Care time and quality indicators in Intensive Care Units

Observational, correlational study, developed in 11 Intensive Care Units. The population comprised records of the number of nursing professionals, the number of patients with at least one of the Oro/Nasogastroenteral Probe (GEPRO), Endotracheal Tube (COT) and Central Venous Catheter (CVC) therapeutic devices and the occurrences related to the losses of these artifacts.

Results:

The time corresponded to 18.86 hours (Hospital A), 21 hours (Hospital B) and 19.50 hours (Hospital C); the Unplanned Outflow Incidence of GEPRO indicator presented a mean of 2.19/100 patients/day; Unplanned Extubation of COT Incidence, 0.42/100 patients/day; and CVC Loss Incidence, 0.22/100 patients/day. There was no statistically significant correlation between time and indicators analyzed.

Conclusion:

This research may support methodological decisions for future investigations that seek the impact of human resources on the care quality and patient safety.

Descriptors:
Nursing; Administration of Human Resources in Health; Quality Indicators in Health Care; Intensive Care Unit; Work Load

Hospitals	Mês	Mean Time Total (h)	Nurse Mean Time (h)	(%)	Nursing Technician/Assistant Mean Time (h)	(%)
HA	Mean	18.86	7.12	37.75	11.74	62.24
	Maximum	20.60	7.79	38.23	12.81	62.91
	Minimum	16.84	6.38	37.09	10.46	61.77
	SD	1.55	0.54	0.40	1.01	0.40
HB	Mean	21.00	7.35	35.00	13.65	65.00
	Maximum	22.10	7.65	36.90	14.45	65.90
	Minimum	20.54	7.07	34.10	12.97	63.10
	SD	0.64	0.26	1.11	0.53	1.11
HC	Mean	19.50	8.06	41.36	11.44	58.65
	Maximum	20.91	8.41	42.64	12.50	59.78
	Minimum	18.95	7.82	40.22	10.88	57.36
	SD	0.82	0.23	0.91	0.63	0.91

Variables	Correlations
	Unplanned Outflow Incidence of GEPRO		Unplanned Outflow Incidence of COT		Unplanned Outflow Incidence of CVC
	Spearman Correlation	p value	Spearman Correlation	p value	Spearman Correlation	p value
Mean time spent by the team	0.009	0.583	0.004	0.799	-0.007	0.660
Mean time spent by nurses	0.003	0.841	0.007	0.635	0.003	0.863
Mean time spent by technician/assist^* *()** Nursing technician/assistant; GEPRO - Oro/Nasogastroenteral Probe; COT - Endotracheal Tube; CVC - Central Venous Catheter.	0.009	0.575	0.008	0.620	-0.011	0.478

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[1] Corresponding Author: Paulo Carlos Garcia E-mail: paulogarcia@usp.br