IMPLEMENTATION OF THE IMPROVEMENT PROJECT TO REDUCE LOWER RESPIRATORY INFECTIONS
DOI:
https://doi.org/10.54620/cadesp.v18i1.1865Keywords:
Financial Management, Pneumonia, Mechanical Ventilation, Health Unic SystemAbstract
The study aims to implement the improvement project to reduce lower respiratory infections associated with MV, with team training, as well as continuous assessment of the impact of this intervention and on service indicators. Practices such as performing oral hygiene, assessing sedation, measuring cuff pressure and using an angle meter in bed for elevated headboards in patients on mechanical ventilation were carried out. From October 2022 to the present date, in a systematic way. The checklist, assessment in PDSA cycles and the use of the resource calculator were used as a data collection instrument. The partial results showed that ventilation-related infection affects the length of stay in the use of health resources and service management. In the first analysis, without the actions implemented, in 2022, a cost of R$554 thousand was calculated, while in the project period in 2023, a cost of R$284 thousand reais, a reduction of 49%. This made it possible to perceive the impact of health practices in the ICU, for patients as well as for the financial scenario of the service.
Downloads
References
Brasil. Agência Nacional de Vigilância Sanitária. Infecções do Trato Respiratório. Orientações para Prevenção de Infecções Relacionadas à Assistência à Saúde. – Brasília: ANVISA, 2017.
Klompas M, et al. Strategies to prevent ventilatorassociated pneumonia, ventilatorassociated events, and noventilator hospitalacquired pneumonia in acute care hospitals: 2022 update. Cambridge: Cambridge University Press, 2022.
Sastre HI del. Integração Itaú Unibanco: reações e percepções dosfuncionários. 2012. Disponível em: http://repositorio.jesuita.org.br/handle/UNISINOS/8847?show=full. Acesso em: 25 set. 2023.
Miranda WD de, Silva GDM da, Fernandes L da MM, Silveira F, SousaRP de. Desigualdades de saúde no Brasil: proposta de priorização para alcance dos objetivos do desenvolvimento sustentável. Cad Saúde Púb. 2023;39(4). DOI: https://doi.org/10.1590/0102-311xpt119022
Oliveira CCM de, O’Dwyer G, Novaes HMD. Desempenho do serviço de atendimento móvel de urgência na perspectiva de gestores e profissionais: estudo de caso em região do estado de São Paulo, Brasil.Ciênc Saúde Col. 2022;27(4):1337-46. DOI: https://doi.org/10.1590/1413-81232022274.01432021
Moura STG, Sousa SB, Kroenke A. Perfil de reinternação em UTI: a tomada de decisão em organizações complexas.CadeSaúdeCol.2022;30(1):127-34. DOI: https://doi.org/10.1590/1414-462x202230010043
PereiraSR, PaivaPB, SouzaPRS de.Sistemas de informação para gestão hospitalar. J Health. 2012. Disponível em:hi.sbis.org.br.
Langley G, Moen R, Nolan K, Nolan T, Norman C, Provost L. The Improvement guide: a practical approach to enhancing organizational performance. 2 ed. San Francisco (CA): JosseyBass Publishers; 2009.
Chicayban LM, Terra ELVS, Ribela JS, Barbosa PF. Bundles de prevenção de pneumonia associada à ventilação mecânica: a importância da multidisciplinaridade. Perspectivas Online: Biológicas e Saúde. 2017;7(25):25-35. DOI: https://doi.org/10.25242/886872520171200
Schetti A, Rech V, SimõesAD, Fontana C, Luz GB,Schlichting D. Adesão às medidas de um bundle para prevenção de pneumonia associada à ventilação mecânica. Rev Bras Ter Int. 2014;26(4):355-9.
Silveira IRda, Maia Fde O, Gnatta JR, Lacerda RA. Higiene bucal: Prática relevante na prevenção de pneumonia hospitalar em pacientes em estado crítico. Acta Paul Enferm. 2010;23(5):697-700. DOI: https://doi.org/10.1590/S0103-21002010000500018
Lim KP, Kuo SW, Ko WJ, Sheng WH, Chang YY, Hong MC, et al. Efficacy of ventilator associated pneumonia care bundle for prevention of ventilator associated pneumonia in the surgical intensive care units of a medical center. J Microbiol Immunol Infect. 2015 – 2018 set. 6;48(3):316-21. DOI: https://doi.org/10.1016/j.jmii.2013.09.007
Sales EMP, Viana MCC, Campos NG, Braide ASG. A prática do Fisioterapeuta intensivista e equipe multiprofissional. Cad Esp. 2022;16(2). DOI: https://doi.org/10.54620/cadesp.v16i2.759
Downloads
Published
How to Cite
Conference Proceedings Volume
Section
Categories
License
Copyright (c) 2024 Cadernos ESP
This work is licensed under a Creative Commons Attribution 4.0 International License.
Accepted 2024-04-04
Published 2024-09-13
