Universidade Estadual de Londrina, Departamento de Enfermagem, Londrina, PR, Brazil.
Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brazil.
Rev Esc Enferm USP. 2021 May 31;55:e03719. doi: 10.1590/S1980-220X2020001903719. eCollection 2021.
To analyze the indicators of surgical patients after the implementation of an Internal Bed Regulation Committee in a university hospital.
Longitudinal, quantitative, and retrospective study. The data collection was conducted in the Hospital Management Information institutional system, from which the information of patients submitted to surgical procedures from January 2015 to June 2018 were obtained. To verify the data trends, a simple linear regression model was used.
The predominance of patients aged 20 to 39 and hospitalized on an emergency basis was observed. An ascending trend for structure indicators was verified regarding the number of surgical procedures and patients per surgical room. The process indicators were stagnant. An ascending trend was presented by the result indicators related to the number of surgical patients, hospitalized surgical patients, surgical procedures, and patients with Hospitalization Authorization.
A change in the mean values of the process indicators was observed, showing the performance of this service. Organizational changes were also observed regarding the establishment of norms, processes, and flows.
分析大学附属医院实施内部床位调控委员会后手术患者的各项指标。
采用纵向、定量和回顾性研究。从医院管理信息系统中收集 2015 年 1 月至 2018 年 6 月期间提交外科手术的患者信息。为了验证数据趋势,使用了简单线性回归模型。
观察到 20 至 39 岁年龄段和紧急入院的患者居多。手术数量和每个手术室的患者数量的结构指标呈上升趋势。过程指标停滞不前。与手术患者数量、住院手术患者数量、手术数量和住院授权患者相关的结果指标呈上升趋势。
观察到过程指标的平均值发生了变化,表明该服务的性能有所提高。在规范、流程和流程方面也观察到了组织变化。