Melhoria da qualidade no controle de estoque de concentrado de hemácias de uma unidade de coleta e transfusão

• Ano de defesa: 2021
• Autor(a) principal: Martins, Leandro de Souza
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal do Rio Grande do Norte; Brasil; UFRN; PROGRAMA DE PÓS-GRADUAÇÃO EM GESTÃO DA QUALIDADE EM SERVIÇOS DE SAÚDE
• Palavras-chave em Português: Melhoria da qualidade; Serviço de hemoterapia; Estoque estratégico; Hemácias
• Link de acesso: https://repositorio.ufrn.br/handle/123456789/33082

Introduction: The Collection and Transfusion Unit (CTU) of Currais Novos-RN routinely carries out blood donation campaigns in the most diverse media, which reflects a constant concern with the expansion and loyalty of donors. The service constantly presents imbalances in the stock of red blood cell concentrate (RBC), because although it eventually goes through moments of scarcity in the stock of this blood component, it registers high rates of discharges by maturity. This is due to the lack of an efficient inventory management process. Objective: Implement and evaluate the impact of a cycle of quality improvement in the control of RBC stocks. Methodology: This is an improvement cycle that included a quantitative study of a quasi-experimental type, of the before and after type, with 6 measurements before and 6 measurements after the start of the intervention. The development of the improvement cycle was divided into 6 phases. Phase 1: Identification of the improvement opportunity through the nominal group technique; Phase 2: Analysis of the Cause and Effect Diagram; Phase 3: Construction of quality criteria; Phase 4: Quality level assessment; Phase 5: Elaboration and execution of an intervention strategy, through the Affinity Diagram and Gantt Diagram; Phase 6: Reassessment of the level of quality after the execution of the intervention. Data analysis was performed from the calculation of the proportions of the criteria, considering the period of six months before and six months after the intervention. To analyze the effect of the intervention, the values of absolute and relative improvement were estimated. Statistical significance was tested using the Z-value test. Results: The results revealed an average use of RBC bags went from 80.5% to 93.5% after the intervention, justified by the increase in the sending of bags to other services. of hemotherapy (from 32.6% to 46.4%), since there was no significant increase in the percentage of distribution of blood bags to hospitals. There was no significant improvement in the percentage of repeat donors. Conclusions: The improvement cycle resulted in an improvement in the control of RBC inventory at the CTU of Currais Novos-RN, verified by increasing the use of this product and, consequently, reducing its losses due to maturity.