10 results

Evaluation of the quality of Primary Health Care services for children: reflections on the feasibility of using the Brazilian version of the Primary Care Assessment Tool as a routine assessment tool

Liz Ponnet ORCID logo , Sara Willems ORCID logo , Veerle Vyncke ORCID logo , Aylene Emilia Moraes Bousquat ORCID logo , Ana Luiza d’Ávila Viana ORCID logo , Guilherme Arantes Mello ORCID logo , [...]

DOI: 10.31744/einstein_journal/2019AO4333

ABSTRACT Objective To assess the quality of the Primary Health Care services provided to children and the feasibility of using the Brazilian version of Primary Care Assessment Tool (PCAT-Brazil) as a routine quality assessment tool. Methods A cross-sectional study was carried out in Joanópolis, a small rural town in the State of São Paulo (SP), Brazil. Seven health professionals and 502 caretakers of children using the public health center were interviewed using the PCAT-Brazil, collecting data on the core and […]

Efficiency in the operational process: reduction of incorrect entries and guarantee of compliance in the rendering of accounts

Daniela Nobrega Pavão ORCID logo , Monique Buttignol ORCID logo , Adriano José Pereira ORCID logo , Renato Tanjoni ORCID logo , Ederson Haroldo Pereira de Almeida ORCID logo , Patricia Leisnock ORCID logo , [...]

DOI: 10.31744/einstein_journal/2018GS4200

ABSTRACT Objective To verify the impact of the Lean Six Sigma methodology in reducing incorrect entries of non-appropriated revenues and expenses. Methods Process for the review and application of the Lean Six Sigma methodology between December 2015 and September 2016, in a high-complexity general hospital in the city of São Paulo (SP). Results A total of 3,756,814 (100%) entries were audited between December 2015 and September 2016. The Sigma level evolved over the course of the process and increased from […]

Assessment and enrolment process for liver transplantation: nursing management through quality indicators

Fabíola Faustino de Machado Dias, Samira Scalso de Almeida, Marcio Dias de Almeida

DOI: 10.1590/S1679-45082018AO3975

ABSTRACT Objective To establish, measure and analyze quality indicators in the evaluation and enrolment process of patients in a liver transplant program. Methods A quantitative and non-experimental research, with data collected from the database of a liver transplant program, from September 2012 to September 2014. Descriptive statistics were used to analyze the quality indicators identified. Results We analyzed 1,311 visits in the transplant outpatient clinic, most males (66.7%), white (65.1%), mean age of 53 (±12.5) years, from the Southeastern Region […]

Quality Program: what influences the opinion of nursing team

Fernanda Mazzoni da Costa, Irene Duarte Souza, Maria Inês Monteiro, Maria Helena Baena de Moraes Lopes, Rosangela Maria Greco

DOI: 10.1590/s1679-45082016gs3615

ABSTRACTObjectiveTo analyze the major impact variables in the opinion of nursing staff about the Quality Program of a teaching hospital.Methods An exploratory-descriptive study was performed with 72 nursing staff. Data were collected through self-administered questionnaire containing 24 statements about the Quality Program; and the degree of agreement of the participants was expressed in a Likert scale. The collected data were analyzed by factor analysis and Pearson’s correlation coefficient.Results The analysis grouped the statements in six factors. The Pearson’s correlation coefficient […]

Impact of telemedicine in hospital culture and its consequences on quality of care and safety

Milton Steinman, Renata Albaladejo Morbeck, Philippe Vieira Pires, Carlos Alberto Cordeiro Abreu Filho, Ana Helena Vicente Andrade, Jose Claudio Cyrineu Terra, [...]

