scholarly journals A Identificação do paciente no alcance de práticas seguras: concepções e práticas

Author(s):  
Andréia Guerra

Objetivo: Avaliar as dificuldades, ações e estratégias realizadas pela equipe de enfermagem para alcançar a meta de segurança de identificação dos pacientes em uma unidade de internação de um hospital filantrópico. Método: estudo descritivocom abordagem qualitativa. A coleta de dados foi realizada de junho a julho de 2016, por meio de entrevistas, com roteirosemiestruturado, com vinte profissionais da equipe de enfermagem. Resultados: foram construídas três categorias temáticas: Identificação do Paciente: concepções, ações e dificuldades vivenciadas; Identificação do Paciente: riscos existentes;Estratégias para desenvolver a cultura de segurança do paciente. Conclusão: evidenciou-se a falta de cultura de segurançado paciente nos locais de estudo. Surge a necessidade de criar estratégias educativas que possibilitem uma melhor capacitação, planejamento e organização das ações, assim como as notificações de eventos adversos garantindo qualidade esegurança aos pacientes.Palavras chave: Segurança do Paciente. Qualidade da Assistência à Saúde. Cultura Organizacional. ABSTRACTObjective: To evaluate the difficulties, actions and strategies carried out by the nursing team in order to achieve the goalof identifying patients in an inpatient unit of a philanthropic hospital. Method: descriptive study with qualitative approach.Data collection was carried out from June to July of 2016, through interviews, with semi-structured script, with twentyprofessionals of the nursing team. Results: three thematic categories were constructed: Patient Identification: conceptions,actions and difficulties experienced; Patient identification: existing risks; Strategies for developing a patient safety culture.Conclusion: the lack of safety culture of the patient in the study sites was evidenced. The need to create educationalstrategies that allow better training, planning and organization of actions, as well as the notifications of adverse events,guaranteeing quality and safety to the patients.Keywords: Patient Safety. Quality of Health Care. Organizational Culture

2018 ◽  
Vol 12 (12) ◽  
pp. 3360
Author(s):  
Renata De Paula Faria Rocha ◽  
Diana Lúcia Moura Pinho

RESUMOObjetivo: analisar a literatura acerca da segurança do paciente em hemodiálise. Método: trata-se de um estudo bibliográfico, descritivo, tipo revisão integrativa, por meio de pesquisa em artigos publicados entre os anos de 2006 a 2016, em português, inglês ou espanhol; coletados nas bases de dados Medline, Lilacs, BDENF e Biblioteca Virtual SciELO e os resultados apresentado em figura. Resultados: compôs-se a amostra deste estudo por seis artigos. Agruparam-se as informações após a análise dos artigos, em três categorias: segurança do paciente em hemodiálise; fatores que afetam a segurança do paciente em hemodiálise e estratégias para a segurança do paciente em hemodiálise. Conclusão: torna-se importante que a equipe da hemodiálise aprofunde os seus conhecimentos acerca da segurança do paciente para atuar, de forma proativa, na prevenção de eventos adversos garantindo, assim, a segurança do paciente e uma melhor qualidade de vida ao paciente com doença renal crônica em tratamento hemodialítico. Descritores: Segurança do Paciente; Enfermagem; Diálise Renal; Cuidados de Enfermagem; Enfermagem em Nefrologia; Avaliação em Enfermagem.ABSTRACT Objective: to analyze the literature on the safety of patients on hemodialysis. Method: this is a bibliographical, descriptive study, of integrative review type, through research in articles published between the years 2006 to 2016, in Portuguese, English or Spanish; collected in the databases Medline, Lilacs, BDENF and SciELO Virtual Library and the results presented in figure. Results: the sample of this study was composed by six articles. The information after article analysis was grouped into three categories: patient safety on hemodialysis; factors that affect patient safety on hemodialysis and strategies for patient safety on hemodialysis. Conclusion: it is important that the hemodialysis team deepens their knowledge about patient safety to proactively act in the prevention of adverse events, thus ensuring patient safety and a better quality of life for patients with illness renal disease on hemodialysis. Descriptors: Patient Safety; Nursing; Renal Dyalisis; Nursing Care; Nephrology Nursing; Nursing Assessment.RESUMEN Objetivo: analizar la literatura acerca de la seguridad del paciente en hemodiálisis. Método: se trata de un estudio bibliográfico y descriptivo, revisión de tipo integrador, a través de los artículos de investigación publicados entre 2006 a 2016, en portugués, Inglés o Español; recogidos en las bases de datos Medline, Lilacs, BDENF y Biblioteca Virtual SciELO y los resultados presentados en figura. Resultados: se compuso la muestra de este estudio por seis artículos. Se agruparon las informaciones después del análisis de los artículos, en tres categorías: seguridad del paciente en hemodiálisis; factores que afectan la seguridad del paciente en hemodiálisis y estrategias para la seguridad del paciente en hemodiálisis. Conclusión: es importante que el equipo de la hemodiálisis profundice sus conocimientos acerca de la seguridad del paciente para actuar de forma proactiva en la prevención de eventos adversos garantizando así la seguridad del paciente y una mejor calidad de vida al paciente con enfermedad renal crónica en tratamiento hemodialítico. Descriptores: Seguridad del Paciente; Enfermería; Diálisis Renal; Atención de Enfermería; Enfermería en Nefrología; Evaluación en Enfermería.


