scholarly journals Ações educativas para identificação correta do paciente: relato de experiência

2021 ◽  
Vol 11 (34) ◽  
pp. 152-159
Author(s):  
Gabriele Malta da Costa ◽  
Paloma Vitória Serra Batista ◽  
Luana Ferreira de Almeida ◽  
Ronilson Gonçalves Rocha ◽  
Bruna Maiara Ferreira Barreto Pires ◽  
...  

Relatar a experiência vivenciada por discentes e docentes de enfermagem na realização de atividades extensionistas para o aumento da adesão à identificação correta do paciente. Relato de experiencia acerca da importância da identificação correta do paciente realizadas em um hospital universitário do Estado do Rio de Janeiro de setembro de 2019 a março de 2020. Participaram profissionais de saúde, pacientes e acompanhantes. Para profissionais de saúde, foram desenvolvidos treinamentos interativos. Para pacientes e acompanhantes, elencou-se orientações acerca da importância da identificação do paciente. Realizados dezoito treinamentos, a maioria com técnicos de enfermagem (54 - 37,76%) e enfermeiros (23 - 16,08%). Alcançadas 2.050 orientações, sendo com 998 (48,68%) pacientes. As atividades ocorreram em 32 unidades de internação. Pode-se contribuir com atividades da Meta 1 de Segurança do Paciente, além de destacar a importância de Projetos de Extensão Universitária para melhor assistência. Descritores: Segurança do Paciente, Sistemas de Identificação de Pacientes, Capacitação em Serviço, Hospitais Universitários. Educational actions for correct patient identification: experience reportAbstract: To report the experience lived by nursing students and teachers in carrying out extension activities to increase adherence to the correct identification of the patient. Experience report about the importance of correct patient identification performed at an university hospital in the State of Rio de Janeiro from September 2019 to March 2020. The group of participants was health professionals, patients and companions. For health professionals, was developed interactive training. For patients and companions, guidelines were listed on the importance of patient identification. Eighteen training sessions were carried out, most with nursing technicians (54 - 37.76%) and nurses (23 - 16.08%). 2,050 guidelines were reached, with 998 (48.68%) patients. The activities took place in 32 inpatient units. It is possible to contribute to the activities of Patient Safety of Goal 1, in addition to highlighting the importance of University Extension Projects for better assistance.Descriptors: Patient Safety, Patient Identification Systems, Inservice Training, Hospital University. Acciones educativas para la identificación correcta del paciente: informe de experienciaResumen: Relatar la experiencia vivida por estudiantes y docentes de enfermería en la realización de actividades de extensión para incrementar la adherencia a la correcta identificación del paciente. Relato de experiencia sobre la importancia de la correcta identificación del paciente realizado en un hospital universitario del Estado de Rio de Janeiro de septiembre de 2019 a marzo de 2020. Participaron profesionales de la salud, pacientes y acompañantes. Para los profesionales de la salud, se desarrolló una formación interactiva. Para pacientes y acompañantes, se enumeraron pautas sobre la importancia de la identificación del paciente. Se realizaron 18 capacitaciones, la mayoría con técnicos de enfermería (54 - 37,76%) y enfermeras (23 - 16,08%). Se alcanzaron 2.050 guías, con 998 (48,68%) pacientes. Las actividades se desarrollaron en 32 unidades de internación. Es posible contribuir a las actividades de la Meta 1 de Seguridad del Paciente, además de resaltar la importancia de los Proyectos de Extensión Universitaria para una mejor atención.Descriptores: Seguridad del Paciente, Sistemas de Identificación de Pacientes, Capacitación em Servicio, Hospitais Universitarios.

2018 ◽  
Vol 12 (10) ◽  
pp. 2621
Author(s):  
Tamyris Garcia De Assis ◽  
Luana Ferreira De Almeida ◽  
Luciana Guimarães Assad ◽  
Ronilson Gonçalves Rocha ◽  
Cíntia Silva Fassarella ◽  
...  

