Quality in intensive care units: proposal of an assessment instrument
| Autor: | Antônio Augusto Moura da Silva, Ana Paula Pierre de Moraes, Renato Vieira Gomes, Lilian Maria Sobreira Tanaka, Alexandre Guilherme Ribeiro de Carvalho |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Service (systems architecture)
media_common.quotation_subject Psychological intervention lcsh:Medicine Assessment 01 natural sciences General Biochemistry Genetics and Molecular Biology law.invention 03 medical and health sciences 0302 clinical medicine Nursing law Intensive care Surveys and Questionnaires Medicine Humans Operations management Quality (business) Intensive care unit 030212 general & internal medicine 0101 mathematics lcsh:Science (General) lcsh:QH301-705.5 media_common Outcome Quality Indicators Health Care business.industry lcsh:R 010102 general mathematics Structure General Medicine Benchmarking Quality Test (assessment) Process Intensive Care Units lcsh:Biology (General) business Literature survey lcsh:Q1-390 Research Article |
| Zdroj: | BMC Research Notes BMC Research Notes, Vol 10, Iss 1, Pp 1-13 (2017) |
| ISSN: | 1756-0500 |
| Popis: | Background There is an increasing need for standardized instruments for quality assessment that are able to reflect the actual conditions of the intensive care practices, especially in low and middle-income countries. The aim of this article is to describe the preparation of an instrument for quality assessment of adult intensive care services adapted to the actual conditions of intensive care in a middle-income country and comprising indicators validated in the literature. Methods The study consisted of five steps: (1) a literature survey; (2) a discussion with specialists by consensus method; (3) a pilot field test; (4) a description of indicators; and (5) an elaboration of the final version of the instrument. Each generated indicator was attributed a score (“out of standard” = 0; “below standard” = 1; “standard” = 2) that allowed calculation of the total score for each service assessed. Results A total of 62 indicators were constructed, distributed as follows: 38 structure indicators (physical structure: 4; human resources: 14; continued education and training: 2; protocols and routines: 12; material resources: 6); 17 process indicators (safety: 7; work: 10); and seven outcome indicators. The maximum possible total score was 124. Conclusions Possible future applications of the instrument for the assessment of intensive care units that was constructed in the present study include benchmarking, multicenter studies, self-assessment of intensive care units, and evaluation of changes resulting from interventions. Electronic supplementary material The online version of this article (doi:10.1186/s13104-017-2563-3) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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