2018 ◽  
Vol 9 (3) ◽  
pp. 40
Author(s):  
Teresa Vinagre ◽  
Rita Marques

The notification of errors/adverse events is one of the central aspects for the quality of care and patient safety. The purpose of this pilot study is to analyse the safety culture of the operating room in relation to the errors/adverse events and their notification, in the nurses’ perception. It is a quantitative, descriptive-exploratory pilot study. A survey “Nurses’ Perception regarding Notification of Errors/Adverse Events” was applied, consisting of 8 closed questions to an intentional non-probabilistic sample consisting of 43 nurses working in the operating room of a private hospital in Lisbon. The results showed that only 51.2% of the adverse events that caused damage to patients were always notified by the nurses. Of the various adverse events occurred, 60.5% were not reported, justified by “lack of time”. There was also a negative correlation between professional experience and the frequency of error notification (p < .05). The factors referred as those that contributed most to the occurrence of errors were, pressure to work quickly (100.0%), lack of human resources (86.0%), demotivation (86.0%), professional inexperience and hourly overload (83.7%), lack of knowledge (74.4%) and communication failures (65.1%). The perception of Patient Safety was assessed by the majority of participants as “acceptable”. In conclusion, it was evident the reduced notification of adverse events in the operation room so it becomes crucial to focus on the continuous training of health professionals, as well as work on the error, to increase a safety culture with quality.


Author(s):  
Paula Eduarda Oliveira Honorato ◽  
Tania Monteiro Teixeira

Objective: to report and evaluate the implementation of the Patient Safety Center, with emphasis on the identification of patients in a public hospital in Piauí. Method: experience report, in which the activities were performed from January to April 2019. The information for analysis came from the situations experienced by the authors in the implementation of the NSP and the patient identification process. Results: There was an improvement and facilitation in the work of the multiprofessional team enabling lower risk of patient exchange, and consequent avoidable adverse events. Conclusion: the implementation of the NSP was reported and analyzed, with a significant improvement in the organization of services, suggesting improvement with the team, highlighting the importance of protocols for better health care.


2017 ◽  
Vol 6 (6) ◽  
pp. 15
Author(s):  
Concepción Meléndez Méndez ◽  
Rosalinda Garza Hernández ◽  
Juana Fernanda González Salinas ◽  
Socorro Rangel Torres ◽  
Gloria Acevedo Porras ◽  
...  

Objective: To determine the perceived patient safety related to health care during hospitalization. To identify the number of patients who report having suffered a clinical error and describe the patients’ experience with the clinical error.Methods: A cross-sectional descriptive study performed of patients who were hospitalized between August-November 2013 in four second-level hospitals.Results: A total of 631 patients were surveyed. Regarding the errors suffered during the hospitalization, 7.9% of the patients reported having suffered a complication, 7.9% reported having an infection, 5.2% had an allergic reaction to medication and 5.1% had to undergo a second surgery. Regarding the patients’ responses about the experience with the error, only 4.8% of the patients reported having had experiencing clinical error in their management, 1.9% mentioned that they fully agreed that the error was solved quickly, 2.5% that the error was solved satisfactorily and 3.3% patients disagreed as they were not informed if steps would be taken to prevent the error from recurring.Conclusions: To address safety culture in the hope of improving patient safety will continue to motivate nurse researchers and managers thus more research about patient perception is needed.


