THE OCCURRENCE OF NEAR MISSES AND ASSOCIATED FACTORS IN THE SURGICAL CLINIC OF A TEACHING HOSPITAL

Detalhes bibliográficos
Autor(a) principal: Paranaguá, Thatianny Tanferri de Brito
Data de Publicação: 2015
Outros Autores: Bezerra, Ana Lúcia Queiroz, Silva, Ana Elisa Bauer de Camargo e
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Cogitare Enfermagem (Online)
DOI: 10.5380/ce.v20i1.37446
Texto Completo: https://revistas.ufpr.br/cogitare/article/view/37446
Resumo: This study aimed to investigate the occurrence of, and factors associated with, near misses related to the safety of patients undergoing inpatient treatment in the surgical clinic of a teaching hospital. It is a transversal study, undertaken with 750 episodes of inpatient treatment undertaken in 2010, using the medical records as the data source. Data collection occurred in January – May 2011. Univariate analysis and logistic regression were undertaken. The recording of near misses occurred in 1.7% of all the episodes of inpatient treatment. A total of 18 near misses was recorded, that related to the process of prescribing medications being the most frequent. Being male was associated as a protective factor. The need was ascertained to encourage health professionals to record near misses, so as to support the learning process at work, make it possible to study the causal factors, and promote improvements in the work process.
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spelling THE OCCURRENCE OF NEAR MISSES AND ASSOCIATED FACTORS IN THE SURGICAL CLINIC OF A TEACHING HOSPITALOCURRENCIA DE NEAR MISSES Y FACTORES ASOCIADOS EN LA CLÍNICA QUIRÚRGICA DE UN HOSPITAL DE ENSEÑANZAOCORRÊNCIA DE NEAR MISSES E FATORES ASSOCIADOS NA CLÍNICA CIRÚRGICA DE UM HOSPITAL DE ENSINOSeguridad del paciente; Errores médicos; Gestión de la cualidad.Patient safety; Medical errors; Management of quality.Segurança do paciente; Erros médicos; Gestão da qualidade.This study aimed to investigate the occurrence of, and factors associated with, near misses related to the safety of patients undergoing inpatient treatment in the surgical clinic of a teaching hospital. It is a transversal study, undertaken with 750 episodes of inpatient treatment undertaken in 2010, using the medical records as the data source. Data collection occurred in January – May 2011. Univariate analysis and logistic regression were undertaken. The recording of near misses occurred in 1.7% of all the episodes of inpatient treatment. A total of 18 near misses was recorded, that related to the process of prescribing medications being the most frequent. Being male was associated as a protective factor. The need was ascertained to encourage health professionals to record near misses, so as to support the learning process at work, make it possible to study the causal factors, and promote improvements in the work process.Objetivou-se investigar a ocorrência e os fatores associados aos near missesrelacionados à segurança de pacientes internados na clínica cirúrgica de um hospital de ensino. Estudo transversal, conduzido com 750 internações realizadas durante o ano de 2010, tendo os prontuários como fonte de dados. A coleta de dados ocorreu entre janeiro e maio de 2011. Realizada análise univariada e regressão logística. O registro do near missocorreu em 1,7% das internações. Um total de 18 near missesfoi registrado, sendo mais frequente o relacionado ao processo de prescrição de medicamentos. O sexo masculino foi associado como fator de proteção. Verificou-se a necessidade de estimular os profissionais de saúde ao registro dos near misses, a fim de subsidiar o processo de aprendizagem em serviço, permitir o estudo dos fatores causais e a promoção de melhorias no processo de trabalho.Fue objetivo de este estudio investigar la ocurrencia y los factores asociados a los nearmisses referentes a la seguridad de pacientes internados en la clínica quirúrgica de un hospital de enseñanza. Estudio transversal, conducido con 750 internaciones realizadas durante el año de 2010, cuyos prontuarios fueron la fuente de datos. Los datos fueron obtenidos entre enero y mayo de 2011. Realizado