Implantação da comissão de auditoria interna em instituição de saúde pública do Brasil Central

• Autor(a) principal: Lima, Flávio Henrique Alves de
• Data de Publicação: 2017
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Repositório Institucional da UFG
• Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tede/8183
• topic: Indicadores de desempenho em saúde; Qualidade da assistência; Registros; Segurança do paciente; Auditoria interna; Service performance indicators in health; Quality of assistance; Records; Patient safety; Internal audition; CIENCIAS DA SAUDE::MEDICINA

Objectives: To implement the Internal Audit Committee (IAC) according to service performance indicators of a maternal and child hospital in the central region of Brazil. Methodology: Descriptive and analytical study realized from a situational diagnosis of service performance indicators and educational intervention in a public hospital in the central region of Brazil. Data sources, infection notification files related to the assistance in 2012 and 2016, service performance indicators from January to June 2017 obtained alongside the HICC database and the Internal Center of Regulation. The population was constituted by 10 professionals among managers and workers of the hospital at hand. The sample was of six professionals. Results: Performance indicators were the hospital’s global infection rate of 8,7% on average in 2012 and 3,06% in 2016, with the mortality rate of 32,4% on average in the neonatal ITU. Hospital occupation rates and the average of hospital stay showed important variations among the units evaluated. Shortcomings in relation to the efficacy of records in notification files from HICC established that 37% of them didn’t inform about the patient evolution (hospital discharge, deaths or transfers) and 17,06% which type of delivery. 19,91% of blood culture tests results were positive, but incomplete. The main shortcomings found in files from HICC were incorrect or incomplete records; illegible handwriting and erasure; absence of both records and professional identification; and the lack of clarity of important information. Actions adopted by IAC were a checklist and an interventional educative about audition to its members to reinforce the importance of records at promptuaries and alike; hospital costs; ethics and legal questions over the patient’s quality and safety; elaboration of the Internal Regiment; and the IAC implementation soon after. Conclusions: An IAC in a maternal and child hospital will improve relations among professionals, promoting an efficient communication and the clarity over auditions as a supporting instance with an educative character in searching of quality assistance in health.