2018 ◽  
Vol 12 (6) ◽  
pp. 1524
Author(s):  
Aline Togni Braga ◽  
Mileide Morais Pena ◽  
Inahiá Pinhel

RESUMOObjetivo: conhecer a percepção acerca do processo de Acreditação no cotidiano da equipe de Enfermagem de um hospital universitário nas dimensões avaliativas de estrutura, processo e resultado. Método: estudo quantitativo, exploratório e descritivo, com 563 profissionais. Para a coleta de dados, utilizou-se a Escala de Likert e o tratamento dos dados foi realizado por meio de estatística descritiva e o teste Alpha de Cronbach. Resultados: na análise dos resultados, observou-se que a equipe de Enfermagem demonstrou percepção com maior grau de favorabilidade para a dimensão de processo, com escore médio 0,7463 (dp±0,1466); seguida pelas dimensões resultado, com 0,7256 (dp±0,1804), e estrutura, com 0,6800 (dp±0,1714), evidenciando que os benefícios derivados da Acreditação Hospitalar são reconhecidos pelos membros da equipe de Enfermagem. Conclusão: os escores menos favoráveis residiram na dimensão estrutura, requerendo maior atenção dos gestores, tendo em vista que uma estrutura mais adequada aumenta a probabilidade de uma assistência de melhor qualidade. O estudo permitiu compreender o contexto da Acreditação Hospitalar no ambiente da prática sugerindo possíveis intervenções para a melhoria desse processo. Descritores: Acreditação Hospitalar; Qualidade, Acesso e Avaliação da Assistência à Saúde; Garantia da Qualidade dos Cuidados de Saúde; Qualidade da Assistência à Saúde; Segurança do Paciente; Enfermagem.ABSTRACTObjective: to get to know the perception about the Accreditation process in the routine of the Nursing team of a university hospital in the evaluative dimensions of structure, process and outcome. Method: a quantitative, exploratory and descriptive study, with 563 professionals. For the data collection, the Likert Scale was used and data treatment was carried out using descriptive statistics and the Cronbach Alpha test. Results: in the analysis of the results, it was observed that the Nursing team showed a perception with a higher degree of favorability for the process dimension, with a mean score of 0.7463 (sd ± 0.1466); followed by the result dimensions, with 0.7256 (sd ± 0.1804), and structure, with 0.6800 (sd ± 0.1714), showing that the benefits derived from Hospital Accreditation are recognized by the members of the Nursing team. Conclusion: less favorable scores resided in the structure dimension, requiring more attention from managers, since a more adequate structure increases the probability of better quality care. The study allowed for the understanding on the context of Hospital Accreditation in the environment of the practice suggesting possible interventions to improve this process. Descriptors: Hospital Accreditation; Quality, Access and Evaluation of Health Care; Quality Assurance of Health Care; Quality of Health Care; Patient safety; Nursing. Descriptors: Hospital Accreditation; Health Care Quality, Access, and Evaluation; Quality of Health Care; Quality Assurance Health Care; Patient Safety; Nursing.RESUMENObjetivo: conocer la percepción acerca del proceso de Acreditación en el cotidiano del equipo de Enfermería de un hospital universitario en las dimensiones evaluativas de estructura, proceso y resultado. Método: estudio cuantitativo, exploratorio y descriptivo, con 563 profesionales. Para la recolección de datos, se utilizó la Escala de Likert y el tratamiento de los datos fue realizado por medio de estadística descriptiva y la prueba Alpha de Cronbach. Resultados: en el análisis de los resultados, se observó que el equipo de Enfermería demostró percepción con mayor grado de favorabilidad para la dimensión de proceso con puntaje medio 0,7463 (dp ± 0,1466); seguido por las dimensiones resultado, con 0,7256 (dp ± 0,1804), y estructura, con 0,6800 (dp ± 0,1714), evidenciando que los beneficios derivados de la Acreditación Hospitalaria son reconocidos por los miembros del equipo de Enfermería. Conclusión: los puntajes menos favorables residían en la dimensión estructura, requiriendo una mayor atención de los gestores, teniendo en vista que una estructura más adecuada aumenta la probabilidad de una asistencia de mejor calidad. El estudio permitió comprender el contexto de la Acreditación Hospitalaria en el ambiente de la práctica, sugiriendo posibles intervenciones para la mejora de ese proceso. Descriptores: Acreditación de Hospitales; Calidad, Acceso y Evaluación de la Atención de Salud; Calidad de la Atención de Salud; Garantía de la Calidad de Atención de Salud; Seguridad del Paciente; Enfermería.


