Gest??o do conhecimento com foco na seguran??a do paciente: proposta de um modelo de gest??o para hospitais
Autor(a) principal: | |
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Data de Publicação: | 2015 |
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/1197 |
Resumo: | Incidents regarding the safety of the patient happen for many reasons and are increased by the inefficiency of the mechanism to register notifications. They enlighten the knowledge, the dimension and the intensity of the problem that afflict hospitals when it comes to mistakes made during the assistance. The prevention of incidents is based on legal and ethic norms and is a challenge for the World Health Organization and the responsible organs. By increasing the notifications, those in charge for the nucleus of patient safety have more information and can set strategies to avoid adverse events. The objective of this work is to present a proposal of a knowledge management model developed to increase the volume of the registrations of notifications regarding incidents of patient safety in public hospitals. To subsidize the proposal of the model, this study was exploratory and the methodology of literature review was applied. In order to complete this research, notifications of patient safety developed by a multi-professional team in 2014 at a public clinic were retrospectively analyzed. This dissertation also presented a descriptive quantitative approach, which occurred through the application of a structured questionnaire on the members of the multi-professional team of the clinic. Data found on the documental research were confronted with the questionnaire results and everything seems to show that if professionals adopted the culture of notifying, as they theoretically showed, the volume of registrations in a one year period would have been more expressive. After analyzing the collected data, a proposal of a knowledge management model was elaborated, which can collaborate with the development of more effective preventive strategies. That is, everyone can benefit from it; the patient will have a safer attendance; the professional will work more systematically; society will reduce extraordinary costs with procedures performed because of unnecessary damages. It is important that the involved people receive constant feedbacks about the benefits of their efforts when it comes to adopting the practice of notifying. |
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Motta, Lara Jansiskihttp://lattes.cnpq.br/6750462252900819Motta, Lara Jansiskihttp://lattes.cnpq.br/6750462252900819Liberal , Marcia Mello Costa dehttp://lattes.cnpq.br/7710283260920359Aquino, Simonehttp://lattes.cnpq.br/0253559588991007Vasconcelos, ??rico Marcos dehttp://lattes.cnpq.br/7177077611443090Silva, Carla Roberta Moreira da2016-04-06T00:41:51Z2015-12-07Silva, Carla Roberta Moreira da. Gest??o do conhecimento com foco na seguran??a do paciente: proposta de um modelo de gest??o para hospitais. 2015.101 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/1197Incidents regarding the safety of the patient happen for many reasons and are increased by the inefficiency of the mechanism to register notifications. They enlighten the knowledge, the dimension and the intensity of the problem that afflict hospitals when it comes to mistakes made during the assistance. The prevention of incidents is based on legal and ethic norms and is a challenge for the World Health Organization and the responsible organs. By increasing the notifications, those in charge for the nucleus of patient safety have more information and can set strategies to avoid adverse events. The objective of this work is to present a proposal of a knowledge management model developed to increase the volume of the registrations of notifications regarding incidents of patient safety in public hospitals. To subsidize the proposal of the model, this study was exploratory and the methodology of literature review was applied. In order to complete this research, notifications of patient safety developed by a multi-professional team in 2014 at a public clinic were retrospectively analyzed. This dissertation also presented a descriptive quantitative approach, which occurred through the application of a structured questionnaire on the members of the multi-professional team of the clinic. Data found on the documental research were confronted with the questionnaire results and everything seems to show that if professionals adopted the culture of notifying, as they theoretically showed, the volume of registrations in a one year period would have been more expressive. After analyzing the collected data, a proposal of a knowledge management model was elaborated, which can collaborate with the development of more effective preventive strategies. That is, everyone can benefit from it; the patient will have a safer attendance; the professional will work more systematically; society will reduce extraordinary costs with procedures performed