Improving the quality of medical care through the development and implementation of an intensive nursing care protocol in the practice of the department of anesthesiology, resuscitation and intensive care

Objective. To improve the quality and safety of medical services by developing an intensive nursing care protocol and implementing it in the practice of anesthesiology, resuscitation, and intensive care units.Methods. The process of developing and implementing the protocol consisted of the following stages: the protocol was designed taking into account the procedures performed and the specifics of intensive care. The developed protocol was discussed, necessary changes and additions were made, and it was integrated into daily practice. The quality of the department's work during the period of protocol application was analyzed. The criteria for the quality of intensive care included: the incidence of pressure ulcers, the frequency of catheter-related infectious complications, the rate of hospital-acquired infections, the rate of ventilator-associated pneumonia, and the number of complaints from physicians regarding the quality of nurses' work. To assess patient satisfaction, a survey of 50 patients was conducted.Results. Based on the evaluation of the periods during which the protocol was applied, despite an increase in the number of critically ill patients, there was a reduction in hospital-acquired infections, catheter-associated infections, and pressure ulcers. Ventilator-associated pneumonia decreased from 0.54% to 0.26%. Complaints about the quality of nurses' work decreased. 90% of the surveyed patients were fully satisfied with the quality of medical services provided in the anesthesiology, resuscitation, and intensive care unit.Conclusion. The development and implementation of a nursing care protocol is one of the most important steps in improving treatment outcomes and enhancing the quality of medical care. The presented intensive nursing care protocol is an effective tool aimed at improving patient outcomes in the anesthesiology, resuscitation, and intensive care unit.Keywords: intensive nursing care protocol, quality of medical care, intensive care.