IMPLEMENTATION OF INDICATORS IN AN URGENCY AND EMERGENCY PHYSICAL THERAPY SERVICE

Abstract

As in other health professions, Physical Therapy needs indicators to guide its management and, consequently, ensure quality care. However, indicators in this area are still scarce. OBJECTIVE: implementing indicators as a care management tool in an Urgency and Emergency Physical Therapy service. METHODOLOGY: this is a cross-sectional study carried out in a reference pediatric hospital in the Federal District. The implementation of the 16 indicators was based on care records and service needs. RESULTS: the data revealed a higher incidence of professionals providing assistance in the months of February, July and August. Regarding the volume of care, the number of patients undergoing invasive and non-invasive mechanical ventilation, as well as the number of transfers to the hospital's own pediatric intensive care unit, there was a significant demand in the first few months of the year. As for the number of deaths and unscheduled extubations, there was a higher incidence in March and April, respectively. Regarding the absence of indicators recording, February and November were more prevalent. CONCLUSION: the seasonal period, characterized by a higher prevalence of bronchiolitis cases, occurs in the first half of the year, resulting in greater demand for pediatric beds. The implementation and effective monitoring of urgency and emergency indicators are challenging, given the operational dynamics marked by dynamism, unpredictability and high demand. Resistance to change and lack of organizational culture for management based on indicators are also significant obstacles.