RESUMO Objetivo: analisar a adesão à identificação do paciente por pulseira pela equipe de saúde e pelos pacientes. Método: trata-se de estudo quantitativo, descritivo e documental. Constituiu-se a amostra por 137 pacientes internados em uma unidade cardiointensiva de um hospital universitário. Coletaram-se os dados, mediante o preenchimento de um formulário estruturado, em seguida, organizados e analisados utilizando-se a estatística descritiva simples. Resultados: observou-se a presença da pulseira de identificação em 100% dos pacientes. Destes, 26% apresentavam não conformidades. Ansalisou-se, a partir dos relatos dos pacientes, que 61% dos profissionais não utilizaram a pulseira para identificá-los no momento dos procedimentos e 90% dos pacientes não foram orientados quanto ao motivo e importância da utilização da pulseira. Conclusão: observou-se de forma unânime a identificação dos pacientes, no entanto, necessita-se, na prática, de maior sensibilização e treinamento da equipe multiprofissional para a adequação conforme se preconiza na Meta 1 de Segurança do Paciente. Descritores: Segurança do Paciente; Sistemas de Identificação de Pacientes; Qualidade da Assistência à Saúde; Gestão de Risco; Hospitalização; Hospitais Universitários.ABSTRACT Objective: to analyze the adherence to the identification of the patient by hospital wristband by the health team and by the patients. Method: this is a quantitative, descriptive and documentary study. The sample consisted of 137 patients hospitalized in a cardio-intensive unit of a university hospital. Data was collected by completing a structured form, then organized and analyzed using simple descriptive statistics. Results: the presence of the identification wristband was observed in 100% of the patients. Of these, 26% had nonconformities. From the patients' reports, 61% of the professionals did not use the wristband to identify them at the time of the procedures and 90% of the patients were not guided as to the reason and importance of the use of the wristband. Conclusion: the identification of patients was unanimously observed, however, it is necessary, in practice, to increase awareness and training of the multi-professional team for the adequacy as recommended in Goal 1 of Patient Safety. Descriptors: Patient Safety; Patient Identification Systems; Quality of Health Care; Risk Management; Hospitalization; Hospitals, University.RESUMENObjetivo: analizar la adhesión a la identificación del paciente por pulsera por el equipo de salud y por los pacientes. Método: se trata de un estudio cuantitativo, descriptivo y documental. Se constituyó la muestra por 137 pacientes internados en una unidad cardiointensiva de un hospital universitario. Se recogen los datos, mediante el llenado de un formulario estructurado, a continuación, organizado y analizado utilizando la estadística descriptiva simple. Resultados: se observó la presencia de la pulsera de identificación en el 100% de los pacientes. De ellos, el 26% presentaba no conformidades. Se analizó, a partir de los relatos de los pacientes, que el 61% de los profesionales no utilizaron la pulsera para identificarlos en el momento de los procedimientos y el 90% de los pacientes no fueron orientados en cuanto al motivo e importancia del uso de la pulsera. Conclusión: se observó de forma unánime la identificación de los pacientes, sin embargo, se necesita, en la práctica, de mayor sensibilización y entrenamiento del equipo multiprofesional para la adecuación conforme se preconiza en la Meta 1 de Seguridad del Paciente. Descriptores: Seguridad del Paciente; Sistemas de Identificación de Pacientes; Calidad de la Atención de Salud; Gestión de Riesgos; Hospitalización; Hospitales Universitarios.


2018 ◽  
Vol 5 (2) ◽  
pp. 117
Author(s):  
Aldiar Lailifah Lailifah Kurniavip ◽  
Nyoman Anita Damayanti

