Objective: To evaluate thepatient safety culturein thePrimary Health Care (PHC). Method: A cross-sectional study with 349 health professionals and PHC managers from a city of Rio Grande do Sul, Brazil. The tool used was Safety Attitudes Questionnaire Ambulatory Version. Data-independent double typing and descriptive and inferential statistical analysis were performed. Results: The total score varied between 3.4 and 8.4 with mean (7.0 ± 1.3), positive evaluation in the "Patient Safety" domain (8.2 ± 2.0). Working on the Family Health Strategy and having five to 12 years of work was significant for positive culture. The recommendations to improve the safety culture were: Implementation of protocols, training, communication improvement and resolvability. Conclusion: The patient safety culture prevailed. Establishing a constructive safety culture with safe behaviors represents factors for improving patient safety in Primary Care settings.

Results: A higher percentage of students reported having no formal training on the subject. The study revealed aspects conside4red fundamental to the safety culture, such as the importance of systemic error analysis, the concern with the work environment and appreciation of teamwork. Some attitudes demonstrated uncertainty in the correct way of acting. Conclusion:Students showed perceptions that were favorable to patient safety. The formalization of the subject at different levels of education is needed. Resultados: Maior percentual de estudantes relatou não ter tido aprendizado formal sobre o tema. Evidenciaram-se aspectos fundamentais para a cultura de segurança como a importância da análise sistêmica do erro, a preocupação com o ambiente de trabalho e a valorização do trabalho em equipe. Algumas atitudes demonstraram incerteza na forma correta de agir. Conclusão:Os estudantes demonstraram percepções favoráveis à segurança do paciente. A formalização do tema nos diferentes níveis do ensino é necessária. Palavras-chave: Segurança do paciente. Estudantes de ciências da saúde. Educação superior. RESUMENObjetivo: Verificar la comprensión de estudiantes de graduación sobre la seguridad del paciente. Método: Estudio transversal descriptivo realizado en 2015 con 638 estudiantes del Centro de Ciencias de la Salud, de la Universidad Federal de Santa Maria, RS, Brasil. Fue utilizado un cuestionario con variables relativas a la caracterización de los estudiantes, aspectos conceptuales y actitudinales sobre el error humano y la seguridad del paciente, online en el portal de estudiante.Resultados: El mayor porcentual de estudiantes relató que no tuvo enseñanza formal sobre el tema. Se evidenciaron aspectos fundamentales para la cultura de seguridad, como la importancia del análisis sistemático del error, preocupación con el ambiente de trabajo y valoración del trabajo en equipo. Algunas actitudes demostraron incertidumbre para actuar correctamente. Conclusión:Estudiantes demostraron percepciones favorables a la seguridad del paciente. La formalización del tema en los distintos niveles de enseñanza es necesaria.Palabras clave: Seguridad del paciente. Estudiantes del área de la salud. Educación superior.Cauduro GMR, Magnago TSBS, Andolhe R, Lanes TC, Dal Ongaro J 2 Rev Gaúcha Enferm. 2017;38(2):e64818

