Gestão De Qualidade No Atendimento Oftalmológico Cirúrgico Do Setor De Catarata Do Departamento De Oftalmologia E Ciências Visuais Da Unifesp

• Autor(a) principal: Okazaki, Cristiane [UNIFESP]
• Data de Publicação: 2017
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=5426027; http://repositorio.unifesp.br/handle/11600/50154
• topic: Quality Control; Cataract; Outpatient Surgical Procedures; Controle De Qualidade; Catarata; Procedimentos Cirúrgicos Ambulatórios

Purpose : The purpose of this study was to determine and diagram the processes, develop and analyze health quality indicators from the surgical center of the cataract division of the Federal University of São Paulo – Paulista School of Medicine. Methods: After orientation of the surgical center staff, processes were determine and mapped out along with the development of health quality indicators. Data were collected through interview with surgical patients for analysis. Results: Fifty-seven patients and interviewed regarding cataract and anesthesia consultation, fasting time, financial conditions to buy medication and loss of work per companion or escort. Information such as a waiting time for surgery, within the surgical center and during surgery, as well as an anesthetic classification were collected. Forty two patients presented controlled comorbid conditions and 4 (7%) had their surgery cancelled due to poor clinical conditions. Mean time between noticing low vision to the first medical appointment in our service was 17.3 months and the mean interval between the first appointment and surgery was 6.6 months. Almost half of the patients reported difficulties to purchase postoperative eye drops and 35.1% of the companions or escorts lost their work day. The mean time in the surgical center was 4.8 hours, and in the operating room was 2.1 hours and on average the patients waited 1.3 hours to enter the surgical center. Conclusion: Medical indicators are important for quality control and their development could be facilitated by process mapping. All staff should be aware of the importance of adequate data collection for quality mangement. Indicators could also be part of a control panel that would help managers in the decision making process to improve medical assistance.