Patient safety management from the perspective of nurses

Françolin, Lucilena; Gabriel, Carmen Silvia; Bernardes, Andréa; Silva, Ana Elisa Bauer de Camargo; Brito, Maria de Fátima Paiva; Machado, Juliana Pereira

doi:10.1590/s0080-623420150000200013

Cited by 39 publications

(61 citation statements)

References 16 publications

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“…Openness and transparency in the notification of events and a non-punitive and supportive environment are essential for organisational learning (19,25) . Moreover, all the members of the team must understand that the detection and analysis of events support decision-making and patient safety planning (25) . Once notified, the investigation of events must be based on the failures of processes and not on individual human error (2) .…”

Section: Discussionmentioning

confidence: 99%

“…Another critical point to ensure patient safety is communication. For patients to receive 24-hour uninterrupted care, they must be attended by different workers in different therapeutic or diagnostic procedures, which requires effective communication to make sure the message was correctly understood by everyone involved in the process (4,22,25) , and this includes patient-related events.…”

Section: Discussionmentioning

confidence: 99%

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Percepção da enfermagem frente ao clima de segurança do paciente em instituições públicas e privadas

Gasparino

Gastaldo

Bagne

et al. 2018

Rev. Gaúcha Enferm.

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RESUMO Objetivo Avaliar a percepção da equipe de enfermagem frente ao clima de segurança que permeia a assistência entre profissionais de instituições públicas e privadas. Método Estudo quantitativo, transversal, desenvolvido com 235 profissionais de enfermagem de um hospital privado e um público, da região de Campinas, entre outubro de 2014 e outubro de 2015. Para a coleta foi utilizado o Questionário Atitudes de Segurança – Short Form. Na análise, foram utilizadas estatísticas descritivas e inferenciais, com realização do teste de Mann Whitney, para comparar as instituições. Resultados A instituição privada apresentou médias superiores às da pública, com diferenças significantes nos domínios clima de segurança (p=0,00), gestão da unidade (p<0,0001), gestão do hospital (p<0,0001), condições de trabalho (p<0,0001) e trabalho em equipe (p=0,00). Conclusão Apesar da instituição privada ter demonstrado melhor desempenho, o clima de segurança percebido pelos profissionais foi considerado insatisfatório em ambas as instituições.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Percepção da enfermagem frente ao clima de segurança do paciente em instituições públicas e privadas

Gasparino

Gastaldo

Bagne

et al. 2018

Rev. Gaúcha Enferm.

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“…These results differ in the evaluation of SSIs and AP, given that their identification as a health problem in the electronic record is low (SSI (48.9%) and AP (27.4%)) despite the fact that ATIC offers diagnostic concepts with different levels of specificity. The causes of this poor recording may be due to a lack of expertise in the recognition of the event (24) , affecting the diagnostic capacity of the nurse, or fear that recording a particular clinical judgement may result in being interpreted as negligence in care (25) .…”

Section: Diagnostic Accuracymentioning

confidence: 99%

Precisión y exhaustividad del registro de eventos adversos mediante una terminología de interfase

González-Samartino

Delgado‐Hito

Adamuz-Tomás

et al. 2018

Rev. esc. enferm. USP

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Objective:To determine what adverse events, including pressure ulcers, infection of the surgical site and aspiration pneumonia, nurses record in clinical histories, in terms of diagnostic accuracy and completeness, through ATIC. Method: Observational, descriptive, cross-sectional, multicenter study of 64 medical-surgical and semi-critical units of two university hospitals in Catalonia, Spain, during 2015. The diagnostic accuracy was assessed by means of the correspondence between the event declared in the Minimum Basic Data Set and the problem documented by the nurse. The record was considered complete when it contained the risk of the event, prescriptions of care and a record of the evolution. Results: The sample evaluated included 459 records. The accuracy results of pressure ulcers are highly correlated between the nursing diagnosis recorded and that declared in the Minimum Basic Data Set. The accuracy in surgical site infection is moderate, and aspiration resulting in pneumonia is very low. The completeness of results is remarkable, except for the risk of bronchoaspiration. Conclusion: The adverse event recorded by nurses with greatest accuracy is pressure ulcers.

