Patient safety in primary health care: a systematic review

Marchon, Simone Grativol; Mendes, Walter

doi:10.1590/0102-311x00114113

Cited by 58 publications

(101 citation statements)

References 33 publications

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“…(21) Furthermore, it would reduce errors in pharmacological treatment and diagnosis, which are frequent incidents affecting patient safety in the PHC. (22) Despite the establishment of ministerial ordinance No. 529/2013, the need to expand the patient safety culture and processes are recognized, ensuring safety information in electronic systems, preventing medical errors and subsequent legal problems.…”

Section: Discussionmentioning

confidence: 99%

“…529/2013, the need to expand the patient safety culture and processes are recognized, ensuring safety information in electronic systems, preventing medical errors and subsequent legal problems. (22)(23)(24) Concerning the family approach, the incipience found shows care without adequate depth in terms of knowledge of family problems and their possible causes. It can be reflection of the work processes, focused on the disease and the individual, a common problem in Latin American PHC, because despite the advancement of the family medicine model, greater commitment to implementing the required changes is required.…”

Section: Discussionmentioning

confidence: 99%

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Processos organizacionais na Estratégia Saúde da Família: uma análise pelos enfermeiros

2016

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Objective: To analyze the organizational processes of Family Health teams after implementing the Plan Director for Primary Health Care. Methods: This cross-sectional study was conducted in the city of Unai, State of Minas Gerais, Brazil. A Likert questionnaire was used for data collection and the Kruskal-Wallis test was used for analysis, with a 5 % significance level. Results: Better results were identified for the dimensions of maternal and child health, management contract and information systems. Unsatisfactory results were found in the dimensions: principles of primary health care, diagnosis, local programming, welcoming approach, risk classification, family approach, and relationship with the community, health care networks, monitoring, family health medical charts and diagnostic support. A statistically significant difference was identified in the dimensions principles of primary healthcare, local programming, monitoring, women's and child health. Conclusion: Further investment is needed in team organization, particularly regarding organizational processes related to management. ResumoObjetivo: Analisar os processos organizativos das equipes de Saúde da Família após implantação do Plano Diretor da Atenção Primária à Saúde. Métodos: Este estudo transversal foi realizado na cidade de Unaí , no estado de Minas Gerais , Brasil. Um questionário do tipo Likert foi utilizado para coleta de dados e o teste de Kruskal-Wallis foi aplicado para análise, com um nível de significância de 5%. Resultados: Foram identificados melhores resultados para as dimensões saúde da criança, mulher, contrato de gestão e sistemas de informação. Nas dimensões princípios da Atenção Primária à Saúde, diagnóstico, programação local, acolhimento e classificação de risco, abordagem familiar, relacionamento com a comunidade, redes de atenção à saúde, monitoramento, prontuário saúde da família e apoio diagnóstico, os resultados foram insatisfatórios. Nas dimensões princípios da Atenção Primária à Saúde, programação local, monitoramento, saúde da mulher e criança houve diferença estatística. Conclusão: Há necessidade de maiores investimentos na organização das equipes, principalmente com relação aos processos organizativos ligados à gestão.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Processos organizacionais na Estratégia Saúde da Família: uma análise pelos enfermeiros

2016

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“…Among the methods described in the literature 8 to evaluate patient safety in primary health care, the current study opted to apply a questionnaire for health professionals based on the Australian study Primary Care International Study of Medical Errors (PCISME) 9 . This questionnaire aims to evaluate whether some incident occurred during care, and if so, to characterize it and determine its severity and contributing factors.…”

Section: Data Collection Instrumentmentioning

confidence: 99%

“…Table 1 was created to describe: the types of incidents, contributing factors, their consequences for patients, and the severity of harm. Contributing factors were classified according to the definitions found in studies on safety in primary health care 8 and grouped as: failures in communication with patients; failures in communication between professionals; administrative failures; failures in care; and communication failures in the health care network. We calculated the proportion of contributing factors that were classified and the severity of harm among the incidents recorded in the questionnaires.…”

Section: Variables and Data Analysismentioning

confidence: 99%

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Características dos eventos adversos na atenção primária à saúde no Brasil

2015

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Medication administration in nursing homes: A qualitative study of the nurse role

2018

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Aims The objective of this study was to expand the knowledge of the nurse role during medication administration in the context of nursing homes. The following research question guided the study: How can the nurse role during medication administration in nursing homes be described? Design A QUAL–qual mixed study design was applied. Methods Data were collected using partial participant observations and semi‐structured interviews of all staff members involved in medication administration. An inductive content analysis was performed. Results Medication administration is a pervasive process ingrained in the day‐to‐day activities of providing care to the patients. The nurse role is compensating, flexible and adaptable. There is a dynamic interaction between several contributory factors, those being shifting responsibility, a need for competence, invisible leadership, varying available competence, staff stability and vulnerable shifts.

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Patient safety in primary health care: a systematic review

Cited by 58 publications

References 33 publications

Processos organizacionais na Estratégia Saúde da Família: uma análise pelos enfermeiros

Processos organizacionais na Estratégia Saúde da Família: uma análise pelos enfermeiros

Características dos eventos adversos na atenção primária à saúde no Brasil

Medication administration in nursing homes: A qualitative study of the nurse role

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