Abstract
ABSTRACT Objectives: to identify the main quality management interventions used by professionals working at Human Milk Banks. Methods: a scope review conducted at PubMed, VHL, Scopus, SciELO, CAPES thesis and Google Scholar databases. Primary studies were included that address quality improvement strategies to improve Milk Bank processes in Portuguese, English and Spanish. Results: search totaled 192 scientific studies, 17 of which met the objective of the study and inclusion criteria. The main quality management interventions used in the Human Milk Bank addressed tools for continuous improvement. Six were aimed at improving processes, one to prevent errors and failures and two to achieve continuous monitoring. Final Considerations: the tools used by professionals working in Human Milk Banks have demonstrated effectiveness in managing the quality of services.
Highlights
Quality management is a model that enables standardization, security, rationalization and continuous improvement of services
With regard to Human Milk Banks (HMB) in Brazil, quality management has been implemented as a guiding model to guarantee the supply of human milk (HM) with quality and safety in the microbiological, nutritional and operational efficiency of processes[3,4,5]
The research question was elaborated from PCC strategy, acronym of P (Population) related to health professionals who work in HMB; C (Concept) quality management; and C (Context) related to HMB[10,11]
Summary
Quality management is a model that enables standardization, security, rationalization and continuous improvement of services. Quality management incorporation in health promotes a systemic approach and involves all managerial functions such as planning, organization, direction and control of the activities developed. These functions allow the manager to review the performance of processes, control costs, improve the meeting of customer needs, and develop employee knowledge[2]. Standardizing processes ensures the quality of the distributed HM, considered the best and safest option in the impossibility of breastfeeding directly on the breast, according to the World Health Organization (WHO)(7), American Academy of Pediatrics[8], and Ministry of Health of Brazil[5]
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