Piuvezam, GrasielaVale, Érico de LimaMenezes, Luzia Clara Cunha deBezerra, Isaac Newton MachadoFrutuoso, Everton SouzaGama, Zenewton André da SilvaWanderley, Vivianni Barros2023-11-132023-11-132020PIUVEZAM, Grasiela; VALE, Érico de Lima; MENEZES, Luzia Clara Cunha de; BEZERRA, Isaac Newton Machado; FRUTUOSO, Everton Souza; GAMA, Zenewton André da Silva; WANDERLEY, Vivianni Barros. Melhoria da qualidade do cuidado à hipertensão gestacional em terapia intensiva. Avances En Enfermería, [S.L.], v. 38, n. 1, p. 55-65, 22 jan. 2020. Universidad Nacional de Colombia. DOI http://dx.doi.org/10.15446/av.enferm.v38n1.81081. Disponível em: https://revistas.unal.edu.co/index.php/avenferm/article/view/81081. Acesso em: 9 nov. 2023.e2346-0261https://repositorio.ufrn.br/handle/123456789/55309Objective: to assess the effect of a cycle of quality improvement on the implementation of evidence-based practices in the treatment of women with gestational hypertensive diseas-es admitted to the Maternal Inten-sive Care Unit (MICU).Method: quasi-experimental study, without a control group, performed in a MICU of a university hospital which followed the steps of a cycle of quali-ty improvement. Nine process criteria were assessed in all women admitted with a diagnosis of gestational hyper-tensive diseases in the periods before (n = 50) and after the intervention (n = 50) in 2015. The compliance was estimated with the confidence inter-val of 95 %, the non-conformities with Pareto charts and the significance of improvement with one-tailed Z-test (α = 5 %). Results: the initial quality level was high in six out of nine criteria (ampli-tude: 94-100 %), the practices with the lowest adherence were “magnesium sulfate maintenance” (54 %), “fetal ultrasound request” (72 %) and “intra-venous fluid restriction” (78 %). There was absolute improvement in five out of nine criteria (amplitude: 2-16 %), which was significant for fetal ultra-sound request (absolute improve-ment: 16 %; p = 0.023) and for the total criteria (4%; p = 0.01).Conclusion:the proposed inter-vention of quality improvement increased the adherence to evidence-based recommendations for the treatment of patients with gestation-al hypertension admitted to a MICUAttribution 3.0 Brazilhttp://creativecommons.org/licenses/by/3.0/br/qualidade da assistência à saúdemelhoria de qualidadehipertensão induzida pela gravidezunidades de terapia intensivaquality of health carequality of health careintensive care unitsquality improvementpregnancy-inducedhypertensioncalidad de la atención de saludhipertensión inducida en el embarazomejoramiento de la calidadMelhoria da qualidade do cuidado à hipertensão gestacional em terapia intensivaImprovement of the quality of care for gestati onal hypertension in intensive careMej oramiento de la calidad del cuidado a la hipertensión gestacional en terapia intensivaarticlehttps://doi.org/10.15446/av.enferm.v38n1.81081