Potential risk assessment: from theory to practice in Health Surveillance
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Vigilância Sanitária em Debate |
Texto Completo: | https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1825 |
Resumo: | Introduction: The great challenge of health control is to evaluate the potential risk of its multiple objects of action, using the results to select the best strategies, a task difficult to be operationalized in the daily routine of the Sanitary Surveillance (Visa). Objective: To present the operationalization of the Model of Potential Risk Assessment (MARP) in health services in the state of Santa Catarina (SC), in order to support reflections about the applicability of this method. Method: Descriptive study of holistic multiple cases. The unit of analysis was the sanitary control of health services carried out by the Visa of SC, in Greater Florianópolis, and 15 (42.9%) of the 35 hospitals in this region. The risk assessment strategy was MARP with application of Objective Inspection Scripts, in the Surgical Center (SC), Sterilized Material Center (SMC) and Intensive Care Unit (ICU), in the years 2017 to 2019. Results: The ICU presented the highest percentages of acceptable risk and the lowest percentages of unacceptable risk, while the CME presented the lowest acceptable risk percentages and the highest percentages of unacceptable risk. The percentages of acceptable potential risk are higher in the CC of large hospitals, in the ICU of medium-sized hospitals and absent in the CME and CC of small hospitals. Conclusions: MARP favors the management of risks in Visa and the direction of its health control actions. It has limitations, when requiring an information system and needs understanding of the results of the data, considering that risk and benefit are challenging concepts and should be analyzed in a defined context. |
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Potential risk assessment: from theory to practice in Health SurveillanceAvaliação do risco potencial: da teoria à prática em Vigilância SanitáriaVigilância Sanitária; Risco; Regulação; Serviços de SaúdeHealth Surveillance; Risk; Regulation; Health ServicesIntroduction: The great challenge of health control is to evaluate the potential risk of its multiple objects of action, using the results to select the best strategies, a task difficult to be operationalized in the daily routine of the Sanitary Surveillance (Visa). Objective: To present the operationalization of the Model of Potential Risk Assessment (MARP) in health services in the state of Santa Catarina (SC), in order to support reflections about the applicability of this method. Method: Descriptive study of holistic multiple cases. The unit of analysis was the sanitary control of health services carried out by the Visa of SC, in Greater Florianópolis, and 15 (42.9%) of the 35 hospitals in this region. The risk assessment strategy was MARP with application of Objective Inspection Scripts, in the Surgical Center (SC), Sterilized Material Center (SMC) and Intensive Care Unit (ICU), in the years 2017 to 2019. Results: The ICU presented the highest percentages of acceptable risk and the lowest percentages of unacceptable risk, while the CME presented the lowest acceptable risk percentages and the highest percentages of unacceptable risk. The percentages of acceptable potential risk are higher in the CC of large hospitals, in the ICU of medium-sized hospitals and absent in the CME and CC of small hospitals. Conclusions: MARP favors the management of risks in Visa and the direction of its health control actions. It has limitations, when requiring an information system and needs understanding of the results of the data, considering that risk and benefit are challenging concepts and should be analyzed in a defined context.Introdução: O grande desafio do controle sanitário é avaliar o risco potencial de seus múltiplos objetos de ação, utilizando os resultados para selecionar as melhores estratégias, tarefa difícil de ser operacionalizada no cotidiano da Vigilância Sanitária (Visa). Objetivo: Apresentar a operacionalização do Modelo de Avaliação de Riscos Potenciais (MARP) em serviços de saúde do estado de Santa Catarina, de modo a subsidiar reflexões acerca da aplicabilidade desse método. Método: Estudo descritivo de casos múltiplos holísticos. A unidade de análise foi o controle sanitário de serviços de saúde realizado pela Visa de Santa Catarina, na Grande Florianópolis, tendo sido estudados 15 (42,9%) dos 35 hospitais dessa região. A estratégia de avaliação de risco foi o MARP com aplicação de Roteiros Objetivos de Inspeção, nos Centros Cirúrgicos (CC), nas Centrais de Material Esterelizado (CME) e nas Unidades de Terapia Intensiva (UTI), nos anos 2017 a 2019. Resultados: As UTI apresentaram os maiores percentuais de risco aceitável e os menores de risco não aceitável, enquanto as CME apresentaram os menores percentuais de risco aceitável e os maiores de risco não aceitável. Os percentuais de risco potencial aceitável são maiores nos CC dos hospitais de grande porte, nas UTI dos hospitais de médio porte e ausente nas CME e nos CC dos hospitais de pequeno porte. Conclusões: O MARP favorece o gerenciamento dos riscos em Visa e o direcionamento de suas ações de controle sanitário. Possui limitações, ao necessitar de um sistema de informação e requer compreensão dos resultados dos dados, tendo em vista que risco e benefício são conceitos desafiadores e devem ser analisados num contexto definido. Instituto Nacional de Controle de Qualidade em Saúde2021-08-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion"Peer-reviewed article""Artículo revisado por pares""Artigo avaliado pelos