Patient safety: understanding human error in intensive nursing care

Detalhes bibliográficos
Autor(a) principal: Duarte, Sabrina da Costa Machado
Data de Publicação: 2019
Outros Autores: Stipp, Marluci Andrade Conceição, Cardoso, Maria Manuela Vila Nova, Büscher, Andreas
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Revista da Escola de Enfermagem da USP (Online)
DOI: 10.1590/s1980-220x2017042203406
Texto Completo: https://www.revistas.usp.br/reeusp/article/view/155239
Resumo: Objective: To analyze the active failures and the latent conditions related to errors in intensive nursing care and to discuss the reactive and proactive measures mentioned by the nursing team. Method: Qualitative, descriptive, exploratory study conducted at the Intensive Care Unit of a general hospital. Data were collected through interviews, participant observation and submitted to lexical analysis in the ALCESTE® software and to ethnographic analysis. Results: 36 professionals of the nursing team participated in the study. The analysis originated three lexical classes: Error in intensive care nursing; Active failures and latent conditions related to errors in the intensive care nursing team; Reactive and proactive measures adopted by the nursing team regarding errors in intensive care. Conclusion: Reactive and proactive measures influenced the safety culture, in particular, the recognition of errors by professionals, contributing to their prevention, safety and quality care.
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spelling Patient safety: understanding human error in intensive nursing careSeguridad del paciente: comprendiendo el error humano en la asistencia de enfermería en cuidados intensivosSegurança do paciente: compreendendo o erro humano na assistência de enfermagem em terapia intensivaPatient SafetyMedical ErrorsCritical Care NursingIntensive Care UnitsNursing Care.Patient SafetyMedical ErrorsCritical Care NursingIntensive Care UnitsNursing Care.Patient SafetyMedical ErrorsCritical Care NursingIntensive Care UnitsNursing Care.Objective: To analyze the active failures and the latent conditions related to errors in intensive nursing care and to discuss the reactive and proactive measures mentioned by the nursing team. Method: Qualitative, descriptive, exploratory study conducted at the Intensive Care Unit of a general hospital. Data were collected through interviews, participant observation and submitted to lexical analysis in the ALCESTE® software and to ethnographic analysis. Results: 36 professionals of the nursing team participated in the study. The analysis originated three lexical classes: Error in intensive care nursing; Active failures and latent conditions related to errors in the intensive care nursing team; Reactive and proactive measures adopted by the nursing team regarding errors in intensive care. Conclusion: Reactive and proactive measures influenced the safety culture, in particular, the recognition of errors by professionals, contributing to their prevention, safety and quality care.Universidade de São Paulo. Escola de Enfermagem2019-02-27info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/reeusp/article/view/15523910.1590/s1980-220x2017042203406Revista da Escola de Enfermagem da USP; v. 52 (2018); e03406Revista da Escola de Enfermagem da USP; Vol. 52 (2018); e03406Revista da Escola de Enfermagem da USP; Vol. 52 (2018); e034061980-220X0080-6234reponame:Revista da Escola de Enfermagem da USP (Online)instname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/reeusp/article/view/155239/151055https://www.revistas.usp.br/reeusp/article/view/155239/151056http://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessDuarte, Sabrina da Costa MachadoStipp, Marluci Andrade ConceiçãoCardoso, Maria Manuela Vila NovaBüscher, Andreas2019-02-27T13:08:37Zoai:revistas.usp.br:article/155239Revistahttps://www.revistas.usp.br/reeuspPUBhttps://www.revistas.usp.br/reeusp/oai||nursingscholar@usp.br1980-220X0080-6234opendoar:2019-02-27T13:08:37Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Patient safety: understanding human error in intensive nursing care
Seguridad del paciente: comprendiendo el error humano en la asistencia de enfermería en cuidados intensivos
Segurança do paciente: compreendendo o erro humano na assistência de enfermagem em terapia intensiva
title Patient safety: understanding human error in intensive nursing care
spellingShingle Patient safety: understanding human error in intensive nursing care
Patient safety: understanding human error in intensive nursing care
Duarte, Sabrina da Costa Machado
Patient Safety
Medical Errors
Critical Care Nursing
Intensive Care Units
Nursing Care.
Patient Safety
Medical Errors
Critical Care Nursing
Intensive Care Units
Nursing Care.
Patient Safety
Medical Errors
Critical Care Nursing
Intensive Care Units
Nursing Care.
