Metodologia da Condição Traçadora para Avaliação do Processo Assistencial de Pacientes com Sepse Grave e Choque Séptico

Abstract

Objective: To propose the managerial analysis of the care process using the sepsis as tracer disease quality. Results: We retrospectively evaluated the records of 18 patients from a single Brazilian public hospital. Adherence to the quality of the care process indicators of sepsis, proposed by the Surviving Sepsis Campaign, was low: lactate collection = 22%; blood cultures = 33%; antibiotics = 28%; use of expanders or vasopressors = 72%; measuring central venous pressure = zero; measurement of central venous oxygen saturation = 6%. In any case, there was not joint implementation of all above items. There was prolonged stay of patients in the emergency room before hospitalization, delayed perception and diagnosis of sepsis, and immediate availability of intensive care for hospital bed. Conclusion: the care in sepsis seems to be sensitive to the quality of health services (English) [ABSTRACT FROM AUTHOR]