Losada-Castillo I, Roca-Bergantiños MO, Vázquez-Mourelle R. Evaluation of the degree of implementation of zero projects in critical care units of Galicia (Spain) through internal audits.
J Healthc Qual Res 2024:S2603-6479(24)00058-7. [PMID:
39089916 DOI:
10.1016/j.jhqr.2024.06.008]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2024] [Revised: 05/29/2024] [Accepted: 06/28/2024] [Indexed: 08/04/2024]
Abstract
OBJECTIVE
The objective of this study was to assess the implementation of Zero Projects in Critical Care Units (CCUs) through Internal Audits (IA).
MATERIALS AND METHODS
Design: Real-time observational safety analysis. A questionnaire was developed with defined items to ensure objectivity. After IAs, a survey was conducted with the auditors.
SCOPE
11 CCUs in hospitals of the Servizo Galego de Saúde and Ribera-POVISA.
PATIENTS OR PARTICIPANTS
24 auditors in 9 teams composed of medical, nursing, and quality personnel from health areas and 34 patients were assessed.
MAIN VARIABLES OF INTEREST
Compliance with the quality standard (≥60% of items), strengths, areas for improvement, auditor's interest in IA, conformity with the organization and items.
RESULTS
100% CCUs met the quality standard. 18.03% of items were fulfilled by all CCUs. Strengths: staff motivation, positive reception of auditors, and use of computer tools in some CCUs. Areas for improvement: deficit of automatic systems for controlling endotracheal tube cuff pressure (compliance rate in 9.1% of CCUs), training needs, communication issues, and not using checklists (45.5% of the reports). Auditors found IA very interesting, and 19% suggested improving organization and items.
CONCLUSIONS
All CCUs met the previously agreed-upon quality standard. Numerous improvement opportunities were identified and communicated to the audited CCUs. For greater homogeneity and objectivity, a review of previously agreed items and definitions is required.
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