pares"application/pdfapplication/pdfhttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/182510.22239/2317-269X.01825Health Surveillance under Debate: Society, Science & Technology ; Vol. 9 No. 3 (2021): August; 32-39Vigilancia en Salud en Debate: Sociedad, Ciencia y Tecnología; Vol. 9 Núm. 3 (2021): Agosto; 32-39Vigil Sanit Debate, Rio de Janeiro; v. 9 n. 3 (2021): Agosto; 32-392317-269Xreponame:Vigilância Sanitária em Debateinstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporenghttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1825/1338https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1825/1405Copyright (c) 2021 Vigilância Sanitária em Debate: Sociedade, Ciência & Tecnologia (Health Surveillance under Debate: Society, Science & Technology) – Visa em Debatehttps://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessVinícius Teixeira Navarro, Marcus Auxiliadora Magalhães Costa, Eliana Freitas, LucianaLorena Sousa de Medeiros Freitas, Vanessa Kindermann, Carinada Cruz Duarte, Luiz Gustavo2023-06-27T15:13:38Zoai:ojs.visaemdebate.incqs.fiocruz.br:article/1825Revistahttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebatePUBhttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/oaiincqs.visaemdebate@fiocruz.br || gisele.neves@fiocruz.br2317-269X2317-269Xopendoar:2023-06-27T15:13:38Vigilância Sanitária em Debate - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.none.fl_str_mv |
Potential risk assessment: from theory to practice in Health Surveillance Avaliação do risco potencial: da teoria à prática em Vigilância Sanitária |
title |
Potential risk assessment: from theory to practice in Health Surveillance |
spellingShingle |
Potential risk assessment: from theory to practice in Health Surveillance Vinícius Teixeira Navarro, Marcus Vigilância Sanitária; Risco; Regulação; Serviços de Saúde Health Surveillance; Risk; Regulation; Health Services |
title_short |
Potential risk assessment: from theory to practice in Health Surveillance |
title_full |
Potential risk assessment: from theory to practice in Health Surveillance |
title_fullStr |
Potential risk assessment: from theory to practice in Health Surveillance |
title_full_unstemmed |
Potential risk assessment: from theory to practice in Health Surveillance |
title_sort |
Potential risk assessment: from theory to practice in Health Surveillance |
author |
Vinícius Teixeira Navarro, Marcus |
author_facet |
Vinícius Teixeira Navarro, Marcus Auxiliadora Magalhães Costa, Eliana Freitas, Luciana Lorena Sousa de Medeiros Freitas, Vanessa Kindermann, Carina da Cruz Duarte, Luiz Gustavo |
author_role |
author |
author2 |
Auxiliadora Magalhães Costa, Eliana Freitas, Luciana Lorena Sousa de Medeiros Freitas, Vanessa Kindermann, Carina da Cruz Duarte, Luiz Gustavo |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Vinícius Teixeira Navarro, Marcus Auxiliadora Magalhães Costa, Eliana Freitas, Luciana Lorena Sousa de Medeiros Freitas, Vanessa Kindermann, Carina da Cruz Duarte, Luiz Gustavo |
dc.subject.por.fl_str_mv |
Vigilância Sanitária; Risco; Regulação; Serviços de Saúde Health Surveillance; Risk; Regulation; Health Services |
topic |
Vigilância Sanitária; Risco; Regulação; Serviços de Saúde Health Surveillance; Risk; Regulation; Health Services |
description |
Introduction: The great challenge of health control is to evaluate the potential risk of its multiple objects of action, using the results to select the best strategies, a task difficult to be operationalized in the daily routine of the Sanitary Surveillance (Visa). Objective: To present the operationalization of the Model of Potential Risk Assessment (MARP) in health services in the state of Santa Catarina (SC), in order to support reflections about the applicability of this method. Method: Descriptive study of holistic multiple cases. The unit of analysis was the sanitary control of health services carried out by the Visa of SC, in Greater Florianópolis, and 15 (42.9%) of the 35 hospitals in this region. The risk assessment strategy was MARP with application of Objective Inspection Scripts, in the Surgical Center (SC), Sterilized Material Center (SMC) and Intensive Care Unit (ICU), in the years 2017 to 2019. Results: The ICU presented the highest percentages of acceptable risk and the lowest percentages of unacceptable risk, while the CME presented the lowest acceptable risk percentages and the highest percentages of unacceptable risk. The percentages of acceptable potential risk are higher in the CC of large hospitals, in the ICU of medium-sized hospitals and absent in the CME and CC of small hospitals. Conclusions: MARP favors the management of risks in Visa and the direction of its health control actions. It has limitations, when requiring an information system and needs understanding of the results of the data, considering that risk and benefit are challenging concepts and should be analyzed in a defined context. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-08-31 |
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/1825 10.22239/2317-269X.01825 |
url |
https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1825 |
identifier_str_mv |
10.22239/2317-269X.01825 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1825/1338 https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1825/1405 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by-nc/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by-nc/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf 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. 9 No. 3 (2021): August; 32-39 Vigilancia en Salud en Debate: Sociedad, Ciencia y Tecnología; Vol. 9 Núm. 3 (2021): Agosto; 32-39 Vigil Sanit Debate, Rio de Janeiro; v. 9 n. 3 (2021): Agosto; 32-39 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 |
_version_ |
1797042046504009728 |