health Units, as suggested by PAC, would be the preferred contact for users, the main gateway and communication center with the entire health care network (Andrade, 2019). The system is considered a great progress for Brazilian society, however, despite being marked by several advances, it also faces major obstacles in the implementation of its guidelines (Domingues et al , 2012; Matin et al , 2016; Aquino et al , 2018; Ubarana et al , 2019; Upadhyai et al ., 2020).…”

Section: Introductionmentioning

confidence: 99%

Basic Health Units services quality assessment through Kano and SERVQUAL models

Lacerda

Souza

Silva

et al. 2021

BIJ

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PurposeThe present research aims to evaluate the quality of services provided by the Basic Health Units (UBS) of the Unified Health System (SUS) located in the city of Recife, in the state of Pernambuco, Brazil, using the Kano model integrated with the dimensions of quality proposed by the service quality (SERVQUAL) model.Design/methodology/approachThe research was classified as bibliographic, descriptive, quantitative and surveyable. A structured questionnaire based on the Kano Model integrated with the dimensions of quality proposed by the SERVQUAL model, applied online through Google Forms. The questionnaires were distributed on social networks, obtaining a non-probabilistic sample of 120 individuals, collected for convenience.FindingsThrough the analysis of the Kano Model, it was possible to observe that all the investigated attributes are classified as one-dimensional. Among the attributes that deserve to be highlighted are attributes “Clean and pleasant environment”, “Reliability and security of information”, “Knowledge of employees to perform services”, “Service performed in the promised time”, “Polite and kind staff in dealing with users” and “Effectiveness of the service provided” due to having the longest intervals when considering the satisfaction and dissatisfaction coefficients, above 1.575. These attributes must be considered as critical priorities when implementing improvements, since their presence considerably increases users' satisfaction, as well as their absence generates great dissatisfaction.Originality/valueThe research is original and justified by the potential use of a quality assessment tool in the public health service, especially primary care. It is noteworthy that there are few works that integrate the Kano and SERVQUAL models applied in the public health service and that this integration can contribute to the national and international literature, mainly in the identification and prioritization of areas for improvement.

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“…Uma intervenção tardia ao paciente potencialmente grave pode aumentar significativamente o tempo de internamento hospitalar, refletir na taxa de ocupação de leito e afetar diretamente a taxa de mortalidade. (3) Nessa perspectiva, instrumentos foram desenvolvidos para auxiliar os enfermeiros na sistematização do reconhecimento precoce de sinais de deterioração clínica à beira do leito e alertar a equipe para necessidade de cuidados urgentes. Esses instrumentos são conhecidos internacionalmente como Pediatric Early Warning System (PEWS).…”

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Impacto De Um Sistema De Reconhecimento Precoce De Deterioração Clínica Pediátrica

Bulhosa

Miranda

Dini

et al. 2023

Rev enferm UFPE online

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Objetivo: analisar o impacto da implantação do Sistema de Reconhecimento Precoce (SRP) de deterioração clínica do Escore Pediátrico de Alerta (EPA), em um cenário hospitalar pediátrico. Método: estudo quantitativo, descritivo, prospectivo, realizado em hospital público pediátrico na Bahia, Brasil, de julho/2019 a julho/2020. Participaram do estudo 29 enfermeiros e se analisaram-se 71 casos de pacientes que apresentaram deterioração clínica durante o período do estudo nas duas unidades piloto. Para análise dos dados, aplicou-se a estatística descritiva. Resultados: em relação ao serviço, após a implantação do SRP, houve queda em números absolutos dos casos de deterioração, das chamadas médica pelo enfermeiro, das intervenções pela equipe e no número de óbitos entre os casos que deterioraram. Para parte dos enfermeiros, o SRP promoveu mudanças na forma de avaliação, na comunicação com o médico e nas rotinas gerais do serviço. Conclusão: o impacto do Sistema de Reconhecimento Precoce de deterioração clínica do EPA implantado do hospital foi considerado positivo, na perspectiva do serviço e dos enfermeiros.

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Avaliação da implantação do Sistema de Controle, Acompanhamento e Avaliação de Resultados (Sistema e-Car) na Secretaria de Vigilância em Saúde do Ministério da Saúde do Brasil, no período de 2012 - 2015*

Cited by 24 publications

References 11 publications

Concordância entre ferramentas de triagem nutricional pediátrica em indivíduos com síndrome nefrótica

Concordância entre ferramentas de triagem nutricional pediátrica em indivíduos com síndrome nefrótica

Basic Health Units services quality assessment through Kano and SERVQUAL models

Impacto De Um Sistema De Reconhecimento Precoce De Deterioração Clínica Pediátrica

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