Implementation of the Internal Regulation Center in a public university hospital: care and management interfaces

Objective: to describe the implementation process of the Internal Regulation Center in a public university hospital and its interfaces in care and management processes. Methods: documentary, exploratory, and descriptive study carried out in a public teaching hospital in the north of the State of Paraná. Data collection took place between January and September 2020 in institutional documents. Results: The service was implemented in four stages following strategic actions. Stage 1 provided an insight into the interfaces of the bed management process. In stage 2, the strategies adopted in the implementation of bad management and their interfaces with the management and care sectors were elaborated. In stage 3, institutional performance indicators were monitored, and in stage 4, adjustments were made to the electronic monitoring system for hospital indicators. The biggest challenge faced was the training and acceptance of professionals from the multidisciplinary team in adhering to this new bed management model. Conclusions: The description of the implementation of the NIR in a public university hospital highlighted the importance of developing a strategic plan carried out prior to the implementation of the nucleus, as well as detailing all the actions to be adopted.