Health and quality protocols
Keywords:
Protocolos., Qualidade da assistência à saúde., Mortalidade.Abstract
Gauging the quality of hospital care can be done in numerous ways, including the based protocols that enable the creation, maintenance of values and examples for professionals who interfere in their training and in daily front conduct the patient just like the institution and comparison of results between services, improving them continuously. The health secretariatof São Paulo - SES / SP started assessment work of Teaching Hospitals linked to the Unified Health System - SUS in the state of São Paulo, certified and contracted by the System since the beginning of the process in 2004 set up by inter-institutional committee, composed of ministries, SES / SP and professional associations. From 2006, they are being evaluated about mortality indicators, volume and usefulness of these teaching units, as well as other hospitals under the Unified National Health System - SUS, which are compared with selected indicators from the Agency protocol for Healthcare Research and Quality (AHRQ), the United USA. This activity has been important in monitoring units, in return information to continue improving the quality of care, research and teaching. The historical series currently has nine years (2006-2014) and shows improvement of indicators however they are bellow average verified in american hospitals.
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Bittar OJNV. Saúde e resultados. Jornal Valor Econômico. 2014 Maio16; Opinião A:12.
Bittar OJNV, Magalhães A, editores. Hospitais de ensino no Estado de São Paulo. São Paulo: Secretaria de Estado da Saúde (SP), Assessoria de Hospitais de Ensino; 2007.
Secretaria de Estado da Saúde (SP). Sistema de Avaliação dos Hospitais de Ensino (SAHE) [homepage na Internet]. [São Paulo]: Secretaria de Estado da Saúde. [acesso em 2015 Ago 26]. Disponível em: http:// sistema4.saude.sp.gov.br/sahe/acesso
Agency for Healthcare Research and Quality (U.S.); U.S. Department of Health & Human Services. Inpatient Quality Indicators Overview [internet]. Rockville (MD): Agency for Healthcare Research and Quality. [acesso em 2015 Ago 23]. Disponível em: http://www.qualityindicators. ahrq.gov/Modules/iqi_resources.aspx
Secretaria de Estado da Saúde (SP); Agencia Nacional de Saúde Suplementar. Termo de Cooperação Técnica. Processo SS n. 001/0001/002.432/2007. [São Paulo]: Secretaria de Estado da Saúde, 2007.
Lisboa R, Carvalho AP, Bittar OJNV, Braga, DM, et al. Evaluation of 40 teaching hospitals from São Paulo, Brazil, utilizing inpatient AHRQ quality indicators. In: ISQua’s International Accreditation Programme, 26th International Conference Dublin; 2009 Oct 11-14 ; The Burlington Hotel, Dublin, Ireland.
Secretaria de Estado da Saúde (SP), Sistema de Avaliação dos Hospitais de Ensino (SAHE). Indicadores de Qualidade. [São Paulo]: Secretaria de Estado da Saúde. [atualizada em 2016 Fev 22; acesso em 2015 Ago 26]. Disponível em: http://sistema4.saude.sp.gov.br/sahe
Agency for Healthcare Research and Quality (U.S.). Healthcare Cost and Utilization Project (HCUP) [internet]. Rockville (MD): Agency for Healthcare Research and Quality, 2016 Jan. [acesso em 2015 Ago 26]. Disponível em: http://www. ahrq.gov/research/data/hcup/index.html
AHRQ Quality Indicators (U.S.). Guide to Inpatient Quality Indicators: Quality of Care in Hospitals Volume, Mortality, and Utilization. Rockville (MD): Agency for Healthcare Research and Quality; 2002 [Revision 4, 2004 Dec 22; Acesso em Fev 2016 02). Disponível em: http://www.ahrq. gov/downloads/pub/inpatqi/iqi_guide.pdf
AHRQ Quality Indicators (U.S.). Guide to Inpatient Quality Indicators: Quality of Care in Hospitals–Volume, Mortality, and Utilization. Rockville, MD: Agency for Healthcare Research and Quality; 2006 Feb [Version 3.0.].
AHRQ Quality Indicators (U.S.). Inpatient Quality Indicator Comparative Data: Based on the 2009 Nationwide Inpatient Sample (NIS), Version 4.4. Rockville, MD: Agency for Healthcare Research and Quality, US. Department of Health and Human Services; 2012, Aug [acesso em 2016 Fev 22]. Disponível em: http://www.qualityindicators. ahrq.gov/Downloads/Modules/IQI/V44/ Comparative_Data_IQI_4.4.pdf.
AHRQ Quality Indicators (U.S). TM – Inpatient Quality Indicators™ V5.0 Benchmark Data Tables. Rockville MD: Agency for Healthcare Research and Quality, US Department of Health and Human Services; 2015 Mar.
Bittar OJNV, Magalhães, A. Hospitais de ensino no Estado de São Paulo: seis anos de acompanhamento. Rev. adm. saúde, 2010;(12):155-213.
Piegas LS, Bittar OJNV, Haddad N. Cirurgia de Revascularização Miocárdica, Resultados do Sistema Único de Saúde. Arq. Bras. Cardiol. 2009; 93(5):555-60.
Mendes JDV; Secretaria de Estado da Saúde (SP), Grupo Técnico de Avaliação e Informações de Saúde (Gais). Situação Regional da Taxa de Cesáreas no Estado de São Paulo [boletim]. GAIS Informa. 2013 Set; (25). [acesso em 2016 Fev 22]. Disponível na internet em: http://saude.sp.gov. br/resources/ses/perfil/gestor/homepage// gais-informa/gais_25_setembro_2013.pdf
Pasquali SK, He X, Jacobs JP, et al; University of Michigan Medical School, Department of Pediatrics. Measuring hospital performance in congenital heart surgery: administrative versus clinical registry data. The Annals of Thoracic Surgery. 2015; 99(3):932-8. [Acesso em 2015 Set 22]. Disponível em http:// europepmc.org/abstract/MED/25624057
Bittar OJNV, Magalhães A, Gouveia, R. Hospitais de Ensino: oportunidade de interação intra e interinstitucional. BEPA. 2009 Dez; 6(72). [Acesso em 2015 Set 22]. Disponível em: http://www.cve.saude. sp.gov.br/agencia/bepa72_gais.htm
Mioto R, Alves Gabriel. Medidas de segurança do paciente têm resistência de médicos. Folha de S.Paulo. 2015 Out 09 [Acesso em 2015 Set 22]; Seção Equilíbrio e Saúde. Disponível em: http://www1.folha.uol.com. br/equilibrioesaude/2015/10/1692054
Koike B. Gasto com saúde consumirá 8,4% da renda familiar. Jornal Valor Econômico. 2015 Out 09 [Acesso em 2015 Set 22]; Seção B:6. Disponível em: http://www.bain.com/offices/ saopaulo/pt/press/media-mentions/healthexpenditure-
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