Hospital management: Application of the PDCA cycle as a strategy to combat COVID-19 in urgent and emergency units
DOI:
https://doi.org/10.33448/rsd-v10i1.10652Keywords:
Professional practice management; Health management; Coronavirus infections; Emergency hospital service.Abstract
This study aims to understand the stages of the PDCA Cycle as a coping plan for COVID-19 in Urgency and Emergency Units. It is an integrative literature review, carried out by searching for articles indexed in the Virtual Health Library (VHL). The inclusion criteria include literature review research available in the databases described, between the years 2010 to 2020. The exclusion criteria were duplicate, incomplete articles, abstracts, reviews, debates, experience reports and articles unavailable in the whole. To collect the data, 09 scientific articles and 03 studies referring to health entities were analyzed. The results show the stages of the PDCA cycle being, plan, execute, verify and act. With an emphasis on contextualizing the implementation of the PDCA cycle as a plan to reduce COVID-19 cases in urgent and emergency services, it is revealed that the lack of information from the population on when to use urgent and emergency services has been a great difficulty for professionals in times of pandemic, resulting in agglomerations in the referred units and overload of the system. We conclude that the PDCA cycle can be applicable to the most diverse types of organizations, including urgent and emergency services, making it possible to reduce the high demand of the population for highly complex services.
References
Anderson, R. M., Heesterbeek, H., Klinkenberg, D., Hollingsworth, T. D. (2020). How will country-based mitigation measures influence the course of the COVID-19 epidemic? Lancet. 395(10228): 931-4.
Enserink, M., Kupferschmidt, K., (2020). With COVID-19, modeling takes on life and death importance. Science; 367(6485): 1414-5.
Fauci, A. S., Lane, H. C., Redfield, R. R. (2020). COVID-19 - Navigating the Uncharted. N Engl J Med; 382: 1268-9.
Ferguson, N., Laydon, D., Nedjati, Gilani, G., Imai, N., Ainslie, K., Baguelin, M., et al. (2020). Impact of non-pharmaceutical interventions (NPIs) to reduce COVID-19 mortality and healthcare demand [Internet]. Londres: Imperial College London.
Fitzpatrick, J. J. (2016). Distinctions Between Research, Evidence Based Practice, and Quality Improvement. Appl Nurs Res.(29).
Galvão, C. M., Sawada, N. O., & Trevizan, M. A. (2004). Revisão sistemática: recurso que proporciona a incorporação das evidências na prática da enfermagem. Revista Latino-americana Enfermagem, 12(3), 549-56.
Gianesi, G. N., Corrêa, H. L. (2010). Administração estratégica de serviços: operações para a satisfação do cliente. São Paulo: Atlas.
Gozzi, M. P. (2015). (org.). Gestão de qualidade em bens e serviços. São Paulo: Pearson.
Grigoleto, A. R. L., Gimenes, F. R. E., Avelar, M. C. Q. (2011). Segurança do cliente e as ações frente ao procedimento cirúrgico. Rev. Eletr. Enf. [Internet].13(2).
Herr, G. E. G., Aozane, F., Kolankiewicz, A. C. B. (2015). Segurança do paciente: uma discussão necessária. Revista Eletrônica Gestão & Saúde. [Internet]6(Suppl 3).
Li, W., Yang, Y., Liu, Z. H., Zhao, Y. J., Zhang, Q., Zhang, L., ... Xiang, Y. T. (2020). Progression of mental health services during the COVID-19 outbreak in China. International Journal of Biological Sciences, 16(10), 1732-1738.
Liu, Y., Gayle, A. A., Wilder-Smith, A., Rocklöv, J. (2020). The reproductive number of COVID-19 is higher compared to SARS coronavirus. J Travel Med. 27(2): taaa021.
Mendes, K. D. S., Silveira, R. C. D. C. P., & Galvão, C. M. (2008). Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto and Contexto Enfermagem, 17(4), 758-64.
Brasil. (2020). Portaria nº 639, de 31 de março de 2020. Dispõe sobre a Ação Estratégica “O Brasil Conta Comigo - Profissionais da Saúde”, voltada à capacitação e ao cadastramento de profissionais da área de saúde, para o enfrentamento à pandemia do coronavírus (COVID-19). Ministério da Saúde. Diário Oficial da União. Brasília.
Neto, R. M. S. et al. (2017). Aplicação das sete ferramentas da qualidade em uma fábrica de blocos standard de gesso. ENEGEP. Joinville.
Neves, T. F. (2007). Importância da utilização do ciclo PDCA para garantia da qualidade do produto em uma indústria automobilística. Monografia.
PAC2. (2014). Desenvolvido pelo Ministério do Planejamento. Apresenta projetos e serviços realizados pelo Programa de Aceleração do Crescimento.
Pinotti, F. I., Guth, S. C. (2014). RACI, Getúlio Vargas, v.8, n.18, Jul/Dez. ISSN 1809-6212.
Souza, M. T. D., Silva, M. D. D., & Carvalho, R. D. (2010). Integrative review: what is it? How to do it?; Revisão integrativa: o que é e como fazer. Einstein (Säo Paulo), 8(1).
Taylor, M. J., McNicholas, C., Nicolay, C., Darzi, A., Bell, D., Reed, J. E. (2014). Systematic review of the application of the plan– do–study–act method to improve quality in healthcare. BMJ Qual Saf. [Internet] 23(4).
Walker, P. G. T., Whittaker, C., Watson, O., Baguelin, M., Ainslie, K. E. C., Bhatia, S., et al. (2020). The Global Impact of COVID-19 and Strategies for Mitigation and Suppression [Internet]. Londres: Imperial College London.
Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020). Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in china. International Journal of Environmental Research and Public Health, 17(5), 1729.
World Health Organization. (2020). Coronavirus disease (COVID-19) situation dashboard. Geneva: Author.
World Health Organization. (2020). Mental health and psychosocial considerations during the COVID-19 outbreak. Geneva: Author.
Xiao, C. (2020). A novel approach of consultation on 2019 novel coronavirus (COVID-19) -related psychological and mental problems: structured letter therapy. Psychiatry Investigation.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Elielson Rodrigues da Silva ; Rayssa Stéfani Sousa Alves; Elzicléa de Oliveira Silva; Kelly Cristina dos Santos; Franciane dos Santos Lima; Maria Juliana dos Santos Feitosa; Luciano Crispim da Rocha; Álan Daniel Barbosa Silva
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
