| Autor: |
Gabriela Sanchez, Javier Roberti, Luz Gibbons, Ezequiel García-Elorrio, Viviana Rodriguez, Viviana Chediack, Maria del Pilar Arias López, Cecilia Inés Loudet, Facundo Jorro Barón, Rosa Reina, Silvia Liliana Alegría, Cecilia del Valle Barrios, Rodolfo Buffa, María Laura Cabana, Eleonora Roxana Cunto, Simón Fernández Nievas, Mariel Ayelén García, Gabriela Izzo, María Natalia Llanos, Claudia Meregalli, José Joaquín Mira, María Elena Ratto, Mariano Luis Rivet, Ana María Silvestri, Analía Tévez, Leonardo Joaquín Uranga, Graciela Zakalik, Laura Paggi, Jacqueline Vilca Becerra, Ivanna Rodríguez, José Gelmetti, Agustina Paglia, Magali Villacorta, Fernando Luna, Christian Vanini, Alicia Sirino, Carina Balasini, Elizabeth Johanna Bastías Saez, Mariela Viviana Fumale, Leticia Fernanda Castillo, Alejandra del Valle Rodríguez, Andrea Elizabeth Vitale, Yanina Luz Vernetti, Eliseo Velásquez Chambi, Aracelly Pérez Flores, Itala Talamas Hurtado, Marta Verduguez, Verónica Bortoli, Maximiliano Carmona, Matías Caponi, Melisa Chocobar, Flavia Badilla, Gisela Videla, Cecilia Conil, Analía Ileana Resguardo, Silvia Susana González, Elizabeth Rodríguez Muñoz, Rosana Gregori, José Antonio Almeida, Cecilia Verónica Domínguez, Olga Zulema Tejerina, Susana Tejerina, Cintya Tintilay, Malena Lamas, Dalma Gutiérrez, Patricia Báez, Valeria Aguiar, Josefa Galán, María Eugenia Gauna, Daniela Olmos Kutscherauer, Andrea Marcolini, Fernando David Fernández, Luis Fernando Castellano, Silvia Edith Catalini, Gladys Myriam Aramayo, Luciano Inowlocki Calejman, María Luz Torrico, Liliana González, Vilma Villavicencio, Javier Julián Ortega, Pablo Nicolás Taborda, Martín Américo Moreno, Silvina Maricel Moyano, Sebastian Vacas, Claudia del Valle Fernández, Clemente Mamani, Sabrina Guillén, Karina Maciel, Silvia Laura Fernández, Gustavo Plotnikow, Cecilia Florencia Pereyra, Inés Suárez Anzorena, Marianela Lescano, Marina Guglielmino |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
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| Zdroj: |
BMJ Open Quality, Vol 13, Iss 2 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2399-6641 |
| DOI: |
10.1136/bmjoq-2023-002618 |
| Popis: |
Background The demand for healthcare services during the COVID-19 pandemic was excessive for less-resourced settings, with intensive care units (ICUs) taking the heaviest toll.Objective The aim was to achieve adequate personal protective equipment (PPE) use in 90% of patient encounters, to reach 90% compliance with objectives of patient flow (OPF) and to provide emotional support tools to 90% of healthcare workers (HCWs).Methods We conducted a quasi-experimental study with an interrupted time-series design in 14 ICUs in Argentina. We randomly selected adult critically ill patients admitted from July 2020 to July 2021 and active HCWs in the same period. We implemented a quality improvement collaborative (QIC) with a baseline phase (BP) and an intervention phase (IP). The QIC included learning sessions, periods of action and improvement cycles (plan-do-study-act) virtually coached by experts via platform web-based activities. The main study outcomes encompassed the following elements: proper utilisation of PPE, compliance with nine specific OPF using daily goal sheets through direct observations and utilisation of a web-based tool for tracking emotional well-being among HCWs.Results We collected 7341 observations of PPE use (977 in BP and 6364 in IP) with an improvement in adequate use from 58.4% to 71.9% (RR 1.2, 95% CI 1.17 to 1.29, p |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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