because of unnecessary damages. It is important that the involved people receive constant feedbacks about the benefits of their efforts when it comes to adopting the practice of notifying.Os incidentes de seguran??a do paciente ocorrem por v??rios fatores e s??o potencializados pela inefici??ncia do mecanismo de registro de notifica????es. S??o as notifica????es que trazem ?? tona o conhecimento, a dimens??o e a intensidade do problema que aflige os hospitais no que se refere a erros durante a assist??ncia. A preven????o de incidentes ?? pautada em preceitos legais e ??ticos e ?? um desafio para Organiza????o Mundial da Sa??de e para os ??rg??os competentes. Com o aumento das notifica????es, os respons??veis pelo n??cleo de seguran??a do paciente t??m mais informa????es e podem delinear estrat??gias para evitar eventos adversos. O objetivo desse trabalho ?? apresentar uma proposta de modelo de gest??o do conhecimento desenvolvido para aumentar o volume do registro de notifica????es de incidentes de seguran??a do paciente em hospitais p??blicos. Para subsidiar a proposta do modelo, este estudo foi explorat??rio e o procedimento metodol??gico utilizado foi o levantamento bibliogr??fico. Para complementar esta averigua????o, foram retrospectivamente analisadas as notifica????es de incidentes de seguran??a do paciente desenvolvidas pela equipe multiprofissional em 2014 em um ambulat??rio p??blico de grande porte. Esta disserta????o tamb??m apresentou uma abordagem quantitativa descritiva que ocorreu mediante a aplica????o de um question??rio estruturado fechado aos membros da equipe multiprofissional do ambulat??rio. Os dados encontrados na pesquisa documental foram confrontados com os resultados do question??rio e tudo indica que se os profissionais fossem t??o adeptos ?? cultura da notifica????o como se mostraram em teoria, o volume de registros no per??odo de um ano seria mais expressivo. Ap??s a an??lise dos dados coletados elaborou-se uma proposta de modelo de gest??o do conhecimento que pode colaborar com o desenvolvimento de estrat??gias preventivas mais eficientes. Neste sentido, todos poder??o se beneficiar, o paciente do hospital que ter?? um atendimento mais seguro, o profissional que executar?? o trabalho de forma sistem??tica e a sociedade com a redu????o de custos extraordin??rios por procedimentos causados por danos desnecess??rios. ?? importante que as pessoas envolvidas na assist??ncia recebam feedbacks constantes acerca dos benef??cios de seus esfor??os no que se refere ?? ades??o ?? pr??tica da notifica????o.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2016-04-06T00:41:51Z No. of bitstreams: 1 Carla Roberta Moreira Da Silva.pdf: 865329 bytes, checksum: b5f3ee55a98d4dc38ce6593deb318134 (MD5)Made available in DSpace on 2016-04-06T00:41:51Z (GMT). No. of bitstreams: 1 Carla Roberta Moreira Da Silva.pdf: 865329 bytes, checksum: b5f3ee55a98d4dc38ce6593deb318134 (MD5) Previous issue date: 2015-12-07application/pdfporUniversidade Nove de JulhoPrograma de Mestrado Profissional em Administra????o - Gest??o em Sistemas de Sa??deUNINOVEBrasilAdministra????oGest??o do conhecimentoaprendizagem organizacionalseguran??a do pacienteincidentes de seguran??a do pacientenotifica????esKnowledge managementorganizational learningsafety of the patientsafety incidents of the patientnotificationsADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOSGest??o do conhecimento com foco na seguran??a do paciente: proposta de um modelo de gest??o para hospitaisinfo: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:UNINOVEORIGINALCarla Roberta Moreira Da Silva.pdfCarla Roberta Moreira Da Silva.pdfapplication/pdf865329http://localhost:8080/tede/bitstream/tede/1197/2/Carla+Roberta+Moreira+Da+Silva.pdfb5f3ee55a98d4dc38ce6593deb318134MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82089http://localhost:8080/tede/bitstream/tede/1197/1/license.txt7b5ba3d2445355f386edab96125d42b7MD51tede/11972016-04-05 21:41:51.953oai: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:2016-04-06T00:41:51Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
Gest??o do conhecimento com foco na seguran??a do paciente: proposta de um modelo de gest??o para hospitais |
title |
Gest??o do conhecimento com foco na seguran??a do paciente: proposta de um modelo de gest??o para hospitais |
spellingShingle |
Gest??o do conhecimento com foco na seguran??a do paciente: proposta de um modelo de gest??o para hospitais Silva, Carla Roberta Moreira da Gest??o do conhecimento aprendizagem organizacional seguran??a do paciente incidentes de seguran??a do paciente notifica????es Knowledge management organizational learning safety of the patient safety incidents of the patient notifications ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS |
title_short |
Gest??o do conhecimento com foco na seguran??a do paciente: proposta de um modelo de gest??o para hospitais |
title_full |
Gest??o do conhecimento com foco na seguran??a do paciente: proposta de um modelo de gest??o para hospitais |
