Freitas, Marise Reis deCunha, Eduardo Queiroz da2019-03-112019-03-112018-09-26CUNHA, Eduardo Queiroz da. Implementação de um sistema de alerta precoce em um Hospital Universitário. 2018. 48f. Dissertação (Mestrado Profissional em Gestão da Qualidade em Serviços de Saúde) - Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, 2018.https://repositorio.ufrn.br/jspui/handle/123456789/26740Introduction: In the hospital environment, the complexity of care and the heterogeneity of care make it difficult to properly identify a potentially ill patient. Adherence to early warning scores allows redirection of the deteriorating patient to an appropriate care and monitoring environment. Objectives: To implement the National Early Warning Score (NEWS) in a university hospital setting using the improvement cycle technique. Methodology: A quasiexperimental study, in which NEWS was implemented in the cardiovascular disease ward of a university hospital, from December 2017 to June 2018. Three improvement cycles were performed, based on the qualification of the medical staff and nursing. Eight indicators were used to evaluate the adequacy of the process. Unilateral Z-test was used to analyze the effect of the interventions and absolute and relative improvement values were calculated. Noncompliance data from subsequent evaluations were analyzed using a Pareto before-and-after graph. Results: A total of 86 professionals were trained. Four of the eight criteria achieved adherence above 95% and two criteria with significant improvement before and after the intervention (P <0.05). There was a 42.2% reduction in the number of nonconformities in the third and last evaluation after the intervention (P = 0.017). The total number of compliments of the indicators at the end was 75.2%. Conclusions: Quality improvement tools, particularly improvement cycles, can be used to implement an early warning system, thus ensuring greater safety in the inpatient care and with the possibility of clinical deterioration.Acesso AbertoCuidados críticosSegurança do pacienteGestão da qualidadeMelhoria da qualidademasterThesisCNPQ::CIENCIAS DA SAUDE: GESTÃO DA QUALIDADE EM SERVIÇOS DE SAÚDE