Indicadores de qualidade em saúde : realidade de uma unidade de internação clínica cirúrgica de um hospital do interior do Rio Grande do Sul/RS.

Abstract

Patient safety, understood as the minimally acceptable reduction of the risk of unnecessary harm associated with health care, has been the focus of many studies. Measuring care indicators in the prevention of adverse events becomes critical to improved care. This study aimed to evaluate the quality of basic nursing care in the prevention of adverse events in a clinical-surgical hospitalization unit by means of the 12 quality indicators. This is an observational, quantitative, cross-sectional, descriptive research. It was carried out in a surgical hospitalization unit of 34 philanthropic hospital beds in the RS interior. The data collection period was from September to October 2017, and a validated checklist was used to collect 12 indicators of basic nursing care. Data were collected through observation of the devices used by the patients and consultation of medical records, totaling 135 observations in all work shifts. Data were entered in the Excel® program and analyzed by means of descriptive statistics in the SPSS® program. As results, it was observed that of the 12 only 4 indicators had a compliance index above 70% and the rest with an insufficient compliance index. Thus, the identification of nonconformities in the care process raised with this study contributes to the need for interventions that may propose barriers to avoid the occurrence of adverse events. In this context nurses play a fundamental role in the achievement of permanent education, in developing new forms of teaching and learning, in providing clear communication and humanization links. It is believed that there will always be failures, requiring an organization focused on the creation of an educational culture, not punitive, starting with the analysis of quality indicators.