title_fullStr |
Gest??o do conhecimento com foco na seguran??a do paciente: proposta de um modelo de gest??o para hospitais |
title_full_unstemmed |
Gest??o do conhecimento com foco na seguran??a do paciente: proposta de um modelo de gest??o para hospitais |
title_sort |
Gest??o do conhecimento com foco na seguran??a do paciente: proposta de um modelo de gest??o para hospitais |
author |
Silva, Carla Roberta Moreira da |
author_facet |
Silva, Carla Roberta Moreira da |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Motta, Lara Jansiski |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/6750462252900819 |
dc.contributor.referee1.fl_str_mv |
Motta, Lara Jansiski |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/6750462252900819 |
dc.contributor.referee2.fl_str_mv |
Liberal , Marcia Mello Costa de |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/7710283260920359 |
dc.contributor.referee3.fl_str_mv |
Aquino, Simone |
dc.contributor.referee3Lattes.fl_str_mv |
http://lattes.cnpq.br/0253559588991007 |
dc.contributor.referee4.fl_str_mv |
Vasconcelos, ??rico Marcos de |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/7177077611443090 |
dc.contributor.author.fl_str_mv |
Silva, Carla Roberta Moreira da |
contributor_str_mv |
Motta, Lara Jansiski Motta, Lara Jansiski Liberal , Marcia Mello Costa de Aquino, Simone Vasconcelos, ??rico Marcos de |
dc.subject.por.fl_str_mv |
Gest??o do conhecimento aprendizagem organizacional seguran??a do paciente incidentes de seguran??a do paciente notifica????es |
topic |
Gest??o do conhecimento aprendizagem organizacional seguran??a do paciente incidentes de seguran??a do paciente notifica????es Knowledge management organizational learning safety of the patient safety incidents of the patient notifications ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS |
dc.subject.eng.fl_str_mv |
Knowledge management organizational learning safety of the patient safety incidents of the patient notifications |
dc.subject.cnpq.fl_str_mv |
ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS |
description |
Incidents regarding the safety of the patient happen for many reasons and are increased by the inefficiency of the mechanism to register notifications. They enlighten the knowledge, the dimension and the intensity of the problem that afflict hospitals when it comes to mistakes made during the assistance. The prevention of incidents is based on legal and ethic norms and is a challenge for the World Health Organization and the responsible organs. By increasing the notifications, those in charge for the nucleus of patient safety have more information and can set strategies to avoid adverse events. The objective of this work is to present a proposal of a knowledge management model developed to increase the volume of the registrations of notifications regarding incidents of patient safety in public hospitals. To subsidize the proposal of the model, this study was exploratory and the methodology of literature review was applied. In order to complete this research, notifications of patient safety developed by a multi-professional team in 2014 at a public clinic were retrospectively analyzed. This dissertation also presented a descriptive quantitative approach, which occurred through the application of a structured questionnaire on the members of the multi-professional team of the clinic. Data found on the documental research were confronted with the questionnaire results and everything seems to show that if professionals adopted the culture of notifying, as they theoretically showed, the volume of registrations in a one year period would have been more expressive. After analyzing the collected data, a proposal of a knowledge management model was elaborated, which can collaborate with the development of more effective preventive strategies. That is, everyone can benefit from it; the patient will have a safer attendance; the professional will work more systematically; society will reduce extraordinary costs with procedures performed because of unnecessary damages. It is important that the involved people receive constant feedbacks about the benefits of their efforts when it comes to adopting the practice of notifying. |
publishDate |
2015 |
dc.date.issued.fl_str_mv |
2015-12-07 |
dc.date.accessioned.fl_str_mv |
2016-04-06T00:41:51Z |
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info:eu-repo/semantics/publishedVersion |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
Silva, Carla Roberta Moreira da. Gest??o do conhecimento com foco na seguran??a do paciente: proposta de um modelo de gest??o para hospitais. 2015.101 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/1197 |
identifier_str_mv |
Silva, Carla Roberta Moreira da. Gest??o do conhecimento com foco na seguran??a do paciente: proposta de um modelo de gest??o para hospitais. 2015.101 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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