Objective:To analyze compliance with hand hygiene by healthcare professionals in an emergency department unit. Method: This is a longitudinal quantitative study developed in 2015 with healthcare professionals from a university hospital in the state of Rio Grande do Sul. Each professional was monitored three times by direct non-participant observation at WHO's five recommended moments in hand hygiene, taking the concepts of opportunity, indication and action into account. Descriptive and analytical statistics were used. Results: Fifty-nine healthcare professionals participated in the study. The compliance rate was 54.2%. Nurses and physiotherapists showed a compliance rate of 66.6% and resident physicians, 41.3%. When compliance was compared among professional categories, nurses showed greater compliance than resident physicians (OR=2.83, CI=95%:1.09-7.34). Conclusion: Hand hygiene compliance was low. Multidisciplinary approaches could be important strategies for forming partnerships to develop learning and implementation of hand hygiene practices. Hand hygiene compliance of healthcare professionals in an emergency department* Adesão dos profissionais de saúde à higienização das mãos em pronto-socorro Adhesión de los profesionales sanitarios a la higienización de las manos en servicio de urgencias DESCRIPTORS INTRODUCTIONHealthcare-related infections (HCRI) are adverse events that occur in healthcare services worldwide, even when broadly avoidable (1) . A study of the prevalence of HCRI, coordinated by the World Health Organization (WHO) in 55 hospitals in 14 countries in Asia, Europe, the Eastern Mediterranean and the Western Pacific revealed that on average 8.7% of patients experience infections during hospitalization (2) . In developed countries, HCRI rates ranged from 5% to 15% in hospitalized patients, and may have affected from 9% to 37% of patients admitted to intensive care units (ICUs) (2) . In 2004, the World Alliance for Patient Safety launched their First Global Challenge, with a central focus on HCRI prevention. In Brazil, the challenge was entitled "Clean Care is Safer Care." It was implemented in the biennium [2005][2006], aiming at promoting hand hygiene as a sensitive and effective method to prevent infections (2) . Even 10 years later, the proposal focused on patient safety, which points to hand hygiene as a simple and effective measure in the prevention of HCRI still has an impact on current clinical and care practices in different services (3) . Although scientific evidence points to a relationship between an increase in hand hygiene and reduction of HCRI rates, consistency and compliance rates remain low (4)(5) . There are efforts to increase this practice; however, the general rate of hand hygiene compliance has been around 40%, varying from 5% to 81% (6) . Scientific evidence has shown a compliance rate of 20% by ICU healthcare professionals (nurses, physicians and physiotherapists) (7)(8) , 29% in emergency rooms (9) , and 40% among medical students in open units (10) , confirmin...

Objective: to assess the prevalence and the factors associated with the occurrence of musculoskeletal pain in hospital cleaning workers.Method: cross-sectional study, involving 157 outsourced workers at a university hospital in the state of Rio Grande do Sul, Brazil. The data were collected through a semistructured interview and analyzed through descriptive and analytic statistics. The prevalence of musculoskeletal pain corresponded to 70.1%, with strong and unbearable intensity in 25.5% of the cases.Results: the workers were between 19 and 34 old; 95%CI=1.03-1.27, those without time for leisure RPa=1.14; 95%CI=1.03-1.27 and those who sometimes have time for leisure RPa=1.10; 95%CI=1.02-1.20 presented higher prevalence rates for musculoskeletal pain than the other groups.Conclusion: no association was verified between musculoskeletal pain and occupational factors. Nevertheless, the workers perform their activities even with musculoskletal symptoms, which suggests attention. DESCRIPTORS:Nursing. Occupational health. Musculoskeletal pain. Hospital cleaning service. PREVALÊNCIA E FATORES ASSOCIADOS À DOR MUSCULOESQUELÉTICA EM TRABALHADORES DO SERVIÇO HOSPITALAR DE LIMPEZA RESUMOObjetivo: avaliar a prevalência e os fatores associados à ocorrência de dor musculoesquelética em trabalhadores do serviço hospitalar de limpeza.Método: estudo transversal, realizado com 157 trabalhadores terceirizados de um hospital universitário do Rio Grande do Sul, Brasil. Os dados foram coletados por meio de entrevista estruturada, e analisados através da estatística descritiva e analítica. A prevalência de dor musculoesquelética foi de 70,1%, com intensidade forte e insuportável em 25,5% dos casos.Resultados: os trabalhadores entre 19 e 34 anos RPa=1,14; IC95%=1,03-1,27, os que não tem tempo para o lazer RPa=1,14; IC95%=1,03-1,27 e os que às vezes tem tempo para o lazer RPa=1,10; IC95%=1,02-1,20 apresentaram prevalências mais elevadas de dor muscular esquelética quando comparados aos demais grupos. Conclusão REVALENCIA Y FACTORES ASOCIADOS AL DOLOR MUSCOLOESQUELÉTICO EN TRABAJADORES DEL SERVICIO HOSPITALAR DE LIMPIEZA RESUMENObjetivo: evaluar la prevalencia y los factores asociados a la ocurrencia del dolor muscoloesquelético en trabajadores del servicio hospitalario de limpieza.Método: estudio transversal, realizado con 157 trabajadores tercerizados de un hospital universitario de Rio Grande do Sul, Brasil. Los datos fueron recolectados por medio de entrevista estructurada y, analizados a través de estadística descriptiva y analítica. La prevalencia de dolor musculoesquelético fue de 70,1% con intensidad fuerte e insoportable en 25,5% de los casos.Resultados: los trabajadores entre 19 y 34 años RPa=1,14; IC95%=1,03-1,27, los que no tenían tiempo de ocio RPa=1,14; IC95%=1,03-1,27y los que algunas veces tenían tiempo de ocio RPa=1,10; IC95%=1,02-1,20, presentaron prevalencias más elevadas de dolor muscular y esquelético que los otros grupos.Conclusión: no fue evidenciada asociación entre dolor musculoesquelético con factores la...

