Quality measurement in the operating room: which indicators do we use?
DOI:
https://doi.org/10.5327/Z1414-4425202000030004Keywords:
Nursing. Operating rooms. Management indicators. Quality management. Patient safetyAbstract
Objective: To identify the indicators used by nurses working in the operating room and how they are managed. Method: Descriptive, cross-sectional,
and quantitative study, carried out from October 2018 to February 2019. The sample was a convenience sample, with nurses from Brazilian operating
rooms who answered a questionnaire with 53 questions. Data analysis was performed using descriptive statistics and χ2 statistical test with a significance level
of 5%. Results: The indicators most managed by nurses were: number of surgeries canceled (81.6%), infection rate of the surgical site (78.5%), and occupation
of operating rooms per month (69.6%). There was a significant difference in the management of indicators between hospitals with and without external
quality assessment, in terms of training (p=0.000) and sharing the results with the teams (p=0.000), which proved to be equal for the difficulty in using
the tool (p=0.803). Conclusion: Although the indicators are monitored by nurses and hospitals with external assessment show better results in some items
of management and use of indicators, institutions still need to invest in the improvement of professionals and the management of the tool.
References
Indicadores de Salud: Elementos básicos para el análisis de la situacion. OPAS, Bol. Epidemiol., 2001; 22(4): 1-16. [citado 2018 out 29]. Disponível em: http://www.paho.org/spanish/SHA/be_v22n4-indicadores.htm
Oliveira JR, Xavier RMF, Santos JAF. Eventos adversos notificados ao Sistema Nacional de Notificações para a Vigilância Sanitária (NOTIVISA): Brasil, estudo descritivo no período 2006 a 2011. Epidemiol. Serv. Saúde. 2013; 22(4): 671-678. [citado 2018 out 29]. doi: http://dx.doi.org/10.5123/S1679-49742013000400013.
Amaral JAB, Spiri WC, Bocchi SCM. Indicadores de qualidade em enfermagem com ênfase no centro cirúrgico: revisão integrativa da literatura. Rev. SOBECC, 2017; 22(1): 42-51. [citado 2018 out 29]. doi: 10.5327/Z1414-4425201700010008
Duarte IG, Ferreira DP. Uso de indicadores na gestão de um centro cirúrgico. Rev. adm. Saúde, 2006; 8(31):63-70. [citado 2018 nov 02]. Disponível em: http://cqh.org.br/portal/pag/anexos/baixar.php?p_ndoc=224&p_nanexo=66
Jericó MC, Perroca MG, Penha VC. Mensuração de indicadores de qualidade em centro cirúrgico: tempo de limpeza e intervalo entre cirurgias. Rev. Latino-Am. Enfermagem, 2011; 19(5):1-8. [citado 2018 nov 09] doi: http://dx.doi.org/10.1590/S0104-11692011000500023
Bogh SB, Falstie-Jensen AM, Hollnagel E, Holst R, Braithwaite J, Johnsen SP. Improvement in quality of hospital care during accreditation: A nationwide stepped-wedge study. Int. J. Qual. Health C., 2016; 28(6); 715–20. [cited 2019 july 27] doi: https://doi.org/10.1093/intqhc/mzw099
Braga A, Pena MM, Melleiro MM. Métrica de indicadores assistenciais de hospitais certificados. Rev. Enferm. UFPE online, 2018; 12(3): 665-675. [citado 2019 Set 21]. doi: https://doi.org/10.5205/1981-8963-v12i3a230715p665-675-2018
Dalcól C, Garanhani ML. Papel gerencial do enfermeiro de centro cirúrgico: percepções por meio de imagens. Rev. Eletr. Enf., 2016;18:e1168: 1-10. [citado 2019 set 23]. doi: http://dx.doi.org/10.5216/ree.v18.34888.
Ribeiro HCTC, Rodrigues TM, Teles SAF, Pereira RC, Silva LLT, Mata LRF. Distrações e interrupções em sala cirúrgica: percepção de profissionais de enfermagem. Esc Anna Nery, 2018;22(4):e20180042. [citado 2019 set 23] doi: 10.1590/2177-9465-EAN-2018-0042
Silva CJA, Villaça LLE, Novais MAP, Zucchi P. An assessment of the quality indicators of operative and non-operative times in a public university hospital. Einstein (São Paulo), 2015;13(4):594-599. [cited 2019 Sep 25]. doi: http://dx.doi.org/10.1590/S1679-45082015GS3289
Ministério da Saúde (BR). Portaria Nº. 2616 de 12 de maio 1998. Programa de controle de infecções hospitalares. Brasília (DF): Diário oficial da União; 1998. [citado 2019 set 26]. Disponível em: http://bvsms.saude.gov.br/bvs/saudelegis/gm/1998/prt2616_12_05_1998.html
Galvão TF, Lopes MCC, Oliva CCC, Araújo MEA, Silva MT. Patient safety culture in a university hospital. Rev. Latino-Am. Enfermagem. 2018;26:e3014. [cited 2019 Sep 25]. doi: http://dx.doi. org/10.1590/1518-8345.2257.3014.