DOI: 10.1590/S1679-45082015GS2893

ABSTRACTObjectiveTo describe the impact of the telemedicine application on the clinical process of care and its different effects on hospital culture and healthcare practice.Methods The concept of telemedicine through real time audio-visual coverage was implemented at two different hospitals in São Paulo: a secondary and public hospital, Hospital Municipal Dr. Moysés Deutsch, and a tertiary and private hospital, Hospital Israelita Albert Einstein.Results Data were obtained from 257 teleconsultations records over a 12-month period and were compared to a similar period […]

Quality of emergency rooms and urgent care services: user satisfaction

Cássio de Almeida Lima, Bruna Tatiane Prates dos Santos, Dina Luciana Batista Andrade, Francielle Alves Barbosa, Fernanda Marques da Costa, Jair Almeida Carneiro

DOI: 10.1590/S1679-45082015GS3347

Objective To evaluate the quality of emergency rooms and urgent care services according to the satisfaction of their users.Methods A cross-sectional descriptive study with a quantitative approach. The sample comprised 136 users and was drawn at random. Data collection took place between October and November 2012 using a structured questionnaire.Results Participants were mostly male (64.7%) aged less than 30 years (55.8%), and the predominant level of education was high school (54.4%). Among the items evaluated, those that were statistically associated […]

Design of an instrument to measure the quality of care in Physical Therapy

Leny Vieira Cavalheiro, Raquel Afonso Caserta Eid, Claudia Talerman, Cristiane do Prado, Fátima Cristina Martorano Gobbi, Paola Bruno de Araujo Andreoli

DOI: 10.1590/S1679-45082015GS3248

ABSTRACTObjective:To design an instrument composed of domains that would demonstrate physical therapy activities and generate a consistent index to represent the quality of care in physical therapy.Methods:The methodology Lean Six Sigma was used to design the tool. The discussion involved seven different management groups staff. By means of brainstorming and Cause & Effect Matrix, we set up the process map.Results:Five requirements composed the quality of care index in physical therapy, after application of the tool called Cause & Effect Matrix. […]

Mortality in a pediatric secondary-care hospital in post-conflict Liberia in 2009

Thomaz Bittencourt Couto, Sylvia Costa Lima Farhat, Tony Reid, Cláudio Schvartsman

DOI: 10.1590/S1679-45082013000400002

Objective:To describe and analyze the causes of death in a pediatric secondary-care hospital (run by Médecins sans Frontières), in Monrovia, Liberia, 6 years post-civil war, to determine the quality of care and mortality in a setting with limited resources.METHODS:Data were retrospectively collected from March 2009 to October 2009. Patient charts and laboratory records were reviewed to verify cause of death. Additionally, charts of patients aged over 1 month with an infectious cause of death were analyzed for decompensated septic shock, […]

Effect of implementing an acute myocardial infarction guideline on quality indicators

Marcia Makdisse, Marcelo Katz, Alessandra da Graça Corrêa, Luciano Monte Alegre Forlenza, Marco Antonio Perin, Fábio Sândoli de Brito Júnior, [...]

DOI: 10.1590/S1679-45082013000300016

Objective:To evaluate the compliance rates to quality of care indicators along the implementation of an acute myocardial infarction clinical practice guideline.METHODS:A clinical guideline for acute myocardial infarction was introduced on March 1st, 2005. Patients admitted for acute myocardial infarction from March 1st, 2005 to December 31st, 2012 (n=1,431) were compared to patients admitted for acute myocardial infarction before the implementation of the protocol (n=306). Compliance rates to quality of care indicators (ASA prescription on hospital admission and discharge, betablockers on […]

Communication and access to information in assessing the quality of multiprofessional care of patients

Leny Vieira Cavalheiro, Paola Bruno de Araújo Andreoli, Nadia Sueli de Medeiros, Telma de Almeida Busch Mendes, Roselaine Oliveira, Júnia Jorge Rjeille Cordeiro, [...]

DOI: 10.1590/s1679-45082010ao1298

ABSTRACTObjective:To assess the quality of a multiprofessional healthcare model for in-hospital patients by means of two performance indicators (communication and knowledge about the case).Methods:A cross-sectional study assessed the knowledge that professionals had about the clinical information of patients and the use of communication strategies by the team. Healthcare professionals were interviewed during their work period. Seven occupational categories were interviewed. A total of 199 medical charts were randomly selected for interviews, and 312 professionals of different categories were interviewed. The […]