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Implementação de checklist como ferramenta auxiliar na prevenção de Pneumonia Associada a Ventilação Mecânica em UTI de um hospital de Curitiba

Authors: Romualdo Mehret, Rogério; Borba Neves, Eduardo; Saicla Barros, Frieda;

Implementação de checklist como ferramenta auxiliar na prevenção de Pneumonia Associada a Ventilação Mecânica em UTI de um hospital de Curitiba

Abstract

a criação e implementação de uma ferramenta para auxiliar na investigação de possíveis eventos ocorridos dentro de Unidades de Terapia Intensiva (UTI), permite a identificação de novos casos de Pneumonia Associada a Ventilação Mecânica (PAV) de forma precoce, além de auxiliar na sua prevenção, por meio da geração de indicadores de desempenho na área de gestão de processos. Metodologia: através do desenvolvimento de um diagrama de Ishikawa, foi observado oportunidades de melhoria nos processos de cuidado ao paciente. A partir disto, foi criada a ferramenta de Checklist Diário do Serviço de Fisioterapia (CDSF) baseada no Bundle de Prevenção a PAV. Resultados: No início deste processo, no ano de 2011, a mediana de densidade de PAV nas UTI´s do HUC era de 43. Após a implementação do CDSF, a densidade geral de PAV observada no ano de 2015 e 2016 ficou em 19.5, sendo que nas PAV´s consideradas preveníveis ficou em 9,38, o que demonstra a efetividade do Checklist como ferramenta auxiliar nas ações realizadas para prevenção de PAV.

Keywords

PAV, UTI, Fisioterapia, Checklist, UTI, PAV, UTI, Fisioterapia, Checklist Introduction (Heading 1), PAV, Fisioterapia, Checklist

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This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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