Quality assessment of adult intensive care services: application of a tool adjusted to the reality of low-income countries.

Autor: Carvalho AGR; Departamento de Saúde Pública, Universidade Federal do Maranhão - São Luís (MA), Brasil.; Serviço de Terapia Intensiva, UDI Hospital - São Luís (MA), Brasil., Moraes APP; Serviço de Terapia Intensiva, Hospital Tarquínio Lopes Filho - São Luís (MA), Brasil., Carvalho ACP; Serviço de Terapia Intensiva, UDI Hospital - São Luís (MA), Brasil., Silva AAMD; Departamento de Saúde Pública, Universidade Federal do Maranhão - São Luís (MA), Brasil.
Jazyk: Portuguese; English
Zdroj: Revista Brasileira de terapia intensiva [Rev Bras Ter Intensiva] 2019 May 30; Vol. 31 (2), pp. 138-146. Date of Electronic Publication: 2019 May 30.
DOI: 10.5935/0103-507X.20190031
Abstrakt: Objective: To assess the quality of adult intensive care units.
Methods: This population-based, cross-sectional, observational, analytical study evaluated management type in Maranhão, Brazil. An assessment instrument was applied that assigned scores to each service (maximum 124 points). The units were categorized as insufficient (< 50% of the maximum score), typical (≥ 50% and <80% of the maximum score), or sufficient (≥ 80% of the maximum score).
Results: Of the 26 intensive care units in Maranhão, 23 were evaluated; 15 (65.2%) were located in the state capital, and 14 (60.9%) were public. The mean final score was 67.2 (54.2% of the maximum). The worst performance was observed with regard to processes (50.9%) in the units located outside the capital (p = 0.037) and for hospitals with 68 beds or fewer (p = 0.027). The result of the assessment categorized services as a function of the overall total points earned. Specifically, 8 (34.8%) services were assessed as insufficient, 13 (56.5%) were assessed as typical, and 2 (8.7%) were assessed as sufficient.
Conclusion: The majority of the intensive care units in this study were assessed as typical. These services must be better qualified. The priorities are the processes of the units located outside the capital and in small hospitals.
Databáze: MEDLINE
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