Patient safety in care circumstances: prevention of adverse events in the hospitalization of children

Abstract

This case study with a qualitative approach presents an analysis of the perceptions of family caregivers/companions and health workers concerning adverse events in care contexts. A total of 15 companions and 23 health workers from pediatric hospitalization units of a university hospital in Porto Alegre, Brazil participated in this study from August to December 2010. Data were collected through semi-structured interviews and analyzed through thematic content analysis using QSR's Nvivo version 7.0. Seven thematic categories emerged from the analysis.The results highlight reviewing and checking workers' interventions and implementing effective communication among workers, caregivers and children. The main recommendations concern changing the organizational culture of health facilities, emphasizing safe care and a systemic view of the evaluation of adverse events. Alegre, RS, Brasil, no período entre agosto e dezembro de 2010. A entrevista semiestruturada foi utilizada na coleta das informações, sendo submetida à técnica da análise temática com apoio do software QSR Nvivo, versão 7.0. A análise das informações evidenciou sete categorias temáticas. Nos resultados, destacam-se a revisão e conferência permanentes em qualquer intervenção do profissional e o processo de comunicação efetivo profissional/acompanhante/ criança. O estudo traz como principais recomendações as mudanças na cultura organizacional das instituições de saúde para uma cultura de segurança, com ênfase no cuidado seguro em saúde e visão sistêmica na avaliação da ocorrência de eventos adversos.Descritores: Segurança; Criança Hospitalizada; Erros Médicos; Cuidadores; Profissionais da Saúde. La seguridad del paciente en las circunstancias de cuidado: prevención de eventos adversos en la hospitalización infantilSe trata de una investigación estudio de caso cualitativo, cuyo objetivo fue analizar cómo las acompañantes/cuidadoras y profesionales de salud reconocen los eventos adversos en las circunstancias de cuidado. Fue realizada con 15 acompañantes/cuidadores y 23 profesionales de salud de las unidades de internación de pediatría de un hospital-escuela de Porto Alegre, Brasil entre agosto y diciembre de 2010. Entrevista semi-estructurada fue utilizada para la recolección de las informaciones, siendo sometidas a análisis temático con apoyo del software QSR Nvivo 7.0. El análisis de las informaciones dejó en evidencia siete categorías.Los resultados sugieren la revisión y control permanente en cualquier intervención del profesional y el proceso de comunicación efectivo profesional-acompañante-niño. El estudio trae como recomendaciones los cambios en la cultura organizacional de las instituciones de salud para una cultura de seguridad, con énfasis en el cuidado seguro y visión sintética en la evaluación de la ocurrencia de eventos adversos.

Competências Do Enfermeiro Na Prevenção De Quedas Em Crianças À Luz Do Consenso De Galway

“…Therefore, it is the duty of the health professional to prevent these from occurring, and there must be constant vigilance and ability to anticipate the behavior of the child who is active and playing in the bed/crib. 21 The consequences must be related to the context and mechanism of falls, the children's clinical condition and medications, as it is known that continuous medications and falls are linked. 22 Therefore, it is imperative that medication use is monitored, with involvement of all the health team in the accomplishment of the necessary treatment, in order to avoid falls.…”

Segurança do paciente no cuidado à criança hospitalizada: evidências para enfermagem pediátrica

“…Studies have investigated the following circumstances of care that promote adverse events: the importance of hand hygiene in the academic training of nurses for paediatric patient safety; the implementation of a paediatric surgical checklist and the improvement of family satisfaction; weaknesses in the identification of children and standardisation for the preparation and administration of medication; the prevalence of adverse events recorded in inpatient units; and the use of intelligent infusion pumps by paediatric nurses to reduce medication errors and prevent risks (7)(8)(9)(10)(11)(12) . In this context, we can identify breakthroughs in the culture of patient safety in the care of hospitalised children, and the recommendation of strategies to promote safe care in paediatric nursing.…”

The culture of patient safety from the perspective of the pediatric emergency nursing team

“…Addressing the safety culture in Pediatric Emergency units is necessary, since these sectors are prone to errors which may be related to the physical and organizational structure of these units, to the specifics related to the treatment of these patients, or the lack of incentive of studies related to this area (10) . Involving nursing in this approach is crucial, considering this category is the largest workforce in health institutions, and discussions involving them can generate changes in the workplace, thereby modifying the health system and improving patient safety (11) .…”