Transfusion Safety: a Health Surveillance method to evaluate potential risks in hemotherapy services

Detalhes bibliográficos
Autor(a) principal: Silva Junior, João Batista
Data de Publicação: 2014
Outros Autores: Rattner, Daphne
Tipo de documento: Artigo
Idioma: por
Título da fonte: Vigilância Sanitária em Debate
Texto Completo: https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/126
Resumo: This article describes the method for the evaluation of potential risks in hemotherapy services (MARPSH) applied by the Brazilian Health Surveillance Agency. It allows the identification of potential risks by mapping them for advanced control and modeling the preferences for decision making as a proactive risk management activity. The MARPSH structure is composed by 471 control items, being 50% related to risks for the product, 25% for the patient, 17% for the donor and 8% for the worker. Each identified inadequacy is categorized by its severity, its probability and relatively of a possibility of a hazard. For its analysis, the system adopted two different weights according to the valuation of the items of control and the complexity of the procedures. The relationship betwe-en the score and the maximum score possible results in an index called Proportion of Control (PC), by which the potential risk is classified as Low (PC ≥ 95%), Medium-Low (PC ≤ 80% < 95%), Medium (70% ≤ PC < 80%), Medium-High (60% ≤ PC < 70%) and High (PC < 60%). The use of this method for health surveillance allows monitoring and con-trolling the reduction of risks, hence contributing to the increase of transfusion safety.
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spelling Transfusion Safety: a Health Surveillance method to evaluate potential risks in hemotherapy servicesSegurança Transfusional: um método de Vigilância Sanitária para avaliação de riscos potenciais em serviços de hemoterapiaHemotherapy ServiceHealth SurveillanceRisk ManagementEvaluationServiço de HemoterapiaVigilância SanitáriaControle de RiscosAvaliaçãoThis article describes the method for the evaluation of potential risks in hemotherapy services (MARPSH) applied by the Brazilian Health Surveillance Agency. It allows the identification of potential risks by mapping them for advanced control and modeling the preferences for decision making as a proactive risk management activity. The MARPSH structure is composed by 471 control items, being 50% related to risks for the product, 25% for the patient, 17% for the donor and 8% for the worker. Each identified inadequacy is categorized by its severity, its probability and relatively of a possibility of a hazard. For its analysis, the system adopted two different weights according to the valuation of the items of control and the complexity of the procedures. The relationship betwe-en the score and the maximum score possible results in an index called Proportion of Control (PC), by which the potential risk is classified as Low (PC ≥ 95%), Medium-Low (PC ≤ 80% < 95%), Medium (70% ≤ PC < 80%), Medium-High (60% ≤ PC < 70%) and High (PC < 60%). The use of this method for health surveillance allows monitoring and con-trolling the reduction of risks, hence contributing to the increase of transfusion safety.O artigo descreve o método de avaliação de risco potencial em serviços de hemoterapia (MARPSH) aplicado pela Vigilância Sanitária (VISA) no Brasil. Esse instrumento permite a identificação de riscos potenciais por meio do mapeamento dos multicritérios de controle e modelação das preferências para tomada de decisão, inserindo-o no âmbito da gestão proativa do risco. O MARPSH estrutura-se em 471 itens de controle, sendo 50% relaciona-dos a riscos ao produto, 25% ao paciente, 17% ao doador e 8% ao trabalhador do serviço. Cada risco identificado é categorizado quanto à severidade, sua probabilidade e sua pos-sibilidade de dano. Os sistemas analíticos utilizam a atribuição de duas ponderações, uma na valoração dos itens de controle e outra se refere à complexidade dos procedimentos. A relação entre a pontuação alcançada e a pontuação máxima possível origina o indicador Proporção de Controle (PC), pelo qual o risco potencial é classificado em Baixo (PC ≥ 95%), Médio-Baixo (80% ≤ PC < 95%), Médio (70% ≤ PC < 80%), Médio-Alto (60% ≤ PC < 70%) e Alto (PC < 60%). A utilização do MARPSH permite o monitoramento e o controle da redução dos riscos e, consequentemente, o incremento da segurança transfusional.Instituto Nacional de Controle de Qualidade em Saúde2014-05-14info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion"Peer-reviewed article""Artículo revisado por pares""Artigo avaliado pelos pares"application/pdfhttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/12610.3395/vd.v2n2.126Health Surveillance under Debate: Society, Science & Technology ; Vol. 2 No. 2 (2014): May; 43-52Vigilancia en Salud en Debate: Sociedad, Ciencia y Tecnología; Vol. 2 Núm. 2 (2014): Puede; 43-52Vigil Sanit Debate, Rio de Janeiro; v. 2 n. 2 (2014): Maio; 43-522317-269Xreponame:Vigilância Sanitária em Debateinstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/126/114Copyright (c) 2014 Vigilância Sanitária em Debate: Sociedade, Ciência & Tecnologia (Health Surveillance under Debate: Society, Science & Technology) – Visa em Debatehttps://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccessSilva Junior, João BatistaRattner, Daphne2023-06-27T14:56:37Zoai:ojs.visaemdebate.incqs.fiocruz.br:article/126Revistahttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebatePUBhttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/oaiincqs.visaemdebate@fiocruz.br || gisele.neves@fiocruz.br2317-269X2317-269Xopendoar:2023-06-27T14:56:37Vigilância Sanitária em Debate - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.none.fl_str_mv Transfusion Safety: a Health Surveillance method to evaluate potential risks in hemotherapy services
Segurança Transfusional: um método de Vigilância Sanitária para avaliação de riscos potenciais em serviços de hemoterapia
title Transfusion Safety: a Health Surveillance method to evaluate potential risks in hemotherapy services
spellingShingle Transfusion Safety: a Health Surveillance method to evaluate potential risks in hemotherapy services
Silva Junior, João Batista
Hemotherapy Service
Health Surveillance
Risk Management
Evaluation
Serviço de Hemoterapia
Vigilância Sanitária
Controle de Riscos
Avaliação
title_short Transfusion Safety: a Health Surveillance method to evaluate potential risks in hemotherapy services
title_full Transfusion Safety: a Health Surveillance method to evaluate potential risks in hemotherapy services
title_fullStr Transfusion Safety: a Health Surveillance method to evaluate potential risks in hemotherapy services
title_full_unstemmed Transfusion Safety: a Health Surveillance method to evaluate potential risks in hemotherapy services
title_sort Transfusion Safety: a Health Surveillance method to evaluate potential risks in hemotherapy services
author Silva Junior, João Batista
author_facet Silva Junior, João Batista
Rattner, Daphne
author_role author
author2 Rattner, Daphne
author2_role author
dc.contributor.author.fl_str_mv Silva Junior, João Batista
Rattner, Daphne
dc.subject.por.fl_str_mv Hemotherapy Service
Health Surveillance
Risk Management
Evaluation
Serviço de Hemoterapia
Vigilância Sanitária
Controle de Riscos
Avaliação
topic Hemotherapy Service
Health Surveillance
Risk Management
Evaluation
Serviço de Hemoterapia
Vigilância Sanitária
Controle de Riscos
Avaliação
description This article describes the method for the evaluation of potential risks in hemotherapy services (MARPSH) applied by the Brazilian Health Surveillance Agency. It allows the identification of potential risks by mapping them for advanced control and modeling the preferences for decision making as a proactive risk management activity. The MARPSH structure is composed by 471 control items, being 50% related to risks for the product, 25% for the patient, 17% for the donor and 8% for the worker. Each identified inadequacy is categorized by its severity, its probability and relatively of a possibility of a hazard. For its analysis, the system adopted two different weights according to the valuation of the items of control and the complexity of the procedures. The relationship betwe-en the score and the maximum score possible results in an index called Proportion of Control (PC), by which the potential risk is classified as Low (PC ≥ 95%), Medium-Low (PC ≤ 80% < 95%), Medium (70% ≤ PC < 80%), Medium-High (60% ≤ PC < 70%) and High (PC < 60%). The use of this method for health surveillance allows monitoring and con-trolling the reduction of risks, hence contributing to the increase of transfusion safety.
publishDate 2014
dc.date.none.fl_str_mv 2014-05-14
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
"Peer-reviewed article"
"Artículo revisado por pares"
"Artigo avaliado pelos pares"
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/126
10.3395/vd.v2n2.126
url https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/126
identifier_str_mv 10.3395/vd.v2n2.126
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/126/114
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by-nc-nd/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-nd/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Instituto Nacional de Controle de Qualidade em Saúde
publisher.none.fl_str_mv Instituto Nacional de Controle de Qualidade em Saúde
dc.source.none.fl_str_mv Health Surveillance under Debate: Society, Science & Technology ; Vol. 2 No. 2 (2014): May; 43-52
Vigilancia en Salud en Debate: Sociedad, Ciencia y Tecnología; Vol. 2 Núm. 2 (2014): Puede; 43-52
Vigil Sanit Debate, Rio de Janeiro; v. 2 n. 2 (2014): Maio; 43-52
2317-269X
reponame:Vigilância Sanitária em Debate
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Vigilância Sanitária em Debate
collection Vigilância Sanitária em Debate
repository.name.fl_str_mv Vigilância Sanitária em Debate - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv incqs.visaemdebate@fiocruz.br || gisele.neves@fiocruz.br
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