Managed clinical protocol: impact of implementation on sepsis treatment quality indicators
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Enfermagem (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672021000200165 |
Resumo: | ABSTRACT Objectives: to assess the impact of the implementation of a managed sepsis protocol on quality indicators of treatment for septic patients in an emergency department of a university hospital. Methods: an observational epidemiological study involving septic patients. The study was divided into two phases, pre-intervention and intervention, resulting from the implementation of the managed sepsis protocol. The study variables included sepsis treatment quality indicators. The results were statistically analyzed using the program Epi InfoTM. Results: the study sample included 631 patients, 95 from pre-intervention phase and 536 from intervention phases. Implementing the protocol increased patients’ chances of receiving the recommended treatment by 14 times. Implementing the protocol reduced the hospitalization period by 6 days (p <0.001) and decreased mortality (p <0.001). Conclusions: this study showed that implementing the managed protocol had an impact on the improvement of sepsis treatment quality indicators. |
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Revista Brasileira de Enfermagem (Online) |
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Managed clinical protocol: impact of implementation on sepsis treatment quality indicatorsClinical ProtocolsSepsisNursingQuality Indicators, Health CareEmergency TreatmentABSTRACT Objectives: to assess the impact of the implementation of a managed sepsis protocol on quality indicators of treatment for septic patients in an emergency department of a university hospital. Methods: an observational epidemiological study involving septic patients. The study was divided into two phases, pre-intervention and intervention, resulting from the implementation of the managed sepsis protocol. The study variables included sepsis treatment quality indicators. The results were statistically analyzed using the program Epi InfoTM. Results: the study sample included 631 patients, 95 from pre-intervention phase and 536 from intervention phases. Implementing the protocol increased patients’ chances of receiving the recommended treatment by 14 times. Implementing the protocol reduced the hospitalization period by 6 days (p <0.001) and decreased mortality (p <0.001). Conclusions: this study showed that implementing the managed protocol had an impact on the improvement of sepsis treatment quality indicators.Associação Brasileira de Enfermagem2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672021000200165Revista Brasileira de Enfermagem v.74 n.2 2021reponame:Revista Brasileira de Enfermagem (Online)instname:Associação Brasileira de Enfermagem (ABEN)instacron:ABEN10.1590/0034-7167-2020-0282info:eu-repo/semantics/openAccessBorguezam,Camila BritoSanches,Caroline TolentinoAlbaneser,Silvia Paulino RibeiroMoraes,Uiara Rodrigues de OliveiraGrion,Cintia Magalhães CarvalhoKerbauy,Gilselenaeng2021-05-26T00:00:00Zoai:scielo:S0034-71672021000200165Revistahttp://www.scielo.br/rebenhttps://old.scielo.br/oai/scielo-oai.phpreben@abennacional.org.br||telma.garcia@abennacional.org.br|| editorreben@abennacional.org.br1984-04460034-7167opendoar:2021-05-26T00:00Revista Brasileira de Enfermagem (Online) - Associação Brasileira de Enfermagem (ABEN)false |
dc.title.none.fl_str_mv |
Managed clinical protocol: impact of implementation on sepsis treatment quality indicators |
title |
Managed clinical protocol: impact of implementation on sepsis treatment quality indicators |
spellingShingle |
Managed clinical protocol: impact of implementation on sepsis treatment quality indicators Borguezam,Camila Brito Clinical Protocols Sepsis Nursing Quality Indicators, Health Care Emergency Treatment |
title_short |
Managed clinical protocol: impact of implementation on sepsis treatment quality indicators |
title_full |
Managed clinical protocol: impact of implementation on sepsis treatment quality indicators |
title_fullStr |
Managed clinical protocol: impact of implementation on sepsis treatment quality indicators |
title_full_unstemmed |
Managed clinical protocol: impact of implementation on sepsis treatment quality indicators |
title_sort |
Managed clinical protocol: impact of implementation on sepsis treatment quality indicators |
author |
Borguezam,Camila Brito |
author_facet |
Borguezam,Camila Brito Sanches,Caroline Tolentino Albaneser,Silvia Paulino Ribeiro Moraes,Uiara Rodrigues de Oliveira Grion,Cintia Magalhães Carvalho Kerbauy,Gilselena |
author_role |
author |
author2 |
Sanches,Caroline Tolentino Albaneser,Silvia Paulino Ribeiro Moraes,Uiara Rodrigues de Oliveira Grion,Cintia Magalhães Carvalho Kerbauy,Gilselena |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Borguezam,Camila Brito Sanches,Caroline Tolentino Albaneser,Silvia Paulino Ribeiro Moraes,Uiara Rodrigues de Oliveira Grion,Cintia Magalhães Carvalho Kerbauy,Gilselena |
dc.subject.por.fl_str_mv |
Clinical Protocols Sepsis Nursing Quality Indicators, Health Care Emergency Treatment |
topic |
Clinical Protocols Sepsis Nursing Quality Indicators, Health Care Emergency Treatment |
description |
ABSTRACT Objectives: to assess the impact of the implementation of a managed sepsis protocol on quality indicators of treatment for septic patients in an emergency department of a university hospital. Methods: an observational epidemiological study involving septic patients. The study was divided into two phases, pre-intervention and intervention, resulting from the implementation of the managed sepsis protocol. The study variables included sepsis treatment quality indicators. The results were statistically analyzed using the program Epi InfoTM. Results: the study sample included 631 patients, 95 from pre-intervention phase and 536 from intervention phases. Implementing the protocol increased patients’ chances of receiving the recommended treatment by 14 times. Implementing the protocol reduced the hospitalization period by 6 days (p <0.001) and decreased mortality (p <0.001). Conclusions: this study showed that implementing the managed protocol had an impact on the improvement of sepsis treatment quality indicators. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672021000200165 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672021000200165 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0034-7167-2020-0282 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Brasileira de Enfermagem |
publisher.none.fl_str_mv |
Associação Brasileira de Enfermagem |
dc.source.none.fl_str_mv |
Revista Brasileira de Enfermagem v.74 n.2 2021 reponame:Revista Brasileira de Enfermagem (Online) instname:Associação Brasileira de Enfermagem (ABEN) instacron:ABEN |
instname_str |
Associação Brasileira de Enfermagem (ABEN) |
instacron_str |
ABEN |
institution |
ABEN |
reponame_str |
Revista Brasileira de Enfermagem (Online) |
collection |
Revista Brasileira de Enfermagem (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Enfermagem (Online) - Associação Brasileira de Enfermagem (ABEN) |
repository.mail.fl_str_mv |
reben@abennacional.org.br||telma.garcia@abennacional.org.br|| editorreben@abennacional.org.br |
_version_ |
1754303039449071616 |