Thatianny Tanferri de Brito Paranaguá

Prevalência de incidentes sem dano e eventos adversos em uma clínica cirúrgica

OBJECTIVE: To estimate the prevalence of no harm incidents and adverse events in a surgical clinic. METHODS: Cross-sectional study conducted with a sample of 750 hospitalizations in the surgical clinic of a hospital in the mid-west region. A descriptive analysis was performed and the prevalence of incidents was calculated. RESULTS: It was demonstrated that 615 hospitalizations were exposed to no harm incidents and 140 to adverse events. Of the 5,672 reported incidents, 218 were characterized as adverse events that caused harm to the patient. No harm was proven for the others; however, they highlighted the need for an adjustment to work processes. CONCLUSION: The prevalence of no harm incidents was estimated at 82%, and 18.7% for adverse events.

Administración de medicamentos: conocimiento de los enfermeros del sector de urgencia y emergencia

Administration of medicines is an ally in the health recovery process, especially in the emergency and casualty sector. Since the nurse is the person with most responsibility in this practice and considering that any failing in this activity could have irreversible consequences for the patient, the study seeks to describe the knowledge of the nurses about this issue and to verify aspects of their training in a search for continuous updating and education in the health service. The study is descriptive and exploratory and of a quantitative approach. It was carried out in casualty and emergency units of the Distrito Sanitario Leste de Goiânia, Goias. 37 nurses participated in the study, answering a self-administered questionnaire. A statistical and descriptive analysis was carried out, taking a confidence interval of 95% and factors with significance p < 0,05. The study shows the training of nurses in terms of medicine administration in casualty and emergency units and highlights gaps that need to be remedied by ongoing training.

Reacciones adversas: indicadores de resultados según la percepción de las enfermeras de un hospital centinela

This study aims to determine the understanding of nurses working at a sentry hospital of adverse events, to identify the most frequent events and the actions taken by the institution for the safety of care, from the viewpoint of nurses. This is a descriptive, exploratory study conducted during 2009 in a teaching hospital in the Midwest with 50 nurses who answered to a questionnaire. The data were analyzed statistically, featuring the absolute and relative frequencies. Adverse events most frequently cited were hospital infection, medication error, trauma during the procedure, pressure ulcers, falls and burns. Most of them understand the concept of adverse events, though some have pointed out the difficulties. All of them recognized the risks and noted the adoption of measures for monitoring and evaluating the service to improve health care practice.

Prevalência e fatores associados aos incidentes relacionados à medicação em pacientes cirúrgicos

The aim of this study was to estimate the prevalence and factors associated with the occurrence of incidents related to medication, registered in the medical...The aim of this study was to estimate the prevalence and factors associated with the occurrence of incidents related to medication, registered in the medical records of patients admitted to a Surgical Clinic, in 2010. This is a cross-sectional study, conducted at a university hospital, with a sample of 735 hospitalizations. Was performed the categorization of types of incidents, multivariate analysis of regression logistic and calculated the prevalence. The prevalence of drug-related incidents was estimated at 48.0% and were identified, as factors related to the occurrence of these incidents: length of hospitalization more than four days, prescribed three or more medications per day and realization of surgery intervention. It is expected to have contributed for the professionals and area managers can identify risky situations and rethink their actions.

