Objectivesassess the quality of nursing care, the patients' satisfaction and the
correlation between both.Methodcross-sectional study, involving 275 patients hospitalized at a teaching
hospital in the Central-West of Brazil. The data were collected through the
simultaneous application of three instruments. Next, they were included in
an electronic database and analyzed in function of the positivity, median
value and Spearman's correlation coefficients.Resultsamong the nursing care assessed, only two were considered safe - hygiene and
physical comfort; nutrition and hydration - while the remainder were
classified as poor. Nevertheless, the patients were satisfied with the care
received in the domains assessed: technical-professional, confidence and
educational. This can be justified by the weak to moderate correlation that
was observed among these variables.ConclusionDespite the quality deficit, the patients' satisfaction level with the
nursing care received was high. These results indicate that the institution
needs to center its objectives on a continuing evaluation system of the care
quality, aiming to attend to the patients' expectations.
This cross-sectional and quantitative study analyzed the knowledge of nursing professionals regarding Adverse Events (AE) in a hemodialysis unit of a teaching hospital. Data collection was performed between February and April 2011, based on interviews with 25 professionals. Data analysis identified 517 reports of 32 types of adverse events, of which the most commonly cited were: obstructed catheter, accidental withdrawal of the needle; and clotting of the extracorporeal system. Patient-related causes were mentioned in 42.8% of the reports. The main measures adopted were the implementation/ change of protocols and continuing education; the latter is the main suggestion for prevention. The results can contribute to a critical analysis of the quality of care in hemodialysis units, resulting in the development of interventions that help promote patient safety.
RESUMO: Estudo observacional do tipo descritivo transversal que teve como objetivo analisar os eventos adversos ocorridos em unidade de clínica médica de um hospital de Goiás. A coleta de dados foi realizada a partir da leitura de 12 livros de registros de enfermagem preenchidos
THE PORTRAIT ADVERSE EVENTS IN A MEDICAL CLINIC: ANALYSIS OF A DECADEABSTRACT: This was a cross-sectional descriptive observational study aimed at analyzing adverse events in a medical clinic unit of a hospital in Goiás. Data were collected from the reading of 12 nursing registry books completed from January 2005 to December 2014. The analysis found 1,360 adverse events, of which 408 (30%) referred to accidental removal of probes, catheters, and cannulas; 288 (21.2%) to medication errors; 157 (11.5%) to errors involving vascular access; 134 (9.8%) to cases of healthcare-associated infections; 115 (8.4%) to allergic processes; 91 (6.7%) to patient falls; 72 (5.3%) to pressure ulcers; 56 (4.1%) to episodes of lack of blood derivatives; and 39 (2.9%) to evasions. The study shows an increase in the registry of adverse events over the decade, pointing out the need to adopt preventive measures and raising nursing personnel's awareness about the importance of reporting these incidents.
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