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RESEARCH
Analysis of incidents notified in a general hospital
Revista Brasileira de Enfermagem. 2018;71(1):111-119
01-01-2018
Resumo
RESEARCHAnalysis of incidents notified in a general hospital
Revista Brasileira de Enfermagem. 2018;71(1):111-119
01-01-2018DOI 10.1590/0034-7167-2016-0574
Visualizações0ABSTRACT
Objective:
To evaluate the incidents spontaneously notified in a general hospital in Minas Gerais.
Method:
Retrospective, descriptive, quantitative study performed at a general hospital in Montes Claros - Minas Gerais State. The sample comprised 1,316 incidents reported from 2011 to 2014. The data were submitted to descriptive statistical analysis using Statistical Package for the Social Sciences version 18.0.
Results:
The prevalence of incidents was 33.8 per 1,000 hospitalizations, with an increase during the investigation period and higher frequency in hospitalization units, emergency room and surgical center. These occurred mostly with adult clients and relative to the medication supply chain. The main causes were noncompliance with routines/protocols, necessitating changes in routines and training.
Conclusion:
There was a considerable prevalence of incidents and increase in notifications during the period investigated, which requires the attention of managers and hospital staff. Nevertheless, we observed development of the patient safety culture.
Palavras-chave: NursingPatient SafetyQuality Assurance in Health CareQuality of Health CareSafety ManagementVer maisVisualizações0
Resumo
RESEARCHAnalysis of incidents notified in a general hospital
Revista Brasileira de Enfermagem. 2018;71(1):111-119
01-01-2018DOI 10.1590/0034-7167-2016-0574
Visualizações0ABSTRACT
Objective:
To evaluate the incidents spontaneously notified in a general hospital in Minas Gerais.
Method:
Retrospective, descriptive, quantitative study performed at a general hospital in Montes Claros - Minas Gerais State. The sample comprised 1,316 incidents reported from 2011 to 2014. The data were submitted to descriptive statistical analysis using Statistical Package for the Social Sciences version 18.0.
Results:
The prevalence of incidents was 33.8 per 1,000 hospitalizations, with an increase during the investigation period and higher frequency in hospitalization units, emergency room and surgical center. These occurred mostly with adult clients and relative to the medication supply chain. The main causes were noncompliance with routines/protocols, necessitating changes in routines and training.
Conclusion:
There was a considerable prevalence of incidents and increase in notifications during the period investigated, which requires the attention of managers and hospital staff. Nevertheless, we observed development of the patient safety culture.
Palavras-chave: NursingPatient SafetyQuality Assurance in Health CareQuality of Health CareSafety ManagementVer mais -
RESEARCH
Assessment of the care process with orthotics, prosthetics and special materials
Revista Brasileira de Enfermagem. 2018;71(3):1099-1105
01-01-2018
Resumo
RESEARCHAssessment of the care process with orthotics, prosthetics and special materials
Revista Brasileira de Enfermagem. 2018;71(3):1099-1105
01-01-2018DOI 10.1590/0034-7167-2017-0031
Visualizações0ABSTRACT
Objective:
to assess potential failures in the care process with orthotics, prosthetics and special materials in a high-complexity hospital.
Method:
an intervention study conducted from March to October 2013. This process was assessed with the Failure Mode and Effects Analysis (FMEA) service tool. The data were analysed according to the risk and the corrective measures were defined.
Results:
no failure was classified as high risk and the corrective measures indicated as low and moderate risk had the following improvement initiatives suggested: standardize the material records in the information system; create a specific form to require materials; hire specialized technical personnel and create a continuous education program.
Conclusion:
all the suggested initiatives were implemented and helped to reduce the assistance risks for patients due to failures in this process. The actions increase safety levels and provide higher quality of service.
Palavras-chave: Analysis and Performance of TasksAssessment of ProcessesManagement of Materials in HospitalsQuality Assurance in Health CareQuality ControlVer maisVisualizações0Resumo
RESEARCHAssessment of the care process with orthotics, prosthetics and special materials
Revista Brasileira de Enfermagem. 2018;71(3):1099-1105
01-01-2018DOI 10.1590/0034-7167-2017-0031
Visualizações0ABSTRACT
Objective:
to assess potential failures in the care process with orthotics, prosthetics and special materials in a high-complexity hospital.
Method:
an intervention study conducted from March to October 2013. This process was assessed with the Failure Mode and Effects Analysis (FMEA) service tool. The data were analysed according to the risk and the corrective measures were defined.
Results:
no failure was classified as high risk and the corrective measures indicated as low and moderate risk had the following improvement initiatives suggested: standardize the material records in the information system; create a specific form to require materials; hire specialized technical personnel and create a continuous education program.
Conclusion:
all the suggested initiatives were implemented and helped to reduce the assistance risks for patients due to failures in this process. The actions increase safety levels and provide higher quality of service.
Palavras-chave: Analysis and Performance of TasksAssessment of ProcessesManagement of Materials in HospitalsQuality Assurance in Health CareQuality ControlVer mais
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