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- ItemAcesso aberto (Open Access)Aplicação do Student Leadership Practices Inventory (SLPI) nos programas de pós-graduação Stricto senso do Departamento de Oftalmologia e Ciências Visuais da Escola Paulista de Medicina(Universidade Federal de São Paulo (UNIFESP), 2021) Silva, Lucicleide Ferreira Da [UNIFESP]; Scarpi, Marinho Jorge [UNIFESP]; Universidade Federal de São PauloObjective: to evaluate the leadership in the Graduate Program in Ophthalmology and Visual Sciences and in the Professional Master's Degree in Technology, Management and Eye Care at the Departamento de Oftalmologia e Ciências Visuais da Escola Paulista de Medicina. Methods: exploratory and descriptive study carried out in the Professional Master in Technology, Management and Eye Care at UNIFESP-EPM. 161 individuals were invited to participate in the study, with 39 guiding professors and 122 students, which were evaluated using the Student Leadership Practices Inventory - SLPI survey, which aims to identify leadership practices from five domains with six questions each along with a sociodemographic form. The survey was applied through online collection between October 1, 2019 and March 31, 2020. Results: The rate of adherence and response to the questionnaire was 39.7%, which 73.4% were students and 26.6% were faculty advisors, 45.3% were men and 54.68% women aged varying between 28 and 67 years. There was a significant difference between genders (female and male) for the dimension "Enabling the Action of Others" and the dimension "Encouraging the Heart" was the most used by the students and faculty advisors of the MP-TGSO. Conclusion: it's possible to infer a difference in the leadership profile of the participants of the MP-TGSO in the dimension “Encouraging the heart” when compared with the participants of the PPG-OCV and this dimension was more practiced by women. This indicates that MP-TGSO's students and faculty advisors are the ones who most encourage well done work by praise; they encourage others when they are carrying out their activities; they appreciate the contributions of others, they seek to publicly acknowledge people committed to their values and they celebrate achievement.
- ItemAcesso aberto (Open Access)Estudo da qualidade dos frascos multidose dos colírios: adequação, segurança e melhorias(Universidade Federal de São Paulo (UNIFESP), 2021) Costa, Alexandre Xavier Da [UNIFESP]; Gomes, Jose Alvaro Pereira [UNIFESP]; Universidade Federal de São PauloObjectives: The purpose of this thesis was to contribute to quality improvement of multidose eyedrops by analyzing factors related to appropriate eyedrop packaging, identifying safety issues and user perceptions of eyedrop usability, assessing drop volume variability and the impact of eyedrop bottle tip geometry and instillation angle on contamination rates, with the aim of encouraging specification of requirements for topical ophthalmic products. Methods: From the identification of the multidose eyedrops marketed in Brazil, 297 packages and package inserts were analyzed for informational content, alongside an analysis of the variability of the drop volume and the correlation of the mass per drop measured in five samples of five lubricant eyedrop brands and an evaluation of the performance of five samples of six eyedrops on an airplane during varying altitudes. Risk of cross contamination of six samples from nine brands of multidose eyedrops that were contaminated exclusively on the exterior side of rounded versus sharp tips was measured at instillation angles of 45° and 90° degrees. A survey aiming at a qualitative analysis of the perception, knowledge, usability and consumption trends of eyedrop was administered to 1.003 consumers. Results: Eyedrops represent 91.6% of ophthalmic drugs currently sold in Brazil. The mean drop volume reported by the manufacturers was 36.9 ± 7 µL, ranging from 25.6 to 71.4 µL. Instructions for using eyedrops are uneven and not illustrative, and some products were found to have inadequate package inserts. In the performance test at high altitude, one brand presented leakage and an irregular efflux of drops in all samples. An increased risk of infection transmission was observed in vials with a rounded tip versus a sharp tip [69.4% vs. 22.2%, P=0.001], especially when inclined at an instillation angle of 45° versus 90° [83.3% vs. 44.4%, P=0.005]. Among the 1,003 survey respondents, 84.6% indicated experiencing a part of the eyedrop running over the face upon instillation and 76.2% preferred to have information regarding the total number of drops contained in the eyedrop bottles. Conclusions: The data indicate a possible inadequacy and lack of standardization of eyedrop packaging and bottles, which yield drops of excess volume for the human eye. Moreover, eyedrop bottles with perpendicular platform tips showed greater safety than those with rounded nozzles. Manufacturers should inform the total number of drops in each product, in addition to total net volume. A review of user instructions and requirements for quality standards for the registration of ophthalmic products is recommended.