LOS SIGNOS VITALES COMO UN INDICADOR DE LA ATENCIÓN SEGURA EN PERSONAS DE EDAD AVANZADA

The studys aim was to analyze the importance assigned by the nursing staff to the recording of vital signs of elderly inpatients, as well as perceived barriers and benefits. Data were collected through interviews held with 13 nurses and the reports were analyzed using content analysis, considering the health belief model proposed by Rosenstock. The categories that emerged from the analysis indicate barriers that interfere in the proper monitoring of vital signs, namely: workload, lack of availability and accessibility of basic equipment such as thermometers, stethoscopes and sphygmomanometers, which compromises the nursing assessment and leads to a greater susceptibility to incidents. Although the facility does not provide conditions to measure vital signs properly, the nursing staff attempts to do what is feasible given their current knowledge and context to achieve the best outcome possible in view of the resources available. DESCRIPTORS: Quality of health care. Health of the elderly. Vital signs. Nursing records.O estudo objetivou analisar a importância atribuida, as barreiras e os beneficios percebidos pela equipe de enfermagem, relacionados ao registro dos parâmetros dos sinais vitais em idosos hospitalizados. Os dados foram coletados por meio de entrevista com 13 profissionais de enfermagem e as falas foram analisadas pelo metodo de interpretacao de sentidos, considerando o modelo de crencas em saude de Rosenstock. Das categorias emergidas, identificamos barreiras que interferem na verificacao adequada dos sinais vitais, tais como a sobrecarga de trabalho, a disponibilidade e acessibilidade a materiais basicos como termometro, estetoscopio e esfigmomanometro, comprometendo a avaliacao de enfermagem e acarretando maior susceptibilidade aos incidentes. Ainda que a instituicao nao forneca condicoes para a afericao adequada dos sinais vitais, desvela-se que a equipe de enfermagem tem tentado fazer o que e viavel diante do conhecimento atual e do contexto inserido, na tentativa de alcancar o melhor resultado possivel, mediante os recursos disponiveis.El estudio tuvo como objetivo analizar la importancia, las barreras y beneficios percibidos por el personal de enfermeria, relacionada con el registro de los parametros de signos vitales en ancianos hospitalizados. Los datos fueron recolectados a traves de entrevistas con 13 enfermeras y las lineas fueron analizadas por el metodo de interpretacion de sentido, teniendo en cuenta el modelo de creencias de salud Rosenstock. De las categorias que surgieron, identificamos las barreras que interfieren con el buen control de los signos vitales, tales como la carga de trabajo, la disponibilidad y accesibilidad de los materiales basicos, como el termometro, estetoscopio y esfigmomanometro, comprometiendo la valoracion de enfermeria y que resulta en una mayor susceptibilidad a los incidentes. Aunque la institucion no ofrece condiciones para una medicion adecuada de los signos vitales se revela que el personal de enfermeria ha tratado de hacer lo que es factible dado el conocimiento actual y el contexto se inserta con el fin de lograr el mejor resultado posible los recursos disponibles.

AFERIÇÃO DE SINAIS VITAIS: UM INDICADOR DO CUIDADO SEGURO EM IDOSOS

The studys aim was to analyze the importance assigned by the nursing staff to the recording of vital signs of elderly inpatients, as well as perceived barriers and benefits. Data were collected through interviews held with 13 nurses and the reports were analyzed using content analysis, considering the health belief model proposed by Rosenstock. The categories that emerged from the analysis indicate barriers that interfere in the proper monitoring of vital signs, namely: workload, lack of availability and accessibility of basic equipment such as thermometers, stethoscopes and sphygmomanometers, which compromises the nursing assessment and leads to a greater susceptibility to incidents. Although the facility does not provide conditions to measure vital signs properly, the nursing staff attempts to do what is feasible given their current knowledge and context to achieve the best outcome possible in view of the resources available. DESCRIPTORS: Quality of health care. Health of the elderly. Vital signs. Nursing records.O estudo objetivou analisar a importância atribuida, as barreiras e os beneficios percebidos pela equipe de enfermagem, relacionados ao registro dos parâmetros dos sinais vitais em idosos hospitalizados. Os dados foram coletados por meio de entrevista com 13 profissionais de enfermagem e as falas foram analisadas pelo metodo de interpretacao de sentidos, considerando o modelo de crencas em saude de Rosenstock. Das categorias emergidas, identificamos barreiras que interferem na verificacao adequada dos sinais vitais, tais como a sobrecarga de trabalho, a disponibilidade e acessibilidade a materiais basicos como termometro, estetoscopio e esfigmomanometro, comprometendo a avaliacao de enfermagem e acarretando maior susceptibilidade aos incidentes. Ainda que a instituicao nao forneca condicoes para a afericao adequada dos sinais vitais, desvela-se que a equipe de enfermagem tem tentado fazer o que e viavel diante do conhecimento atual e do contexto inserido, na tentativa de alcancar o melhor resultado possivel, mediante os recursos disponiveis.El estudio tuvo como objetivo analizar la importancia, las barreras y beneficios percibidos por el personal de enfermeria, relacionada con el registro de los parametros de signos vitales en ancianos hospitalizados. Los datos fueron recolectados a traves de entrevistas con 13 enfermeras y las lineas fueron analizadas por el metodo de interpretacion de sentido, teniendo en cuenta el modelo de creencias de salud Rosenstock. De las categorias que surgieron, identificamos las barreras que interfieren con el buen control de los signos vitales, tales como la carga de trabajo, la disponibilidad y accesibilidad de los materiales basicos, como el termometro, estetoscopio y esfigmomanometro, comprometiendo la valoracion de enfermeria y que resulta en una mayor susceptibilidad a los incidentes. Aunque la institucion no ofrece condiciones para una medicion adecuada de los signos vitales se revela que el personal de enfermeria ha tratado de hacer lo que es factible dado el conocimiento actual y el contexto se inserta con el fin de lograr el mejor resultado posible los recursos disponibles.

