Navegando por Assunto "Patient safety"

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Acesso aberto (Open Access)
Educação permanente para a melhoria da qualidade e segurança do paciente em hospital público acreditado
(Universidade Federal do Pará, 2023-01-10) PARENTE, Angeline do Nascimento; CARNEIRO, Marcia Simão; http://lattes.cnpq.br/3702559186954581; https://orcid.org/0000-0001-7732-1310
Introduction: hospital accreditation requires hospitals to reach organizational levels of excellence. To achieve accreditation, it is necessary to promote improvements in the quality of care, thus, educational activities stand out. The development of Permanent Education is still a challenge for health care institutions when carrying out actions with the aim of training, updating and developing human resources to promote safe, quality, humanized, harm-free care and focused on patient safety. Goal: to understand the challenges faced by Permanent Education to achieve quality improvement and patient safety in an accredited public hospital in the state of Pará. Methodology: this is a single integrated case study, carried out at the Holy House of Mercy of Pará Foundation Hospital, with a descriptive, cross-sectional and qualitative approach. The Case Study methodology proposed by Robert K. Yin was used. Data collection took place through semi-structured interviews with 22 professionals. The interviews were audio-recorded on a Smartphone, with an average of 22 minutes and 40 seconds, later they were completely transcribed, analyzed and interpreted through Bardin's thematic content analysis, in the light of Paulo Freire’s ideas. The IRAMUTEQ software (Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires) was used to analyze the textual corpus and the BioEstat 5.3 software was applied to analyze the participants’ profile. Data collection took place in June 2022. Results: most participants were women (90.9%), with a mean age of 43.7 years; average time of professional experience of 18.1 years; working time at the institution was 11.4 years; 81.8% were nurses; and 77.3% had a lato sensu graduate degree. It was generated three analyzes by IRAMUTEQ: word cloud, similarity analysis and Descending Hierarchical Classification (CHD). It was obtained five classes, which originated three categories: Challenges faced by Permanent Education to guarantee the process of continuous improvement; Permanent Education for the promotion of quality and patient safety in the context of hospital accreditation; and Educational strategies for improving quality and patient safety. Conclusion: there are challenges inherent to Permanent Education in Health (PEH) actions, such as resistance to change, adherence to activities, high turnover of professionals and difficulty in releasing workers to participate in activities. In addition, PEH proved to be fundamental in promoting a culture of quality and safety, thus contributing to hospital accreditation. The results also pointed out to strategies for carrying out PEH activities such as the use of realistic simulation, carrying out educational activities in loco, in all work shifts and promoting remote educational activities (online).
Acesso aberto (Open Access)
Segurança no uso de medicamentos: ações de melhoria em um hospital em Belém, Pará, Amazônia
(Universidade Federal do Pará, 2022-11-29) OLIVEIRA, Thais Castro; SANTOS, Valéria Regina Cavalcante dos; http://lattes.cnpq.br/0213999310674716; https://orcid.org/0000-0002-1264-8125
Introduction: Health services, especially hospital institutions, are complex systems that involve several risks, which can be exemplified by drug therapy. Investigation and knowledge of the factors that determine the occurrence of medication errors allow for actions that strengthen safety in the medication chain and the patient. Objective: Implement actions to improve safety, prescription, administration and quality use of medicines in a hospital in Belém, Pará, Amazon. Method: The study took place in a philanthropic hospital, located in the city of Belém, Pará. A quantitative study was carried out in the action-research modality, data collection took place from December to January 2022, a semi-structured form was applied to assess patient safety in dispensing, preparation and administration. Results and discussion: 43 collaborators participated in this study, the analysis of the responses to the workers' behavior allowed us to identify that the professionals reported unsatisfactory performance of 4 actions (event notification; multidose recording; recording of temperature and medication by verbal order). From the weaknesses found, strategies were presented to minimize these occurrences, they are: elaboration of the safety protocol, use and administration of medications, standard operating procedure for high-alert medication and protocol for the use of multi-dose medications. Conclusion: It was identified that despite the knowledge of the risks and the need to guarantee patient safety through protocols for health services, it was noticed the need to implement basic and fundamental actions through institutional standards and routines, in accordance with with the local reality. Actions, when systematized, become possible applications in the safety of medication use and contribute to reducing potential risks and promoting safety and quality in the health work process.