Affiliation:
1. Universidade Estadual de Londrina, Brazil
2. Universidade Federal de São Paulo, Brazil
Abstract
ABSTRACT Objective: To analyze the indicators of surgical patients after the implementation of an Internal Bed Regulation Committee in a university hospital. Method: Longitudinal, quantitative, and retrospective study. The data collection was conducted in the Hospital Management Information institutional system, from which the information of patients submitted to surgical procedures from January 2015 to June 2018 were obtained. To verify the data trends, a simple linear regression model was used. Results: The predominance of patients aged 20 to 39 and hospitalized on an emergency basis was observed. An ascending trend for structure indicators was verified regarding the number of surgical procedures and patients per surgical room. The process indicators were stagnant. An ascending trend was presented by the result indicators related to the number of surgical patients, hospitalized surgical patients, surgical procedures, and patients with Hospitalization Authorization. Conclusion: A change in the mean values of the process indicators was observed, showing the performance of this service. Organizational changes were also observed regarding the establishment of norms, processes, and flows.
Reference28 articles.
1. Livro Branco Brasil Saúde 2015: a sustentabilidade do Sistema de Saúde Brasileiro: caderno de propostas,2014
2. Analysis of the Internal Bed Regulation Committees from hospitals of a Southern Brazilian city;Soares VS;Einstein (São Paulo),2017
3. Nova abordagem de gerenciamento de leitos associada à agenda cirúrgica;Faria E;Rev Adm Saúde,2010
4. Manual de implantação e implementação: núcleo interno de regulação para hospitais gerais e especializados,2017
5. Strategies for improving patient throughput in an acute care setting resulting in improved outcomes: a systematic review;Walker C;Nurs Econ,2016