Assessment and enrolment process for liver transplantation: nursing management through quality indicators

• Main Authors: Fabíola Faustino de Machado Dias, Samira Scalso de Almeida, Marcio Dias de Almeida
• Format: Article
• Language: English
• Published: Instituto Israelita de Ensino e Pesquisa Albert Einstein
• Series: Einstein (São Paulo)
• Subjects: Transplante de fígado; Indicadores de qualidade em assistência à saúde; Qualidade da assistência à saúde; Gerenciamento clínico; Seleção de pacientes
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082018000100205&lng=en&tlng=en

ABSTRACT Objective To establish, measure and analyze quality indicators in the evaluation and enrolment process of patients in a liver transplant program. Methods A quantitative and non-experimental research, with data collected from the database of a liver transplant program, from September 2012 to September 2014. Descriptive statistics were used to analyze the quality indicators identified. Results We analyzed 1,311 visits in the transplant outpatient clinic, most males (66.7%), white (65.1%), mean age of 53 (±12.5) years, from the Southeastern Region (91.2%), and from the State of São Paulo (80.8%). The indicators measured were efficiency of patient admission process (54.8%), efficiency of evaluation of transplant indication (39.9%), efficacy of treatment of patients seen in the program (21.8%), and waiting time to inclusion in the waiting list, median of 84 days (36-142). Conclusion The quality indicators analyzed in this study enabled a quantitative view of the process, facilitating management of results and benchmarking with other transplant centers. Continuous monitoring can optimize resource allocation and planning of services in patient's admission process.