Patient safety: perception of family members of hospitalized children

Abstract

Objectives: to know the meaning attributed by family members to the health safety of pediatric patients, with attention to the possibilities of their collaboration. Methods: this qualitative study was conducted with eighteen family members of children hospitalized in a pediatric unit, from January to July 2018. Symbolic Interactionism was used as a theoretical framework, and Inductive Content Analysis as method. Results: child hospitalization poses risks to possible incidents and adverse events. Participants and professionals are responsible for patient safety. Thus, their actions focus on error prevention. Therefore, they seek information and observe in a vigil way professional care in classic aspects of safety. They conceive essential and favoring safety the approach centered on children and family members. Final Considerations: family members recognized the chances of errors and care damage, identified themselves as support in minimizing damage and were in partnership with the professional, increasing chances of effecting safety.

Social representations of nursing professionals on pain assessment in pediatric oncology patients

“…To reflect on patient safety in pediatric oncology, understanding the children's growth and development and perceiving the family as an ally in care, allows for a comprehension of all particularities and singularities, considering the caregiver's speech. Among the main causes that can compromise the children's safety are: identification, professionals' experience, performing technical procedures, drug dosage calculations, and interprofessional communication 16 . This patient safety is directly related to quality in care delivery and should be effective in all health care areas.…”

Involvement of companions in patient safety in pediatric and neonatal units: scope review

“…Studies show that, in pediatrics, many AE could be minimized or prevented in face of a partnership and effective communication with the family (30,(33)(34)(35)(36) . The companion has the right to be informed about the medications in use, being able to pay attention to some aspects, such as checking the right medication for the child, at the right time, in addition to monitoring and clarifying doubts with a professional during the administration of the medication (37)(38) . Therefore, the importance of the companions' participation in the prevention of medication errors is perceived, in order to effectively contribute to the quality of health care and in the PS (39) .…”

Qualidade do cuidado e segurança do paciente: o papel dos pacientes e familiares

“…No interior de São Paulo, entrevistas com familiares de crianças internadas apontaram preocupações relacionadas à segurança do paciente, como ações para prevenção de infecções ligadas a higienização das mãos, limpeza do ambiente, uso de luvas e não reutilização de materiais hospitalares, administração segura de medicamentos e identificação do paciente. Dessa forma, concluíram que a abordagem centrada no paciente e na família é relevante para um cuidado seguro e deve ser empregada na assistência 32 .…”

“…Todos esses fatores combinam-se de diferentes formas nas organizações de saúde ao redor do mundo. Estudo realizado com familiares de pacientes pediátricos no contexto nacional apontou a comunicação efetiva durante o processo de cuidado na hospitalização como essencial para estabelecimento de relação colaborativa entre familiares e profissionais 32 .…”