Conhecimentos De Usuários De Uma Clínica Cirúrgica Sobre a Ocorrência De Incidentes

Abstract

RESUMO:A investigação objetivou identificar a ocorrência de incidentes percebidos pelos pacientes durante o período de internação hospitalar, analisar a opinião dos usuários sobre a ocorrência de incidentes e classificar os incidentes percebidos quanto ao tipo, causas e consequências. Estudo descritivo, transversal realizado por meio de entrevistas com 80 pacientes internados na clínica cirúrgica de um hospital de ensino, no ano de 2014, norteada por um instrumento validado. A exposição ao incidente foi percebida por 17,5% dos pacientes. Foram constatados 14 tipos de incidentes, sendo nove eventos adversos, quatro quase-erros e um incidente sem dano. Os mais perceptíveis ao paciente foram os decorrentes do processo de administração de medicamentos. Foi constatado que, apesar de inseridos no contexto da assistência, muitos profissionais ainda não reconhecem a importância do envolvimento dos usuários para a prevenção de incidentes, necessitando de ações educativas, com foco na segurança do paciente, para o empoderamento dos usuários. DESCRITORES: Segurança do Paciente; Doença Iatrogênica; Enfermagem. CONHECIMENTOS DE USUÁRIOS DE KNOWLEDGE OF USERS OF A SURGERY CLINIC ABOUT THE OCURRENCE OF INCIDENTSABSTRACT: The aim of this study was to identify the occurrence of incidents that are noticed by patients during their hospital stay, to assess users views of the occurrence of incidents, and to classify noticed incidents as to type, causes, and consequences. This is a descriptive, cross-sectional study conducted through interviews with 80 patients admitted to the surgery clinic of a teaching hospital in 2014, guided by a validated instrument. Exposure to an incident was noticed by 17.5% of patients. Fourteen types of incidents were noticed, with nine being adverse events, four near-misses, and one an incident with no damage. The most noticeable incidents to the patient were those resulting from the medication administration process. Although within the context of care, many professionals have not yet recognized the importance of involving users to prevent incidents. In addition, educational activities focusing on patient safety for the empowerment of users are required. RESUMEN: Se objetivó identificar la ocurrencia de incidentes percibidos por los pacientes durante su internación hospitalaria, analizar la opinión de los usuarios sobre ocurrencia de incidentes y clasificar los incidentes ocurridos según tipo, causas y consecuencias. Estudio descriptivo, transversal, realizado mediante entrevistas con 80 pacientes internados en servicio de cirugía de hospital de enseñanza en 2014, orientado por instrumento validado. La exposición al incidente fue percibida por 17,5% de los pacientes. Fueron constatados 14 tipos de incidentes: nueve eventos adversos, cuatro cuasi-errores y un incidente sin consecuencias. Los más perceptibles para los pacientes fueron los derivados del proceso de administración de medicamentos. Fue constatado que, aún formando parte del ámbito de la atención, muchos profesionales aún no reconocen la impor...

Segurança do paciente no cuidado hospitalar: uma revisão sobre a perspectiva do paciente

“…As for study design, it was observed that most of the articles (37.9%) used mixed methods 15,16,17,18,19,20,21,22,23,24,25 and the same proportion (31%) adopted qualitative 26,27,28,29,30,31,32,33,34 and quantitative approaches 19,35,36,37,38,39,40,41 . There was variation in sample size and type according to quantitative and/or qualitative design.…”

“…Most studies were performed with patients after 16,19,21,23,24,25,26,29,33,38,41,42,43 and during hospitalization 15,18,20,22,27,31,32,36,37,39,40 . Three studies used notification systems of incidents and adverse events for patients 17,28,35 In two studies 30,34 the time of data collection was not informed.…”

“…Prominent among incidents and adverse events reported by patients were problems related to medication 16,17,18,19,20,21,23,25,26,27,28,29,35,36,37,38,39,40,41,42,43 . Switched medication was the main concern mentioned in six studies 18,19,27,38,39,40 , while allergic reactions to drugs were addressed in another Cad. Saúde Pública 2020; 36(12):e00223019 Table 2 Reasons for excluding studies, 2020. five 18,19,28,36,37 .…”

“…Switched medication was the main concern mentioned in six studies 18,19,27,38,39,40 , while allergic reactions to drugs were addressed in another Cad. Saúde Pública 2020; 36(12):e00223019 Table 2 Reasons for excluding studies, 2020. five 18,19,28,36,37 . Also reported were errors and incidents in administration; prescription and dispensation 35 , such as prescribing a drug to which the patient was allergic and providing non-prescribed medication 23 ; wrong dosage and hemorrhage after administration of anticoagulant 18 ; wrong medication or patient unaware of which drug should have been administered and possible adverse effects 16,23,39,40,43 ; and patients' knowledge about the medications being used 18,26 .…”

“…In a study carried out in the United States, 56% of patients reported having suffered adverse events to medication 28 . In Brazil, incidents related to drug administration were reported by 78.5% of the sampled patients, such as switched medication, wrong dose and allergic reaction 18 . Concern about medication safety was also mentioned in the Chinese study, in which only 14% of patients considered themselves to be aware of the possible adverse effects of drugs used, while 48% said they had some knowledge and 38% reported not knowing anything 40 .…”