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Quality in intensive care units: proposal of an assessment instrument
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 quali...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5485612/ https://www.ncbi.nlm.nih.gov/pubmed/28651640 http://dx.doi.org/10.1186/s13104-017-2563-3 |
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author | de Carvalho, Alexandre Guilherme Ribeiro de Moraes, Ana Paula Pierre Tanaka, Lilian Maria Sobreira Gomes, Renato Vieira da Silva, Antônio Augusto Moura |
author_facet | de Carvalho, Alexandre Guilherme Ribeiro de Moraes, Ana Paula Pierre Tanaka, Lilian Maria Sobreira Gomes, Renato Vieira da Silva, Antônio Augusto Moura |
author_sort | de Carvalho, Alexandre Guilherme Ribeiro |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5485612 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-54856122017-06-30 Quality in intensive care units: proposal of an assessment instrument de Carvalho, Alexandre Guilherme Ribeiro de Moraes, Ana Paula Pierre Tanaka, Lilian Maria Sobreira Gomes, Renato Vieira da Silva, Antônio Augusto Moura BMC Res Notes Research Article 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. BioMed Central 2017-06-26 /pmc/articles/PMC5485612/ /pubmed/28651640 http://dx.doi.org/10.1186/s13104-017-2563-3 Text en © The Author(s) 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article de Carvalho, Alexandre Guilherme Ribeiro de Moraes, Ana Paula Pierre Tanaka, Lilian Maria Sobreira Gomes, Renato Vieira da Silva, Antônio Augusto Moura Quality in intensive care units: proposal of an assessment instrument |
title | Quality in intensive care units: proposal of an assessment instrument |
title_full | Quality in intensive care units: proposal of an assessment instrument |
title_fullStr | Quality in intensive care units: proposal of an assessment instrument |
title_full_unstemmed | Quality in intensive care units: proposal of an assessment instrument |
title_short | Quality in intensive care units: proposal of an assessment instrument |
title_sort | quality in intensive care units: proposal of an assessment instrument |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5485612/ https://www.ncbi.nlm.nih.gov/pubmed/28651640 http://dx.doi.org/10.1186/s13104-017-2563-3 |
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