Risk management proposal: flow mapping, risk and safety strategies in a surgical center
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/22283 |
Resumo: | Objectives: To Map and describe the activities and risks of a surgical process in a specialized hospital, and propose strategies for patient safety through a risk management proposal. Methodology: Qualitative research, in the form of action research, carried out with 12 professionals working in a surgical center of a specialized hospital in northwestern São Paulo, from May to June 2017. Brainstorming tools were used to understand the internal flow, Business Process Model and Notation and Supplier, Input, Process, Output and Customer for process mapping, National Health Agency's Risk Matrix for risk stratification and improvement proposals, the methodology proposed by the Institute of Healthcare Improvement. Results: In the mapping, the operating room was divided into admission; operating room and anesthetic recovery, which resulted in 13 processes and 42 activities described. It was possible to observe relevant interactions with administrative and support processes. 42 risk situations were identified; 31.8% were classified as medium risk, 43.1% high and 25.0% extreme, which generated 87 proposals for interventions to improve patient safety. Conclusion: Mapping the activities and risks of surgical processes provides the manager with tools for decision making; above all, the adoption of corrective strategies for each of the risk points in the flow of patient care. |
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Risk management proposal: flow mapping, risk and safety strategies in a surgical centerPropuesta de Gestión de riesgos: mapeo de flujos, estrategias de riesgo y seguridad en un centro quirúrgicoProposta de Gestão de riscos: mapeamento de fluxo, riscos e estratégias de segurança em um centro cirúrgicoGestão em SaúdeSegurança do PacienteQualidade da Assistência à SaúdeEnfermagemCentros cirúrgicos. Health ManagementPatient SafetyQuality of Health CareNursingSurgicenters.Gestión em SaludSeguridad del PacienteCalidad de la Atención de SaludEnfermeríaCentros quirúrgicos. Objectives: To Map and describe the activities and risks of a surgical process in a specialized hospital, and propose strategies for patient safety through a risk management proposal. Methodology: Qualitative research, in the form of action research, carried out with 12 professionals working in a surgical center of a specialized hospital in northwestern São Paulo, from May to June 2017. Brainstorming tools were used to understand the internal flow, Business Process Model and Notation and Supplier, Input, Process, Output and Customer for process mapping, National Health Agency's Risk Matrix for risk stratification and improvement proposals, the methodology proposed by the Institute of Healthcare Improvement. Results: In the mapping, the operating room was divided into admission; operating room and anesthetic recovery, which resulted in 13 processes and 42 activities described. It was possible to observe relevant interactions with administrative and support processes. 42 risk situations were identified; 31.8% were classified as medium risk, 43.1% high and 25.0% extreme, which generated 87 proposals for interventions to improve patient safety. Conclusion: Mapping the activities and risks of surgical processes provides the manager with tools for decision making; above all, the adoption of corrective strategies for each of the risk points in the flow of patient care.Objetivos: Mapear y describir las actividades y riesgos de un proceso quirúrgico en un hospital especializado, y proponer estrategias para la seguridad del paciente a través de una propuesta de gestión de riesgos. Metodología: Investigación cualitativa, en forma de investigación acción, realizada con 12 profesionales que laboran en un centro quirúrgico de un hospital especializado del noroeste de São Paulo, de mayo a junio de 2017. Se utilizaron herramientas de lluvia de ideas para comprender el flujo interno, Modelo de Procesos de Negocio y Notación y Proveedor, Entrada, Proceso, Salida y Cliente para el mapeo de procesos, Matriz de Riesgos de la Agencia Nacional de Salud para la estratificación de riesgos y propuestas de mejora, la metodología propuesta por el Instituto de Mejoramiento de la