Elaboração e implementação de ferramentas de melhoria da qualidade do processo de agendamento de cateterismo cardíaco eletivo

Abstract

Introduction: Cardiac catheterization is an essential procedure in interventional cardiology, used for the diagnosis and treatment of complex heart diseases. In response to the needs of the Unified Health System, Emergency Care Units play a crucial role in the emergency and urgent care network, facing challenges such as the temporary hospitalization of patients due to the lack of hospital beds. The introduction of the Internal Regulation Center has been fundamental in managing patient flows, including scheduling complex procedures such as cardiac catheterization, through the National Regulation System. The research context is presented, highlighting the importance of implementing quality tools to optimize the management of health resources and improve the care provided to patients. Objective: To develop and implement quality improvement tools in the scheduling process for elective cardiac catheterizations. Methodo: The methodology employed in the study is based on Convergent Care Research, which integrates scientific investigation with professional practice. Quality improvement tools were developed, such as the Standard Operating Procedure, the Kanban board, and the informational folder, with the objective of standardizing processes, improving communication among teams, and providing an informed experience for patients. The validation of the tools was carried out through internal and external evaluations. Results: The validation of the Standard Operating Procedure achieved an acceptance rate of over 80% among the evaluating judges. The Kanban board was assessed by the Emergency Care Unit team using a specific method, with satisfactory results. Although the informational folder did not undergo formal evaluation, it was well received by the patients who used it. The implemented tools contributed to process standardization, improved communication among teams, and included patients in the scheduling process for cardiac catheterization, resulting in a smoother and more informed experience. Conclusion: The research concludes that the implementation of quality improvement tools in the elective cardiac catheterization scheduling process at the Emergency Care Unit promoted operational excellence, humanized care, and optimized hospital resources. The developed initiatives strengthened the quality management of health services, aligning with the guidelines of the Unified Health System and exemplifying replicable best practices. Process standardization, effective communication, and patient inclusion were fundamental to improving the care provided by the Emergency Care Unit.