VITAL SIGNS MEASUREMENT: AN INDICATOR OF SAFE CARE DELIVERED TO ELDERLY PATIENTS

The studys aim was to analyze the importance assigned by the nursing staff to the recording of vital signs of elderly inpatients, as well as perceived barriers and benefits. Data were collected through interviews held with 13 nurses and the reports were analyzed using content analysis, considering the health belief model proposed by Rosenstock. The categories that emerged from the analysis indicate barriers that interfere in the proper monitoring of vital signs, namely: workload, lack of availability and accessibility of basic equipment such as thermometers, stethoscopes and sphygmomanometers, which compromises the nursing assessment and leads to a greater susceptibility to incidents. Although the facility does not provide conditions to measure vital signs properly, the nursing staff attempts to do what is feasible given their current knowledge and context to achieve the best outcome possible in view of the resources available. DESCRIPTORS: Quality of health care. Health of the elderly. Vital signs. Nursing records.O estudo objetivou analisar a importância atribuida, as barreiras e os beneficios percebidos pela equipe de enfermagem, relacionados ao registro dos parâmetros dos sinais vitais em idosos hospitalizados. Os dados foram coletados por meio de entrevista com 13 profissionais de enfermagem e as falas foram analisadas pelo metodo de interpretacao de sentidos, considerando o modelo de crencas em saude de Rosenstock. Das categorias emergidas, identificamos barreiras que interferem na verificacao adequada dos sinais vitais, tais como a sobrecarga de trabalho, a disponibilidade e acessibilidade a materiais basicos como termometro, estetoscopio e esfigmomanometro, comprometendo a avaliacao de enfermagem e acarretando maior susceptibilidade aos incidentes. Ainda que a instituicao nao forneca condicoes para a afericao adequada dos sinais vitais, desvela-se que a equipe de enfermagem tem tentado fazer o que e viavel diante do conhecimento atual e do contexto inserido, na tentativa de alcancar o melhor resultado possivel, mediante os recursos disponiveis.El estudio tuvo como objetivo analizar la importancia, las barreras y beneficios percibidos por el personal de enfermeria, relacionada con el registro de los parametros de signos vitales en ancianos hospitalizados. Los datos fueron recolectados a traves de entrevistas con 13 enfermeras y las lineas fueron analizadas por el metodo de interpretacion de sentido, teniendo en cuenta el modelo de creencias de salud Rosenstock. De las categorias que surgieron, identificamos las barreras que interfieren con el buen control de los signos vitales, tales como la carga de trabajo, la disponibilidad y accesibilidad de los materiales basicos, como el termometro, estetoscopio y esfigmomanometro, comprometiendo la valoracion de enfermeria y que resulta en una mayor susceptibilidad a los incidentes. Aunque la institucion no ofrece condiciones para una medicion adecuada de los signos vitales se revela que el personal de enfermeria ha tratado de hacer lo que es factible dado el conocimiento actual y el contexto se inserta con el fin de lograr el mejor resultado posible los recursos disponibles.

Prevalencia y factores asociados con los incidentes relacionados a la medicación en pacientes quirúrgicos

The aim of this study was to estimate the prevalence and factors associated with the occurrence of incidents related to medication, registered in the medical...The aim of this study was to estimate the prevalence and factors associated with the occurrence of incidents related to medication, registered in the medical records of patients admitted to a Surgical Clinic, in 2010. This is a cross-sectional study, conducted at a university hospital, with a sample of 735 hospitalizations. Was performed the categorization of types of incidents, multivariate analysis of regression logistic and calculated the prevalence. The prevalence of drug-related incidents was estimated at 48.0% and were identified, as factors related to the occurrence of these incidents: length of hospitalization more than four days, prescribed three or more medications per day and realization of surgery intervention. It is expected to have contributed for the professionals and area managers can identify risky situations and rethink their actions.