Patient safety management from the perspective of nurses

Author:

Françolin Lucilena1,Gabriel Carmen Silvia2,Bernardes Andrea2,Silva Ana Elisa Bauer de Camargo3,Brito Maria de Fatima Paiva2,Machado Juliana Pereira4

Affiliation:

1. Grupo São Lucas, Brazil

2. Universidade de São Paulo, Brazil

3. Universidade Federal de Goiás, Brazil

4. Centro Universitário Barão de Mauá, Brazil

Abstract

OBJECTIVE To evaluate the actions of patient safety management developed in hospitals, from the perspective of nurses. METHOD This is a cross-sectional, descriptive study of the survey type. Participants were seven hospitals, in which seven nurse managers and 49 sector coordinator nurses (n = 56) answered the instrument prepared by the author. RESULTS The results showed that 100% of hospitals have an adverse event reporting system, 71.4% have a Risk Management Committee and 80% have discussions about the events. There is agreement that these discussions lead to favorable changes for patient safety in the surveyed institutions. The employees' fear of punishment for their faults, and the underreporting of events were the aspects of greatest weakness found. CONCLUSION The institutions should develop organizational policies focused on stimulating event notification and on the implementation of measures directed to a non-punitive organizational culture.

Publisher

FapUNIFESP (SciELO)

Subject

General Nursing

Reference25 articles.

1. Summary of the evidence on patient safety: implications for research,2008

2. The conceptual framework for the international classification for patient safety (ICPS),2009

3. Towards an International Classification for Patient Safety: key concepts and terms;Runciman W;Int J Qual Health Care,2009

4. BMJ Qual Saf [Internet];Jha AK,2013

5. The incidence and nature of in-hospital adverse events: a systematic review;Vries END;Qual Saf Health Care [internet],2008

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