Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/63412
Type: Artigo de periódico
Title: National prevalence survey in Brazil to evaluate the quality of microbiology laboratories: the importance of defining priorities to allocate limited resources
Author: Costa, LB
Cardoso, MRA
Ferreira, CG
Levy, CE
Borba, HM
Sallas, J
Santana, HT
Lima, RS
Ferraz, LR
Reis, JDP
Santi, LQ
Levin, AS
Abstract: This report describes a survey of microbiology laboratories (n = 467) serving Brazilian hospitals with = 10 intensive care beds and/or involved in the government health care adverse event reporting system. Coordinators were interviewed and laboratories classified as follows: Level 0 (no minimal functioning conditions-85.4% of laboratories); Level 1 (minimal functioning conditions but inadequate execution of basic routine-6.7%); Level 2 (minimal functioning conditions and adequate execution of basic routine but no adequate procedures for quality control-5.8%); Level 3 (minimal functioning conditions, adequate execution of basic routine, and adequate procedures for quality control, but no direct communication with the infection control department-0.9%); Level 4 (minimal functioning conditions, adequate execution of basic routine, adequate procedures for quality control, and direct communication with infection control, but no available advanced resources-none); and Level 5 (minimal functioning conditions, adequate execution of basic routine, adequate procedures for quality control, direct communication with infection control, and available advanced resources-0.9%). Twelve laboratories did not perform Ziehl-Neelsen staining; 271 did not have safety cabinets; and >30% without safety cabinets had automated systems. Low quality was associated with serving hospitals not participating in government adverse-event program; private hospitals; nonteaching hospitals; and those outside state capitals. Results may reflect what occurs in many other countries where defining priorities is important due to limited resources.
Subject: Laboratories, hospital
health care surveys
quality assurance, health care
microbiological techniques
quality indicators, health care
Brazil
Country: EUA
Editor: Pan Amer Health Organization
Rights: fechado
Date Issue: 2013
Appears in Collections:Unicamp - Artigos e Outros Documentos

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