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- Title
Managed clinical protocol: impact of implementation on sepsis treatment quality indicators.
- Authors
Brito Borguezam, Camila; Tolentino Sanches, Caroline; Paulino Ribeiro Albaneser, Silvia; Rodrigues de Oliveira Moraes, Uiara; Magalhães Carvalho Grion, Cintia; Kerbauy, Gilselena
- Abstract
Objectives: to assess the impact of the implementation of a managed sepsis protocol on quality indicators of treatment for septic patients in an emergency department of a university hospital. Methods: an observational epidemiological study involving septic patients. The study was divided into two phases, pre-intervention and intervention, resulting from the implementation of the managed sepsis protocol. The study variables included sepsis treatment quality indicators. The results were statistically analyzed using the program Epi Info™. Results: the study sample included 631 patients, 95 from pre-intervention phase and 536 from intervention phases. Implementing the protocol increased patients' chances of receiving the recommended treatment by 14 times. Implementing the protocol reduced the hospitalization period by 6 days (p <0.001) and decreased mortality (p <0.001). Conclusions: this study showed that implementing the managed protocol had an impact on the improvement of sepsis treatment quality indicators.
- Subjects
MORTALITY prevention; EVALUATION of human services programs; KEY performance indicators (Management); HOSPITAL emergency services; ACADEMIC medical centers; SCIENTIFIC observation; NURSING; CONFIDENCE intervals; HUMAN services programs; SEPSIS; MEDICAL protocols; CLINICAL medicine; HOSPITAL care; EMERGENCY medical services; DESCRIPTIVE statistics; CHI-squared test; DATA analysis software; ODDS ratio; DISEASE management; EPIDEMIOLOGICAL research
- Publication
Revista Brasileira de Enfermagem, 2021, Vol 74, Issue 2, p1
- ISSN
0034-7167
- Publication type
Article
- DOI
10.1590/0034-7167-2020-0282