Salud. Resultados: En el mapeo, el quirófano se dividió en ingreso; quirófano y recuperación anestésica, lo que resultó en 13 procesos y 42 actividades descritas. Se pudo observar interacciones relevantes con procesos administrativos y de apoyo. Se identificaron 42 situaciones de riesgo; El 31,8% fueron clasificados como de riesgo medio, el 43,1% alto y el 25,0% extremo, lo que generó 87 propuestas de intervenciones para mejorar la seguridad del paciente. Conclusión: el mapeo de las actividades y los riesgos de los procesos quirúrgicos proporciona al gerente herramientas para la toma de decisiones; sobre todo, la adopción de estrategias correctivas para cada uno de los puntos de riesgo en el flujo de atención al paciente.Objetivos: Mapear e descrever as atividades e riscos de um processo cirúrgico em um hospital especializado, e propor estratégias para a segurança do paciente por meio de uma proposta de gestão de risco. Metodologia: Pesquisa qualitativa, na modalidade de pesquisa-ação, realizado com 12 profissionais atuantes em um centro cirúrgico de um hospital especializado do noroeste paulista, no período de maio a junho de 2017. Foram utilizadas as ferramentas brainstorming para conhecimento do fluxo interno, Business Process Model and Notation e o Supplier, Input, Process, Output e Cliente para mapeamento do processo, Matriz de Risco da Agência Nacional de Saúde Suplementar para a estratificação dos riscos e para as propostas de melhorias, utilizou-se a metodologia proposta pelo Institute of Healtcare Improvement. Resultados: No mapeamento, o centro cirúrgico foi dividido em admissão; sala cirúrgica e recuperação anestésica, que resultaram em 13 processos e 42 atividades descritas. Foi possível observar interações relevantes com processos administrativos e de apoio. Foram identificadas 42 situações de risco; sendo que 31,8% foram classificadas como risco médio, 43,1% alto e 25,0% extremo, que geraram 87 propostas de intervenções para a melhoria da segurança do paciente. Conclusão: Mapear as atividades e os riscos dos processos cirúrgicos instrumentaliza o gestor quanto à sua tomada de decisão; sobretudo, a adoção de estratégias corretivas para cada um dos pontos de risco no fluxo do atendimento ao paciente.Research, Society and Development2022-04-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2228310.33448/rsd-v11i6.22283Research, Society and Development; Vol. 11 No. 6; e33111622283Research, Society and Development; Vol. 11 Núm. 6; e33111622283Research, Society and Development; v. 11 n. 6; e331116222832525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/22283/25266Copyright (c) 2022 Kamila Fachola; Renata Prado Bereta Vilela; Angela Silveira Gagliardo Calil; Liliane Bauer Feldman; Danielly Negrão Guassú Nogueira; Cristiane Pavanello Rodrigues Silva; Ingrid Gomes de Campos Truzzi; Natália Salvador Banhos; Paula Buck de Oliveira Ruiz; Eliana Ofelia Llapa Rodriguez; Denise Correa de Oliveira Lautenschlaeger; Marli de Carvalho Jericóhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessFachola, Kamila Vilela, Renata Prado BeretaCalil, Angela Silveira Gagliardo Feldman, Liliane Bauer Nogueira, Danielly Negrão GuassúSilva, Cristiane Pavanello Rodrigues Truzzi, Ingrid Gomes de Campos Banhos, Natália Salvador Ruiz, Paula Buck de Oliveira Rodriguez, Eliana Ofelia Llapa Lautenschlaeger, Denise Correa de Oliveira Jericó, Marli de Carvalho 2022-05-13T18:04:10Zoai:ojs.pkp.sfu.ca:article/22283Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:41:30.139860Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Risk management proposal: flow mapping, risk and safety strategies in a surgical center Propuesta de Gestión de riesgos: mapeo de flujos, estrategias de riesgo y seguridad en un centro quirúrgico Proposta de Gestão de riscos: mapeamento de fluxo, riscos e estratégias de segurança em um centro cirúrgico |
title |
Risk management proposal: flow mapping, risk and safety strategies in a surgical center |
spellingShingle |
Risk management proposal: flow mapping, risk and safety strategies in a surgical center Fachola, Kamila Gestão em Saúde Segurança do Paciente Qualidade da Assistência à Saúde Enfermagem Centros cirúrgicos. Health Management Patient Safety Quality of Health Care Nursing Surgicenters. Gestión em Salud Seguridad del Paciente Calidad de la Atención de Salud Enfermería Centros quirúrgicos. |
