Maria Aline Gomes de Oliveira, Ana Elza Oliveira de Mendonça, Rita de Cássia Azevedo Constantino, Jocelly de Araújo Ferreira, Kátia Regina Barros Ribeiro, Sancha Helena Lima Vale
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Applying the quality improvement cycle to prevent cardiac surgical site infections.
Objectives: to assess the effect of a quality improvement cycle for preventing surgical site infections in adult patients undergoing cardiac surgery.
Methods: a quasi-experimental before-and-after study with no control group and a quantitative approach. An improvement cycle was conducted, and data were analyzed over a one-year period at a hospital in northeastern Brazil, using nine process criteria and two outcome criteria. The analysis was performed using point estimates with a 95% Confidence Interval. Chi-square and Fisher's exact tests were performed, with a p-value <0.05.
Results: there was a significant increase in compliance with perioperative criteria. In the second assessment, a 50.8% reduction in the incidence of surgical site infections and a 74.2% reduction in mediastinitis were observed.
Conclusions: the improvement cycle proved effective as a quality management tool for preventing surgical site infections.
期刊介绍：
The Revista Brasileira de Enfermagem created in 1932, March 20 is the official publication of the Associação Brasileira de Enfermagem (Brazilian Nursing Association) has as purpose to disseminate the scientific production from different nursing interest areas of knowledge, including those which express the political project of the Association. The Revista Brasileira de Enfermagem is the oldest journal of the Brazilian nursing. Its first title was "Annaes de Enfermagem" from 1932 to 1941, being entitled Anais de Enfermagem" until 1955, when its title was changed to the current.
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