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Purpose: This systematic scoping review aimed to survey the literature to answer the following questions: which instruments were used to measure the color change; which teeth were assessed for color: what was the follow-up period, and in which country was the recently published tooth bleaching clinical trial performed? Methods: This research was registered in the Open Science Framework. The following databases were searched: PubMed, Scopus, Web of Science, EMBASE, Cochrane Library, and L[LACS. Randomized clinical trials evaluating tooth bleaching with color change analysis, published between 2021 and 2017, were included. The data extracted from included studies were analyzed using a qualitative and descriptive analysis. Results: 106 articles were analyzed. Most studies used only AEab to measure the color change (10.4%), assessed the color change in the maxillary central incisors (45.3%), and included a one-month follow-up (25.4%). The published papers were mostly from research performed in Brazil (51.9%). Many methods have been used in the tooth bleaching clinical trials examined. and a wide variety of instruments used to measure the color change was observed. [ABSTRACT FROM AUTHOR]

Objective: To describe the process of implementing a participatory and multifaceted intervention to improve sepsis care and its effects on improving the quality of care. Materials and methods: This is a before-after quasi-experimental study conducted in 2017/2018 in the emergency service of a hospital in Northeast Brazil. The quality of care of 564 patients diagnosed with sepsis was assessed using nine process criteria and one result criterion. The intervention was participatory and multifaceted, being applied for 10 months. Results: After the intervention, the number of non-conformities decreased by 67% (843 vs 506), and all 10 criteria improved, with a significant improvement (p<0.05) in eight of them. Lethality decreased by 10% (p=0.005). Conclusion: The intervention model presented was effective in improving the quality of care for sepsis in the emergency service, with the possibility of scaling up its use in Brazilian hospitals. [ABSTRACT FROM AUTHOR]

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