Melhoria da qualidade no monitoramento de indicadores de sepse em um hospital da Paraíba

Abstract

Introduction: Sepsis is a complex and extremely serious disease, life-threatening, and a significant public health problem, with a high potential for mortality, being the leading cause of death from infection. Objective: Enhance the quality of monitoring indicators related to sepsis in an Emergency and Trauma Hospital in Campina Grande-Paraiba. Methodology: This research is a descriptive observational study with a time series analysis of sepsis indicators, implemented through an improvement cycle. The study included all patients admitted to the hospital with a diagnosis or suspicion of sepsis from February 2022 to January 2023. The dataset were collected on lactate measurement, blood culture collection, initiation of antibiotic therapy, and sepsis-related mortality. Activities for improving data collection were carried out, involving the Infection Control Service team and healthcare professionals directly assisting sepsis patients in the hospital. Data analysis was discussed and presented in form of tables and graphs. The study was approved by the Human Research Ethics Committee (HREC) (CAAE: 68120623.4.0000.5292). Results: The study involved 960 medical records. Adherence rates for lactate and blood culture collection criteria were low, while the antimicrobial therapy criterion showed better adherence to the protocol. The mortality rate varied, with an average of 47%. After interventions, more satisfactory results were observed, coinciding with changes in the intervention strategies within the improvement cycle. Conclusion: The study revealed issues with the quality levels associated with adherence to recommended care measures in the Sepsis Protocol. Although improvement interventions did not reach expected goals, the execution of the improvement cycle significantly influenced the alteration of intervention strategies related to quality management and the organization of sepsis indicator monitoring. The findings emphasize the ongoing importance of evaluating and improving health practices to ensure efficient care delivery.