Desafios da seguran??a do paciente na aten????o prim??ria ?? sa??de
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da Uninove |
Texto Completo: | http://bibliotecatede.uninove.br/handle/tede/2236 |
Resumo: | Patient safety is considered one of the dimensions of quality. Although there are many research in the hospital environment on patient safety, there are gaps in the knowledge of the culture of patient safety in primary health care. When considering that primary health care is estimated to have a resolution capacity of up to 80% of health problems, and that approximately 75% of the Brazilian population depends exclusively on public health, the study of patient safety culture in this scenario is carried out indicated. This research aimed to analyze the possibility of recognizing the culture of patient safety by professionals from basic health units in a city in the metropolitan region of S??o Paulo, according to a specific questionnaire, and to elaborate intervention criteria for improvements in the most fragile points as well as identifying the factors that most contribute to patient safety. The questionnaire was developed and applied in several countries, being translated and validated in Brazil. This is a survey of 23 Primary Care Units through a survey-type study, and using quantitative, descriptive methodology. We proceeded to assess all employees who had direct or indirect contact with patients. The Culture of Patient Safety has given rise to a new notion of safety in Primary Health Care, contributing to the improvement of health care and public health. The general perception of patient safety and quality of care was perceived by 51.8% of respondents. Working as a team, it was perceived by 85.52%, care monitoring 87.1%, organizational learning 80.1%, work Pressure and pace 72.9%. Communication on error 65.97%, open communication 64.87%, standardization of the process 62.75%, team training 48%, exchange of information with other institutions 37.3% Support and leadership 47.85%. Conclusion: It was identified that the culture of patient safety is adequate in the dimensions of patient safety in monitoring care, in organizational learning and in teamwork. In support and leadership, there was no perception of patient safety. In Pressure and work pace, standardization of processes, open communication, communication about error and exchange of information with other institutions, they do not present this perception, with the exchange of information with other institutions and training of the team with rates below 50%. |
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Novaretti, Marcia Cristina ZagoNovaretti, Marcia Cristina ZagoLiberal, M??rcia Mello Costa deBarbosa, Antonio PiresAmorim, Maria Cristina SanchesMonken, Sonia Francisca de Paulahttp://lattes.cnpq.br/2584746558645065Pierro, Luiz Marcelo Chiarotto2020-08-07T18:11:07Z2020-06-15Pierro, Luiz Marcelo Chiarotto. Desafios da seguran??a do paciente na aten????o prim??ria ?? sa??de. 2020. 84 f. Disserta????o( Programa de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??de) - Universidade Nove de Julho, S??o Paulo.http://bibliotecatede.uninove.br/handle/tede/2236Patient safety is considered one of the dimensions of quality. Although there are many research in the hospital environment on patient safety, there are gaps in the knowledge of the culture of patient safety in primary health care. When considering that primary health care is estimated to have a resolution capacity of up to 80% of health problems, and that approximately 75% of the Brazilian population depends exclusively on public health, the study of patient safety culture in this scenario is carried out indicated. This research aimed to analyze the possibility of recognizing the culture of patient safety by professionals from basic health units in a city in the metropolitan region of S??o Paulo, according to a specific questionnaire, and to elaborate intervention criteria for improvements in the most fragile points as well as identifying the factors that most contribute to patient safety. The questionnaire was developed and applied in several countries, being translated and validated in Brazil. This is a survey of 23 Primary Care Units through a survey-type study, and using quantitative, descriptive methodology. We proceeded to assess all employees who had direct or indirect contact with patients. The Culture of Patient Safety has given rise to a new notion of safety in Primary Health Care, contributing to the improvement of health care and public health. The general perception of patient safety and quality of care was perceived by 51.8% of respondents. Working as a team, it was perceived by 85.52%, care monitoring 87.1%, organizational learning 80.1%, work Pressure and pace 72.9%. Communication on error 65.97%, open communication 64.87%, standardization of the process 62.75%, team training 48%, exchange of information with other institutions 37.3% Support and leadership 47.85%. Conclusion: It was identified that the culture of patient safety is adequate in the dimensions of patient safety in monitoring care, in organizational