The practice of reporting adverse events in a teaching hospital

Abstract

Objective: Understanding the practice of reporting adverse events by health professionals. Method: A qualitative case study carried out in a teaching hospital with participants of the Patient Safety Center and the nursing team. The collection took place from May to December 2015, and was conducted through interviews, observation and documentary research to treat the data using Content Analysis. Results: 31 professionals participated in the study. Three categories were elaborated: The practice of reporting adverse events; Barriers in the effective practice of notifications; The importance of reporting adverse events. Conclusion: Notification was permeated by gaps in knowledge, fear of punishment and informal communication, generating underreporting. It is necessary to improve the interaction between leaders and professionals, with an emphasis on communication and educational practice.

Inserção do ensino da segurança na formação acadêmica do enfermeiro

“…It is described that, in relation to the training of nurses [3][4][6][7]21,25 the PPs of Nursing courses require a review of their respective disciplinary plans. Aiming at these recommendations, [6][7][8][9][10][11][12][13]19,21 means to enable future professional nurses to practice safer work environments and to enable them to offer greater safety to themselves and the patient. Therefore, in the context of patient safety teaching, in order to give consistency to the teaching-learning process and to meet the demands of the policies and the NPSP, it is important for HEIs to innovate their PPs in order to guarantee to the academic Nursing, the skills to practice safe health care.…”

“…Descriptores: Enseñanza; Educación en Enfermería; Seguridad del paciente; Licenciatura en Enfermería; Proyecto Pedagógico. 1,5,6,7,8 Federal University of Rio Grande, Postgraduate Program of Master's Degree and Doctorate in Nursing / FURG. Rio Grande (RS), Brazil.…”

“…It is considered that actions to promote patient safety and improve quality in health services are of growing interest in national and international research. [3][4][5][6][7][8] It is inferred that strategies, increasingly disseminated in health organizations as a world priority, offer a coherent and evidence-based approach to reduce avoidable harm.…”

Cultura de segurança e comunicação sobre erros cirúrgicos na perspectiva da equipe de saúde

“…The actions to promote patient safety and to improve the quality of healthcare services have been progressively disclosed in order to prevent unforeseen incidents (1) . Nonetheless, in spite of the advancements regarding the global healthcare challenges, there are still low levels of reliability (2) in healthcare institutions when it comes to rendering proper medical care, which maintains the adverse events (AE) rate arising from structural and procedural errors.…”

Eventos adversos a meios de contraste iodados em angioplastias coronárias

“…It is noted that all modern contrast media in use today are based on organic iodine which, because of its high atomic number and chemical versatility, proved to be of excellent applicability for intravascular opacification. 23 Notification of these events is an important source of information to improve patient care as these records assist in the detection of causes, in the evaluation of adverse events, in the reduction of occurrences, and in the management of risks. At the institution studied, the Nursing records of adverse events were recorded in the patient's chart, in a procedure room form and in an Excel spreadsheet.…”