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“…7 These goals constitute an extremely important step in obtaining safe care, but in order to achieve them, changes in the organizational culture of the hospital and focusing on learning from mistakesarenecessaryaspects. 8 This change, in turn, involves complex processes in the search to reorganize care, because communication is necessary to be based on mutual trust between employees and for top management to recognize that poorly delineated processes which lead to the mistakes and errors. 9 It should be mentioned that, although national and international organizations are encouraged to promote safe care, there are still structural factors that make it difficult to guarantee patient safety.…”

Section: Introductionmentioning

confidence: 99%

Nurse Manager Perceptions of Patient Safety Strategy Implementation

Reis¹,

Hayakawa²,

Murassaki³

et al. 2017

Texto contexto - enferm.

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Objective: to describe the patient safety strategy implantation process through the perspective of nurse managers.Method: a qualitative descriptive-exploratory approach, performed with 72 nurse managers from four public university hospitals in Paraná. The data were collected through a recorded interview, guided by the question: "Tell me about your experience regarding the process of implantation of patient safety strategies?" and was submitted for content, thematic and modality analysis.Results: categories resulting from the analysis: Understanding the trajectory of patient safety strategy implantation; Multiple phases of patient safety strategy implantation; and Ambiguous feelings related to patient safety strategy implantation.Conclusion: in the investigated institutions, despite the process of patient safety strategy implantation being perceived in a contradictory way by the participants, they expressed feelings of satisfaction. DESCRIPTORS:Nursing. Patient safety. Security management. Perception. Risk management. IMPLANTAÇÃO DAS ESTRATÉGIAS DE SEGURANÇA DO PACIENTE: PERCEPÇÕES DE ENFERMEIROS GESTORES RESUMOObjetivo: descrever, na percepção de enfermeiros gestores, o processo de implantação das estratégias de segurança do paciente.Método: pesquisa descritivo-exploratória, de abordagem qualitativa, realizada com 72 enfermeiros gestores de quatro hospitais universitários públicos paranaenses. Os dados foram coletados por meio de entrevista gravada, norteada pela questão: Fale-me do processo de implantação das estratégias de segurança do paciente deste hospital, vivenciado pelo senhor/senhora/você e submetidos à análise de conteúdo, modalidade temática.Resultados: da análise das entrevistas, emergiram as categorias: Compreendendo a trajetória de implantação das estratégias de segurança do paciente; Múltiplas fases de implantação das estratégias de segurança do paciente; e Sentimentos ambíguos relacionados à implantação das estratégias de segurança do paciente.Conclusão: nas instituições investigadas, o processo de implantação das estratégias de segurança do paciente é percebido de forma contraditória pelos participantes, mas, apesar disso, emitiram sentimentos de satisfação. DESCRITORES:Enfermagem. Segurança do paciente. Gestão da segurança. Percepção. Gestão de riscos.Texto Contexto Enferm, 2017; 26(2):e00340016Reis GAX, Hayakawa LY, Murassaki ACY, Matsuda LM, Gabriel CS, Oliveira MLF 2/9 IMPLANTACION DE LAS ESTRATEGIAS DE SEGURIDAD DEL PACIENTE: PERCEPCIONES DE ENFERMEROS GESTORES RESUMENObjetivo: describir en la percepción de enfermeros gestores, el proceso de implantación de las estrategias de seguridad del paciente.Método: investigación descriptiva-exploratoria, de abordaje cualitativa, realizada con 72 enfermeros gestores de cuatro hospitales universitarios públicos paranaenses. Los datos fueron recolectados por medio de entrevista grabada, norteada por la pregunta: Hábleme del proceso de implantación de las estrategias de seguridad del paciente de este hospital, vivenciado por usted y sometidos a ...

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Patient safety management from the perspective of nurses

Cited by 39 publications

References 16 publications

Percepção da enfermagem frente ao clima de segurança do paciente em instituições públicas e privadas

Percepção da enfermagem frente ao clima de segurança do paciente em instituições públicas e privadas

Precisión y exhaustividad del registro de eventos adversos mediante una terminología de interfase

Nurse Manager Perceptions of Patient Safety Strategy Implementation

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