Objetivo: relatar a vivência de ensino-aprendizagem de segurança do paciente com estudantes de um Curso de Graduação em Enfermagem. Método: relato de experiência, desenvolvido no ano de 2017, a partir de atividades teórico-práticas na disciplina “A enfermagem e a segurança do paciente na atenção à saúde”. Utilizou-se como estratégia metodológica a simulação realística, realizada no Laboratório de Habilidades, com estudantes do terceiro semestre de um Curso de Graduação em Enfermagem, de uma Universidade Pública Federal. Resultados: foram realizadas duas simulações no primeiro semestre letivo de 2017. A primeira referente aos protocolos de Higienização das Mãos e Identificação Correta do Paciente; a segunda abordou o protocolo de Cirurgia Segura e dispositivos intravenosos, cateteres e sondas. Pontos fortes e pontos frágeis foram discutidos, oportunizando fortalecer conhecimentos, habilidades e atitudes dos participantes. Conclusões: a vivência dos estudantes sobre o uso da simulação realística foi positiva, possibilitando maior confiança baseada na experiência vivenciada.

Resumo OBJETIVO Avaliar a infraestrutura hospitalar e o conhecimento dos coordenadores sobre a estrutura da unidade para à higienização das mãos. MÉTODO Estudo transversal descritivo realizado em um hospital universitário no Sul do Brasil, entre dezembro de 2016 e janeiro de 2017. Foram avaliadas 18 unidades de internação e entrevistados 16 coordenadores. Utilizou-se o questionário sobre estrutura da unidade para a higienização das mãos da estratégia multimodal da Organização Mundial de Saúde. Utilizou-se a estatística descritiva. RESULTADOS Todas as unidades possuíam preparações alcóolicas, e 93,8% dos dispensadores eram substituídos quando vazios. Observaram-se falta de cartazes ilustrativos, dispensadores de álcool gel, pias em algumas enfermarias, e pouca disponibilidade de dispensadores ao alcance das mãos próximos ao leito/maca do paciente. CONCLUSÕES Constatou-se que os profissionais recebiam instruções para a higienização das mãos e a existência de protocolos. Lacunas foram observadas na infraestrutura das unidades, como a presença de pias e torneiras não adequadas.

Objective: to assess the correlations between the patient safety culture, the missed Nursing care, and the reasons for the omission in the obstetric area. Method: a cross-sectional study, conducted in 2019, with 62 Nursing professionals working in the obstetric area of a teaching hospital in southern Brazil. The MISSCARE-Brasil and Hospital Survey on Patient Safety Culture instruments were used. The data were analyzed using descriptive statistics, means comparison test and Spearman correlation. Results: the overall mean of positive answers for the safety culture was 34.9 (± 17.4). The care of assessing the vital signs and monitoring capillary blood glucose were the most prioritized, with airway aspiration and oral hygiene being the most overlooked. The main reasons for the omissions refer to labor resources and to inadequate staffing. A significant and inversely proportional correlation was found between the patient safety culture and overlooked nursing care (r=-0.393). Conclusion: the safety culture of the obstetric area was assessed as fragile by the Nursing professionals. The more the safety culture is strengthened and the greater investment in labor and human resources, the less care is overlooked.

Objectives: to describe the scientific evidence on the use of auriculotherapy to reduce chronic musculoskeletal pain in adults and the elderly. Methods: integrative literature review conducted in the Latin American and Caribbean Health Sciences, SciVerse Scopus and MEDLINE databases (via National Library of Medicine), in March 2019, with no time frame. Results: 14 original scientific articles were analyzed, 64.3% of which were classified with level of evidence 2. All productions show the benefit of auriculotherapy in reducing chronic musculoskeletal pain, especially in the lumbar spine (42.9%). The treatment was developed in one or more sessions, using semi-permanent needles (42.9%) and electro-auriculotherapy (21.4%). Conclusions: auriculotherapy was effective in reducing chronic musculoskeletal pain, showing itself as an alternative to be used for the promotion and recovery of individuals' health.