Auditoría a los registros de los fisioterapeutas que trabajan en la Unidad de Cuidados Intensivos de los hospitales públicos del área metropolitana de Lisboa, de acuerdo con los Patrones de Práctica de la Asociación Portuguesa de Fisioterapeutas

Abstract

Goal

To check if the records of the physiotherapists, who work in the Intensive Care Units (ICU) of the Public Hospitals, in the metropolitan district of Lisbon, are made according to the guidelines of practice set by the Portuguese Association of Physiotherapists (PAP).

Methodology

An instrument of auditor ship was constructed based on the Patient Record Audit Collection Data, already adapted by the Portuguese Association of Physiotherapists. This instrument has 10 criteria to be evaluated and 48 items in total.

A questionnaire of 18 criteria was elaborated on as well. Following their testing and validation, they were applied to six hospitals, where it has been possible to gather 80 records and 11 questionnaires, which represent the totality of physiotherapists.

Results

It was verified that 36,4 % of the collected records data were in conformity with the established Total Quality patterns. The highest values obtained in three out off our hospitals were linked with the documentation criteria. The remainder was obtained in the analysis criteria. Related to the security criteria, 0 % of positive answers were obtained in all hospitals. As to the importance of the record, seven (63,6 %) consider it very important and the majority, five (45,5 %), consider it influences the performance of the interdisciplinary team. Eight (72,7%), consider the implementation of guidelines for the record very important, and nine (81,8 %), consider the auditory to the records important. As to providing physiotherapists with specific formation, the majority, five (45,5 %), finds it necessary.

Conclusions

By obtaining in the record’s auditor ship a conformity value of 36,4% we could verify it is much inferior than what could be desired, since the Total Quality (100 %) was the one envisaged. This auditor ship primarily focused on the quality of the records, and less on the care given by physiotherapists. In addition to contributing to the continuous professional development, they could facilitate an improvement on the results of a new auditor ship, which should take place in order to complete the cycle of auditor ship.