Audit of assistance processes in intensive care units: situational diagnosis and improvement proposals for quality and safety of care

Abstract

This study aimed to conduct na audit of care processes in two Intensive Care Units (ICUs) of a large public hospital in Salvador, Bahia, Brazil. Using a qualitative and descriptive approach, the audit involved semi-structured interviews, on-site observations, document analysis, and the review of care indicators. The audit identified critical non-conformities in three main areas: care practices, physical infrastructure, and environmental hygiene. Key issues included inadequate catheter dressings, lack of identification on invasive devices, equipment maintenance failures, deficient physical structure, and insufficient cleaning. The findings revealed weaknesses in professional training, supervision, and adherence to institutional protocols. The study proposes the implementation of corrective actions, reinforcement of continuous education, and strengthening of a patient safety culture as essential strategies to improve care quality and reduce adverse events in high-complexity settings.