Navegando por Palavras-chave "Gerenciamento do tempo"
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- ItemEmbargoAplicativo para gerenciamento de dados de pacientes em Cirurgia Plástica(Universidade Federal de São Paulo, 2024-05-24) Demay, Flávio Burg [UNIFESP]; Garcia, Elvio Bueno [UNIFESP]; Carvalho Júnior, José da Conceição [UNIFESP]; http://lattes.cnpq.br/0621217930008212; http://lattes.cnpq.br/5558512244477786; https://lattes.cnpq.br/1224945023564854Introdução: O cirurgião plástico brasileiro enfrenta uma rotina de trabalho intensa, sofrendo com problemas de organização de dados dos pacientes e falta de tempo. Feito manualmente, seus registros, muitas vezes, são dispendiosos e levam tempo. Por sua vez, o recente avanço tecnológico permite que seja possível otimizar tal tarefa por meio de aplicativos em smartphones, soluções de baixo custo e intuitivas, que possibilitam um mais fácil acesso a dados importantes dos pacientes. Objetivo: Desenvolver um aplicativo para smartphone para registro de dados e fotos de pacientes da cirurgia plástica. Método: Por meio do Design Thinking, pesquisas em bases de dados como Pubmed, LILACS e Embase, buscas por aplicativos semelhantes na plataforma Google Play, brainstormings e formulários de pesquisa, coletaramse as dores dos cirurgiões plásticos participantes durante o registro de dados dos seus pacientes. Esses critérios serviram de base para a idealização do aplicativo com posterior feedback e avaliação de sua eficiência. Resultados: Um Mínimo Produto Viável (MVP) de um aplicativo para o registro de dados e imagens de pacientes de cirurgia plástica foi criado. Os resultados evidenciaram que o protótipo foi capaz de contribuir para o registro de dados relevantes de maneira rápida e simples, e que o smartphone é uma ferramenta importante nesse aspecto, com impacto positivo para os médicos participantes. O índice SUS (System Usability Scale) atingiu 83,5 pontos, mostrando a excelente usabilidade do aplicativo desenvolvido. Conclusão: Criou se um aplicativo eficiente de smartphone para registro de dados e fotos de pacientes da cirurgia plástica.
- ItemAcesso aberto (Open Access)Assessment of operative times of multiple surgical specialties in a public university hospital(Inst Israelita Ensino & Pesquisa Albert Einstein, 2017) Costa, Altair da Silva, Jr. [UNIFESP]Objective: To evaluate the indicators duration of anesthesia, operative time and time patients stay in the operating rooms of different surgical specialties at a public university hospital. Methods: It was done by a descriptive cross-sectional study based on the operating room database. The following stages were measured: duration of anesthesia, procedure time and patient length of stay in the room of the various specialties. We included surgeries carried out in sequence in the same room, between 7: 00 a. m. and 5 p.m., either elective or emergency. We calculated the 80th percentile of the stages, where 80% of procedures were below this value. Results: The study measured 8,337 operations of 12 surgical specialties performed within one year. The overall mean duration of anesthesia of all specialties was 178.12 +/- 110.46 minutes, and the 80th percentile was 252 minutes. The mean operative time was 130.45 +/- 97.23 minutes, and the 80th percentile was 195 minutes. The mean total time of the patient in the operating room was 197.30 +/- 113.71 minutes, and the 80th percentile was 285 minutes. Thus, the variation of the overall mean compared to the 80th percentile was 41% for anesthesia, 49% for surgeries and 44% for operating room time. In average, anesthesia took up 88% of the operating room period, and surgery, 61%. Conclusion: This study identified patterns in the duration of surgery stages. The mean values of the specialties can assist with operating room planning and reduce delays.
