Gest??o e seguran??a do paciente geri??trico em hospital p??blico geral

Detalhes bibliográficos
Autor(a) principal: Waldman, Chang Chung Sing
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/1198
Resumo: Adverse events (AEs) occur in all ages. The elder requires more hospitalizations, with longer length of stay associated with other diseases and daily consumption of several drugs, becoming more vulnerable to AEs. As the main purpose of this study was to analyze the patient safety incidents hospitalized geriatric patients, the strategy adopted was the single case study. Data collection was performed by means of document analysis based on information recorded in medical registries of 221 geriatric patients, aged 60 or older, admitted into the internal medicine infirmary of Mandaqui Complex Hospital, which is located in the North of S??o Paulo city, during 2014. Results obtained by this research may contribute to support public policies in the health managements, including female (52,9%), predominance of aged 80 to 89 years (41,6%) (p=0,017), presence of 16,3% of seniors with 90 years and more; diseases of the digestive system and circulatory system as a cause of hospitalization showing length of stay and number of AEs above the median for the total of patients; increase in the number of AEs with increasing the length of stay (p<0,0001); incidence rate of 0,61 AEs by patient/day, increasing with age (p<0,0001); presence of comorbidities in 91,4% of the patients and their close relationship with time of hospitalization and frequency of AEs (p=0, 012). The patient safety incidents were classified according to International Classification for Patient Safety (ICPS). We found 4752 incidents, 47,0% of these were of no harm and 53,0% classified as AEs. According to the degree of harm, 45,4% were mild, 47,8% moderate and 0,5% severe harm. In this study, all identified incidents were avoidable and their recognition make possible to plan health specific strategies for elders in different levels of patient health assistance.
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spelling Novaretti, Marcia Cristina Zagohttp://lattes.cnpq.br/7914282268625215Novaretti, Marcia Cristina Zagohttp://lattes.cnpq.br/7914282268625215Pedroso, Marcelohttp://lattes.cnpq.br/4834383978225895Serinolli, Mario Ivohttp://lattes.cnpq.br/0403872913808157Padilha, Katiahttp://lattes.cnpq.br/9341251262716063Monken, Soniahttp://lattes.cnpq.br/4648925294194872http://lattes.cnpq.br/0264841258920087Waldman, Chang Chung Sing2016-04-11T16:55:58Z2015-11-30Waldman, Chang Chung Sing. Gest??o e seguran??a do paciente geri??trico em hospital p??blico geral. 2015. 109 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/1198Adverse events (AEs) occur in all ages. The elder requires more hospitalizations, with longer length of stay associated with other diseases and daily consumption of several drugs, becoming more vulnerable to AEs. As the main purpose of this study was to analyze the patient safety incidents hospitalized geriatric patients, the strategy adopted was the single case study. Data collection was performed by means of document analysis based on information recorded in medical registries of 221 geriatric patients, aged 60 or older, admitted into the internal medicine infirmary of Mandaqui Complex Hospital, which is located in the North of S??o Paulo city, during 2014. Results obtained by this research may contribute to support public policies in the health managements, including female (52,9%), predominance of aged 80 to 89 years (41,6%) (p=0,017), presence of 16,3% of seniors with 90 years and more; diseases of the digestive system and circulatory system as a cause of hospitalization showing length of stay and number of AEs above the median for the total of patients; increase in the number of AEs with increasing the length of stay (p<0,0001); incidence rate of 0,61 AEs by patient/day, increasing with age (p<0,0001); presence of comorbidities in 91,4% of the patients and their close relationship with time of hospitalization and frequency of AEs (p=0, 012). The patient safety incidents were classified according to International Classification for Patient Safety (ICPS). We found 4752 incidents, 47,0% of these were of no harm and 53,0% classified as AEs. According to the degree of harm, 45,4% were mild, 47,8% moderate and 0,5% severe harm. In this study, all identified incidents were avoidable and their recognition make possible to plan health specific strategies for elders in different levels of patient health assistance.Eventos adversos (EAs) ocorrem com qualquer paciente e em qualquer idade, o idoso, necessitando de n??mero maior de interna????es, com tempo de perman??ncia mais prolongado, associado a outras doen??as e consumo di??rio de v??rios medicamentos, torna-se mais vulner??vel aos EAs. Sendo o objeto dessa pesquisa a an??lise dos incidentes relacionados ?? seguran??a do paciente geri??trico internado, a estrat??gia adotada foi o estudo de caso. A coleta dos dados foi realizada por meio da an??lise documental baseada em informa????es registradas em prontu??rios de 221 pacientes com idade de 60 anos ou mais, internados em enfermaria de cl??nica m??dica do Conjunto Hospitalar do Mandaqui, regi??o norte do munic??pio de S??o Paulo, em 2014. Resultados obtidos por esta pesquisa podem subsidiar pol??ticas p??blicas no setor sa??de, entre eles: sexo feminino (52,9%); predom??nio da faixa et??ria de 80 a 89 anos (41,6%) (p=0,017); presen??a de 16,3% de idosos com 90 anos e mais; doen??as do aparelho digestivo e circulat??rio como causa de interna????o apresentam tempo de perman??ncia e n??mero de EAs superiores ?? mediana para o total de pacientes; aumento no n??mero de EAs ?? medida que aumenta o tempo de interna????o (p<0,0001); taxa de incid??ncia de 0,61 EAs por paciente/dia, aumentando com a idade (p<0,0001), raz??o de taxas (RT=2,3); comorbidades presente em 91,4% dos pacientes e com estreita rela????o com tempo de interna????o e frequ??ncia dos EAs (p=0,012). Quanto aos incidentes identificados segundo a Classifica????o Internacional de Seguran??a do Paciente (ICPS), encontramos 4752 incidentes sendo 47,0% sem dano e 53,0% com dano. Em rela????o ao grau de danos, identificamos 45,4% com dano leve, 47,8% dano moderado e 0,5 % dano grave. Neste estudo todos os incidentes detectados foram do tipo evit??veis, pass??veis de redu????o e o seu conhecimento sinaliza a necessidade do planejamento de pol??ticas de sa??de espec??ficas para a terceira idade nos diversos n??veis da assist??ncia ?? sa??de.