Patient safety incidents type of clinic administration are incidents that occur in the process of patient identification, handover, agreement, informed consent, queuing, referral, admission, discharge of patients from inpatient, transfer of care, division of tasks, response of emergency. Based on patient safety incidents reports of RSU Haji, there were 12 patient safety incidents type of clinic administration (standard 0% or zero accident) during January 2014-June 2016 in inpatient unit. This research aimed to analyze the correlation between nurse’s individual characteristics with patient safety incidents type of clinic administration. This research was an observational descriptive study with cross sectional design. Questionnaires were distributed to 48 nurses that divided into 6 inpatient units. The results of this research showed that the lower the nurse's knowledge about patient safety and patient safety incidents type of clinic administration, the higher the nurse’s work fatigue, the lower the nurse’s motivation toward to the application of patient safety program, the higher the tendency of patient safety incidents type of clinic administration occured in inpatient unit of RSU Haji Surabaya. The conclusion of this research are knowledge, work fatigue, motivation of nurse have a correlation with patient safety incidents type of clinic administration in inpatient unit of RSU Haji Surabaya.  Keywords: patient safety incidents, clinic administration, nurse, hospital


2018 ◽  
Vol 4 (2) ◽  
pp. 1
Author(s):  
Samah Anwar Shalaby ◽  
Mohamed M. Seweid ◽  
Azza H. El-soussi

Background: Patient safety is the cornerstone for better quality health care and nursing education. There is limited evidence about how patient safety is addressed in healthcare professional curricula and how organizations develop safe practitioners.Aim: To assess the practices and perception of nursing students regarding the safety of critically ill patients.Materials and methods: Participants of this descriptive correlation exploratory study were 100 nursing students conveniently from the students enrolled in Critical Care Nursing course during academic year 2013-2014 in faculty of nursing, Alexandria University. The study was conducted in the critical care units affiliated to Alexandria Main University Hospital namely (Unit I, Unit III, and Triage). The first tool was Critical Care Practices of Safety Measures Observational Checklist and the second tool was Students’ Unsafe Clinical Practices Perception questionnaire.Results: It was found that 49% of the nursing students had poor perception regarding their unsatisfactory clinical performance. In addition, 55% of the nursing students have poor perception regarding their poor documentation. Furthermore, 44% of them have poor perception regarding lack of clinical educators’ role competency.Conclusions: Nursing students’ perception was poor regarding their clinical performance, cognitive performance and critical thinking skills and documentation. In addition, nursing students reported that they have poor perception regarding nurse educators’ role competency. Therefore, nursing curriculum should incorporate concepts and principles that guide nursing students in developing caring, safe, competent and professional behavior and should be developed for the nursing students based on the WHO patient safety topics which will focus on patient safety.


Author(s):  
Gelciane Figueiredo Rodrigues ◽  
Teresa Cristina Salgado Castro ◽  
Aline Mirema Ferreira Vitorio

Identificar o conhecimento e a percepção de estudantes de graduação em enfermagem relacionados ao erro humano no âmbito da segurança do paciente. Trata-se de um estudo quantitativo, descritivo, transversal. Os dados foram coletados em uma Universidade privada no Rio de Janeiro no ano de 2015, por meio de um questionário autoaplicável, com estudantes de enfermagem. A amostra total resultou em 65 participantes. Os resultados apontaram que os estudantes têm conhecimento sobre a temática Segurança do Paciente, porém, quando se trata das atitudes apresentam respostas que não condizem com a literatura no que se refere à comunicação do erro ao paciente e família. Não basta a aquisição de conhecimentos, mas atitudes principalmente que venham contribuir com o cuidado seguro, livre de danos decorrentes de erros. Assim como, para tal premissa deve ser criado um ambiente acadêmico seguro de estímulo aos relatos de erro e dúvidas.Descritores: Educação, Segurança do Paciente, Estudantes de Enfermagem. Patient safety: knowledge and attitudes of nurses in trainingAbstract: To identify the knowledge and perception of undergraduate nursing students related to human error in the context of patient safety. This is a quantitative, descriptive, cross-sectional study. Data were collected at a private university in Rio de Janeiro in 2015, through a self-administered questionnaire with nursing students. The total sample consisted of 65 participants. The results showed that students have knowledge about the topic of Patient Safety, but when it comes to attitudes they present answers that do not correspond to the literature regarding the communication of the error to the patient and family. It is not enough to acquire knowledge, but attitudes that mainly contribute to the safe care, free of damages resulting from errors. As for such a premise, a safe academic environment must be created to encourage the reporting of errors and doubts.Descriptors: Education, Patient Safety, Nursing Students. Seguridad del paciente: conocimiento y actitud de enfermeros en formaciónResumen: Identificar el conocimiento y la percepción de estudiantes de graduación en enfermería relacionados con el error humano en el ámbito de la seguridad del paciente. Se trata de un estudio cuantitativo, descriptivo, transversal. Los datos fueron recolectados en una Universidad privada en Río de Janeiro en el año 2015, por medio de un cuestionario auto-aplicable, con estudiantes de enfermería. La muestra total resultó en 65 participantes. Los resultados apuntaron que los estudiantes tienen conocimiento sobre la temática Seguridad del Paciente, pero cuando se trata de las actitudes presentan respuestas que no concuerdan con la literatura en lo que se refiere a la comunicación del error al paciente y familia. No basta la adquisición de conocimientos, pero actitudes principalmente que vengan a contribuir con el cuidado seguro, libre de daños derivados de errores. Así como, para tal premisa debe ser creado un ambiente académico seguro de estímulo a los relatos de error y dudas.Descriptores: Educación, Seguridad del paciente, Estudiantes de Enfermeira.