análisis univariado y regresión logística. El registro del near miss ocurrió en 1,7% de las internaciones. Un total de 18 near misses fue registrado, siendo más frecuente el relacionado al proceso de prescripción de remedios. El sexo masculino fue asociado como factor de protección. Se verificó la necesidad de estimular los profesionales de salud al registro de los near misses, con fines de subsidiar el proceso de aprendizaje en servicio, posibilitar el estudio de los factores causales y la promoción de mejorías en el proceso de trabajo. Universidade Federal do ParanáParanaguá, Thatianny Tanferri de BritoBezerra, Ana Lúcia QueirozSilva, Ana Elisa Bauer de Camargo e2015-03-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://revistas.ufpr.br/cogitare/article/view/3744610.5380/ce.v20i1.37446Cogitare Enfermagem; v. 20, n. 1 (2015)Cogitare Enfermagem; v. 20, n. 1 (2015)Cogitare Enfermagem; v. 20, n. 1 (2015)2176-91331414-853610.5380/ce.v20i1reponame:Cogitare Enfermagem (Online)instname:Universidade Federal do Paraná (UFPR)instacron:UFPRporenghttps://revistas.ufpr.br/cogitare/article/view/37446/24857https://revistas.ufpr.br/cogitare/article/view/37446/24858https://revistas.ufpr.br/cogitare/article/downloadSuppFile/37446/18688https://revistas.ufpr.br/cogitare/article/downloadSuppFile/37446/18689https://revistas.ufpr.br/cogitare/article/downloadSuppFile/37446/18690https://revistas.ufpr.br/cogitare/article/downloadSuppFile/37446/18691https://revistas.ufpr.br/cogitare/article/downloadSuppFile/37446/18692https://revistas.ufpr.br/cogitare/article/downloadSuppFile/37446/18868info:eu-repo/semantics/openAccess2021-12-07T20:46:51Zoai:revistas.ufpr.br:article/37446Revistahttps://revistas.ufpr.br/cogitare/indexPUBhttps://revistas.ufpr.br/cogitare/oaicogitare@ufpr.br2176-91331414-8536opendoar:2021-12-07T20:46:51Cogitare Enfermagem (Online) - Universidade Federal do Paraná (UFPR)false
dc.title.none.fl_str_mv THE OCCURRENCE OF NEAR MISSES AND ASSOCIATED FACTORS IN THE SURGICAL CLINIC OF A TEACHING HOSPITAL
OCURRENCIA DE NEAR MISSES Y FACTORES ASOCIADOS EN LA CLÍNICA QUIRÚRGICA DE UN HOSPITAL DE ENSEÑANZA
OCORRÊNCIA DE NEAR MISSES E FATORES ASSOCIADOS NA CLÍNICA CIRÚRGICA DE UM HOSPITAL DE ENSINO
title THE OCCURRENCE OF NEAR MISSES AND ASSOCIATED FACTORS IN THE SURGICAL CLINIC OF A TEACHING HOSPITAL
spellingShingle THE OCCURRENCE OF NEAR MISSES AND ASSOCIATED FACTORS IN THE SURGICAL CLINIC OF A TEACHING HOSPITAL
THE OCCURRENCE OF NEAR MISSES AND ASSOCIATED FACTORS IN THE SURGICAL CLINIC OF A TEACHING HOSPITAL
Paranaguá, Thatianny Tanferri de Brito
Seguridad del paciente; Errores médicos; Gestión de la cualidad.
Patient safety; Medical errors; Management of quality.
Segurança do paciente; Erros médicos; Gestão da qualidade.
Paranaguá, Thatianny Tanferri de Brito
Seguridad del paciente; Errores médicos; Gestión de la cualidad.
Patient safety; Medical errors; Management of quality.
Segurança do paciente; Erros médicos; Gestão da qualidade.
title_short THE OCCURRENCE OF NEAR MISSES AND ASSOCIATED FACTORS IN THE SURGICAL CLINIC OF A TEACHING HOSPITAL
title_full THE OCCURRENCE OF NEAR MISSES AND ASSOCIATED FACTORS IN THE SURGICAL CLINIC OF A TEACHING HOSPITAL
title_fullStr THE OCCURRENCE OF NEAR MISSES AND ASSOCIATED FACTORS IN THE SURGICAL CLINIC OF A TEACHING HOSPITAL
THE OCCURRENCE OF NEAR MISSES AND ASSOCIATED FACTORS IN THE SURGICAL CLINIC OF A TEACHING HOSPITAL
title_full_unstemmed THE OCCURRENCE OF NEAR MISSES AND ASSOCIATED FACTORS IN THE SURGICAL CLINIC OF A TEACHING HOSPITAL
THE OCCURRENCE OF NEAR MISSES AND ASSOCIATED FACTORS IN THE SURGICAL CLINIC OF A TEACHING HOSPITAL
title_sort THE OCCURRENCE OF NEAR MISSES AND ASSOCIATED FACTORS IN THE SURGICAL CLINIC OF A TEACHING HOSPITAL
author Paranaguá, Thatianny Tanferri de Brito
author_facet Paranaguá, Thatianny Tanferri de Brito
Paranaguá, Thatianny Tanferri de Brito
Bezerra, Ana Lúcia Queiroz
Silva, Ana Elisa Bauer de Camargo e
Bezerra, Ana Lúcia Queiroz
Silva, Ana Elisa Bauer de Camargo e
author_role author
author2 Bezerra, Ana Lúcia Queiroz
Silva, Ana Elisa Bauer de Camargo e
author2_role author
author
dc.contributor.none.fl_str_mv


