Effectiveness of implementing an improvement cycle in the identification of critically ill patients

ABSTRACT Objective: To evaluate the effectiveness of implementing a quality improvement cycle in the process for identifying critically ill patients in an intensive care center. Methods: The implementation of an observational and interventional improvement cycle, using a before-and-after quasi-experimental design, with a quantitative approach, in an intensive care center. Seven criteria were developed to evaluate the quality of the identification process. The results of the intervention were subjected to statistical analysis. Results: The quality of the identification process showed significant improvement in the values referring to compliance with the conformities in the criteria evaluated. Statistical significance was observed in the evaluations of criteria C1, C2, C3, C4, and C6, with increased compliance values after the intervention. Final considerations: The efficacy of the improvement cycle in the quality of the patient identification process was evidenced. It was possible to involve and encourage the participation of the care team and improve organizational processes.

摘要 研究目的：旨在评估重症监护中心危重症患者识别流程中实施质量改进循环的有效性。研究方法：本研究采用前后对照类实验设计结合定量研究方法，在某重症监护中心开展观察性干预性改进循环研究；制定7项标准以评估患者识别流程的质量，并对干预结果进行统计学分析。研究结果：患者识别流程的质量在所评估标准的合规依从性相关指标上呈现显著改善；其中标准C1、C2、C3、C4及C6的评估结果具有统计学显著性，干预后相关依从性指标均有所提升。研究结论：本研究证实了质量改进循环在优化患者识别流程质量方面的有效性，同时成功动员并激励了医护团队参与，完善了组织工作流程。