Duarte, Sabrina da Costa Machado
Patient Safety
Medical Errors
Critical Care Nursing
Intensive Care Units
Nursing Care.
Patient Safety
Medical Errors
Critical Care Nursing
Intensive Care Units
Nursing Care.
Patient Safety
Medical Errors
Critical Care Nursing
Intensive Care Units
Nursing Care.
title_short Patient safety: understanding human error in intensive nursing care
title_full Patient safety: understanding human error in intensive nursing care
title_fullStr Patient safety: understanding human error in intensive nursing care
Patient safety: understanding human error in intensive nursing care
title_full_unstemmed Patient safety: understanding human error in intensive nursing care
Patient safety: understanding human error in intensive nursing care
title_sort Patient safety: understanding human error in intensive nursing care
author Duarte, Sabrina da Costa Machado
author_facet Duarte, Sabrina da Costa Machado
Duarte, Sabrina da Costa Machado
Stipp, Marluci Andrade Conceição
Cardoso, Maria Manuela Vila Nova
Büscher, Andreas
Stipp, Marluci Andrade Conceição
Cardoso, Maria Manuela Vila Nova
Büscher, Andreas
author_role author
author2 Stipp, Marluci Andrade Conceição
Cardoso, Maria Manuela Vila Nova
Büscher, Andreas
author2_role author
author
author
dc.contributor.author.fl_str_mv Duarte, Sabrina da Costa Machado
Stipp, Marluci Andrade Conceição
Cardoso, Maria Manuela Vila Nova
Büscher, Andreas
dc.subject.por.fl_str_mv Patient Safety
Medical Errors
Critical Care Nursing
Intensive Care Units
Nursing Care.
Patient Safety
Medical Errors
Critical Care Nursing
Intensive Care Units
Nursing Care.
Patient Safety
Medical Errors
Critical Care Nursing
Intensive Care Units
Nursing Care.
topic Patient Safety
Medical Errors
Critical Care Nursing
Intensive Care Units
Nursing Care.
Patient Safety
Medical Errors
Critical Care Nursing
Intensive Care Units
Nursing Care.
Patient Safety
Medical Errors
Critical Care Nursing
Intensive Care Units
Nursing Care.
description Objective: To analyze the active failures and the latent conditions related to errors in intensive nursing care and to discuss the reactive and proactive measures mentioned by the nursing team. Method: Qualitative, descriptive, exploratory study conducted at the Intensive Care Unit of a general hospital. Data were collected through interviews, participant observation and submitted to lexical analysis in the ALCESTE® software and to ethnographic analysis. Results: 36 professionals of the nursing team participated in the study. The analysis originated three lexical classes: Error in intensive care nursing; Active failures and latent conditions related to errors in the intensive care nursing team; Reactive and proactive measures adopted by the nursing team regarding errors in intensive care. Conclusion: Reactive and proactive measures influenced the safety culture, in particular, the recognition of errors by professionals, contributing to their prevention, safety and quality care.
publishDate 2019
dc.date.none.fl_str_mv 2019-02-27
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://www.revistas.usp.br/reeusp/article/view/155239
10.1590/s1980-220x2017042203406
url https://www.revistas.usp.br/reeusp/article/view/155239
identifier_str_mv 10.1590/s1980-220x2017042203406
dc.language.iso.fl_str_mv eng
por
language eng
por
dc.relation.none.fl_str_mv https://www.revistas.usp.br/reeusp/article/view/155239/151055
https://www.revistas.usp.br/reeusp/article/view/155239/151056
dc.rights.driver.fl_str_mv http://creativecommons.org/licenses/by-nc/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Escola de Enfermagem
publisher.none.fl_str_mv Universidade de São Paulo. Escola de Enfermagem
dc.source.none.fl_str_mv Revista da Escola de Enfermagem da USP; v. 52 (2018); e03406
Revista da Escola de Enfermagem da USP; Vol. 52 (2018); e03406
Revista da Escola de Enfermagem da USP; Vol. 52 (2018); e03406
1980-220X
0080-6234
reponame:Revista da Escola de Enfermagem da USP (Online)
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista da Escola de Enfermagem da USP (Online)
collection Revista da Escola de Enfermagem da USP (Online)
repository.name.fl_str_mv Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||nursingscholar@usp.br
_version_ 1822181691271151616
dc.identifier.doi.none.fl_str_mv 10.1590/s1980-220x2017042203406

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