Segurança do paciente em unidades não hospitalares de atendimento às urgências e emergências: análise de riscos
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2015-07-30
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Universidade Federal de Goiás
Resumo
Patient safety in health services is a priority issue at the World Health Organization.
Understanding the importance of this approach, this study aimed to analyze the
risks in the health care of patients seen in non-hospital units of emergency and
urgency. It is a descriptive research with a qualitative approach. Fieldwork was
carried out with the nursing team through semi-structured individual interviews and
opted for the content analysis. Respondents reported several factors that endanger
the patients like human resources, material and physical assistance and operational
processes. On human resources, the nursing team mentioned: unpreparedness of
the medical and nursing team in responding to emergencies and emergencies
related to insufficient training and lack of Continuing Education in services; shortage
of doctors, and nursing staff and work overload. They reported the need for team
downsizing and continuing education, to minimize risks related to work overload and
lack of technical and scientific preparation. The material and physical resources
were considered inadequate and insufficient in all units. However, half of the units
assessed showed better working conditions in relation to physical resources. As for
the operational processes, it stands out the scarce filing within the emergency block;
improper operation of Material and Sterilization Center and how to identify patients
were listed as insufficient for safe care. They reported errors and incidents with
patients in the labor process, with emphasis on: medication administration errors,
damage without incident (falls) and the occurrence of adverse events such as death,
aspiration, member of mutilation and traumatic brain injury. It was found that these
are related to insufficient and inadequate human, material and physical and
interaction between the entire systems. The results pointed to the need for risk
management in the units, according to the current legislation, with a view to patient
safety.
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SANTOS, A. N. S. Segurança do paciente em unidades não hospitalares de atendimento às urgências e emergências: análise de riscos. 2015. 112 f. Dissertação ( Mestrado em Ensino na Saúde) - Universidade Federal de Goiás, Goiânia, 2015.