Situação Dos Hospitais De Referência Para Implantação/Funcionamento Do Núcleo De Segurança Do Paciente (original) (raw)
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Journal of infection and public health, 2016
The World Health Organization (WHO) created the WHO Surgical Safety Checklist to prevent adverse events in operating rooms. The aim of this study was to analyze WHO checklist implementation in three operating rooms of public hospitals in the Brazilian Federal District. A prospective cross-sectional study was performed with pre- (Period I) and post (Period II)-checklist intervention evaluations. A total of 1141 patients and 1052 patients were studied in Periods I and II for a total of 2193 patients. Period I took place from December 2012 to March 2013, and Period II took place from April 2013 to August 2014. Regarding the pre-operatory items, most surgeries were classified as clean-contaminated in both phases, and team attire improved from 19.2% to 71.0% in Period II. Regarding checklist adherence in Period II, "Patient identification" significantly improved in the stage "Before induction of anesthesia". "Allergy verification", "Airway obstruction v...
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Filling in the Surgical Safety Checklist in Brazilian hospitals
Revista da Rede de Enfermagem do Nordeste, 2018
, combining the descriptors: patient safety, surgical centers, surgical rooms, operative surgical procedures and checklist. Results: in spite of the great variation of the frequency of the items checking, the majority presented low gauging, with an average lower than 80.0%. The best verification was observed in the first stage of the instrument. Conclusion: the frequency of the checking was unsatisfactory, evincing the need for improvements, based on the safety culture of the surgical patient.
Revista Enfermagem UERJ
Objetivo: avaliar instituição hospitalar quanto à implantação das práticas seguras. Método: estudo descritivo e observacional, realizado em 2019, em hospital público do nordeste do Brasil. Utilizou-se o questionário Avaliação da Gestão de Riscos Assistenciais em Serviços de Saúde (AGRASS), com 40 itens, e roteiro para a observação não participante. Amostra foi constituída por um gestor de risco, três farmacêuticos, quatro enfermeiros, nove técnicos de enfermagem e dois de farmácia. Resultados: na avaliação do grau de implantação da gestão de riscos, foi obtido um total de 22 itens com respostas positivas, indicando a completa adesão desta prática em mais de 50%. Na observação de campo, encontraram-se fragilidades na maioria dos achados, destacando-se a higienização das mãos e prescrição, uso e administração de medicamentos. Conclusão: as potencialidades e fragilidades referentes às práticas observadas exigem ações educativas contínuas e melhoria da gestão de riscos para alcance plen...
Patient Safety: Adverse events notified in the Southern Region of Brazil, 2014-2019
Introduction: One in ten inpatients suffers damage from healthcare, most of which is preventable. Objective: To describe the occurrence and characteristics of adverse events or incidents recorded in the National Health Surveillance System (Notivisa) for the three southern states of Brazil, between March 2014 and January 2019. Methods: Use of data from Notivisa's Adverse Events Reports for the three states of the Brazilian South Region (n=55.536 records). Variables studied: type of incident and year of occurrence; processes involved and problems occurred in incidents involving failures during assistance; types of services and hospital units; patient profile; shift in which the incident occurred; degree of damage and deaths per incident. Results: Of the total records, 56.7% occurred in male people, 57.7% in the age group above 56 years of age, 54.3% in the day shift and 50.7% resulted in mild damage. The three main reasons for incidents and adverse effects were: Failures during healthcare (24.5%), pressure ulcers (21.6%) and patient falls (15.0%). In “failures during health care”, the procedures, treatment and / or intervention predominate (64.5%); in problems, incomplete or inadequate assistance (36.3%). The number of notifications four times higher in Paraná and twice in Santa Catarina suggests possible underreporting in Rio Grande do Sul. Conclusion: Failures predominated during health care in Paraná and Santa Catarina, and the patient's fall in Rio Grande do Sul.
Jundishapur Journal of Health Sciences, 2020
Objectives: There are deficiencies in codifying and implementing the surgical safety guideline, which may result in decreasing its positive outcomes. The aim of the current study is determining the intervening conditions and the strategies for effectively implementing the surgical safety guideline in the hospitals. Data Sources: Content analysis was used for analyzing the 28 qualitative articles that were searched by the systematic review in English databases such as Science Direct, PubMed, Elsevier, EBSCOhost, and Google Scholar. Finally, 28 articles were entered into a research, and classified by the MAXQDA10 software. Results: The intervening conditions were categorized in 21 sub-categories and three categories as follows: technical factors, human factors, and managerial-organizational factors. The strategies were categorized in 19 sub-categories and three categories as follows: technical strategies, human strategies, and managerial-organizational strategies. Conclusions: It is necessary to consider the intervening conditions and strategies as a proper subset of factors related to safe surgical care.
The WHO Surgical Safety Checklist: knowledge and use by Brazilian orthopedists
Revista Brasileira de Ortopedia (English Edition), 2013
The research examined Brazilian orthopedists' degree of knowledge of the World Health Organization Surgical Safety Checklist. Methods: A voluntary survey was conducted among the 3231 orthopedists taking part in the 44th Brazilian Congress of Orthopedics and Traumatology in November 2012, using a questionnaire on the use of WHO Surgical Safety Checklist. A statistical analysis was done upon receipt of 502 completed questionnaires. Results: Among the 502 orthopedists, 40.8% reported the experience of wrong site or wrong patient surgery and 25.6% of them indicated "miscommunication" as the main cause for the error. 35.5% of the respondents do not mark the surgical site before sending the patient to the operating room and 65.3% reported lack of knowledge of the World Health Organization (WHO) Surgical Safety Checklist, fully or partially. 72.1% of the orthopedists have never been trained to use this protocol. Discussion: Medical errors are more common in the surgical environment and represent a high risk to patient safety. Orthopedic surgery is a high volume specialty with major technical complexity and therefore with increased propensity for errors. Most errors are avoidable through the use of the WHO Surgical Safety Checklist. The study showed that 65.3% of Brazilian orthopedists are unaware of this protocol, despite the efforts of WHO for its disclosure.