Simone Silveira Pasin

Processos de medicação, carga de trabalho e a segurança do paciente em unidades de internação

Objetivo Levantar pontos criticos do processo de medicacao, suas repercussoes nas demandas de trabalho da equipe de enfermagem e riscos para a seguranca dos pacientes. Metodo Estudo descritivo, com abordagem qualitativa, na perspectiva ecologico-restaurativa. Os dados foram coletados por meio de grupos focais e fotografias. Participaram enfermeiros e tecnicos de enfermagem. Resultados Tres categorias emergiram da analise tematica: Desafios nos processos de prescricao e dispensacao de medicamentos; Administracao de medicamentos – organizacao no turno de trabalho; Uso de novas tecnologias para diminuir erros de medicamentos. Os resultados apontam que o processo de medicacao assume um carater de centralidade na organizacao do trabalho da equipe de enfermagem, sendo que estes profissionais configuram-se como a ultima barreira para detectar falhas de prescricao e dispensacao de medicamentos. Conclusao Para a identificacao de vulnerabilidades na etapa de administracao de medicamentos, o uso de tecnologias, sem duvida, agrega valor para o processo de cuidado seguro.Objective To conduct a survey of critical points in the medication process, its repercussions on the demands made on the nursing team and risks related to patient safety. Method This was a qualitative descriptive study that adopted an ecological-restorative approach. The data were collected through focus groups and photographs. Participants consisted of nurses and nursing technicians. Results Three categories emerged from the thematic analysis: challenges related to the process of prescribing and dispensing medication; medication administration with relation to work shift organization; and the use of new technologies to reduce medication errors. The results indicated that the medication process plays a central role in organizing nursing care, being that these professionals represent the last barrier for detecting medication prescription and administration errors. Conclusion By identifying vulnerabilities in the medication administration phase, the use of technology can help ensure patient safety.

The medication process, workload and patient safety in inpatient units

Objetivo Levantar pontos criticos do processo de medicacao, suas repercussoes nas demandas de trabalho da equipe de enfermagem e riscos para a seguranca dos pacientes. Metodo Estudo descritivo, com abordagem qualitativa, na perspectiva ecologico-restaurativa. Os dados foram coletados por meio de grupos focais e fotografias. Participaram enfermeiros e tecnicos de enfermagem. Resultados Tres categorias emergiram da analise tematica: Desafios nos processos de prescricao e dispensacao de medicamentos; Administracao de medicamentos – organizacao no turno de trabalho; Uso de novas tecnologias para diminuir erros de medicamentos. Os resultados apontam que o processo de medicacao assume um carater de centralidade na organizacao do trabalho da equipe de enfermagem, sendo que estes profissionais configuram-se como a ultima barreira para detectar falhas de prescricao e dispensacao de medicamentos. Conclusao Para a identificacao de vulnerabilidades na etapa de administracao de medicamentos, o uso de tecnologias, sem duvida, agrega valor para o processo de cuidado seguro.Objective To conduct a survey of critical points in the medication process, its repercussions on the demands made on the nursing team and risks related to patient safety. Method This was a qualitative descriptive study that adopted an ecological-restorative approach. The data were collected through focus groups and photographs. Participants consisted of nurses and nursing technicians. Results Three categories emerged from the thematic analysis: challenges related to the process of prescribing and dispensing medication; medication administration with relation to work shift organization; and the use of new technologies to reduce medication errors. The results indicated that the medication process plays a central role in organizing nursing care, being that these professionals represent the last barrier for detecting medication prescription and administration errors. Conclusion By identifying vulnerabilities in the medication administration phase, the use of technology can help ensure patient safety.

Analysis of the preparation and administration of medications in the hospital context based on Lean thinking

Objectives: To analyze the current way medications are prepared and administered in the hospital setting and to apply a method to establish priorities for problems detected. Method: This is an exploratory-descriptive case study. The data were collected through observation and focus groups with 13 participants who were part of a health team in a surgical inpatient unit of a public university hospital. The analysis was based on a lean production framework. Results: A value stream map was constructed of the current way drugs are prepared and administered, identifying the clients in the process and their requirements. Forty-five current problems were identified, based on requirements that were not met with eight being prioritized to improve planning. Conclusion: Having prioritized the problems, the planning and implementation of continuous improvements in the medication process were started in order to reduce errors and improve the quality of services.

Procesos de medicación, carga de trabajo y seguridad del paciente en las unidades de hospitalización

Objetivo Levantar pontos criticos do processo de medicacao, suas repercussoes nas demandas de trabalho da equipe de enfermagem e riscos para a seguranca dos pacientes. Metodo Estudo descritivo, com abordagem qualitativa, na perspectiva ecologico-restaurativa. Os dados foram coletados por meio de grupos focais e fotografias. Participaram enfermeiros e tecnicos de enfermagem. Resultados Tres categorias emergiram da analise tematica: Desafios nos processos de prescricao e dispensacao de medicamentos; Administracao de medicamentos – organizacao no turno de trabalho; Uso de novas tecnologias para diminuir erros de medicamentos. Os resultados apontam que o processo de medicacao assume um carater de centralidade na organizacao do trabalho da equipe de enfermagem, sendo que estes profissionais configuram-se como a ultima barreira para detectar falhas de prescricao e dispensacao de medicamentos. Conclusao Para a identificacao de vulnerabilidades na etapa de administracao de medicamentos, o uso de tecnologias, sem duvida, agrega valor para o processo de cuidado seguro.Objective To conduct a survey of critical points in the medication process, its repercussions on the demands made on the nursing team and risks related to patient safety. Method This was a qualitative descriptive study that adopted an ecological-restorative approach. The data were collected through focus groups and photographs. Participants consisted of nurses and nursing technicians. Results Three categories emerged from the thematic analysis: challenges related to the process of prescribing and dispensing medication; medication administration with relation to work shift organization; and the use of new technologies to reduce medication errors. The results indicated that the medication process plays a central role in organizing nursing care, being that these professionals represent the last barrier for detecting medication prescription and administration errors. Conclusion By identifying vulnerabilities in the medication administration phase, the use of technology can help ensure patient safety.