Segurança Do Paciente Em Hospitais De Grande Porte: Panorama E Desafios

Abstract

O presente estudo tem por objetivo explorar a situação de segurança do paciente em quatro hospitais de grande porte de Santa Catarina. A amostra foi constituída pelos coordenadores de segurança do paciente e por profissionais da equipe multidisciplinar. Utilizou-se como instrumento de coleta de dados um questionário elaborado a partir de formulário proposto pela Organização Mundial de Saúde para avaliação da situação de segurança do paciente. Os principais resultados apontam para a necessidade de promover a cultura de segurança nas instituições de saúde, englobando: questões estruturais; de comunicação e educação permanente; melhorias nos processos de trabalho com ênfase em elaboração de protocolos e outros instrumentos de gestão; notificação e investigação de eventos adversos; avaliação de indicadores; fortalecimento de parcerias e pesquisas na área. Conclui-se que existem ações de segurança em desenvolvimento e um movimento para a implantação do Programa Nacional de Segurança do Paciente no Estado de Santa Catarina.

Implementação dos núcleos de segurança do paciente e as infecções relacionadas à assistência à saúde

“…The communication flows between the teams may reduce service quality and cause errors and potential damages to the patients (16) . Thus, it was identified the need for the institutions (as well as the healthcare practitioners) to ethically undertake to improve the communication as an institutional goal, consequently ensuring safety, integrity, and respect to the rights of patients, coworkers, and their own, as practitioners and citizens (17) .…”

“…In this sense, it is extremely important to establish an effective communication starting from identification of critic risk or accident, from the least severe to the most severe, and avoiding adverse events and the damages resulting from them, which is directly related to patient safety (17) . It is important to note that not only should the notice of severe adverse events be encouraged, but also of the risks, their causes, and the strategies implemented.…”

“…It is important to note that not only should the notice of severe adverse events be encouraged, but also of the risks, their causes, and the strategies implemented. Under this bias, managers and leaders have the mission to promote an effective communication/integration with the direct healthcare practitioners in order to plan and develop integrated actions of shared management for the service quality as a whole (17) .…”

“…In this regard, a study identified strategies to promote patient safety within the hospital context and, in this direction, listed strategies developed by healthcare nurses, with emphasis to those related to identification of the risks to which the patients are exposed during the nursing healthcare, incorporation of good practices in the direct and/ or indirect healthcare, and identification of obstacles and opportunities to promote safety in the institution (17) . These good practices relate, especially, to the nurses' concern regarding the frequent fall risk, the transmission of healthcare associated infections, and adverse events related to surgical procedures in their work environment.…”

Cultura de segurança em unidades de terapia intensiva: perspectiva dos profissionais de saúde

“…Hospital patient safety associated with a quest for improved quality care in health facilities has gained momentum in recent years. Patient safety has been considered a global goal and important initiatives have been taken in order to adapt health facilities to meet patient safety needs (1)(2) .…”