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10th Edition of International Conference on
Dentistry and Oral Health

March 13-15, 2025 | Rome, Italy
Dental 2023

Maria Fernanda Borro Bijella

Title : Impact of the PlanificaSUS project on the quality and patient safety of a UBS in Porto Velho/RO

Abstract:

Primary health care organizes the health care network (RAS) and is considered the care coordinator as it is the gateway/access for users to the Unified Health System (SUS). At this level of care, medical and dentistry services are offered to the population, in order to have assistance with a multidisciplinary team, normally composed of 1 Doctor, 1 Nurse, 1 Dental Surgeon, 1 Nursing Technician, 1 Oral Hygiene Technician and 4 Health Agents. However, there are gaps in scientific production, especially in the North region, within the states of the Legal Amazon, in relation to the flow of care, control of appointments and patient safety, thus, it is essential to have discussions that have as evidence the exposition on the themes in question. Thus, this study aims to report the contributions of the PlanificaSUS project within primary care in Porto Velho/RO. This is a descriptive study of the experience report type, carried out during the development of the project stages at the Renato Medeiros Family Health Unit, considered one of the four Laboratory Units (UL) in Porto Velho, Rondônia. During the course of 2022, several flows were implemented and internal work processes were organized, especially in phase 1 of the project, in the vaccine room, reception/screening and dental care. Highlighting the SOP for dental care, aiming to guarantee the quality and safety of patients in this sector. In this SOP in question, it was established that all children older than three years of age to be treated in the dentistry room would have their vital signs checked, including blood pressure, as a way of ensuring patient safety in the care offered. Soon after its implementation, such standardization proved to be effective and necessary, as the team was able to identify a child younger than 12 years old with arterial hypertension (SAH) before starting the tooth extraction procedure. This procedure, which requires anesthetic intervention, requires bleeding and the need for suturing, which could bring complications to the patient. After this first warning, the child was referred for follow-up with the team's physician, who requested additional tests and diagnosed the need to start controlling the BP. by medication. In this way, the patient received early treatment for a chronic disease that could greatly harm her adult life. From the above, it is possible to verify successful experiences, such as the implementation of a Standard Operating Procedure (SOP), as a fundamental way to guarantee a standardized routine, mainly in the context of primary health care, strengthening quality care, bringing security to professionals and users of health services, especially those seeking dental care.

Audience takeaway notes:

  • Dentistry is evolving towards a better knowledge in relation to the aspects of providing quality and patient safety, however, the need to promote further discussions about the topic of patient safety in Dentistry is explicit, with the aim of helping the systematization and organization of the provision of care both in the public sphere and in the private network.
  • The implementation of Standard Operating Procedure (SOP) protocols proved to be essential to guarantee a standardized routine, especially in the context of primary health care.
  • Undoubtedly, this work can and should be tested and implemented in different Brazilian municipalities, as well as in other cities around the world.
  • Without a doubt, it provides information and reports of successful experiences that can simplify the organization of flows to obtain safe and quality care.
  • With the dissemination of the results obtained in this project, it will facilitate the implementation in other municipalities and service networks.

Biography:

Dr. Fernanda Bijella graduated in Dentistry from the University of Sacred Heart, is a specialist in Public Health from the University of Brasilia, and completed her Master's and Doctorate in Pediatric Dentistry at FOB-USP. She was a professor at the Aparício Carvalho University Center from 2005 to 2017 and in 2018 took over the coordination of the Dentistry course at UNIRON. From 2011 to 2018, she worked as a Pediatric Dentist in the Brazilian Army (HGU-PV) and is currently an employee of the Municipal Health Department of Porto Velho (SEMUSA-DSB) and a Tutor of the PlanificaSUS Project.

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