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Auditorias clínicas em radiologia geral
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 2.11 MB | Adobe PDF |
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Advisor(s)
Abstract(s)
Introdução: A Diretiva 2013/59/ Euratom, do Conselho, de 5 de dezembro de 2013, fixou as normas de segurança de base relativas à proteção contra os perigos resultantes da exposição a radiações ionizantes. Esta Diretiva foi transposta para o quadro legislativo nacional, através do Decreto-Lei 108/2018, de 3 de dezembro, que estabelece o regime jurídico da proteção radiológica em Portugal, e uma das novidades introduzidas, relativamente ao regime jurídico anterior é o conceito de “Auditoria clínica” ou seja, “uma
análise ou revisão sistemática dos procedimentos radiológicos médicos com o objetivo de melhorar a qualidade e os resultados dos cuidados prestados ao paciente, através de uma revisão estruturada em que as práticas, procedimentos e resultados radiológicos médicos são examinados em função de normas aprovadas de bons procedimentos radiológicos médicos, e que dá lugar à alteração das práticas em causa, se for caso disso, e à aplicação, se necessário, de novas normas”.
Objetivo: Pretende-se com este trabalho desenvolver e aplicar um modelo de auditoria clínica, no âmbito da proteção radiológica, num hospital público, avaliando a qualidade e eficiência do serviço de saúde, garantindo a conformidade com padrões e protocolos, identificando áreas de melhoria, assegurando o rigor dos registos clínicos e promovendo a segurança dos utentes.
Métodos: Foi criado um mapa de riscos, tendo por base a legislação vigente, boas práticas reconhecidas e artigos científicos de referência. O estudo foi desenvolvido em fevereiro de 2024, na ULS Médio Tejo, Unidade Hospitalar de Tomar. A recolha de dados foi feita através de entrevistas semiestruturadas, e de documentação existente em base de dados hospitalar.
Resultados: Foi criada e implementada uma auditoria clínica, com 60 indicadores, dos quais 37 estavam em conformidade, 10 oportunidades de melhoria e 13 não conformidades.
Conclusões: Desenvolveu-se e aplicou-se um modelo de auditoria clínica, no âmbito da proteção radiológica, numa instituição pública, avaliando a qualidade e eficiência do serviço de saúde, garantindo a conformidade com padrões e protocolos, identificando áreas de melhoria, assegurando o rigor dos registos clínicos e promovendo a segurança dos utentes.
Introduction: Council Directive 2013/59/Euratom, from 5th December 2013, established basic safety standards relating to protection against dangers resulting from exposure to ionizing radiation. This Directive was transposed into the portuguese legislative framework, through Law 108/2018, from 3rd December, which establishes the legal regime for radiological protection in Portugal, and one of the new features introduced, in relation to the previous legal regime, is the concept of “Clinical audit” as “a systematic analysis or review of medical radiological procedures with the aim of improving the quality and outcomes of patient care through a structured review in which medical radiological practices, procedures and results are examined based on approved standards of good medical radiological procedures, which gives rise to changes in the practices, and if necessary the appliance of new standards”. Objective: The aim of this work is to develop and apply a clinical audit model, within the scope of radiological protection, in a public hospital, evaluating the quality and efficiency of the health service, ensuring compliance with standards and protocols, identifying areas for improvement, ensuring the rigor of clinical records and promoting user safety. Methods: A risk map was created, based on current legislation, recognized good practices and scientific reference articles. The study was carried out in February 2024, at ULS Médio Tejo, Tomar Hospital Unit. Data collection was done through semi-structured interviews and existing documentation in the hospital database. Results: A clinical audit was created and implemented, with 60 indicators, of which 37 were in compliance, 10 opportunities for improvement and 13 non-conformities.Conclusion: A clinical audit model was developed and applied, within the scope of radiological protection, in a public institution, evaluating the quality and efficiency of the health service, ensuring compliance with standards and protocols, identifying areas for improvement, ensuring rigor of clinical records and promoting user safety.
Introduction: Council Directive 2013/59/Euratom, from 5th December 2013, established basic safety standards relating to protection against dangers resulting from exposure to ionizing radiation. This Directive was transposed into the portuguese legislative framework, through Law 108/2018, from 3rd December, which establishes the legal regime for radiological protection in Portugal, and one of the new features introduced, in relation to the previous legal regime, is the concept of “Clinical audit” as “a systematic analysis or review of medical radiological procedures with the aim of improving the quality and outcomes of patient care through a structured review in which medical radiological practices, procedures and results are examined based on approved standards of good medical radiological procedures, which gives rise to changes in the practices, and if necessary the appliance of new standards”. Objective: The aim of this work is to develop and apply a clinical audit model, within the scope of radiological protection, in a public hospital, evaluating the quality and efficiency of the health service, ensuring compliance with standards and protocols, identifying areas for improvement, ensuring the rigor of clinical records and promoting user safety. Methods: A risk map was created, based on current legislation, recognized good practices and scientific reference articles. The study was carried out in February 2024, at ULS Médio Tejo, Tomar Hospital Unit. Data collection was done through semi-structured interviews and existing documentation in the hospital database. Results: A clinical audit was created and implemented, with 60 indicators, of which 37 were in compliance, 10 opportunities for improvement and 13 non-conformities.Conclusion: A clinical audit model was developed and applied, within the scope of radiological protection, in a public institution, evaluating the quality and efficiency of the health service, ensuring compliance with standards and protocols, identifying areas for improvement, ensuring rigor of clinical records and promoting user safety.
Description
Keywords
Auditoria clínica Proteção radiológica