Safety in medication preparation and administration, in light of restorative health care research

• Autor(a) principal: Gimenes, Fernanda Raphael Escobar
• Data de Publicação: 2013
• Outros Autores: Cassiani, Silvia Helena De Bortoli
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Reme (Online)
• Texto Completo: https://periodicos.ufmg.br/index.php/reme/article/view/50209
• topic: Safety Management; Patient Safety; Intensive Care Units; Environmental Remediation; Research; Photography; Administración de la Seguridad; Seguridad del Paciente; Unidades de Cuidados Intensivos; Remediación Ambiental; Investigación; Fotografía; Gerenciamento de Segurança; Segurança do Paciente; Unidades de Terapia Intensiva; Remeduação Ambiental; Pesquisa; Fotografia

The objective was to obtain the views of the nursing professionals from an intensive care unit (ICU) of São Paulo State, in relation to the aspects existing in the processes of medication preparation and administration that, according to professionals, may contribute to patient safety or, on the other hand, may be seen as barriers to safe medication administration. The study was divided into four phases. We used diverse data collection techniques: focus groups, photo narration, photo elicitation, and field observation. Data collection and analysis proceeded in an iterative fashion, according to the restorative approach to health systems research. Six themes were obtained from the analysis: identifying the healthcare environment as a contributor to safety in medication preparation and administration; identifying risks in the healthcare environment; realizing environmental care as a risk factor for occupational accidents; having to live with the feeling of "impotence" in the face of prevailing organizational culture; living with workaround on a day-to-day basis; and glimpsing possibilities of changes in the healthcare environment. The experience of using the restorative approach to health systems research helped the understanding of the barriers and the measures aimed at the safety of medication preparation and administration. The themes obtained also showed that the existing problems in the ICU affect the safety of both patients and professionals. Therefore, leaders should review how to manage safety within the institution.