Navegando por Palavras-chave "Quality Of Health Care"
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- 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.
- ItemAcesso aberto (Open Access)Manual de implantação da qualidade nos serviços de Oftalmologia(Universidade Federal de São Paulo (UNIFESP), 2020-10-29) Calafiori, Icaro Guilherme Donadi Ferreira [UNIFESP]; Sousa, Luciene Barbosa De [UNIFESP]; Universidade Federal de São PauloIntroduction: Since man began to discern and make choices, quality has become part of everyday life. Initially, only in products, but later in services and, finally, in the health area. Thus, as customers wanted good service, in which their needs and desires were satisfied, companies also came to understand the importance of offering this quality to their consumers. Objective: The objective of this work is the construction of a manual that will help in an easier way the implementation of a management focused on quality in ophthalmology services. Method: In order to build this manual, several articles were searched on the main search and reading sites in the main quality books. Result: The organizations started to develop and provide services not only in accordance with what the patient wanted, but also started to aim to enchant them, surprising their expectations, as a way to win and retain their customers. Then came Quality Management, with the purpose of not only valuing customers, but also providing a new way of managing, with the development of standardized processes, the use of tools to understand the priorities of the organization and the motivation of its employees. In this program to be implemented, there was an increase in the company's efficiency, with an increase in customers and, consequently, profit. Losses, wastes, end of rework and elimination of failures were also achieved. Another advantage was the increase in negotiation power with suppliers, who began to see the organization that implemented quality with greater credibility. Therefore, this manual aims to help smaller companies, which do not have the financial capacity to hire professionals specialized in quality, to implement the quality program in ophthalmology services. Conclusion: With the foundation of this new policy, ophthalmological organizations can seek the certifications of the implanted processes and accreditation of the organization as a whole, so that they can, in this way, demonstrate to all, whether customers, employees or suppliers, that those institutions follow faithfully quality standards.
- ItemAcesso aberto (Open Access)Manual de procedimento operacional padrão para o exame angiofluoresceinografia do Setor de Retina do Departamento de Oftalmologia e Ciências Visuais da Universidade Federal de São Paulo(Universidade Federal de São Paulo (UNIFESP), 2021) Fernandes, Rosa Candido [UNIFESP]; Hirai, Flavio Eduardo [UNIFESP]; Universidade Federal de São PauloIntroduction: Several tests are necessary for the evaluation of the retina. Retinal angiography with sodium fluorescein also called fluorescent retinal angiography or fluorescein retinography is an important exam for the diagnosis of many retinal conditions. The exam is performed by obtaining retinal images combined with intravenous administration of sodium fluorescein. Purpose: To elaborate a Standard Operating Procedure Manual (POP) for the Retina Division to improve processes involved in the execution of this exam in our department. Methods: The study was guided by the PDCA cycle: planning (P), implementation and development (D), critical performance analysis (C) and corrective action for dysfunctions or assumption of innovations (A). The management of this process allows the identification of innovation opportunities, reduces variation in processes and prevents errors. Questionnaires were administered to patients submitted to this exam before and after the implementation of new guidelines. Results: During the study, questionnaires were applied to 30 patients who had already been guided through the form used in the Retina Division to measure patient satisfaction in relation to the current orientation process. Guidelines were improved and reviewed by retina specialists from our Department and readily available for implementation. New questionnaires were administered and 100% of the patients were satisfied with the results. A new POP was developed and implemented in the division. Conclusion: A new Standard Operating Procedure Manual for retinal angiography was developed and as well as new guidelines were implemented in the Retina Division of our Department.
- ItemSomente MetadadadosA satisfação do familiar no pronto-socorro infantil sobre a qualidade do serviço e fluxo de atendimento(Universidade Federal de São Paulo (UNIFESP), 2019-02-28) Macedo, Giselle Pinto De Oliveira Sa [UNIFESP]; Innocenzo, Maria D [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Objective: To evaluate the satisfaction rate of the pediatric patients’ companion regarding the quality of care provided and the waiting times in the care flow of the emergency department. Methods: An exploratory, descriptive study was conducted at the Pediatric Emergency Department of a general hospital in the city of São Paulo with participation of 300 pediatric patients. Data collection was performed during February and March 2016. A validated instrument was made available for the family members’ evaluation of the quality of the emergency service. The Spearman correlation and the Mann-Whitney test were used for statistical analysis and the significance level was set at 5% (p<0.05). The subjects of the study and the times recorded in hours were characterized through descriptive analysis, and data were presented in tables as absolute and relative frequencies. Results: The sample included 159 girls (53.0%) and 141 boys (47.0%) with a mean age of 4.6 years. Regarding screening, 214 (71.4%) pediatric patients who entered the emergency department were classified as green, 64 (21.3%) as yellow, 15 (5.0%) as blue, and seven (2.3%) as red. Among the diagnoses, respiratory diseases predominated in the sample, and affected 139 (46.3%) patients, while digestive diseases affected 67 (22.3%) children. As for medical conduct, intravenous medications were prescribed to 137 (45.6%) children and inhalation to 113 (37.6%) children. Among children in the sample, 221 (73.6%) were discharged, 72 (24.0%) were transferred to the pediatric ward, and four (1.3%) were transferred to the Pediatric Intensive Care Unit. Patients’ companions were satisfied with the quality of care provided at the Pediatric Emergency Department. There was significant statistical difference (p<0.05) regarding the satisfaction index of family members of children diagnosed with dermatological diseases, who received medications via rectal route and sought the service because they considered it as a reference or because they did not have health insurance. The level of satisfaction expressed by children’s companions is statistically significant (p<0.05), the shorter the time that patients waited for screening, consultation with the doctor and for receiving the medication prescribed. Companions that took their children to the emergency department because of the pathology (p-0.029) or because they did not find doctors in other hospitals (p-0.021) were satisfied with the waiting time for care. Conclusions: The family members surveyed were satisfied with the quality of care provided to their children and when they were served quickly in the emergency service.