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Introdução: A qualidade em saúde refere-se à oferta de cuidados por profissionais capacitados, com uso adequado de recursos e foco na satisfação dos utentes. A gestão da qualidade contribui para melhorar práticas, otimizar processos e reduzir custos, sendo os indicadores ferramentas-chave para monitorizar eficiência, segurança e resultados. Objetivos: validar um conjunto de indicadores da qualidade que possam ser implementados num hospital em regime de ambulatório. Mais especificamente, objetiva-se: (i) identificar e mapear os principais indicadores da qualidade utilizados em hospitais e serviços de saúde, com foco em hospitais em regime de ambulatório; (ii) construir e validar uma proposta de indicadores da qualidade ajustados às especificidades de um hospital em regime de ambulatório. Metodologia: estudo com abordagem qualitativa, dividido em duas etapas. Uma scoping review segundo o JBI, com buscas em PubMed, Web of Science, Scopus, EBSCOhost, LILACS e B-on, complementada por pesquisa documental e observação de campo, que resultaram numa matriz preliminar de indicadores. E o uso do método Delphi para validar os indicadores quanto à relevância, clareza, aplicabilidade e exequibilidade no contexto hospitalar ambulatorial. Conclusão: Identificaram-se indicadores, sobretudo de estrutura e resultado. A matriz inicial de 13 indicadores evoluiu para 15 validados (11 na 1ª ronda e 4 na 2ª), enquanto 3 não alcançaram consenso. Apesar do número reduzido de especialistas (8 na 1ª ronda e 5 na 2ª), o rigor metodológico assegurou consistência. A proposta final configura um instrumento útil para a gestão da qualidade, com potencial de aplicação prática e adaptação a diferentes contextos.
ABSTRACT Introduction: Healthcare quality refers to the delivery of care by competent professionals, with appropriate use of resources and a focus on patient satisfaction. Quality management helps improve practices, optimize processes, and reduce costs, with indicators as key tools to monitor efficiency, safety, and outcomes. Objectives: To validate a set of quality indicators that can be implemented in a hospital operating under an ambulatory (day-hospital) regimen. Specifically: (i) to identify and map the main quality indicators used in hospitals and health services, with emphasis on day hospitals; and (ii) to design and validate a proposal of quality indicators tailored to the specificities of a day hospital. Methods: Qualitative, two-stage study. A scoping review following the JBI guidance—searches in PubMed, Web of Science, Scopus, EBSCOhost, LILACS, and B-on—was complemented by documentary research and field observation, resulting in a preliminary indicator matrix. The Delphi method was then used to validate the indicators regarding relevance, clarity, applicability, and feasibility in ambulatory hospital settings. Conclusion: Indicators were identified mainly in the structure and outcome domains. The initial matrix of 13 indicators evolved to 15 validated (11 in the first round and 4 in the second), while 3 did not reach consensus. Despite the small expert panel (8 in round 1 and 5 in round 2), methodological rigor ensured consistency. The final proposal constitutes a useful instrument for quality management, with potential for practical application and adaptation to different contexts.
ABSTRACT Introduction: Healthcare quality refers to the delivery of care by competent professionals, with appropriate use of resources and a focus on patient satisfaction. Quality management helps improve practices, optimize processes, and reduce costs, with indicators as key tools to monitor efficiency, safety, and outcomes. Objectives: To validate a set of quality indicators that can be implemented in a hospital operating under an ambulatory (day-hospital) regimen. Specifically: (i) to identify and map the main quality indicators used in hospitals and health services, with emphasis on day hospitals; and (ii) to design and validate a proposal of quality indicators tailored to the specificities of a day hospital. Methods: Qualitative, two-stage study. A scoping review following the JBI guidance—searches in PubMed, Web of Science, Scopus, EBSCOhost, LILACS, and B-on—was complemented by documentary research and field observation, resulting in a preliminary indicator matrix. The Delphi method was then used to validate the indicators regarding relevance, clarity, applicability, and feasibility in ambulatory hospital settings. Conclusion: Indicators were identified mainly in the structure and outcome domains. The initial matrix of 13 indicators evolved to 15 validated (11 in the first round and 4 in the second), while 3 did not reach consensus. Despite the small expert panel (8 in round 1 and 5 in round 2), methodological rigor ensured consistency. The final proposal constitutes a useful instrument for quality management, with potential for practical application and adaptation to different contexts.
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Gestão da qualidade Indicador de qualidade Hospital de dia Qualidade em saúde Quality management Quality indicator Day hospital Healthcare quality MGATS