2019 ◽  
Vol 13 (2) ◽  
pp. 532
Author(s):  
Reginaldo Passoni dos Santos ◽  
Francielli Brito da Fonseca Soppa ◽  
Jéssica Cristina Ruths ◽  
Maria Lúcia Frizon Rizzotto

ABSTRACTObjective: to share the experience with the evaluation of the implantation of a nucleus of patient safety. Method: this is a qualitative, descriptive study, a type of experience report, developed with nurses who conducted an evaluation process of the implantation of a patient safety nucleus in a university hospital. A semi-structured script was used for data collection. Results: it is revealed that the process covered the antecedent, characterization and development phases, and of the eight national protocols, the nucleus developed actions in four (hand hygiene, patient identification, safe surgery and prevention of pressure ulcers) and has set goals for two (prevention of patient falls and effective communication). Actions related to other two were developed (safety in the prescription, use and administration of drugs and blood and blood products) without the effective participation of the nucleus. Conclusion: it was possible to recognize, through the evaluation, the contribution of the nucleus to the implementation of patient safety practices in the hospital. Descriptors: Patient Safety; Program Evaluation; Health Evaluation; Quality of Health Care; Safety Management; Nursing.RESUMOObjetivo: compartilhar a experiência com a avaliação da implantação de um núcleo de segurança do paciente. Método: trata-se de estudo qualitativo, descritivo, tipo relato de experiência, desenvolvido com os enfermeiros que conduziram um processo avaliativo da implantação de um núcleo de segurança do paciente em um hospital universitário. Utilizou-se, para a coleta de dados, um roteiro semiestruturado. Resultados: revela-se que o processo contemplou as fases de antecedentes, caracterização e desenvolvimento, e, dos oito protocolos nacionais, o núcleo desenvolveu ações em quatro (higienização das mãos, identificação do paciente, cirurgia segura e prevenção de úlceras por pressão) e traçou metas para dois (prevenção de quedas dos pacientes e comunicação efetiva). Desenvolveram-se ações ligadas a outros dois (segurança na prescrição, uso e administração de medicamentos e de sangue e hemoderivados) sem a participação efetiva do núcleo. Conclusão: permitiu-se reconhecer, pela avaliação, a contribuição do núcleo para a efetivação de práticas de segurança do paciente no hospital. Descritores: Segurança do Paciente; Avaliação de Programas e Projetos de Saúde; Avaliação em Saúde; Qualidade da Assistência à Saúde; Gerenciamento de Segurança; Enfermagem.RESUMENObjetivo: compartir la experiencia con la evaluación de la implantación de un núcleo de seguridad del paciente. Método: se trata de un estudio cualitativo, descriptivo, tipo relato de experiencia, desarrollado con los enfermeros que condujeron un proceso de evaluación de la implantación de un núcleo de seguridad del paciente en un hospital universitario. Se utilizó, para la recolección de datos, un guion semiestructurado. Resultados: se revela que el proceso contempló las fases de antecedentes, caracterización y desarrollo, y de los ocho protocolos nacionales, el núcleo desarrolló acciones en cuatro (higienización de las manos, identificación del paciente, cirugía segura y prevención de úlceras por presión) y trazó metas para dos (prevención de caídas de los pacientes y comunicación efectiva). Se desarrollaron acciones relacionadas a otros dos (seguridad en la prescripción, uso y administración de medicamentos y de sangre y hemoderivados) sin la participación efectiva del núcleo. Conclusión: se permitió reconocer, por la evaluación, la contribución del núcleo para la efectuación de prácticas de seguridad del paciente en el hospital. Descriptores: Seguridad del Paciente; Evaluación de Programas y Proyectos de Salud; Evaluación en Salud; Calidad de la Atención de Salud; Administración de la Seguridad; Enfermería.