Elias ACGP, Schmidt DRC, Yonekura CSI, Dias AO, Ursi ES, Silva RPJ, et. al. Avaliação da adesão ao checklist de cirurgia segura. Rev. SOBECC, 2015; 20(3): 128-133. [citado 2019 set 23]. doi: 10.5327/Z1414-4425201500030002
Marquioni FSN, Moreira TR, Diaz FBBS, Ribeiro L. Adesão ao checklist de cirurgia segura. Rev. SOBECC, 2019; 24(1): 22-30. [citado 2019 set 25]. doi: https://doi.org/10.5327/10.5327/Z1414-4425201900010006
Martins FZ, Dall’Agnol CM. Centro cirúrgico: desafios e estratégias do enfermeiro nas atividades gerenciais. Rev Gaúcha Enferm., 2016;37(4):e56945. [citado 2019 set 25]. doi: http://dx.doi.org/10.1590/1983- 1447.2016.04.56945.
Pinto EV, Lunardi LS, Treviso P, Botene DZA. Atuação do enfermeiro na cirurgia robótica: desafios e perspectivas. Revista SOBECC, 2018; 23(1):43-51. [citado 2019 set 25]. doi: https://doi.org/10.5327/Z1414-4425201800010008.
Al-Sughayir MA. Effect of accreditation on length of stay in psychiatric inpatients: pre‑post accreditation medical record comparison. Int J Ment Health Syst., 2016; 55(10):1-5. [cited sep 26]. doi: 10.1186/s13033‑016‑0090‑6
Shaw CD, Groene O, Botje D, Sunol R, Kutryba B, Klazinga N, et. al. The effect of certification and accreditation on quality management in 4 clinical services in 73 European hospitals. Int. J. Qual. Health C., 2014; 26(1):100–107. [cited sep 27]. doi: https://doi.org/10.1093/intqhc/mzu023
Gabriel CS, Bogarin DF, Mikael S, Cummings G, Bernardes A, Gutierrez L, et. al. Perspectiva dos Enfermeiros Brasileiros sobre o Impacto da Acreditação Hospitalar. Enferm. Glob., 2018; 17(49):381-419. [citado 2019 set 27]. Disponível em: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1695-61412018000100381&lng=pt&nrm=iso&tlng=en
Gözlü K, Kaya S. Patient safety culture as perceived by nurses in a Joint Commission International Accredited Hospital in Turkey and its comparison with Agency for Healthcare Research and Quality Data. Patient Saf Qual Improv., 2016 4(4):441-9. [cited 2019 sep 27]. Available from: http://psj.mums.ac.ir/article_7640_9f9dd2489fbe1d50566a94452298fccc.pdf
Downloads
Published
How to Cite
Issue
Section
License
By publishing in Revista SOBECC, authors retain the copyright of their article and agree to license their work using a Creative Commons Attribution (CC BY 4.0) International Public License, thus accepting the terms of this license. The CC BY 4.0 license allows others to distribute, remix, adapt, and create from the published article, even for commercial purposes, provided they give due credit to the creators of the work (authors of the article).
The authors grant to Revista SOBECC the right of first publication, to identify itself as the original publisher, and grant to the journal a non-exclusive license to use the work in the following ways: (1) to sell and/or distribute the article in hard copies and/or in electronic format; (2) to distribute parts and/or the entire article in order to promote the journal through the internet and other digital and printed media; (3) to record and reproduce the article in any format, including digital media.
With this license, authors can enter into separate contracts for non-exclusive distribution of the article (e.g., publishing in an institutional repository or as a book chapter), with acknowledgement of authorship and initial publication in Revista SOBECC. Authors are encouraged to publish and distribute their work online after publication in the Revista SOBECC, as this can increase the article's visibility and impact.
In line with the journal's policies, each published article will be assigned a CC BY 4.0 license, which will be visible on the abstract page and in the PDF of each article with the respective link to the license terms.