- ItemSomente MetadadadosInovação em saúde: construção e validação de um instrumento para avaliação da qualidade e segurança do paciente nos serviços de fisioterapia(Universidade Federal de São Paulo (UNIFESP), 2020-06-25) Campos, Carlos Eduardo Kruger De [UNIFESP]; D'Innocenzo, Maria [UNIFESP]; Universidade Federal de São PauloIntroduction - This research was driven by the necessity of knowing which are the main requirements to create an assessment instrument for patient safety and the quality of assistance in physiotherapy services that could contribute to the improvement of care management. Objective - The main goal is to propose an evaluation model for patient safety in physiotherapy services. Method - We opted for a methodological research with a descriptive approach using the Delphi technique for construction and validation of the instrument with a total sample of 26 judges divided into two groups, a group of 14 who participated in the Pre- test and another of 12 that participated in the validation of the instrument. Results - In the pre-test phase, Cronbach's Alpha was 0.979 for the instrument and the Content Validity Coefficient (CVC) was used for the analysis of Content Validity, which resulted in 0.89. In the Instrument Validation phase, Cronbach's Alpha was 0.969 for instrument clarity and 0966 for objectivity / relevance, the Intraclass Correlation Index (ICC) was equal to 1, Pearson was 0.999 and the Content Validation Coefficient , o was 0.92, in addition to it, the Two Proportion Equality Test was also used to measure the degree of agreement between the specialists, with a consensus among them. Conclusion - The conclusion of that instrument for the Assessment of the Quality of Care and Patient Safety in Physiotherapy Services has good psychometric properties and is validated for practical application.
- ItemSomente MetadadadosMetodologia Lean Seis Sigma para melhoria do fluxo de alta em um centro de terapia intensiva(Universidade Federal de São Paulo (UNIFESP), 2020-04-30) Zimmermann, Guilherme Dos Santos [UNIFESP]; Bohomol, Elena [UNIFESP]; Universidade Federal de São PauloObjective: To improve the discharge process within an adult intensive care unit by applying the Lean Six Sigma Methodology. Methods: A prospective, descriptive, exploratory, quantitative study, which followed the DMAIC (Define-Measure-Analyze-Impove-Control) development method for projects. This method was established in five stages: the project definition, the initial measurement and data collection, results assessment, process improvement and statistics monitoring. It took place within an intensive care unit in a private and tertiary hospital in São Paulo between October 2018 and May 2019. The project was approved by the Ethics Committee and all participants agreed to participate by giving the informed consent form. Results: For the first stage entitled Define, a team was formed to define the work’s scope, to elaborate the project’s definitions and to map the process. For stage two Measure, the data collection occurred to stablish the initial sigma capacity in 0,44σ, followed by stage three Analyze, where a brainstorming was held to create the Cause and Effect Diagram prioritizing three of eighteen identified problems. During Improve stage improvements were identified and applied by doing trainings to the team, stablishing goals and defining protocols. Those were monitored after their conclusion through the I-AM control chart which was made in faze Control. At the end, the sigma capacity was raised from 0.44σ to 1,93σ and caused a reduction of 189 minutes to 75 minutes in the process of the ICU discharge, corresponding to an improvement of 61%. Conclusion: The Lean Six Sigma Methodology demonstrated efficiency in reducing the discharge time in an intensive care unit with the possibility of applying quality tools and institutional process optimization.