2020 ◽  
Vol 36 (2) ◽  
Author(s):  
Sinara Ferreira Naves ◽  
Clesnan Mendes-Rodrigues ◽  
Rosângela de Oliveira Felice ◽  
Fabíola Alves Gomes

The patient’s in-hospital transport is an activity that must be performed with safety and quality and involves considerable risks, especially for surgical patients. The objective of this study was to evaluate the adequacy or not of transport of surgical patients from inpatient units to surgical centers and vice-versa. The transport and patient profile, the nursing workload, the professionals and conditions involved were assessed for each patient (or transport), and subsequently the transports were evaluated as inadequate (some non-conformity) or adequate. The transport was inadequate in 39.3% of the evaluations. The most common non-conformities were the lack of knowledge of the transport at the patient’s destination, incorrect documents, patient alone during the route, and absence of health professional during transport (when necessary). In this institution and in the period evaluated, the transport was mainly run by porter. Patients in rout to inpatient units have higher frequency of inadequate transport, mainly because of lack of communication with the destination unit. The increase in workload, evaluated by the Santos Score, also increased the risk of having inappropriate transport (OR = 1.21, CI95%: 1.08-1.16), and when the patients were grouped in minimal care versus non-minimal care, the latter also showed higher risk of inadequate transport. When the transports were evaluated separately by route, patients going to surgical centers had a higher risk when the Santos Score increased (OR = 1.168, CI95%: 1.07-1.27), and patients going to inpatient units had a lower risk when the Santos Score increased (OR = 0.605, CI95%: 0.46-0.80). In the last case, patients with a high workload were also accompanied by health professionals. The presence of a health professional when the patient was going to an inpatient unit also decreased the risk of inadequate transport (OR = 0.011, CI95%: 0.002-0.070). The patient returning to their origin unit showed more transport non-conformities. Perhaps the reason is the discredit attributed to risk in these patients once the surgical problem was solved. Thus, it is a fact that the patient nursing workload and the route of the transport were effective in predicting the risk of inadequate transport, being of great potential for practical use.


Author(s):  
Diovane Ghignatti da Costa ◽  
Gisela Maria Schebella Souto de Moura ◽  
Simone Silveira Pasin ◽  
Francis Ghignatti da Costa ◽  
Ana Maria Müller de Magalhães

Objective: to analyze the experience of the patient during hospitalization, focusing on the co-production of care related to patient safety protocols. Method: qualitative study, whose data were collected through the triangulation of multiple sources: document analysis, observation of 10 professionals in the provision of care and 24 interviews with patient-families from 12 clinical and surgical inpatient units of a hospital. Thematic analysis was carried out, based on the concept of co-production. Results: safety protocols according to the experience of the patient portrayed the role of patient-families as co-producers of safe care. It was found an alignment between perceptions of the patients, institutional definitions and basic national and international patient safety protocols. However, these protocols are not always followed by professionals. Conclusion: co-production was perceived in the protocols for safe surgery and prevention of injuries resulting from falls. In patient identification, hand hygiene and medication process, it was found that co-production depends on the proactive behavior of patient-families, as it is not encouraged by professionals. The research contributes with subsidies to leverage the participation of the patient as an agent of their safety, highlighting the co-production of health care as a valuable resource for advancing patient safety.