learning and in teamwork. In support and leadership, there was no perception of patient safety. In Pressure and work pace, standardization of processes, open communication, communication about error and exchange of information with other institutions, they do not present this perception, with the exchange of information with other institutions and training of the team with rates below 50%.A seguran??a do paciente ?? considerada uma das dimens??es da qualidade. Embora haja muitas pesquisas em ambiente hospitalar sobre seguran??a do paciente h?? lacunas quanto ao conhecimento da cultura da seguran??a do paciente na aten????o prim??ria ?? sa??de. Ao se considerar que se estima que a aten????o prim??ria ?? sa??de pode ter capacidade resolutiva de at?? 80% dos agravos ?? sa??de e, que aproximadamente 75% da popula????o brasileira depende exclusivamente da sa??de p??blica o estudo da cultura de seguran??a do paciente nesse cen??rio se faz indicado. Esta pesquisa teve por objetivo analisar a possibilidade de reconhecimento da cultura da seguran??a do paciente pelos profissionais das unidades b??sicas de sa??de em um Munic??pio na regi??o Metropolitana de S??o Paulo, segundo um question??rio espec??fico, e elaborar crit??rios de interven????o para melhorias nos pontos de maior fragilidade, bem como identificar os fatores que mais contribuem para a seguran??a do paciente. O question??rio foi desenvolvido e aplicado em diversos pa??ses, sendo traduzido e validado no Brasil. Trata-se de uma pesquisa em 23 Unidades B??sicas de Sa??de por meio de um estudo do tipo enquete, e com uso de metodologia quantitativa, descritiva, procedeu-se a avalia????o de todos os colaboradores que tinham contato direto ou indireto com pacientes. A Cultura da Seguran??a do Paciente imprimiu uma nova no????o de seguran??a na Aten????o Prim??ria ?? Sa??de contribuindo para a melhoria da assist??ncia ?? sa??de e da sa??de p??blica. A percep????o geral da seguran??a do paciente e da qualidade do cuidado foi percebida por 51,8% dos entrevistados. Trabalhando em equipe obteve 85,52%, acompanhamento do cuidado 87,1%, aprendizagem organizacional 80,1%, press??o e ritmo do trabalho 72,9%. Comunica????o sobre erro 65,97%, comunica????o aberta 64,87%, padroniza????o do processo 62,75%, treinamento da equipe 48%, troca de informa????es com outras institui????es 37,3% Suporte e lideran??a 47,85%. Conclus??o: Foi identificado que a cultura da seguran??a do paciente ?? adequada nas dimens??es seguran??a do paciente no acompanhamento ao cuidado, na aprendizagem organizacional e no trabalho em equipe. Em suporte e Lideran??a, n??o houve a percep????o da seguran??a do paciente. Em Press??o e ritmo de trabalho, padroniza????o dos processos, comunica????o aberta, comunica????o sobre erro e troca de informa????es com outras institui????es, n??o apresentam essa percep????o, sendo a troca de informa????es com outras institui????es e treinamento da equipe com ??ndices inferiores a 50%.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2020-08-07T18:11:07Z No. of bitstreams: 1 Luiz Marcelo Chiarotto Pierro.pdf: 1475610 bytes, checksum: e77fe7dcfd0375fe99b696584336f73b (MD5)Made available in DSpace on 2020-08-07T18:11:07Z (GMT). No. of bitstreams: 1 Luiz Marcelo Chiarotto Pierro.pdf: 1475610 bytes, checksum: e77fe7dcfd0375fe99b696584336f73b (MD5) Previous issue date: 2020-06-15application/pdfporUniversidade Nove de JulhoPrograma de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??deUNINOVEBrasilAdministra????oseguran??a do pacienteaten????o prim??ria ?? sa??degest??o da seguran??asa??de p??blicacultura de seguran??apatient safetyprimary health caresafety managementpublic healthsafety cultureADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOSDesafios da seguran??a do paciente na aten????o prim??ria ?? sa??deChallenges for patient safety in primary health careinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-710462410973612412600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALLuiz Marcelo Chiarotto Pierro.pdfLuiz Marcelo Chiarotto Pierro.pdfapplication/pdf1475610http://localhost:8080/tede/bitstream/tede/2236/2/Luiz+Marcelo+Chiarotto+Pierro.pdfe77fe7dcfd0375fe99b696584336f73bMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/2236/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/22362020-08-07 15:11:07.383oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2020-08-07T18:11:07Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
Desafios da seguran??a do paciente na aten????o prim??ria ?? sa??de |
dc.title.alternative.eng.fl_str_mv |
Challenges for patient safety in primary health care |
title |
Desafios da seguran??a do paciente na aten????o prim??ria ?? sa??de |
spellingShingle |
Desafios da seguran??a do paciente na aten????o prim??ria ?? sa??de Pierro, Luiz Marcelo Chiarotto seguran??a do paciente aten????o prim??ria ?? sa??de gest??o da seguran??a sa??de p??blica cultura de seguran??a patient safety primary health care safety management public health safety culture ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS |
title_short |
Desafios da seguran??a do paciente na aten????o prim??ria ?? sa??de |
