Interface entre acreditação e segurança do paciente: perspectivas da equipe de enfermagem

Oliveira, João Lucas Campos de; Cervilheri, Andressa Hirata; Haddad, Maria do Carmo Lourenço; Magalhães, Ana María Müller de; Ribeiro, Mara Regina Rosa; Matsuda, Laura Misue

doi:10.1590/s1980-220x2018053703604

Cited by 6 publications

(5 citation statements)

References 20 publications

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“…Accreditation processes and certifications are essential to detect deficiencies and continuously improve quality of health institutions 9 , 12 . Accreditation occurs when the institutional reality is consistent with specific quality standards previously defined by the accreditation of a given country, as determined by periodic external evaluation.…”

Section: Discussionmentioning

confidence: 99%

Quality of breast reconstruction service at a university hospital as assessed by the patients

et al. 2023

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Purpose: To evaluate the quality of breast reconstruction service at a university hospital, as assessed by the patients. Methods: This cross-sectional study enrolled adult women who underwent immediate or delayed breast reconstruction by any technique performed at a university hospital between 1 and 24 months before the assessment. The Brazilian version of the Health Service Quality Scale (HSQS) was self-applied to the participants. The HSQS produces percentage scores, which are expressed in values ranging from 0 to 10 for each domain of the scale, and into an overall percentage quality score. The management team was asked to establish a minimum satisfactory score for the breast reconstruction service. Results: Ninety patients were included. The management team considered 8.00 the minimum satisfactory score for the service. The overall percentage score was 93.3%. Only one domain, ‘Support,’ had an average score lower than that considered satisfactory (7.22 ± 3.0); while the others had higher scores. The domain that scored highest was ‘Qualification’ (9.94 ± 0.3), followed by ‘Result’ (9.86 ± 0.4). There was a positive correlation between ‘type of oncologic surgery’ and ‘intentions of loyalty to the service’ (ρ = 0.272; p = 0.009) and a negative correlation between ‘education’ and ‘quality of the environment’ (ρ = –0.218; p = 0.039). The higher the patient’s level of education, the higher the score attributed to ‘relationship’ (ρ = 0.261; p = 0.013) and the lower the score of ‘aesthetics and functionality’ (ρ = –0.237; p = 0.024). Conclusions: The quality of the breast reconstruction service was considered satisfactory, but there is a demand for structural improvements, better interpersonal relationships, and a stronger support network for patients.

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Section: Discussionmentioning

confidence: 99%

Quality of breast reconstruction service at a university hospital as assessed by the patients

et al. 2023

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“…Com isso, recomenda-se a utilização do instrumento validado neste estudo para padronizar a auditoria dos prontuários, de forma que os hospitais estabeleçam um método de melhoria contínua para diagnosticar quais são seus processos mais bem definidos, maduros e organizados, visando à excelência no atendimento. Sendo assim, a aplicação dele poderá contribuir desde a percepção da qualidade e segurança por equipe multidisciplinar até mesmo com o processo de acreditação hospitalar, que pressupõe a implantação de boas práticas assistenciais com base na gestão da qualidade e mudanças estruturais (28)(29)(30) .…”

Section: Discussionunclassified

Validação de conteúdo de um instrumento para auditoria clínica de prontuários

Simplicio,

Dini

2023

Rev. Bras. Enferm.

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RESUMO Objetivo: Construir e validar conteúdo de um instrumento para realização de auditoria clínica de prontuários; realizar pré-teste. Métodos: Estudo metodológico, realizado de maio/2020 a maio/2021 em três etapas: 1) construção do instrumento por levantamento bibliográfico e benchmarking; 2) validação de conteúdo pela técnica Delphi; 3) aplicação do instrumento e análise descritiva em uma amostra de 200 prontuários. Resultados: Construiu-se um instrumento com 11 domínios contendo subitens que caracterizam a qualidade da assistência. Para chegar ao índice de validade de conteúdo superior a 0,90, foram necessárias duas etapas da técnica Delphi. Para cada domínio, atribuiu-se uma escala graduada com valor numérico de 1 a 4 pontos, refletindo a qualidade do preenchimento. O tempo médio de aplicação foi de 35 minutos por prontuário. Conclusões: O instrumento construído demonstrou-se viável para embasar a auditoria clínica na identificação do nível de excelência ou oportunidades de melhoria em processos assistenciais.

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“…Therefore, the application of the instrument validated in this study is recommended to standardize the auditing of medical records, so hospitals can establish a method for continuous improvement and diagnose which are their best-defined, mature, and organized processes, aiming at excellence in care. Thus, its application may bring many benefits, from the perception of quality and safety by the multidisciplinary team to the process of hospital accreditation, which presupposes the implementation of good care practices based on quality management and structural changes (28)(29)(30) .…”

Section: Discussionmentioning

confidence: 99%

Content validation of an instrument for medical record audits

Simplicio,

Dini

2023

Rev. Bras. Enferm.

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Objective: To build and validate the content of an instrument to conduct medical record audits; to conduct a pre-test. Methods: Methodological study conducted from May/2020 to May/2021 in three stages: 1) development of the instrument by bibliographic survey and benchmarking; 2) content validation using the Delphi technique; 3) application of the instrument and descriptive analysis in a sample of 200 medical records. Results: An instrument was constructed with 11 domains containing sub-items that characterize the quality of care. Two stages of the Delphi technique were necessary to reach a content validity index higher than 0.90. For each domain, a graduated scale with a numerical value from 1 to 4 points was attributed, reflecting the quality of its completion. The average time of application was 35 minutes per record. Conclusions: The tool proved to be viable to support clinical audits to identify the level of excellence and reveal opportunities for improvement in care processes.

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Interface entre acreditação e segurança do paciente: perspectivas da equipe de enfermagem

Cited by 6 publications

References 20 publications

Quality of breast reconstruction service at a university hospital as assessed by the patients

Quality of breast reconstruction service at a university hospital as assessed by the patients

Validação de conteúdo de um instrumento para auditoria clínica de prontuários

Content validation of an instrument for medical record audits

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