Sánchez HB, Cruz MC, García MRM, Hernández MS, Lucio PG

Language: Spanish
References: 0
Page: 96-100
PDF size: 77.64 Kb.

ABSTRACT

At the Instituto Nacional de Cardiología Ignacio Chávez, starting from the month of November 2000, a project of evaluation of the quality is carried out that includes standardization of selected infirmary procedures according to the incidence of conflicts, being one of these the process of prevention and treatment of ulcers by pressure. One of the objectives of this project is the improvement in quality of infirmary attention in the prevention and treatment of ulcers by pressure, by means of the validation of this procedure like an indicator of quality and the establishment of a standard in this respect. Material and methods: A prospective, observational, and longitudinal type investigation of cases was carried out, by means of the design and validation of an audit instrument for the quality of the process of prevention and treatment of ulcers by pressure, which was applied in two periods. Nurses that assist hospitalized patients for more than 48 hours were observed; these patients should have a punctuation of 14 or less in the Norton scale of valuation, which indicates the risk of suffering ulcers by pressure. Nurses whose patients already had ulcers by pressure were also observed. The audit instrument was applied through direct observation, in a random way; the punctuation of each activity went from 1 to 5 points according to its importance; the omitted activity was qualified with zero; the prospective sum for the prevention of ulcers was of 20 points and the sum in the treatment was of 30 points. Results: The index of global efficiency for the prevention in the first stage was of 69%, being in the non execution level, and in the second stage was of 82% which locates us in the partial performance. For the treatment, in the first stage, the index of global efficiency was of 71% representing a minimum performance and 81% in the second stage that indicates us that a partial performance exists. Conclusions: The applied instruments allowed us to measure the quality of infirmary attention during the development process and in this way to implement a program of continuous improvement. A standard of quality can be settled down with relation to the procedure of prevention and treatment of ulcers by pressure and to improve the efficiency of attention around this.