Implantação da comissão de auditoria interna em instituição de saúde pública do Brasil Central
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Data
2017-12-15
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Universidade Federal de Goiás
Resumo
Objectives: To implement the Internal Audit Committee (IAC) according to service performance
indicators of a maternal and child hospital in the central region of Brazil. Methodology:
Descriptive and analytical study realized from a situational diagnosis of service performance
indicators and educational intervention in a public hospital in the central region of Brazil. Data
sources, infection notification files related to the assistance in 2012 and 2016, service
performance indicators from January to June 2017 obtained alongside the HICC database and the
Internal Center of Regulation. The population was constituted by 10 professionals among
managers and workers of the hospital at hand. The sample was of six professionals. Results:
Performance indicators were the hospital’s global infection rate of 8,7% on average in 2012 and
3,06% in 2016, with the mortality rate of 32,4% on average in the neonatal ITU. Hospital
occupation rates and the average of hospital stay showed important variations among the units
evaluated. Shortcomings in relation to the efficacy of records in notification files from HICC
established that 37% of them didn’t inform about the patient evolution (hospital discharge, deaths
or transfers) and 17,06% which type of delivery. 19,91% of blood culture tests results were
positive, but incomplete. The main shortcomings found in files from HICC were incorrect or
incomplete records; illegible handwriting and erasure; absence of both records and professional
identification; and the lack of clarity of important information. Actions adopted by IAC were a
checklist and an interventional educative about audition to its members to reinforce the
importance of records at promptuaries and alike; hospital costs; ethics and legal questions over
the patient’s quality and safety; elaboration of the Internal Regiment; and the IAC
implementation soon after. Conclusions: An IAC in a maternal and child hospital will improve
relations among professionals, promoting an efficient communication and the clarity over
auditions as a supporting instance with an educative character in searching of quality assistance in
health.
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Citação
Lima, F. H. A. Implantação da comissão de auditoria interna em instituição de saúde pública do Brasil Central. 2017. 86 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2017.