Outpatient private health services: knowing infection prevention actions for patient safety

• Autor(a) principal: Oppermann, Carla Maria
• Data de Publicação: 2019
• Outros Autores: Caregnato, Rita Catalina Aquino, Azambuja, Marcelo Schenk de
• 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/1282
• topic: Cross Infection; Ambulatory Care; Prevention; Health Education; Patient Safety; Infecção Hospitalar; Assistência Ambulatorial; Prevenção; Educação em Saúde; Segurança do Paciente

Introduction: Private ambulatory health services are continuously growing in number and diversity and need to implement prevention actions to assure safety to the patient. Objective: The present study aimed at investigating existing practices in such services in Porto Alegre/RS focusing on infection prevention. Method: We performed a descriptive and mixed exploratory research, encompassing 14 private ambulatory clinics. Results: All visited clinics perform regular training sessions on infection issues and distribute gel alcohol for hand hygiene (although only 14% of them check adherence to hygienization). Other items of infection control vary widely among different clinics. It was noted that 36% of the services maintain an infection control commission; 64% calculate rates of infection; 71% possesses written instructions for safe injections and 7% monitor this practice; 14% have cough etiquette instructions; 36% detect multiresistant germ carriers, and 36% monitor compliance to the routines after training sessions. Four categories emerged from the content analysis of the interviews: education, prevention, surveillance, and infection control. Education is considered of major relevance. Conclusion: The services maintain prevention actions, especially those related to equipment, products, routines and training, but improvement is needed in the monitoring and evaluation of infection prevention processes, in order to ensure safety to the patient and high-quality assistance.