title_full |
Desafios da seguran??a do paciente na aten????o prim??ria ?? sa??de |
title_fullStr |
Desafios da seguran??a do paciente na aten????o prim??ria ?? sa??de |
title_full_unstemmed |
Desafios da seguran??a do paciente na aten????o prim??ria ?? sa??de |
title_sort |
Desafios da seguran??a do paciente na aten????o prim??ria ?? sa??de |
author |
Pierro, Luiz Marcelo Chiarotto |
author_facet |
Pierro, Luiz Marcelo Chiarotto |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Novaretti, Marcia Cristina Zago |
dc.contributor.referee1.fl_str_mv |
Novaretti, Marcia Cristina Zago |
dc.contributor.referee2.fl_str_mv |
Liberal, M??rcia Mello Costa de |
dc.contributor.referee3.fl_str_mv |
Barbosa, Antonio Pires |
dc.contributor.referee4.fl_str_mv |
Amorim, Maria Cristina Sanches |
dc.contributor.referee5.fl_str_mv |
Monken, Sonia Francisca de Paula |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/2584746558645065 |
dc.contributor.author.fl_str_mv |
Pierro, Luiz Marcelo Chiarotto |
contributor_str_mv |
Novaretti, Marcia Cristina Zago Novaretti, Marcia Cristina Zago Liberal, M??rcia Mello Costa de Barbosa, Antonio Pires Amorim, Maria Cristina Sanches Monken, Sonia Francisca de Paula |
dc.subject.por.fl_str_mv |
seguran??a do paciente aten????o prim??ria ?? sa??de gest??o da seguran??a sa??de p??blica cultura de seguran??a |
topic |
seguran??a do paciente aten????o prim??ria ?? sa??de gest??o da seguran??a sa??de p??blica cultura de seguran??a patient safety primary health care safety management public health safety culture ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS |
dc.subject.eng.fl_str_mv |
patient safety primary health care safety management public health safety culture |
dc.subject.cnpq.fl_str_mv |
ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS |
description |
Patient safety is considered one of the dimensions of quality. Although there are many research in the hospital environment on patient safety, there are gaps in the knowledge of the culture of patient safety in primary health care. When considering that primary health care is estimated to have a resolution capacity of up to 80% of health problems, and that approximately 75% of the Brazilian population depends exclusively on public health, the study of patient safety culture in this scenario is carried out indicated. This research aimed to analyze the possibility of recognizing the culture of patient safety by professionals from basic health units in a city in the metropolitan region of S??o Paulo, according to a specific questionnaire, and to elaborate intervention criteria for improvements in the most fragile points as well as identifying the factors that most contribute to patient safety. The questionnaire was developed and applied in several countries, being translated and validated in Brazil. This is a survey of 23 Primary Care Units through a survey-type study, and using quantitative, descriptive methodology. We proceeded to assess all employees who had direct or indirect contact with patients. The Culture of Patient Safety has given rise to a new notion of safety in Primary Health Care, contributing to the improvement of health care and public health. The general perception of patient safety and quality of care was perceived by 51.8% of respondents. Working as a team, it was perceived by 85.52%, care monitoring 87.1%, organizational learning 80.1%, work Pressure and pace 72.9%. Communication on error 65.97%, open communication 64.87%, standardization of the process 62.75%, team training 48%, exchange of information with other institutions 37.3% Support and leadership 47.85%. Conclusion: It was identified that the culture of patient safety is adequate in the dimensions of patient safety in monitoring care, in organizational learning and in teamwork. In support and leadership, there was no perception of patient safety. In Pressure and work pace, standardization of processes, open communication, communication about error and exchange of information with other institutions, they do not present this perception, with the exchange of information with other institutions and training of the team with rates below 50%. |
publishDate |
2020 |
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2020-08-07T18:11:07Z |
dc.date.issued.fl_str_mv |
2020-06-15 |
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info:eu-repo/semantics/masterThesis |
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dc.identifier.citation.fl_str_mv |
Pierro, Luiz Marcelo Chiarotto. Desafios da seguran??a do paciente na aten????o prim??ria ?? sa??de. 2020. 84 f. Disserta????o( Programa de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??de) - Universidade Nove de Julho, S??o Paulo. |
dc.identifier.uri.fl_str_mv |
http://bibliotecatede.uninove.br/handle/tede/2236 |
identifier_str_mv |
Pierro, Luiz Marcelo Chiarotto. Desafios da seguran??a do paciente na aten????o prim??ria ?? sa??de. 2020. 84 f. Disserta????o( Programa de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??de) - Universidade Nove de Julho, S??o Paulo. |
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