- ItemEmbargoAvaliação do tempo da realização dos registros de enfermagem antes e após implantação do sistema informatizado(Universidade Federal de São Paulo (UNIFESP), 2011-05-25) Betta, Cristiane Aparecida [UNIFESP]; Wainer, Jacques [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The records and nursing notes are essential to patient care. However, studies have reflected on the time of emergence of these records and observed that they consume much of their time of nurses who, overwhelmed by daily care activities, they face a complex challenge of managing the time of care. Aims: To measure and analyze the time of manual registration and automated tasks performed by nursing assistants (EA) and nurses. Methods: This is a study, an observational, prospective, before and after drawing. The measurement of time of manual and electronic record was done in two steps, the drive Surgical Clinic of a public hospital in Sao Paulo. Two nurse´s observers measured the time of manual and computerized record of the nursing tasks performed by 32 AE and certain stages of the Nursing Care System (NCS), conducted by five nurses, previously drawn. The measurement occurred during four hours of work in three periods: morning, noon and night, in nine stages in the same way, with one-month intervals between collections. Data were analyzed by Wilcoxon statistical test, with p<0.05. Results: After comparing the times of the phases manual and computerized, it was observed that the AE obtained significant results in terms of reducing the time of the electronic record in relation to the manual, in most tasks. Except for the "Evolution of Nursing", every step of NCS had increased length of computerized records, comparing with the manual. Conclusions: The performance of the AE in relation to the time of computerized record was better, compared to the time of manual registration, showing that these professionals are adapted to the software. As nurses, we observed that the time of the computerized record was greater than that required manual steps in clinical reasoning. This research allowed us to suppose that the deployment of software to record carefully, optimized the time of nursing assistants and favored the inclusion of elaborate and diverse information on the system by nurses.
- ItemAcesso aberto (Open Access)Tempo de permanência do curativo após mamoplastia de aumento com implantes de silicone:ensaio clínico aleatório(Universidade Federal de São Paulo (UNIFESP), 2015) Mendes, Denise de Almeida [UNIFESP]; Veiga, Daniela Francescato [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Introdução: O tratamento da ferida operatória é controverso na literatura e varia desde não usar curativo, mantê-lo por 24 a 48 horas ou mantê-lo até a retirada das suturas. Objetivo: Avaliar a influência do tempo de permanência do curativo após a mamoplastia de aumento. Métodos: 80 pacientes candidatas à mamoplastia de aumento com implantes de silicone foram distribuídas aleatoriamente em dois grupos. No grupo A o curativo foi retirado no primeiro dia pós-operatório e no grupo B o curativo foi retirado no sexto dia pós-oprtório. A colonização cutânea foi verificada por meio de culturas de amostras coletadas antes e após o curativo ser retirado. A avaliação da ferida operatória quanto a infecção seguiu os critérios definidos pelo Centers for Disease Control and Prevention (CDC). A opinião das pacientes quanto ao curativo foi verificada no 13º dia pós-operatório. Resultados: Não houve diferença significante entre os grupos antes do curativo (p=0,198). No sexto dia pós-operatório o crescimento de bactérias foi significantemente maior no grupo A (p=0,01). Não houve casos de infecção do sítio operatório. As pacientes preferiram manter o curativo por um dia e consideraram a manutenção do curativo por um dia mais prática. Conclusões: A colonização no sexto dia pós-opratório foi maior no grupo A. Não houve diferença entre os grupos na ocorrência de infecção da ferida operatória. As pacientes preferiram remover o curativo no primeiro dia pósoperatório e consideraram mais prático manter o curativo um dia.
- ItemAcesso aberto (Open Access)Tempo de permanência do curativo após mamoplastia redutora: influência na colonização, na infecção da ferida operatória e na opinião das pacientes(Universidade Federal de São Paulo (UNIFESP), 2010-08-25) Veiga Filho, Joel [UNIFESP]; Sabino Neto, Miguel [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Background: There is controversy in the literature regarding the treatment of surgical wounds, which includes different approaches to wound management, such as “not to dress the wound” to “leave the dressing in place for 24-48 hours” or “until sutures are removed”. Objective: To evaluate the effect of the length of time the dressings were left in place after reduction mammaplasty on skin colonization, surgical site infection, and patient opinion. Methods: Seventy patients undergoing reduction mammaplasty were randomly divided into two groups: group PO1 (dressing was removed on the first postoperative day) and group PO6 (dressing was removed on the sixth postoperative day). Skin colonization was detected by culture of samples collected at predefined time points. Surgical site infections were classified according to the guidelines of the Centers for Disease Control and Prevention (CDC). Patient satisfaction was assessed on postoperative day 13. Results: A larger number of colony-forming units were measured in group PO1 on postoperative day 6. Nine (12.9%) patients had surgical site infection (seven from group PO1, and two from group PO2). In group PO1, 66% of the patients chose to keep the dressing for one day, while 83% of the patients in group PO6 chose to keep the dressing for six days. Conclusions: Higher colonization levels were observed in group PO1 on the sixth postoperative day. There was no difference in surgical site infection between groups. Most of the patients chose to keep the dressing in place for six days postoperatively, and felt it was safer.