title_short |
Risk management proposal: flow mapping, risk and safety strategies in a surgical center |
title_full |
Risk management proposal: flow mapping, risk and safety strategies in a surgical center |
title_fullStr |
Risk management proposal: flow mapping, risk and safety strategies in a surgical center |
title_full_unstemmed |
Risk management proposal: flow mapping, risk and safety strategies in a surgical center |
title_sort |
Risk management proposal: flow mapping, risk and safety strategies in a surgical center |
author |
Fachola, Kamila |
author_facet |
Fachola, Kamila Vilela, Renata Prado Bereta Calil, Angela Silveira Gagliardo Feldman, Liliane Bauer Nogueira, Danielly Negrão Guassú Silva, Cristiane Pavanello Rodrigues Truzzi, Ingrid Gomes de Campos Banhos, Natália Salvador Ruiz, Paula Buck de Oliveira Rodriguez, Eliana Ofelia Llapa Lautenschlaeger, Denise Correa de Oliveira Jericó, Marli de Carvalho |
author_role |
author |
author2 |
Vilela, Renata Prado Bereta Calil, Angela Silveira Gagliardo Feldman, Liliane Bauer Nogueira, Danielly Negrão Guassú Silva, Cristiane Pavanello Rodrigues Truzzi, Ingrid Gomes de Campos Banhos, Natália Salvador Ruiz, Paula Buck de Oliveira Rodriguez, Eliana Ofelia Llapa Lautenschlaeger, Denise Correa de Oliveira Jericó, Marli de Carvalho |
author2_role |
author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Fachola, Kamila Vilela, Renata Prado Bereta Calil, Angela Silveira Gagliardo Feldman, Liliane Bauer Nogueira, Danielly Negrão Guassú Silva, Cristiane Pavanello Rodrigues Truzzi, Ingrid Gomes de Campos Banhos, Natália Salvador Ruiz, Paula Buck de Oliveira Rodriguez, Eliana Ofelia Llapa Lautenschlaeger, Denise Correa de Oliveira Jericó, Marli de Carvalho |
dc.subject.por.fl_str_mv |
Gestão em Saúde Segurança do Paciente Qualidade da Assistência à Saúde Enfermagem Centros cirúrgicos. Health Management Patient Safety Quality of Health Care Nursing Surgicenters. Gestión em Salud Seguridad del Paciente Calidad de la Atención de Salud Enfermería Centros quirúrgicos. |
topic |
Gestão em Saúde Segurança do Paciente Qualidade da Assistência à Saúde Enfermagem Centros cirúrgicos. Health Management Patient Safety Quality of Health Care Nursing Surgicenters. Gestión em Salud Seguridad del Paciente Calidad de la Atención de Salud Enfermería Centros quirúrgicos. |
description |
Objectives: To Map and describe the activities and risks of a surgical process in a specialized hospital, and propose strategies for patient safety through a risk management proposal. Methodology: Qualitative research, in the form of action research, carried out with 12 professionals working in a surgical center of a specialized hospital in northwestern São Paulo, from May to June 2017. Brainstorming tools were used to understand the internal flow, Business Process Model and Notation and Supplier, Input, Process, Output and Customer for process mapping, National Health Agency's Risk Matrix for risk stratification and improvement proposals, the methodology proposed by the Institute of Healthcare Improvement. Results: In the mapping, the operating room was divided into admission; operating room and anesthetic recovery, which resulted in 13 processes and 42 activities described. It was possible to observe relevant interactions with administrative and support processes. 42 risk situations were identified; 31.8% were classified as medium risk, 43.1% high and 25.0% extreme, which generated 87 proposals for interventions to improve patient safety. Conclusion: Mapping the activities and risks of surgical processes provides the manager with tools for decision making; above all, the adoption of corrective strategies for each of the risk points in the flow of patient care. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-04-29 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/22283 10.33448/rsd-v11i6.22283 |
url |
https://rsdjournal.org/index.php/rsd/article/view/22283 |
identifier_str_mv |
10.33448/rsd-v11i6.22283 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/22283/25266 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 11 No. 6; e33111622283 Research, Society and Development; Vol. 11 Núm. 6; e33111622283 Research, Society and Development; v. 11 n. 6; e33111622283 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052694900244480 |