Universidade Federal do Rio Grande do Norte. Natal, Rio Grande do Norte, Brazil.
Rev Bras Enferm. 2022 Jul 18;75(6):e20210346. doi: 10.1590/0034-7167-2021-0346. eCollection 2022.
To evaluate the effectiveness of implementing a quality improvement cycle in the process for identifying critically ill patients in an intensive care center.
The implementation of an observational and interventional improvement cycle, using a before-and-after quasi-experimental design, with a quantitative approach, in an intensive care center. Seven criteria were developed to evaluate the quality of the identification process. The results of the intervention were subjected to statistical analysis.
The quality of the identification process showed significant improvement in the values referring to compliance with the conformities in the criteria evaluated. Statistical significance was observed in the evaluations of criteria C1, C2, C3, C4, and C6, with increased compliance values after the intervention.
The efficacy of the improvement cycle in the quality of the patient identification process was evidenced. It was possible to involve and encourage the participation of the care team and improve organizational processes.
评估在重症监护中心识别危重症患者的过程中实施质量改进周期的效果。
采用观察性和干预性改进周期，使用准实验设计前后对比，采用定量方法，在重症监护中心进行。制定了七个标准来评估识别过程的质量。干预结果进行了统计分析。
识别过程的质量在符合评估标准的一致性方面的数值显示出显著改善。在标准 C1、C2、C3、C4 和 C6 的评估中观察到统计学意义，干预后合规性数值增加。
改进周期在患者识别过程质量方面的有效性得到了证明。能够使护理团队参与并鼓励他们的参与，并改善组织流程。