dc.contributor.author.fl_str_mv Paranaguá, Thatianny Tanferri de Brito
Bezerra, Ana Lúcia Queiroz
Silva, Ana Elisa Bauer de Camargo e
dc.subject.none.fl_str_mv


dc.subject.por.fl_str_mv Seguridad del paciente; Errores médicos; Gestión de la cualidad.
Patient safety; Medical errors; Management of quality.
Segurança do paciente; Erros médicos; Gestão da qualidade.
topic Seguridad del paciente; Errores médicos; Gestión de la cualidad.
Patient safety; Medical errors; Management of quality.
Segurança do paciente; Erros médicos; Gestão da qualidade.
description This study aimed to investigate the occurrence of, and factors associated with, near misses related to the safety of patients undergoing inpatient treatment in the surgical clinic of a teaching hospital. It is a transversal study, undertaken with 750 episodes of inpatient treatment undertaken in 2010, using the medical records as the data source. Data collection occurred in January – May 2011. Univariate analysis and logistic regression were undertaken. The recording of near misses occurred in 1.7% of all the episodes of inpatient treatment. A total of 18 near misses was recorded, that related to the process of prescribing medications being the most frequent. Being male was associated as a protective factor. The need was ascertained to encourage health professionals to record near misses, so as to support the learning process at work, make it possible to study the causal factors, and promote improvements in the work process.
publishDate 2015
dc.date.none.fl_str_mv 2015-03-31
dc.type.none.fl_str_mv




dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revistas.ufpr.br/cogitare/article/view/37446
10.5380/ce.v20i1.37446
url https://revistas.ufpr.br/cogitare/article/view/37446
identifier_str_mv 10.5380/ce.v20i1.37446
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://revistas.ufpr.br/cogitare/article/view/37446/24857
https://revistas.ufpr.br/cogitare/article/view/37446/24858
https://revistas.ufpr.br/cogitare/article/downloadSuppFile/37446/18688
https://revistas.ufpr.br/cogitare/article/downloadSuppFile/37446/18689
https://revistas.ufpr.br/cogitare/article/downloadSuppFile/37446/18690
https://revistas.ufpr.br/cogitare/article/downloadSuppFile/37446/18691
https://revistas.ufpr.br/cogitare/article/downloadSuppFile/37446/18692
https://revistas.ufpr.br/cogitare/article/downloadSuppFile/37446/18868
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade Federal do Paraná
publisher.none.fl_str_mv Universidade Federal do Paraná
dc.source.none.fl_str_mv Cogitare Enfermagem; v. 20, n. 1 (2015)
Cogitare Enfermagem; v. 20, n. 1 (2015)
Cogitare Enfermagem; v. 20, n. 1 (2015)
2176-9133
1414-8536
10.5380/ce.v20i1
reponame:Cogitare Enfermagem (Online)
instname:Universidade Federal do Paraná (UFPR)
instacron:UFPR
instname_str Universidade Federal do Paraná (UFPR)
instacron_str UFPR
institution UFPR
reponame_str Cogitare Enfermagem (Online)
collection Cogitare Enfermagem (Online)
repository.name.fl_str_mv Cogitare Enfermagem (Online) - Universidade Federal do Paraná (UFPR)
repository.mail.fl_str_mv cogitare@ufpr.br
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dc.identifier.doi.none.fl_str_mv 10.5380/ce.v20i1.37446

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