ANALYSIS OF NOTIFIABLE CIRCUMSTANCES: INCIDENTS THAT MAY COMPROMISE PATIENT SAFETY

• Autor(a) principal: Sagawa, Marcella Rarumi
• Data de Publicação: 2019
• Outros Autores: Silva, Ana Elisa Bauer de Camargo, Lima, Juliana Carvalho de, Bezerra, Ana Lúcia Queiroz, Costa, Natália Nunes, Sousa, Maiana Regina Gomes de, Gimenes, Fernanda Raphael Escobar
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Cogitare Enfermagem (Online)
• Texto Completo: https://revistas.ufpr.br/cogitare/article/view/61984
• topic: Patient safety; Risk management; Health Care quality; Quality management; Nursing care.; Seguridad del Paciente; Gestión de Riegos; Calidad de la Asistencia a la Salud; Gestión de la calidad; Cuidados de Enfermería.; Enfermagem; Segurança do Paciente; Gestão de Riscos; Qualidade da Assistência à Saúde; Gestão da Qualidade; Cuidados de Enfermagem.

Objective: To identify incidents defined as notifiable circumstances that occurred in a teachinghospital in Goiás.Method: Descriptive cross-sectional study that uses retrospective analysis of reports madeby the nursing team of a general medicine unit made in the January 2010-December 2015period. Data was collected and recorded in a semi-structured instrument and descriptiveanalysis was performed.Results: There were 2,718 notifiable circumstances, of which 1,100 (40.5%) were related toResources/ Organizational Management, 844 (31.1%) to Medical Devices/Equipment, 270(9.9%) to Documentation, 262 (9.6%) to Infrastructure/Facilities, 109 (4.0%) to Behavior, 80(3.0%) to Medications/Intravenous Fluids, 28 (1.0%) to Blood/Blood derivatives, 17 (0.6%) toDiet/Food. Conclusion: The present study showed that situations with the potential to causeharm to hospitalized patients were very common, exposing organizational and care weaknessesthat must be discussed by the management, so that improvements are implemented in thehealth care process and incidents are prevented.