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2016-04-11T16:55:58Z No. of bitstreams: 1 Chang Chung Sing Waldman.pdf: 929870 bytes, checksum: 9c2405646665a0d26bcfa0c59f66fc38 (MD5)Made available in DSpace on 2016-04-11T16:55:58Z (GMT). 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dc.title.por.fl_str_mv Gest??o e seguran??a do paciente geri??trico em hospital p??blico geral
dc.title.alternative.eng.fl_str_mv Management and geriatric patient safety in general hospital
title Gest??o e seguran??a do paciente geri??trico em hospital p??blico geral
spellingShingle Gest??o e seguran??a do paciente geri??trico em hospital p??blico geral
Waldman, Chang Chung Sing
Seguran??a do paciente
evento adverso
paciente geri??trico
gest??o de sa??de
hospital
Patient safety
health management
adverse event
geriatric patient
hospital
ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS
title_short Gest??o e seguran??a do paciente geri??trico em hospital p??blico geral
title_full Gest??o e seguran??a do paciente geri??trico em hospital p??blico geral
title_fullStr Gest??o e seguran??a do paciente geri??trico em hospital p??blico geral
title_full_unstemmed Gest??o e seguran??a do paciente geri??trico em hospital p??blico geral
title_sort Gest??o e seguran??a do paciente geri??trico em hospital p??blico geral
author Waldman, Chang Chung Sing
author_facet Waldman, Chang Chung Sing
author_role author
dc.contributor.advisor1.fl_str_mv Novaretti, Marcia Cristina Zago
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/7914282268625215
dc.contributor.referee1.fl_str_mv Novaretti, Marcia Cristina Zago
dc.contributor.referee1Lattes.fl_str_mv http://lattes.cnpq.br/7914282268625215
dc.contributor.referee2.fl_str_mv Pedroso, Marcelo
dc.contributor.referee2Lattes.fl_str_mv http://lattes.cnpq.br/4834383978225895
dc.contributor.referee3.fl_str_mv Serinolli, Mario Ivo
dc.contributor.referee3Lattes.fl_str_mv http://lattes.cnpq.br/0403872913808157
dc.contributor.referee4.fl_str_mv Padilha, Katia
dc.contributor.referee4Lattes.fl_str_mv http://lattes.cnpq.br/9341251262716063
dc.contributor.referee5.fl_str_mv Monken, Sonia
dc.contributor.referee5Lattes.fl_str_mv http://lattes.cnpq.br/4648925294194872
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/0264841258920087
dc.contributor.author.fl_str_mv Waldman, Chang Chung Sing
contributor_str_mv Novaretti, Marcia Cristina Zago
Novaretti, Marcia Cristina Zago
Pedroso, Marcelo
Serinolli, Mario Ivo
Padilha, Katia
Monken, Sonia
dc.subject.por.fl_str_mv Seguran??a do paciente
evento adverso
paciente geri??trico
gest??o de sa??de
hospital
topic Seguran??a do paciente
evento adverso
paciente geri??trico
gest??o de sa??de
hospital
Patient safety
health management
adverse event
geriatric patient
hospital
ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS
dc.subject.eng.fl_str_mv Patient safety
health management
adverse event
geriatric patient
hospital
dc.subject.cnpq.fl_str_mv ADMINISTRACAO::ADMINISTRACAO DE SETORES ESPECIFICOS
description Adverse events (AEs) occur in all ages. The elder requires more hospitalizations, with longer length of stay associated with other diseases and daily consumption of several drugs, becoming more vulnerable to AEs. As the main purpose of this study was to analyze the patient safety incidents hospitalized geriatric patients, the strategy adopted was the single case study. Data collection was performed by means of document analysis based on information recorded in medical registries of 221 geriatric patients, aged 60 or older, admitted into the internal medicine infirmary of Mandaqui Complex Hospital, which is located in the North of S??o Paulo city, during 2014. Results obtained by this research may contribute to support public policies in the health managements, including female (52,9%), predominance of aged 80 to 89 years (41,6%) (p=0,017), presence of 16,3% of seniors with 90 years and more; diseases of the digestive system and circulatory system as a cause of hospitalization showing length of stay and number of AEs above the median for the total of patients; increase in the number of AEs with increasing the length of stay (p<0,0001); incidence rate of 0,61 AEs by patient/day, increasing with age (p<0,0001); presence of comorbidities in 91,4% of the patients and their close relationship with time of hospitalization and frequency of AEs (p=0, 012). The patient safety incidents were classified according to International Classification for Patient Safety (ICPS). We found 4752 incidents, 47,0% of these were of no harm and 53,0% classified as AEs. According to the degree of harm, 45,4% were mild, 47,8% moderate and 0,5% severe harm. In this study, all identified incidents were avoidable and their recognition make possible to plan health specific strategies for elders in different levels of patient health assistance.
publishDate 2015
dc.date.issued.fl_str_mv 2015-11-30
dc.date.accessioned.fl_str_mv 2016-04-11T16:55:58Z
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dc.identifier.citation.fl_str_mv Waldman, Chang Chung Sing. Gest??o e seguran??a do paciente geri??trico em hospital p??blico geral. 2015. 109 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/1198
identifier_str_mv Waldman, Chang Chung Sing. Gest??o e seguran??a do paciente geri??trico em hospital p??blico geral. 2015. 109 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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