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REFLECTIVE
Reflections on patient safety incident reporting systems
- Maria de Jesus Castro Sousa Harada
, - Ana Elisa Bauer de Camargo Silva ,
- Liliane Bauer Feldman ,
- Sheilla Siedler Tavares ,
- Luiza Maria Gerhardt , [ ... ],
- Adriane Cristina Bernat Kolankiewicz
03-05-2021
Abstract
REFLECTIVEReflections on patient safety incident reporting systems
Revista Brasileira de Enfermagem. 2021;74(suppl 1):e20200307
03-05-2021DOI 10.1590/0034-7167-2020-0307
- Maria de Jesus Castro Sousa Harada ,
- Ana Elisa Bauer de Camargo Silva ,
- Liliane Bauer Feldman ,
- Sheilla Siedler Tavares ,
- Luiza Maria Gerhardt ,
- Antônio José de Lima Júnior ,
- Adriane Cristina Bernat Kolankiewicz
Views0See moreABSTRACT
Objective:
To reflect on the main characteristics and recommendations of Incident Reporting Systems, discuss the population’s participation in reporting, and point out challenges in the Brazilian system.
Method:
Reflection study, based on Ordinance No. 529/13, which instituted the National Patient Safety Program, under Collegiate Board Resolution (CBR) No. 36/13; reflections by experts were added.
Results:
Reporting systems are a source for learning and monitoring, allow early detection of incidents, investigations and, mainly, the generation of recommendations prior to recurrences, in addition to raising information for patients and relatives. There is little participation of the population in the reporting, regardless of the type of system and characteristics such as confidentiality, anonymity, and mandatory nature.
Final Considerations:
In Brazil, although reporting is mandatory, there is an urgency to advance the involvement and participation of the population, professionals, and institutions. To simplify data entry by improving the interface and importing data from the reporting system is an objective to be achieved.
Views0
Abstract
REFLECTIVEReflections on patient safety incident reporting systems
Revista Brasileira de Enfermagem. 2021;74(suppl 1):e20200307
03-05-2021DOI 10.1590/0034-7167-2020-0307
- Maria de Jesus Castro Sousa Harada ,
- Ana Elisa Bauer de Camargo Silva ,
- Liliane Bauer Feldman ,
- Sheilla Siedler Tavares ,
- Luiza Maria Gerhardt ,
- Antônio José de Lima Júnior ,
- Adriane Cristina Bernat Kolankiewicz
Views0See moreABSTRACT
Objective:
To reflect on the main characteristics and recommendations of Incident Reporting Systems, discuss the population’s participation in reporting, and point out challenges in the Brazilian system.
Method:
Reflection study, based on Ordinance No. 529/13, which instituted the National Patient Safety Program, under Collegiate Board Resolution (CBR) No. 36/13; reflections by experts were added.
Results:
Reporting systems are a source for learning and monitoring, allow early detection of incidents, investigations and, mainly, the generation of recommendations prior to recurrences, in addition to raising information for patients and relatives. There is little participation of the population in the reporting, regardless of the type of system and characteristics such as confidentiality, anonymity, and mandatory nature.
Final Considerations:
In Brazil, although reporting is mandatory, there is an urgency to advance the involvement and participation of the population, professionals, and institutions. To simplify data entry by improving the interface and importing data from the reporting system is an objective to be achieved.
- Maria de Jesus Castro Sousa Harada
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ORIGINAL ARTICLE
Perception of professionals about patient safety in psychosocial care
- Adrielle Cristina Silva Souza ,
- Ana Lúcia Queiroz Bezerra ,
- Camila Cardoso Caixeta ,
- Eurides Santos Pinho ,
- Thatianny Tanferri de Brito Paranaguá , [ ... ],
- Cristiane Chagas Teixeira
05-15-2020
Abstract
ORIGINAL ARTICLEPerception of professionals about patient safety in psychosocial care
Revista Brasileira de Enfermagem. 2020;73(Suppl 1):e20180831
05-15-2020DOI 10.1590/0034-7167-2018-0831
- Adrielle Cristina Silva Souza ,
- Ana Lúcia Queiroz Bezerra ,
- Camila Cardoso Caixeta ,
- Eurides Santos Pinho ,
- Thatianny Tanferri de Brito Paranaguá ,
- Cristiane Chagas Teixeira
Views0ABSTRACT
Objective:
To understand the professionals’ perception of risks and factors related to patient safety incidents in psychosocial care.
Methods:
Descriptive-exploratory study, with a qualitative approach, carried out with 31 professionals in type III Psychosocial Health Care Centers, between October 2016 and April 2017. Data collection was mediated by the Experiential Learning Cycle. Content analysis was performed.
Results:
The professionals revealed risks and factors related to safety incidents in their daily practices, associated with the institution’s physical and organizational structure, with the configuration of the clinical process, with clinical administration and organizational management.
Final considerations:
Continuous efforts are needed on the part of senior managers and professionals to improve the work process and organizational structure in psychosocial care, contributing to the development of the patient’s autonomy and social rehabilitation, avoiding institutionalization and, especially, ensuring the safety of this type of care.
Keywords:Mental Health ServicesPatient HarmPatient SafetyPatient-Centered CareQuality of Health CareSee moreViews0Abstract
ORIGINAL ARTICLEPerception of professionals about patient safety in psychosocial care
Revista Brasileira de Enfermagem. 2020;73(Suppl 1):e20180831
05-15-2020DOI 10.1590/0034-7167-2018-0831
- Adrielle Cristina Silva Souza ,
- Ana Lúcia Queiroz Bezerra ,
- Camila Cardoso Caixeta ,
- Eurides Santos Pinho ,
- Thatianny Tanferri de Brito Paranaguá ,
- Cristiane Chagas Teixeira
Views0ABSTRACT
Objective:
To understand the professionals’ perception of risks and factors related to patient safety incidents in psychosocial care.
Methods:
Descriptive-exploratory study, with a qualitative approach, carried out with 31 professionals in type III Psychosocial Health Care Centers, between October 2016 and April 2017. Data collection was mediated by the Experiential Learning Cycle. Content analysis was performed.
Results:
The professionals revealed risks and factors related to safety incidents in their daily practices, associated with the institution’s physical and organizational structure, with the configuration of the clinical process, with clinical administration and organizational management.
Final considerations:
Continuous efforts are needed on the part of senior managers and professionals to improve the work process and organizational structure in psychosocial care, contributing to the development of the patient’s autonomy and social rehabilitation, avoiding institutionalization and, especially, ensuring the safety of this type of care.
Keywords:Mental Health ServicesPatient HarmPatient SafetyPatient-Centered CareQuality of Health CareSee more - Adrielle Cristina Silva Souza
Patient Harm Archives - Revista Brasileira de Enfermagem
