Navegando por Palavras-chave "Safety Management"
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- ItemAcesso aberto (Open Access)Analysis of incidents notified in a general hospital(Assoc Brasileira Enfermagem, 2018) de Figueiredo, Mirela Lopes [UNIFESP]; de Oliveira e Silva, Carla Silvana [UNIFESP; Santos Figueiredo Brito, Maria Fernanda; D'Innocenzo, MariaObjective: 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.
- ItemSomente MetadadadosA mapping of Information Security in Health Information Systems in Latin America and Brazil(Ios Press, 2013-01-01) Pereira, Samaris Ramiro [UNIFESP]; Lopes Fernandes, Joao Carlos; Labrada, Luis; Bandiera-Paiva, Paulo [UNIFESP]; Mantas, J.; Hasman, A.; Universidade Federal de São Paulo (UNIFESP)In health, Information Systems are patient records, hospital administration or other, have advantages such as cost, availability and integration. However, for these benefits to be fully met, it is necessary to guarantee the security of information maintained and provided by the systems. the lack of security can lead to serious consequences such as lawsuits and induction to medical errors. the management of information security is complex and is used in various fields of knowledge. Often, it is left in the background for not being the ultimate goal of a computer system, causing huge financial losses to corporations. This paper by systematic review methodologies, presented a mapping in the literature, in order to identify the most relevant aspects that are addressed by security researchers of health information, as to the development of computerized systems. They conclude through the results, some important aspects, for which the managers of computerized health systems should remain alert.
- ItemSomente MetadadadosSegurança do paciente na atenção primária à saúde: análise de incidentes near miss em unidades de Estratégia de Saúde da Família(Universidade Federal de São Paulo (UNIFESP), 2019-05-30) Amaro, Meire Augusta Celestino [UNIFESP]; Bohomol, Elena [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Objectives: To analyze the reported near miss incidents in primary health care. Methods: This is a documental, retrospective, descriptive research of quantitative nature. The study analyzed the reported incidents reports to a database, with reports of 13 Basic Health Units with Family Health Strategy in the city of São Paulo, from 2014 to 2016. For the analysis of the types of incidents notified, the Chi-square Test was used with a confidence interval of 95%. The categorization of incidents was based on the International Classification for Patient Safety, proposed by the World Health Organization. The Kappa Test was used to evaluate the level of agreement between the evaluators. The Research Ethics Committee of the Municipal Health Secretariat of São Paulo approved the study. Results: Two evaluators performed a reading and classification of 3204 incident notifications independently, presenting Kappa between 0.36 and 0.42, indicating low concordance. The convergences value between the first two evaluators was 1759 (55%) of the total notifications analyzed, after the inclusion of the third evaluator, the convergences value was 2344 (73%). 1093 near miss were identified, the most frequent types were: medications, 687 (62.8%), with prescription problems, 629 (92%), documentation, 312 (28.5%), errors with requests 128 (41%), problems with medical records, 67 (21%); clinical administration 66 (6%), the admission errors of the patient, 17 (26%), scheduling errors, 14 (21%) and routing errors 11 (17%). Conclusions: The most frequently reported near miss incidents were medication, highlighting prescribing errors, documentation pointing to errors with requests and medical records. Incidents of clinical administration, however, lead to patient admission errors, scheduling errors, and referral errors.
- ItemAcesso aberto (Open Access)Validation of the process criteria for assessment of a hospital nursing service(Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo, 2013-07-01) Feldman, Liliane Bauer [UNIFESP]; Cunha, Isabel Cristina Kowal Olm [UNIFESP]; D'Innocenzo, Maria [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE:to validate an instrument containing process criteria for assessment of a hospital nursing service based on the National Accreditation Organization program.METHOD:a descriptive, quantitative methodological study performed in stages. An instrument constructed with 69 process criteria was assessed by 49 nurses from accredited hospitals in 2009, according to a Likert scale, and validated by 16 judges through Delphi rounds in 2010.RESULT:the original instrument assessed by nurses with 69 process criteria was judged by the degree of importance, and changed to 39 criteria. In the first Delphi round, the 39 criteria reached consensus among the 19 judges, with a medium reliability by Cronbach's alpha. In the second round, 40 converging criteria were validated by 16 judges, with high reliability. The criteria addressed management, costs, teaching, education, indicators, protocols, human resources, communication, among others.CONCLUSION:the 40 process criteria formed a validated instrument to assess the hospital nursing service which, when measured, can better direct interventions by nurses in reaching and strengthening outcomes.