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实施初级医疗保健护理改进周期。

Implementation of an improvement cycle in the care of a primary health care.

机构信息

Universidade Federal do Rio Grande do Norte. Natal, Rio Grande do Norte, Brazil.

出版信息

Rev Bras Enferm. 2021 Mar 24;74(1):e20200099. doi: 10.1590/0034-7167-2020-0099. eCollection 2021.

DOI:10.1590/0034-7167-2020-0099
PMID:33787783
Abstract

OBJECTIVES

to evaluate the effectiveness of a quality improvement cycle applied to the care of spontaneous demand in a primary care center.

METHODS

quasi-experimental before and after study, with a quantitative approach and no control group. An improvement cycle was carried out in a primary care center in the city of Guarabira/PB using five quality criteria. An evaluation, an intervention focused on the most problematic criterion and a reassessment were carried out. The samples were random (n = 60). The percentages and confidence intervals of compliance with each criterion were verified. Statistical significance was calculated using the Z test.

RESULTS

after the intervention, there was a significant improvement in two quality criteria of the care of spontaneous demand users (the user must be heard by a professional and go through the risk classification).

CONCLUSIONS

the improvement cycle was an effective quality management method.

摘要

目的

评估应用于初级保健中心自发性需求护理的质量改进周期的效果。

方法

准实验前后研究,采用定量方法且无对照组。在城市瓜拉比拉/ PB 的一个初级保健中心使用五个质量标准进行了改进周期。进行了评估、针对最具问题标准的干预以及重新评估。样本是随机的(n = 60)。验证了每个标准的合规百分比和置信区间。使用 Z 检验计算统计显著性。

结果

干预后,自发性需求使用者护理的两个质量标准有显著改善(用户必须由专业人员接听并进行风险分类)。

结论

改进周期是一种有效的质量管理方法。

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