2022 ◽  
Author(s):  
Renata De Paula Faria Rocha

Patient safety addresses the risks involved in health care, simplifying or eliminating adverse events, these are defined as incidents that occur during the provision of health care and that result in harm to the patient. Health care is increasingly complex and can increase the potential for incidents, errors or failures to occur. Hemodialysis is a technically complex procedure, with many potential sources of error and which can cause harm to patients. Dialysis is a therapy that in recent years has benefited many patients, but it is a care process that involves important dangers and risks. Hemodialysis is a hospital sector with a great risk potential for the occurrence of adverse events, this occurs for several reasons such as complex procedures, the use of high technology, the characteristic of chronic kidney disease, the high use of medications. Strategies need to be taken to reduce the occurrence of adverse events, thus ensuring the quality of dialysis, consequently the quality of life of patients with chronic kidney disease undergoing dialysis treatment.


2021 ◽  
Vol 20 (3) ◽  
pp. 180-220
Author(s):  
Valdenir Almeida da Silva ◽  
Rosana Santos Mota Santos Mota ◽  
Angela De Souza Barros ◽  
Alessandra Rabelo Fernandes Gonçalves ◽  
Monalisa Viana Sant’Anna ◽  
...  

Objetivo: Analizar los incidentes relacionados con la atención médica en un hospital docente. Método: Investigación cuantitativa, realizada con base en las notificaciones de incidencias realizadas entre 2016 y 2018. Los datos se procesaron en la versión 12 del programa STATA. Resultados: La incidencia de eventos adversos fue de 3,82 por cada 100 pacientes-día. Las unidades de hospitalización para adultos fueron los lugares con mayor incidencia de incidentes, 57,20%; pacientes adultos, 52,75%; mujeres, 52,9%; negros, 80,01%; solteros, 47,62%; con escolarización baja o nula, el 50,91%, fueron los principales. Las enfermeras fueron los principales notificadores, 80,38%. Flebitis, 27,05%; cirugías, 19,20%; y las caídas, el 17,27%, fueron los incidentes más reportados, cuyos daños fueron clasificados como leves en el 91,52%, pero hubo 03 muertes en el período. Conclusión: El análisis de los incidentes permite destacar la importancia de las notificaciones para la planificación e implementación de medidas que puedan contribuir al fortalecimiento de la cultura de seguridad del paciente. Objective: Analyzing incidents related to health care in a teaching hospital. Method: A quantitative research carried out based on notifications of incidents carried out between 2016 and 2018. The data were processed in STATA version 12. Results: The incidence of adverse events was 3.82 per 100 patient-days. The adult hospitalization units were the main notifiers, 57.20%; adult patients, 52.75%; females, 52.9%; blacks, 80.01%; singles, 47.62%; with low or no schooling, 50.91%, were the main ones. The nurses were the main notifiers, 80.38%. Phlebitis, 27.05%; surgeries, 19.20%; and falls, 17.27%, were the most reported incidents, whose damage was classified as mild in 91.52%, but there were three deaths in the period. Conclusion: The analysis of incidents allows us to highlight the importance of notifications for the planning and implementation of measures that can contribute to the strengthening of the patient safety culture. Objetivo: Analisar os incidentes relacionados à assistência à saúde em um hospital de ensino. Método: Pesquisa quantitativa, realizada a partir das notificações de incidentes realizadas entre 2016 e 2018. Os dados foram processados no programa STATA versão 12. Resultados: A incidência de eventos adversos foi 3,82 por 100 pacientes-dia. As unidades de internação para adultos foram os locais com maior ocorrência de incidentes, 57,20%; os pacientes adultos, 52,75%; do sexo feminino, 52,9%; negros, 80,01%; solteiros, 47,62%; com baixa ou nenhuma escolaridade, 50,91%, foram os principais atingidos. Os enfermeiros foram os principais notificadores, 80,38%. As flebites, 27,05%; cirurgias, 19,20%; e quedas, 17,27%, foram os incidentes mais notificados, cujos danos foram classificados como leves em 91,52%, mas houve 03 óbitos no período. Conclusão: A análise dos incidentes permite destacar a importância das notificações para o planejamento e implementação de medidas que possam contribuir para o fortalecimento da cultura de segurança do paciente.


