47 results

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 […]

An assessment of the quality indicators of operative and non-operative times in a public university hospital

Altair da Silva Costa Jr, Luiz Eduardo Villaça Leão, Maykon Anderson Pires de Novais, Paola Zucchi

DOI: 10.1590/S1679-45082015GS3289

ABSTRACTObjectiveTo assess the operative time indicators in a public university hospital.Methods A descriptive cross-sectional study was conducted using data from operating room database. The sample was obtained from January 2011 to January 2012. The operations performed in sequence in the same operating room, between 7:00 am and 5:00 pm, elective or emergency, were included. The procedures with incomplete data in the system were excluded, as well as the operations performed after 5:00 pm or on weekends or holidays.Results We measured […]

Application of preventive medicine resources in the health insurance system

Karla Regina Dias de Oliveira, Márcia Mello Costa De Liberal, Paola Zucchi

DOI: 10.1590/S1679-45082015GS3453

ABSTRACTObjectiveTo identify the financial resources and investments provided for preventive medicine programs by health insurance companies of all kinds.Methods Data were collected from 30 large health insurance companies, with over 100 thousand individuals recorded, and registered at the Agência Nacional de Saúde Suplementar.Results It was possible to identify the percentage of participants of the programs in relation to the total number of beneficiaries of the health insurance companies, the prevention and promotion actions held in preventive medicine programs, the inclusion […]

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 […]

Comparison of thromboprophylaxis patterns in arthroplasty in public and private hospitals

Aline Pinheiro dos Santos Cortada, Telma Gomes da Silva, André Campos da Silva, Ricardo Prado Golmia, Renata Leborato Guerra, Maíra Libertad Soligo Takemoto, [...]

DOI: 10.1590/S1679-45082015GS3057

ObjectiveTo compare therapy for prophylaxis of venous thromboembolism and costs related to hospitalization of patients undergoing total knee and hip replacement within the context of the Brazilian health system.MethodsA retrospective study of patients undergoing arthroplasty in 2010 in a public hospital and two private hospitals in the state of São Paulo, conducted by means of medical record review. Costs were estimated based on the use of health care resources during hospitalization. A descriptive analysis was performed using frequency and mean […]

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. […]

Impact of implementing an Internal Bed Regulation Committee on administrative and care indicators at a teaching hospital

Luciane Cristine Ribeiro Rodrigues, Carmen Maria Casquel Monti Juliani

DOI: 10.1590/S1679-45082015GS3235

ObjectiveTo compare hospital indicators before and after implementing an Internal Bed Regulation Committee at a reference hospital.MethodsIt is an quantitative, evaluation, exploratory, descriptive and cross-sectional research. The data was gathered from the hospital administrative reports for the period 2008-2013, provided by the Information Technology Center of the Complexo FAMEMA.ResultsThe indicators improved after implementation of the Internal Bed Regulation Committee.ConclusionThe individuals involved in the process acknowledged the improvement. It is necessary to carry on the regulatory actions, especially in a comprehensive […]

Advanced units: quality measures in urgency and emergency care

Dan Carai Maia Viola, Eduardo Cordioli, Carlos Henrique Sartorato Pedrotti, Mauro Iervolino, Antonio da Silva Bastos Neto, Luis Roberto Natel de Almeida, [...]

DOI: 10.1590/S1679-45082014GS2894

Objective:To evaluate, through care indicators, the quality of services rendered to patients considered urgency and emergency cases at an advanced emergency care unit.Methods: We analyzed data from managerial reports of 64,891 medical visits performed in the Emergency Care Unit of the Ibirapuera Unit at Care during the period from June 1st, 2012 through May 31st, 2013. The proposed indicators for the assessment of care were rate of death in the emergency care unit; average length of stay of patients in […]

Public private partnership in vascular surgery

Cynthia de Almeida Mendes, Alexandre de Arruda Martins, Marcelo Passos Teivelis, Sérgio Kuzniec, Nelson Wolosker

DOI: 10.1590/s1679-45082014gs3029

Objective To describe and analyze the results of a public-private partnership between the Ministry of Health and a private hospital in a project of assistance and scientific research in the field of endovascular surgery.Methods:The flows, costs and clinical outcomes of patients treated in a the public-private partnership between April 2012 and July 2013 were analyzed. All patients underwent surgery and stayed at least one day at the intensive care unit of the private hospital. They also participated in a research […]

Cost estimate of hospital stays for premature newborns of adolescent mothers in a Brazilian public hospital

Lutufyo Witson Mwamakamba, Paola Zucchi

DOI: 10.1590/S1679-45082014GS2959

Objective:To estimate the direct costs of hospital stay for premature newborns of adolescent mothers, in a public hospitalb>Methods:A cost estimate study conducted between 2009 and 2011, in which direct hospital costs were estimated for premature newborns of adolescent mothers, with 22 to 36 6/7 gestational weeks, and treated at the neonatal unit of the hospital.b>Results: : In 2006, there were 5,180 deliveries at this hospital, and 17.8% (922) were newborns of adolescent mothers, of which 19.63% (181) were admitted to […]

1 2 3 4 5