Author(s):  
Ana Maria Müller de Magalhães ◽  
Diovane Ghignatti da Costa ◽  
Caren de Oliveira Riboldi ◽  
Thiane Mergen ◽  
Amanda da Silveira Barbosa ◽  
...  

Abstract OBJECTIVE To describe the workload of the nursing team and relate it with patient safety outcomes in clinical and surgical inpatient units of a university hospital. METHOD Cross-sectional study, carried out from October 2013 to September 2015. The factor under study was the workload, expressed as the ratio between the mean number of patients and the number of nursing professionals in 24 hours and in the day shifts. RESULTS The sample consisted of 157,481 patients, 502 nursing professionals and 264 observations of safety outcomes. The ratios of patients per nurse and per nursing technician in day shifts indicate a mean estimate of 14-15 and 5-6 patients per professional, respectively. There was a significant association between the workloads in the inpatient units and average length of stay, urinary infection related to invasive procedure and the satisfaction of patients with nursing care. CONCLUSION The increase in the workload of the nursing team had an impact on quality of care and safety for patients. An adequate staffing promotes a safer care environment.


2020 ◽  
Author(s):  
Kristin Natal Riang Gea

AbstrakKeselamatan pasien merupakan dasar dari pelayanan kesehatan yang baik. Pengetahuan tenaga kesehatan dalam sasaran keselamatan pasien terdiri dari ketepatan identifikasi pasien, peningkatan komunikasi yang efektif, peningkatan keamanan obat yang perlu diwaspadai, kepastian tepat lokasi, prosedur, dan tepat pasien operasi, pengurangan risiko infeksi, pengurangan risiko pasien jatuh. Tujuan penelitian untuk mengetahui hubungan antara pengetahuan dengan penerapan keselamatan pasien pada petugas kesehatan di Puskesmas Kedaung Wetan Kota Tangerang. Metode Penelitian menggunakan deskriptif korelasi menggunakan pendekatan cross sectional. Populasi sebanyak 50 responden. Teknik pengambilan sampel menggunakan total sampling. Instrumen yang digunakan berupa lembar kuesioner. Teknik analisa diatas menggunakan analisa Univariat dan Bivariat. Hasil Penelitian ada Hubungan Pengetahuan dengan Penerapan Keselamatan Pasien pada Petugas Kesehatan, dengan hasil, p value sebesar 0,013 < 0,05 maka dapat disimpulkan bahwa ada Hubungan Pengetahuan dengan Penerapa Keselamatan Pasien pada Petugas Kesehatan. Kesimpulan penelitian ada Hubungan Pengetahuan dengan Penerapan Keselamatan Pasien.. AbstrackPatient safety is the basis of good health services. Knowledge of health personnel in patient safety targets consists of accurate patient identification, increased effective communication, increased safety of the drug that needs to be watched, certainty in the right location, procedure, and precise patient surgery, reduction in risk of infection, reduction in risk of falling patients. The purpose of this study was to determine the relationship between knowledge and the application of patient safety to health workers in the Kedaung Wetan Health Center, Tangerang City. The research method uses descriptive correlation using cross sectional approach. The population is 50 respondents. The sampling technique uses total sampling. The instrument used was a questionnaire sheet. The analysis technique above uses Univariate and Bivariate analysis. The results of the study there is a Relationship of Knowledge with the Implementation of Patient Safety in Health Officers, with the result, p value of 0.013 <0.05, it can be concluded that there is a Relationship between Knowledge and Patient Safety Implementation in Health Officers. The conclusion of the study is the Relationship between Knowledge and the Implementation of Patient Safety.Keywords Knowledge, Patient safety, Health workers


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