2020 ◽  
Vol 73 (5) ◽  
Author(s):  
Felicialle Pereira da Silva ◽  
Elizandra Cássia da Silva ◽  
Adriana Lopes Ferreira ◽  
Iracema da Silva Frazão

ABSTRACT Objectives: to reflect on aspects related to homeless patients’ safety. Methods: this is a reflective theoretical essay based on patient safety theories. Results: the patient safety culture has developed in the hospital care context and seeks to reduce adverse events in specific hospital settings. On the streets, there is evidence that many people suffer damage related to lack of access to health services, which contributes to undiagnosed or untreated diseases. To build the safety culture it is necessary to identify risks and errors in this scenario since health safety should not start only when hospitalizing an individual. Final Considerations: public policies for this population group need to be effective, as this issue should be a priority concern in health care to prevent harm and adverse events during care delivery.


BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e047102
Author(s):  
Gemma Louch ◽  
Abigail Albutt ◽  
Joanna Harlow-Trigg ◽  
Sally Moore ◽  
Kate Smyth ◽  
...  

ObjectivesTo produce a narrative synthesis of published academic and grey literature focusing on patient safety outcomes for people with learning disabilities in an acute hospital setting.DesignScoping review with narrative synthesis.MethodsThe review followed the six stages of the Arksey and O’Malley framework. We searched four research databases from January 2000 to March 2021, in addition to handsearching and backwards searching using terms relating to our eligibility criteria—patient safety and adverse events, learning disability and hospital setting. Following stakeholder input, we searched grey literature databases and specific websites of known organisations until March 2020. Potentially relevant articles and grey literature materials were screened against the eligibility criteria. Findings were extracted and collated in data charting forms.Results45 academic articles and 33 grey literature materials were included, and we organised the findings around six concepts: (1) adverse events, patient safety and quality of care; (2) maternal and infant outcomes; (3) postoperative outcomes; (4) role of family and carers; (5) understanding needs in hospital and (6) supporting initiatives, recommendations and good practice examples. The findings suggest inequalities and inequities for a range of specific patient safety outcomes including adverse events, quality of care, maternal and infant outcomes and postoperative outcomes, in addition to potential protective factors, such as the roles of family and carers and the extent to which health professionals are able to understand the needs of people with learning disabilities.ConclusionPeople with learning disabilities appear to experience poorer patient safety outcomes in hospital. The involvement of family and carers, and understanding and effectively meeting the needs of people with learning disabilities may play a protective role. Promising interventions and examples of good practice exist, however many of these have not been implemented consistently and warrant further robust evaluation.


2021 ◽  
Vol 33 (2) ◽  
Author(s):  
Franziska Maria Keller ◽  
Christina Derksen ◽  
Lukas Kötting ◽  
Martina Schmiedhofer ◽  
Sonia Lippke

Abstract Background Patient-centered care and patient involvement have been increasingly recognized as crucial elements of patient safety. However, patient safety has rarely been evaluated from the patient perspective with a quantitative approach aiming at making patient safety and preventable adverse events measurable. Objectives The objectives of this study were to develop and evaluate the psychometric properties of a questionnaire assessing patient safety by perceived triggers of preventable adverse events among patients in primary health-care settings while considering mental health. Methods Two hundred and ten participants were recruited through various digital and print channels and asked to complete an online survey between November 2019 and April 2020. Exploratory factor analysis was performed to identify domains of triggers of preventable adverse events affecting patient safety. Furthermore, a multi-trait scaling analysis was performed to evaluate internal reliability as well as item-scale convergent–discriminant validity. A multivariate analysis of covariance evaluated whether individuals below and above the symptom threshold for depression and generalized anxiety perceive triggers of preventable adverse events differently. Results The five factors determined were information and communication with patients, time constraints of health-care professionals, diagnosis and treatment, hygiene and communication among health-care professionals, and knowledge and operational procedures. The questionnaire demonstrated a good total and subscale internal consistency (α = 0.90, range = 0.75–0.88), good item-scale convergent validity with significant correlations between 0.57 and 0.78 (P &lt; 0.05; P &lt; 0.01) for all items with their associated subscales, and satisfactory item-scale discriminant validity between 0.14 and 0.55 (P &gt; 0.05) with no significant correlations between the items and their competing subscales. The questionnaire further revealed to be a generic measure irrespective of patients’ mental health status. Patients older than 50 years of age perceived a significantly greater threat to their own safety compared to patients below that age. Conclusion The developed Perceptions of Preventable Adverse Events Assessment Tool (PPAEAT) exhibits good psychometric properties, which supports its use in future research and primary health-care practice. Further validation of the PPAEAT in different settings, languages and larger samples is needed. The results of this study need to be considered when assessing patient safety in the context of health-care research.


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