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      Mejora de la calidad de la atención a pacientes con sepsis en el contexto de un servicio de emergencia Translated title: Melhoria da qualidade do atendimento a pacientes com sepse no contexto de um serviço de emergencia Translated title: Improving the quality of care for patients with sepsis in the context of an emergency service

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          Abstract

          RESUMEN: Objetivo: Describir el proceso de implementación de una intervención participativa y multifacética para mejorar la atención de la sepsis y sus efectos en la mejora de la calidad de la atención. Materiales y métodos: Se trata de un estudio cuasi-experimental del tipo antes-después realizado en 2017/2018 en el servicio de urgencias de un hospital del noreste de Brasil. La calidad de la atención de 564 pacientes diagnosticados con sepsis, se evaluó utilizando nueve criterios de proceso y un criterio de resultado. La intervención fue participativa y multifacética, con una duración de 10 meses. Resultados: Después de la intervención, el número de incumplimientos disminuyó en un 67% (843 vs 506), y los 10 criterios mejoraron, con una mejora significativa (p <0,05) en ocho de ellos. La letalidad disminuyó en un 10% (p = 0,005). Conclusión: El modelo de intervención presentado fue eficaz para mejorar la calidad de la atención de la sepsis en el servicio de urgencias, con la posibilidad de ampliar su uso en los hospitales brasileños.

          Translated abstract

          RESUMO: Objetivo: Descrever o processo de implementação de uma intervenção participativa e multifacetada para melhorar o atendimento à sepse e seus efeitos na melhoria da qualidade do atendimento. Materiais e métodos Trata-se de um estudo quase-experimental do tipo antes-depois realizado em 2017/2018 no serviço de emergência de um hospital do Nordeste do Brasil. A qualidade do atendimento de 564 pacientes com diagnóstico de sepse foi avaliada por meio de nove critérios de processo e um critério de resultado. A intervenção foi participativa e multifacetada, com duração de 10 meses. Resultados Após a intervenção, o número de não conformidades diminuiu 67% (843 vs 506), e todos os 10 critérios melhoraram, com uma melhoria significativa (p <0,05) em oito deles. A letalidade diminuiu 10% (p = 0,005). Conclusão O modelo de intervenção apresentado foi eficaz na melhoria da qualidade do atendimento à sepse no serviço de emergência, com possibilidade de ampliar sua utilização nos hospitais brasileiros.

          Translated abstract

          ABSTRACT: Objective: To describe the process of implementing a participatory and multifaceted intervention to improve sepsis care and its effects on improving the quality of care. Materials and methods: This is a before-after quasi-experimental study conducted in 2017/2018 in the emergency service of a hospital in Northeast Brazil. The quality of care of 564 patients diagnosed with sepsis was assessed using nine process criteria and one result criterion. The intervention was participatory and multifaceted, being applied for 10 months. Results: After the intervention, the number of non-conformities decreased by 67% (843 vs 506), and all 10 criteria improved, with a significant improvement (p<0.05) in eight of them. Lethality decreased by 10% (p=0.005). Conclusion: The intervention model presented was effective in improving the quality of care for sepsis in the emergency service, with the possibility of scaling up its use in Brazilian hospitals.

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          Most cited references29

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          The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3).

          Definitions of sepsis and septic shock were last revised in 2001. Considerable advances have since been made into the pathobiology (changes in organ function, morphology, cell biology, biochemistry, immunology, and circulation), management, and epidemiology of sepsis, suggesting the need for reexamination.
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            Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016.

            To provide an update to "Surviving Sepsis Campaign Guidelines for Management of Sepsis and Septic Shock: 2012".
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              Assessment of Global Incidence and Mortality of Hospital-treated Sepsis. Current Estimates and Limitations.

              Reducing the global burden of sepsis, a recognized global health challenge, requires comprehensive data on the incidence and mortality on a global scale.
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                Author and article information

                Journal
                eg
                Enfermería Global
                Enferm. glob.
                Universidad de Murcia (Murcia, Murcia, Spain )
                1695-6141
                2022
                : 21
                : 67
                : 1-49
                Affiliations
                [3] Manguinhos Rio de Janeiro orgnameFIOCRUZ orgdiv1Escuela Nacional de Saúde Pública Sergio Arouca Brasil
                [1] Rio Grande do Norte orgnameUniversidade Federal do Rio Grande do Norte Brazil vilani.nunes@ 123456gmail.com
                [2] Natal Rio Grande do Norte orgnameUniversidade Federal do Rio Grande do Norte orgdiv1Departamento de Odontologia Brazil
                Article
                S1695-61412022000300001 S1695-6141(22)02106700001
                10.6018/eglobal.503441
                208884ad-f939-45ff-8f1f-285c3288bb4a

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 International License.

                History
                : 21 January 2022
                : 04 December 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 30, Pages: 49
                Product

                SciELO Spain

                Categories
                Originales

                Sepsis,Sepse,Melhoria de Qualidade,Serviços Médicos de Emergência,Gestão de Riscos,Gestão da Segurança,Mejoramiento de la Calidad,Servicios Médicos de Urgencia,Gestión de Riesgos,Administración de la Seguridad,Quality Improvement,Emergency Medical Services,Risk Management,Safety Management

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